Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

MAN2B1

mannosidase alpha class 2B member 1

translation score 0.57, read 2026-10-21; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.05 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in pdcs0.75
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
4 Parkinson's papers of 680.79
pathways
Reactome
2 pathways; mostly lysosome and autophagy1.00
proposal for MAN2B1, translation score 0.57

Knock down and overexpress MAN2B1 in microglia; measure glucocerebrosidase (GCase) activity and LC3-II and p62 flux 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.
Molecular readout
glucocerebrosidase (GCase) activity and LC3-II and p62 flux
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves glucocerebrosidase (GCase) activity 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 MAN2B1 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: glucocerebrosidase (GCase) activity and LC3-II and p62 flux; 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. MAN2B1 in dopamine neurons, braak-0.04 (p 0.925) → +0.02 (p 0.962)receipt 5110
  2. MAN2B1 in microglia, braak+0.01 (p 0.982) → +0.04 (p 0.925)receipt 5109

Swarm cases

receipt 5110: MAN2B1 in dopamine neurons, braak

power
full sample +0.04 (p 0.881, n 18), 95% CI -0.44 to +0.50. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.04 (p 0.861, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.04 (p 0.888, n 18). could be the mix.
skeptic
leave-one-out range -0.10 to +0.17, sign flips 5; without severely affected donors +0.04 (p 0.881, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for MAN2B1 in dopamine neurons.

case closed: nothing better to follow up.

receipt 5109: MAN2B1 in microglia, braak

power
full sample +0.02 (p 0.949, n 18), 95% CI -0.45 to +0.48. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.00 (p 0.997, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: +0.15 (p 0.544, n 18). could be the mix.
skeptic
leave-one-out range -0.12 to +0.17, sign flips 5; without severely affected donors +0.02 (p 0.949, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for MAN2B1 in microglia.

case closed: nothing better to follow up.

Receipts

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