Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

CHRM2

cholinergic receptor muscarinic 2

translation score 0.63, read 2026-10-27; 3 sealed predictions, 0 held; 3 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.54 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including brain inhibitory neurons; strongest in cardiomyocytes0.75
chemistry
Open Targets
compounds already reach it: alcuronium, darifenacin hydrobromide, glycopyrronium tosylate +271.00
trials
ClinicalTrials.gov
1 Parkinson's trial, 0 stopped1.00
literature
PubMed
3 Parkinson's papers of 2100.82
pathways
Reactome
4 pathways; mostly vesicle traffic1.00
proposal for CHRM2, translation score 0.63

Knock down and overexpress CHRM2 in dopamine neurons; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position 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
LRRK2 kinase activity (pT73-Rab10) and lysosome position
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 LRRK2 kinase activity (pT73-Rab10) 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 CHRM2 in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; 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 0.63; 2026-10-25 0.63; 2026-10-24 0.63; 2026-10-23 0.63.

Sealed predictions

  1. CHRM2 in dopamine neurons, braak+0.55 (p 0.123) → -0.31 (p 0.414)receipt 0594
  2. CHRM2 in dopamine neurons, braak+0.44 (p 0.004) → +0.28 (p 0.076)receipt 0141
  3. CHRM2 in dopamine neurons, resilience-0.43 (p 0.133) → +0.15 (p 0.584)receipt 0142

Swarm cases

receipt 0594: CHRM2 in dopamine neurons, braak

power
full sample +0.17 (p 0.504, n 18), 95% CI -0.32 to +0.59. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.11 (p 0.652, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.16 (p 0.538, n 18). could be the mix.
skeptic
leave-one-out range +0.10 to +0.26, sign flips 0; without severely affected donors +0.17 (p 0.504, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CHRM2 in dopamine neurons.

case closed: nothing better to follow up.

receipt 0142: CHRM2 in dopamine neurons, resilience

power
full sample -0.11 (p 0.570, n 55), 95% CI -0.37 to +0.16. the interval is wide: not enough donors to tell.
confounder
adjusted for age, sex and PMI: -0.11 (p 0.570, n 55). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.12 (p 0.542); controlling for it: -0.10 (p 0.628, n 55). could be the mix.
skeptic
leave-one-out range -0.20 to -0.03, sign flips 0; without severely affected donors -0.13 (p 0.528, n 46). fragile.
cell type
strongest in OPCs: +0.53 (p 0.0071, n 55) vs -0.11 in dopamine neurons. proposing OPCs.
axis
braak beats resilience for CHRM2 in dopamine neurons: +0.37 (p 5.7e-4, n 84). proposing braak.

follow-up registered; not confirmed in ventral tegmental area.
follow-up CHRM2 · OPCs · resilience: ventral tegmental area +0.34 p 0.054 (needs p < 0.0024)

receipt 0141: CHRM2 in dopamine neurons, braak

power
full sample +0.37 (p 5.7e-4, n 84), 95% CI +0.17 to +0.54. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for age, sex and PMI: +0.39 (p 2.2e-4, n 84). holds up.
composition
dopamine neurons share of nuclei vs axis -0.72 (p 1.8e-14); controlling for it: +0.13 (p 0.229, n 84). could be the mix.
skeptic
leave-one-out range +0.35 to +0.40, sign flips 0; without severely affected donors +0.42 (p 1.8e-4, n 75). robust.
cell type
no other cell group does better.
axis
nigra beats braak for CHRM2 in dopamine neurons: +0.36 (p 6.9e-4, n 84). proposing nigra.

case closed: every proposal failed a challenge.

Receipts

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