Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

MEF2A

myocyte enhancer factor 2A

translation score 0.56, read 2026-10-23; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.02 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced in microglia (3037 nCPM)1.00
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
3 Parkinson's papers of 6950.82
pathways
Reactome
2 pathways; mostly growth signalling0.60
proposal for MEF2A, translation score 0.56

Knock down and overexpress MEF2A in microglia; measure phospho-ERK and phospho-AKT response to GDNF 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
phospho-ERK and phospho-AKT response to GDNF
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves phospho-ERK 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 MEF2A in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: phospho-ERK and phospho-AKT response to GDNF; 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. MEF2A in dopamine neurons, braak-0.16 (p 0.685) → +0.35 (p 0.354)receipt 7341
  2. MEF2A in microglia, braak+0.09 (p 0.821) → +0.25 (p 0.523)receipt 7340

Swarm cases

receipt 7341: MEF2A in dopamine neurons, braak

power
full sample +0.11 (p 0.658, n 18), 95% CI -0.37 to +0.55. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.11 (p 0.664, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.09 (p 0.715, n 18). could be the mix.
skeptic
leave-one-out range +0.02 to +0.29, sign flips 0; without severely affected donors +0.11 (p 0.658, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for MEF2A in dopamine neurons.

case closed: nothing better to follow up.

receipt 7340: MEF2A in microglia, braak

power
full sample +0.17 (p 0.498, n 18), 95% CI -0.32 to +0.59. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.22 (p 0.379, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: +0.18 (p 0.471, n 18). could be the mix.
skeptic
leave-one-out range +0.07 to +0.30, sign flips 0; without severely affected donors +0.17 (p 0.498, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for MEF2A in microglia.

case closed: nothing better to follow up.

Receipts

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