Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

RSPO2

R-spondin 2

translation score 0.58, read 2026-10-24; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.02 from other evidence0.00
cell type
Human Protein Atlas
enriched in the midbrain (52 nTPM), where the nigral dopamine neurons sit0.90
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
5 Parkinson's papers of 2770.76
pathways
Reactome
1 pathway; mostly protein handling0.90
proposal for RSPO2, translation score 0.58

Knock down and overexpress RSPO2 in dopamine neurons; measure proteasome activity and the load of ubiquitinated protein and survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils.

Cell type
dopamine neurons
Direction
Both arms: public data does not say which way helps.
Molecular readout
proteasome activity and the load of ubiquitinated protein
Functional readout
survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils
Rule-out
If neither arm moves proteasome 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 RSPO2 in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: proteasome activity and the load of ubiquitinated protein; survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. RSPO2 in dopamine neurons, braak+0.14 (p 0.716) → -0.09 (p 0.815)receipt 8345

Swarm cases

receipt 8345: RSPO2 in dopamine neurons, braak

power
full sample +0.18 (p 0.471, n 18), 95% CI -0.31 to +0.60. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.17 (p 0.509, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.21 (p 0.398, n 18). could be the mix.
skeptic
leave-one-out range +0.10 to +0.31, sign flips 0; without severely affected donors +0.18 (p 0.471, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for RSPO2 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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