Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

SCN9A

sodium voltage-gated channel alpha subunit 9

translation score 0.61, read 2026-10-27; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.54 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including oligodendrocyte progenitor cells; strongest in sertoli cells0.75
chemistry
Open Targets
compounds already reach it: propafenone hydrochloride, encainide hydrochloride, moricizine +761.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
7 Parkinson's papers of 5150.73
pathways
Reactome
3 pathways; mostly dopamine synapse1.00
proposal for SCN9A, translation score 0.61

Knock down and overexpress SCN9A in oligodendrocytes; measure evoked dopamine release and dopamine transporter uptake and α-synuclein uptake and myelin basic protein output under oxidative stress.

Cell type
oligodendrocytes
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
evoked dopamine release and dopamine transporter uptake
Functional readout
α-synuclein uptake and myelin basic protein output under oxidative stress
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 SCN9A in iPSC-derived oligodendrocytes; n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; α-synuclein uptake and myelin basic protein output under oxidative stress. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Earlier readings: 2026-10-26 0.61; 2026-10-25 0.61; 2026-10-24 0.61; 2026-10-23 0.61.

Sealed predictions

  1. SCN9A in dopamine neurons, braak-0.02 (p 0.964) → +0.34 (p 0.373)receipt 0166
  2. SCN9A in oligodendrocytes, braak-0.34 (p 0.371) → +0.19 (p 0.630)receipt 0165

Swarm cases

receipt 0166: SCN9A in dopamine neurons, braak

power
full sample +0.39 (p 0.107, n 18), 95% CI -0.09 to +0.73. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.33 (p 0.179, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.32 (p 0.194, n 18). could be the mix.
skeptic
leave-one-out range +0.32 to +0.56, sign flips 0; without severely affected donors +0.39 (p 0.107, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SCN9A in dopamine neurons.

case closed: nothing better to follow up.

receipt 0165: SCN9A in oligodendrocytes, braak

power
full sample -0.25 (p 0.315, n 18), 95% CI -0.64 to +0.24. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.19 (p 0.444, n 18). does not hold up.
composition
oligodendrocytes share of nuclei vs axis +0.03 (p 0.915); controlling for it: -0.22 (p 0.379, n 18). could be the mix.
skeptic
leave-one-out range -0.35 to -0.15, sign flips 0; without severely affected donors -0.25 (p 0.315, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SCN9A in oligodendrocytes.

case closed: nothing better to follow up.

Receipts

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