Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

HSPA1A

heat shock protein family A (Hsp70) member 1A

translation score 0.58, read 2026-10-19; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.08 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced in microglia (1396 nCPM)1.00
chemistry
Open Targets
a small-molecule pocket: cd24fc0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
14 Parkinson's papers of 8270.64
pathways
Reactome
11 pathways; mostly mitochondrial quality control1.00
proposal for HSPA1A, translation score 0.58

Knock down and overexpress HSPA1A in microglia; measure PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub) 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
PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub)
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
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 HSPA1A in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub); 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. HSPA1A in microglia, braak+0.26 (p 0.498) → -0.58 (p 0.102)receipt 3115
  2. HSPA1A in dopamine neurons, braak+0.26 (p 0.502) → +0.13 (p 0.739)receipt 3116

Swarm cases

receipt 3116: HSPA1A in dopamine neurons, braak

power
full sample +0.16 (p 0.515, n 18), 95% CI -0.33 to +0.59. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.17 (p 0.509, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.25 (p 0.310, n 18). could be the mix.
skeptic
leave-one-out range +0.06 to +0.27, sign flips 0; without severely affected donors +0.16 (p 0.515, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for HSPA1A in dopamine neurons.

case closed: nothing better to follow up.

receipt 3115: HSPA1A in microglia, braak

power
full sample -0.02 (p 0.942, n 18), 95% CI -0.48 to +0.45. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.01 (p 0.962, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.07 (p 0.774, n 18). could be the mix.
skeptic
leave-one-out range -0.12 to +0.13, sign flips 5; without severely affected donors -0.02 (p 0.942, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for HSPA1A in microglia.

case closed: nothing better to follow up.

Receipts

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