Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

SLC6A4

solute carrier family 6 member 4

translation score 0.59, read 2026-10-17; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.38 from other evidence0.00
cell type
Human Protein Atlas
enriched in the midbrain (508 nTPM), where the nigral dopamine neurons sit0.90
chemistry
Open Targets
compounds already reach it: vilazodone, desvenlafaxine fumarate, methamphetamine +641.00
trials
ClinicalTrials.gov
8 Parkinson's trials, 2 stopped0.80
literature
PubMed
18 Parkinson's papers of 1,5470.61
pathways
Reactome
2 pathways; mostly dopamine synapse1.00
proposal for SLC6A4, translation score 0.59

Knock down and overexpress SLC6A4 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; existing compounds already reach the inhibition arm.
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 SLC6A4 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. SLC6A4 in dopamine neurons, braak-0.08 (p 0.842) → -0.02 (p 0.964)receipt 0702

Swarm cases

receipt 0702: SLC6A4 in dopamine neurons, braak

power
full sample -0.07 (p 0.794, n 18), 95% CI -0.52 to +0.41. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.04 (p 0.861, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.07 (p 0.794, n 18). could be the mix.
skeptic
leave-one-out range -0.20 to +0.04, sign flips 2; without severely affected donors -0.07 (p 0.794, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SLC6A4 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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