Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

NOTCH1

notch receptor 1

translation score 0.56, 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 astrocytes; strongest in neutrophils0.75
chemistry
Open Targets
compounds already reach it: brontictuzumab0.81
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
20 Parkinson's papers of 10,0410.60
pathways
Reactome
24 pathways; mostly vesicle traffic1.00
proposal for NOTCH1, translation score 0.56

Knock down and overexpress NOTCH1 in astrocytes; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position and α-synuclein uptake and degradation, and dopamine neuron survival in co-culture.

Cell type
astrocytes
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
LRRK2 kinase activity (pT73-Rab10) and lysosome position
Functional readout
α-synuclein uptake and degradation, and dopamine neuron survival in co-culture
Rule-out
If neither arm moves LRRK2 kinase activity (pT73-Rab10) 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 NOTCH1 in iPSC-derived midbrain astrocytes; n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; α-synuclein uptake and degradation, and dopamine neuron survival in co-culture. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. NOTCH1 in dopamine neurons, braak-0.32 (p 0.400) → -0.47 (p 0.204)receipt 4885
  2. NOTCH1 in astrocytes, braak-0.52 (p 0.150) → -0.21 (p 0.589)receipt 4884

Swarm cases

receipt 4885: NOTCH1 in dopamine neurons, braak

power
full sample -0.52 (p 0.027, n 18), 95% CI -0.79 to -0.07. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for sex: -0.48 (p 0.045, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.59 (p 0.0092, n 18). not the mix.
skeptic
leave-one-out range -0.66 to -0.46, sign flips 0; without severely affected donors -0.52 (p 0.027, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for NOTCH1 in dopamine neurons.

case closed: nothing better to follow up.

receipt 4884: NOTCH1 in astrocytes, braak

power
full sample -0.28 (p 0.254, n 18), 95% CI -0.66 to +0.21. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.31 (p 0.211, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: -0.23 (p 0.355, n 18). could be the mix.
skeptic
leave-one-out range -0.41 to -0.19, sign flips 0; without severely affected donors -0.28 (p 0.254, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for NOTCH1 in astrocytes.

case closed: nothing better to follow up.

Receipts

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