Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

TPH1

tryptophan hydroxylase 1

translation score 0.56, read 2026-10-25; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.01 from other evidence0.00
cell type
Human Protein Atlas
enriched in the midbrain (23 nTPM), where the nigral dopamine neurons sit0.90
chemistry
Open Targets
compounds already reach it: telotristat etiprate, telotristat ethyl, rodatristat ethyl +11.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
2 Parkinson's papers of 9830.85
pathways
Reactome
2 pathways; mostly other0.30
proposal for TPH1, translation score 0.56

Knock down and overexpress TPH1 in dopamine neurons; measure a transcriptome-wide state shift (bulk RNA-seq) 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
a transcriptome-wide state shift (bulk RNA-seq)
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 a transcriptome-wide state shift (bulk RNA-seq) 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 TPH1 in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: a transcriptome-wide state shift (bulk RNA-seq); 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. TPH1 in dopamine neurons, braak-0.26 (p 0.505) → -0.25 (p 0.517)receipt 9391

Swarm cases

receipt 9391: TPH1 in dopamine neurons, braak

power
full sample -0.21 (p 0.403, n 18), 95% CI -0.62 to +0.28. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.18 (p 0.471, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.16 (p 0.526, n 18). could be the mix.
skeptic
leave-one-out range -0.35 to -0.11, sign flips 0; without severely affected donors -0.21 (p 0.403, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TPH1 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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