Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ACACA

acetyl-CoA carboxylase alpha

translation score 0.60, read 2026-10-16; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.46 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including other brain neurons; strongest in choroid plexus epithelial cells0.75
chemistry
Open Targets
compounds already reach it: pf-05175157, olumacostat glasaretil, firsocostat +10.90
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
6 pathways; mostly energy0.60
proposal for ACACA, translation score 0.60

Knock down and overexpress ACACA in dopamine neurons; measure oxygen consumption rate and ATP output and survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils.

Cell type
dopamine neurons
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
oxygen consumption rate and ATP output
Functional readout
survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils
Rule-out
If neither arm moves oxygen consumption rate by 20% or more against non-targeting and empty-vector controls, across three independent differentiations, the hypothesis is wrong.
Lab request
CRISPRi knockdown and lentiviral overexpression of ACACA in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: oxygen consumption rate and ATP output; survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. ACACA in dopamine neurons, braak-0.09 (p 0.820) → +0.43 (p 0.243)receipt 0394

Swarm cases

receipt 0394: ACACA in dopamine neurons, braak

power
full sample +0.06 (p 0.814, n 18), 95% CI -0.42 to +0.51. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.03 (p 0.908, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.10 (p 0.702, n 18). could be the mix.
skeptic
leave-one-out range -0.07 to +0.20, sign flips 2; without severely affected donors +0.06 (p 0.814, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ACACA in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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