Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

CD38

CD38 molecule

translation score 0.72, read 2026-10-16; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.73 (overall 0.47)0.73
cell type
Human Protein Atlas
cell type enhanced, including astrocytes; strongest in plasma cells0.75
chemistry
Open Targets
compounds already reach it: isatuximab, felzartamab, daratumumab +10.90
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
33 Parkinson's papers of 11,3500.54
pathways
Reactome
1 pathway; mostly energy0.60
proposal for CD38, translation score 0.72

Knock down and overexpress CD38 in astrocytes; measure oxygen consumption rate and ATP output and α-synuclein uptake and degradation, and dopamine neuron survival in co-culture.

Cell type
astrocytes
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
α-synuclein uptake and degradation, and dopamine neuron survival in co-culture
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 CD38 in iPSC-derived midbrain astrocytes; n = 3 differentiations; readouts: oxygen consumption rate and ATP output; α-synuclein uptake and degradation, and dopamine neuron survival in co-culture. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. CD38 in astrocytes, braak-0.16 (p 0.685) → -0.04 (p 0.928)receipt 0308
  2. CD38 in dopamine neurons, braak-0.02 (p 0.965) → +0.38 (p 0.309)receipt 0309

Swarm cases

receipt 0309: CD38 in dopamine neurons, braak

power
full sample +0.16 (p 0.538, n 18), 95% CI -0.34 to +0.58. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.20 (p 0.418, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.13 (p 0.603, n 18). could be the mix.
skeptic
leave-one-out range +0.06 to +0.30, sign flips 0; without severely affected donors +0.16 (p 0.538, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CD38 in dopamine neurons.

case closed: nothing better to follow up.

receipt 0308: CD38 in astrocytes, braak

power
full sample -0.11 (p 0.664, n 18), 95% CI -0.55 to +0.38. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.09 (p 0.728, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: -0.08 (p 0.761, n 18). could be the mix.
skeptic
leave-one-out range -0.27 to -0.01, sign flips 0; without severely affected donors -0.11 (p 0.664, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CD38 in astrocytes.

case closed: nothing better to follow up.

Receipts

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