Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

KCNA2

potassium voltage-gated channel subfamily A member 2

translation score 0.67, read 2026-10-19; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.09 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced in astrocytes (55 nCPM)1.00
chemistry
Open Targets
compounds already reach it: nerispirdine, amifampridine, guanidine hydrochloride +31.00
trials
ClinicalTrials.gov
6 Parkinson's trials, 1 stopped0.87
literature
PubMed
1 Parkinson's papers of 1790.91
pathways
Reactome
1 pathway; mostly dopamine synapse1.00
proposal for KCNA2, translation score 0.67

Knock down and overexpress KCNA2 in astrocytes; measure evoked dopamine release and dopamine transporter uptake and α-synuclein uptake and degradation, and dopamine neuron survival in co-culture.

Cell type
astrocytes
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
evoked dopamine release and dopamine transporter uptake
Functional readout
α-synuclein uptake and degradation, and dopamine neuron survival in co-culture
Rule-out
If neither arm moves evoked dopamine release 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 KCNA2 in iPSC-derived midbrain astrocytes; n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; α-synuclein uptake and degradation, and dopamine neuron survival in co-culture. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. KCNA2 in dopamine neurons, braak-0.36 (p 0.348) → -0.42 (p 0.262)receipt 3106
  2. KCNA2 in astrocytes, braak+0.31 (p 0.414) → +0.78 (p 0.014)receipt 3105

Swarm cases

receipt 3106: KCNA2 in dopamine neurons, braak

power
full sample -0.32 (p 0.191, n 18), 95% CI -0.69 to +0.17. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.31 (p 0.214, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.54 (p 0.020, n 18). not the mix.
skeptic
leave-one-out range -0.39 to -0.23, sign flips 0; without severely affected donors -0.32 (p 0.191, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for KCNA2 in dopamine neurons.

case closed: nothing better to follow up.

receipt 3105: KCNA2 in astrocytes, braak

power
full sample +0.38 (p 0.116, n 18), 95% CI -0.10 to +0.72. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.45 (p 0.063, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: +0.50 (p 0.036, n 18). not the mix.
skeptic
leave-one-out range +0.28 to +0.54, sign flips 0; without severely affected donors +0.38 (p 0.116, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for KCNA2 in astrocytes.

case closed: nothing better to follow up.

Receipts

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