Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

KCNQ5

potassium voltage-gated channel subfamily Q member 5

translation score 0.64, read 2026-10-20; 1 sealed predictions, 0 held; 1 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 brain inhibitory neurons; strongest in myonuclei0.75
chemistry
Open Targets
compounds already reach it: flindokalner, tedisamil, nerispirdine +51.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
1 Parkinson's papers of 2170.91
pathways
Reactome
1 pathway; mostly dopamine synapse1.00
proposal for KCNQ5, translation score 0.64

Knock down and overexpress KCNQ5 in dopamine neurons; measure evoked dopamine release and dopamine transporter uptake and survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils.

Cell type
dopamine neurons
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
survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils
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 KCNQ5 in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. KCNQ5 in dopamine neurons, braak+0.43 (p 0.244) → +0.36 (p 0.344)receipt 4633

Swarm cases

receipt 4633: KCNQ5 in dopamine neurons, braak

power
full sample +0.36 (p 0.142, n 18), 95% CI -0.13 to +0.71. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.40 (p 0.099, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.33 (p 0.176, n 18). could be the mix.
skeptic
leave-one-out range +0.26 to +0.54, sign flips 0; without severely affected donors +0.36 (p 0.142, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for KCNQ5 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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