Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ALOX5

arachidonate 5-lipoxygenase

translation score 0.62, read 2026-10-26; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.01 from other evidence0.00
cell type
Human Protein Atlas
group enriched, including microglia; strongest in tuft cells0.75
chemistry
Open Targets
compounds already reach it: meclofenamic acid, zileuton, sulfasalazine +81.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
2 Parkinson's papers of 7120.85
pathways
Reactome
15 pathways; mostly immune signalling0.90
proposal for ALOX5, translation score 0.62

Knock down and overexpress ALOX5 in microglia; measure IL-1β and TNF release and surface HLA-DR and uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release).

Cell type
microglia
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
IL-1β and TNF release and surface HLA-DR
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves IL-1β 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 ALOX5 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: IL-1β and TNF release and surface HLA-DR; uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release). Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. ALOX5 in microglia, braak-0.29 (p 0.442) → -0.61 (p 0.078)receipt 10922
  2. ALOX5 in dopamine neurons, braak-0.58 (p 0.102) → -0.16 (p 0.685)receipt 10923

Swarm cases

receipt 10923: ALOX5 in dopamine neurons, braak

power
full sample -0.33 (p 0.179, n 18), 95% CI -0.69 to +0.16. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.34 (p 0.161, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.42 (p 0.086, n 18). could be the mix.
skeptic
leave-one-out range -0.48 to -0.25, sign flips 0; without severely affected donors -0.33 (p 0.179, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ALOX5 in dopamine neurons.

case closed: nothing better to follow up.

receipt 10922: ALOX5 in microglia, braak

power
full sample -0.40 (p 0.101, n 18), 95% CI -0.73 to +0.08. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.34 (p 0.170, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.39 (p 0.109, n 18). could be the mix.
skeptic
leave-one-out range -0.50 to -0.30, sign flips 0; without severely affected donors -0.40 (p 0.101, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ALOX5 in microglia.

case closed: nothing better to follow up.

Receipts

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