Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

C5AR1

complement C5a receptor 1

translation score 0.56, read 2026-10-28; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.00 from other evidence0.00
cell type
Human Protein Atlas
expressed broadly, no clear home in brain cells0.40
chemistry
Open Targets
compounds already reach it: avacopan, avdoralimab1.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
3 Parkinson's papers of 6930.82
pathways
Reactome
5 pathways; mostly immune signalling0.90
proposal for C5AR1, translation score 0.56

Knock down and overexpress C5AR1 in a dopamine neuron, astrocyte and microglia tri-culture; measure IL-1β and TNF release and surface HLA-DR and dopamine neuron survival after α-synuclein fibril challenge.

Cell type
a dopamine neuron, astrocyte and microglia tri-culture
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
dopamine neuron survival after α-synuclein fibril challenge
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 C5AR1 in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: IL-1β and TNF release and surface HLA-DR; dopamine neuron survival after α-synuclein fibril challenge. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. C5AR1 in dopamine neurons, braak-0.35 (p 0.362) → +0.20 (p 0.613)receipt 12710

Swarm cases

receipt 12710: C5AR1 in dopamine neurons, braak

power
full sample -0.05 (p 0.847, n 18), 95% CI -0.50 to +0.43. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.08 (p 0.741, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.09 (p 0.715, n 18). could be the mix.
skeptic
leave-one-out range -0.17 to +0.07, sign flips 4; without severely affected donors -0.05 (p 0.847, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for C5AR1 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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