Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

KCNH5

potassium voltage-gated channel subfamily H member 5

translation score 0.66, read 2026-10-21; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.06 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including oligodendrocyte progenitor cells; strongest in retinal amacrine cells0.75
chemistry
Open Targets
compounds already reach it: amifampridine phosphate, amifampridine, nerispirdine +31.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
1 pathway; mostly dopamine synapse1.00
proposal for KCNH5, translation score 0.66

Knock down and overexpress KCNH5 in oligodendrocytes; measure evoked dopamine release and dopamine transporter uptake 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
evoked dopamine release and dopamine transporter uptake
Functional readout
α-synuclein uptake and myelin basic protein output under oxidative stress
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 KCNH5 in iPSC-derived oligodendrocytes; n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; 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. KCNH5 in oligodendrocytes, braak-0.14 (p 0.714) → +0.03 (p 0.929)receipt 4756
  2. KCNH5 in dopamine neurons, braak+0.35 (p 0.360) → +0.82 (p 0.006)receipt 4757

Swarm cases

receipt 4757: KCNH5 in dopamine neurons, braak

power
full sample +0.61 (p 0.0069, n 18), 95% CI +0.20 to +0.84. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for sex: +0.64 (p 0.0045, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.64 (p 0.0045, n 18). not the mix.
skeptic
leave-one-out range +0.55 to +0.71, sign flips 0; without severely affected donors +0.61 (p 0.0069, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for KCNH5 in dopamine neurons.

case closed: nothing better to follow up.

receipt 4756: KCNH5 in oligodendrocytes, braak

power
full sample -0.00 (p 0.990, n 18), 95% CI -0.47 to +0.46. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.03 (p 0.901, n 18). does not hold up.
composition
oligodendrocytes share of nuclei vs axis +0.03 (p 0.915); controlling for it: +0.03 (p 0.894, n 18). could be the mix.
skeptic
leave-one-out range -0.12 to +0.14, sign flips 10; without severely affected donors -0.00 (p 0.990, n 18). fragile.
cell type
strongest in dopamine neurons: +0.61 (p 0.0069, n 18) vs -0.00 in oligodendrocytes. proposing dopamine neurons.
axis
no measure beats "tracks Braak Lewy-body stage" for KCNH5 in oligodendrocytes.

follow-up registered; not confirmed in substantia nigra, an independent cohort.
follow-up KCNH5 · dopamine neurons · braak: substantia nigra, an independent cohort (Parkinson's or LBD vs controls) +0.35 p 0.214 (needs p < 4.1e-4)

Receipts

loading the receipts