Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

SCN4B

sodium voltage-gated channel beta subunit 4

translation score 0.61, read 2026-10-19; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.08 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including brain inhibitory neurons; strongest in pericytes0.75
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
3 pathways; mostly dopamine synapse1.00
proposal for SCN4B, translation score 0.61

Knock down and overexpress SCN4B in dopamine neurons; measure evoked dopamine release and dopamine transporter uptake 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
evoked dopamine release and dopamine transporter uptake
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 evoked dopamine release 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 SCN4B in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; 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. SCN4B in dopamine neurons, braak-0.78 (p 0.013) → +0.50 (p 0.170)receipt 3545

Swarm cases

receipt 3545: SCN4B in dopamine neurons, braak

power
full sample -0.19 (p 0.460, n 18), 95% CI -0.60 to +0.31. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.19 (p 0.460, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.23 (p 0.355, n 18). could be the mix.
skeptic
leave-one-out range -0.31 to -0.08, sign flips 0; without severely affected donors -0.19 (p 0.460, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SCN4B in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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