Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

CYSLTR1

cysteinyl leukotriene receptor 1

translation score 0.57, read 2026-10-17; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.37 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in innate lymphoid cells0.75
chemistry
Open Targets
compounds already reach it: zafirlukast, montelukast, montelukast sodium +21.00
trials
ClinicalTrials.gov
1 Parkinson's trial, 0 stopped1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
4 pathways; mostly other0.30
proposal for CYSLTR1, translation score 0.57

Knock down and overexpress CYSLTR1 in microglia; measure a transcriptome-wide state shift (bulk RNA-seq) 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
a transcriptome-wide state shift (bulk RNA-seq)
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves a transcriptome-wide state shift (bulk RNA-seq) 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 CYSLTR1 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: a transcriptome-wide state shift (bulk RNA-seq); 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. CYSLTR1 in dopamine neurons, braak+0.11 (p 0.787) → +0.58 (p 0.102)receipt 0817
  2. CYSLTR1 in microglia, braak-0.03 (p 0.946) → -0.05 (p 0.893)receipt 0816

Swarm cases

receipt 0817: CYSLTR1 in dopamine neurons, braak

power
full sample +0.31 (p 0.204, n 18), 95% CI -0.18 to +0.68. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.63 (p 0.0055, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.60 (p 0.0080, n 18). not the mix.
skeptic
leave-one-out range +0.22 to +0.43, sign flips 0; without severely affected donors +0.31 (p 0.204, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CYSLTR1 in dopamine neurons.

case closed: nothing better to follow up.

receipt 0816: CYSLTR1 in microglia, braak

power
full sample -0.03 (p 0.908, n 18), 95% CI -0.49 to +0.44. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.01 (p 0.976, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.01 (p 0.976, n 18). could be the mix.
skeptic
leave-one-out range -0.13 to +0.12, sign flips 5; without severely affected donors -0.03 (p 0.908, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CYSLTR1 in microglia.

case closed: nothing better to follow up.

Receipts

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