Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

PDE5A

phosphodiesterase 5A

translation score 0.56, read 2026-10-18; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.36 (overall 0.25)0.36
cell type
Human Protein Atlas
expressed broadly, no clear home in brain cells0.40
chemistry
Open Targets
compounds already reach it: sildenafil citrate, sildenafil, avanafil +101.00
trials
ClinicalTrials.gov
2 Parkinson's trials, 1 stopped0.60
literature
PubMed
2 Parkinson's papers of 3390.85
pathways
Reactome
3 pathways; mostly other0.30
proposal for PDE5A, translation score 0.56

Knock down and overexpress PDE5A in a dopamine neuron, astrocyte and microglia tri-culture; measure a transcriptome-wide state shift (bulk RNA-seq) 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
a transcriptome-wide state shift (bulk RNA-seq)
Functional readout
dopamine neuron survival after α-synuclein fibril challenge
Rule-out
If neither arm moves a transcriptome-wide state shift (bulk RNA-seq) 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 PDE5A in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: a transcriptome-wide state shift (bulk RNA-seq); 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. PDE5A in dopamine neurons, braak+0.74 (p 0.023) → +0.18 (p 0.639)receipt 1722

Swarm cases

receipt 1722: PDE5A in dopamine neurons, braak

power
full sample +0.49 (p 0.038, n 18), 95% CI +0.03 to +0.78. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for sex: +0.49 (p 0.039, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.61 (p 0.0067, n 18). not the mix.
skeptic
leave-one-out range +0.42 to +0.59, sign flips 0; without severely affected donors +0.49 (p 0.038, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for PDE5A in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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