Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ENPP2

ectonucleotide pyrophosphatase/phosphodiesterase 2

translation score 0.58, read 2026-10-28; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.00 from other evidence0.00
cell type
Human Protein Atlas
group enriched, including oligodendrocytes; strongest in choroid plexus epithelial cells0.75
chemistry
Open Targets
compounds already reach it: ziritaxestat0.90
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
1 Parkinson's papers of 2810.91
pathways
Reactome
1 pathway; mostly energy0.60
proposal for ENPP2, translation score 0.58

Knock down and overexpress ENPP2 in oligodendrocytes; measure oxygen consumption rate and ATP output and α-synuclein uptake and myelin basic protein output under oxidative stress.

Cell type
oligodendrocytes
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 myelin basic protein output under oxidative stress
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 ENPP2 in iPSC-derived oligodendrocytes; n = 3 differentiations; readouts: oxygen consumption rate and ATP output; α-synuclein uptake and myelin basic protein output under oxidative stress. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. ENPP2 in dopamine neurons, braak+0.25 (p 0.517) → +0.49 (p 0.183)receipt 12497
  2. ENPP2 in oligodendrocytes, braak+0.55 (p 0.125) → +0.09 (p 0.815)receipt 12496

Swarm cases

receipt 12497: ENPP2 in dopamine neurons, braak

power
full sample +0.29 (p 0.235, n 18), 95% CI -0.20 to +0.67. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.25 (p 0.315, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.48 (p 0.046, n 18). not the mix.
skeptic
leave-one-out range +0.20 to +0.44, sign flips 0; without severely affected donors +0.29 (p 0.235, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ENPP2 in dopamine neurons.

case closed: nothing better to follow up.

receipt 12496: ENPP2 in oligodendrocytes, braak

power
full sample +0.31 (p 0.214, n 18), 95% CI -0.19 to +0.68. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.21 (p 0.398, n 18). does not hold up.
composition
oligodendrocytes share of nuclei vs axis +0.03 (p 0.915); controlling for it: +0.20 (p 0.424, n 18). could be the mix.
skeptic
leave-one-out range +0.22 to +0.49, sign flips 0; without severely affected donors +0.31 (p 0.214, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ENPP2 in oligodendrocytes.

case closed: nothing better to follow up.

Receipts

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