Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

NDUFB4

NADH:ubiquinone oxidoreductase subunit B4

translation score 0.59, read 2026-10-16; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.52 from other evidence0.00
cell type
Human Protein Atlas
expressed broadly, no clear home in brain cells0.40
chemistry
Open Targets
compounds already reach it: metformin hydrochloride, metformin, me-3441.00
trials
ClinicalTrials.gov
4 Parkinson's trials, 0 stopped1.00
literature
PubMed
1 Parkinson's papers of 350.91
pathways
Reactome
2 pathways; mostly mitochondrial quality control1.00
proposal for NDUFB4, translation score 0.59

Knock down and overexpress NDUFB4 in a dopamine neuron, astrocyte and microglia tri-culture; measure PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub) and dopamine neuron survival after α-synuclein fibril challenge.

Cell type
a dopamine neuron, astrocyte and microglia tri-culture
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub)
Functional readout
dopamine neuron survival after α-synuclein fibril challenge
Rule-out
If neither arm moves PINK1–parkin mitophagy flux (mt-Keima) 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 NDUFB4 in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub); dopamine neuron survival after α-synuclein fibril challenge. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. NDUFB4 in dopamine neurons, braak+0.40 (p 0.285) → +0.77 (p 0.015)receipt 0208

Swarm cases

receipt 0208: NDUFB4 in dopamine neurons, braak

power
full sample +0.62 (p 0.0064, n 18), 95% CI +0.21 to +0.84. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for sex: +0.58 (p 0.013, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.62 (p 0.0062, n 18). not the mix.
skeptic
leave-one-out range +0.57 to +0.77, sign flips 0; without severely affected donors +0.62 (p 0.0064, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for NDUFB4 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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