Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ADORA2A

adenosine A2a receptor

translation score 0.55, read 2026-10-27; 3 sealed predictions, 0 held; 3 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.61 from other evidence0.00
cell type
Human Protein Atlas
group enriched in brain inhibitory neurons (15 nCPM)1.00
chemistry
Open Targets
compounds already reach it: regadenoson, uk432097, sonedenoson +241.00
trials
ClinicalTrials.gov
6 Parkinson's trials, 1 stopped0.87
literature
PubMed
21 Parkinson's papers of 4710.59
pathways
Reactome
4 pathways; mostly energy0.60
proposal for ADORA2A, translation score 0.55

Knock down and overexpress ADORA2A 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 ADORA2A 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.

Earlier readings: 2026-10-26 0.55; 2026-10-25 0.55; 2026-10-24 0.55; 2026-10-23 0.55.

Sealed predictions

  1. ADORA2A in dopamine neurons, braak-0.51 (p 0.163) → -0.01 (p 0.982)receipt 0550
  2. ADORA2A in dopamine neurons, braak-0.32 (p 0.036) → -0.03 (p 0.853)receipt 0072
  3. ADORA2A in dopamine neurons, resilience-0.33 (p 0.216) → +0.37 (p 0.205)receipt 0073

Swarm cases

receipt 0550: ADORA2A in dopamine neurons, braak

power
full sample -0.22 (p 0.384, n 18), 95% CI -0.62 to +0.28. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.24 (p 0.328, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.46 (p 0.057, n 18). could be the mix.
skeptic
leave-one-out range -0.34 to -0.12, sign flips 0; without severely affected donors -0.22 (p 0.384, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ADORA2A in dopamine neurons.

case closed: nothing better to follow up.

receipt 0073: ADORA2A in dopamine neurons, resilience

power
full sample -0.05 (p 0.784, n 55), 95% CI -0.31 to +0.21. the interval is wide: not enough donors to tell.
confounder
adjusted for age, sex and PMI: -0.03 (p 0.883, n 55). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.12 (p 0.542); controlling for it: -0.06 (p 0.752, n 55). could be the mix.
skeptic
leave-one-out range -0.16 to +0.02, sign flips 3; without severely affected donors -0.03 (p 0.867, n 46). fragile.
cell type
no other cell group does better.
axis
no measure beats "differs in resilient donors (Lewy pathology, no parkinsonism)" for ADORA2A in dopamine neurons.

case closed: nothing better to follow up.

receipt 0072: ADORA2A in dopamine neurons, braak

power
full sample -0.17 (p 0.129, n 84), 95% CI -0.37 to +0.05. the interval sits on zero: probably nothing there.
confounder
adjusted for age, sex and PMI: -0.17 (p 0.113, n 84). does not hold up.
composition
dopamine neurons share of nuclei vs axis -0.72 (p 1.8e-14); controlling for it: -0.11 (p 0.333, n 84). could be the mix.
skeptic
leave-one-out range -0.20 to -0.14, sign flips 0; without severely affected donors -0.20 (p 0.087, n 75). robust.
cell type
strongest in microglia: -0.43 (p 5.0e-5, n 84) vs -0.17 in dopamine neurons. proposing microglia.
axis
no measure beats "tracks Braak Lewy-body stage" for ADORA2A in dopamine neurons.

follow-up registered; not confirmed in ventral tegmental area.
follow-up ADORA2A · microglia · braak: ventral tegmental area -0.24 p 0.030 (needs p < 0.0042)

Receipts

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