Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ST8SIA4

ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4

translation score 0.52, read 2026-10-25; 2 sealed predictions, 0 held; 3 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.01 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in neutrophils0.75
chemistry
Open Targets
reachable by antibody0.45
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
2 Parkinson's papers of 830.85
pathways
Reactome
2 pathways; mostly energy0.60

No case: the score is under the bar. Receipt 9320

Sealed predictions

  1. ST8SIA4 in dopamine neurons, braak+0.20 (p 0.607) → +0.09 (p 0.820)receipt 9328
  2. ST8SIA4 in microglia, braak+0.11 (p 0.775) → +0.50 (p 0.172)receipt 9327

Swarm cases

receipt 9328: ST8SIA4 in dopamine neurons, braak

power
full sample +0.16 (p 0.538, n 18), 95% CI -0.34 to +0.58. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.10 (p 0.690, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.12 (p 0.627, n 18). could be the mix.
skeptic
leave-one-out range +0.03 to +0.31, sign flips 0; without severely affected donors +0.16 (p 0.538, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ST8SIA4 in dopamine neurons.

case closed: nothing better to follow up.

receipt 9327: ST8SIA4 in microglia, braak

power
full sample +0.35 (p 0.150, n 18), 95% CI -0.14 to +0.70. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.35 (p 0.150, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: +0.40 (p 0.103, n 18). could be the mix.
skeptic
leave-one-out range +0.27 to +0.53, sign flips 0; without severely affected donors +0.35 (p 0.150, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ST8SIA4 in microglia.

case closed: nothing better to follow up.

Receipts

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