Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

CUL4A

cullin 4A

translation score 0.58, read 2026-10-31; 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: iberdomide, pomalidomide, lenalidomide +11.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
2 Parkinson's papers of 3990.85
pathways
Reactome
10 pathways; mostly mitochondrial quality control1.00
proposal for CUL4A, translation score 0.58

Knock down and overexpress CUL4A in a dopamine neuron, astrocyte and microglia tri-culture; measure PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub) 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
PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub)
Functional readout
dopamine neuron survival after α-synuclein fibril challenge
Rule-out
If neither arm moves PINK1–parkin mitophagy flux (mt-Keima) 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 CUL4A in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub); 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. CUL4A in dopamine neurons, braak-0.21 (p 0.581) → -0.43 (p 0.244)receipt 16322

Swarm cases

receipt 16322: CUL4A in dopamine neurons, braak

power
full sample -0.30 (p 0.228, n 18), 95% CI -0.67 to +0.20. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.27 (p 0.281, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.28 (p 0.254, n 18). could be the mix.
skeptic
leave-one-out range -0.44 to -0.22, sign flips 0; without severely affected donors -0.30 (p 0.228, n 18). fragile.
cell type
strongest in oligodendrocytes: +0.64 (p 0.0039, n 18) vs -0.30 in dopamine neurons. proposing oligodendrocytes.
axis
no measure beats "tracks Braak Lewy-body stage" for CUL4A in dopamine neurons.

follow-up registered; not confirmed in substantia nigra, an independent cohort.
follow-up CUL4A · oligodendrocytes · braak: substantia nigra, an independent cohort (Parkinson's or LBD vs controls) -0.15 p 0.594 (needs p < 1.4e-4)

Receipts

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