Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

TUBB2B

tubulin beta 2B class IIb

translation score 0.66, read 2026-10-21; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.05 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including astrocytes; strongest in müller glia0.75
chemistry
Open Targets
compounds already reach it: asg-5me, crolibulin, tisotumab vedotin +831.00
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
32 pathways; mostly vesicle traffic1.00
proposal for TUBB2B, translation score 0.66

Knock down and overexpress TUBB2B in astrocytes; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position and α-synuclein uptake and degradation, and dopamine neuron survival in co-culture.

Cell type
astrocytes
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
LRRK2 kinase activity (pT73-Rab10) and lysosome position
Functional readout
α-synuclein uptake and degradation, and dopamine neuron survival in co-culture
Rule-out
If neither arm moves LRRK2 kinase activity (pT73-Rab10) 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 TUBB2B in iPSC-derived midbrain astrocytes; n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; α-synuclein uptake and degradation, and dopamine neuron survival in co-culture. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. TUBB2B in dopamine neurons, braak+0.63 (p 0.068) → -0.25 (p 0.524)receipt 4914
  2. TUBB2B in astrocytes, braak-0.24 (p 0.533) → -0.43 (p 0.243)receipt 4913

Swarm cases

receipt 4914: TUBB2B in dopamine neurons, braak

power
full sample +0.11 (p 0.652, n 18), 95% CI -0.37 to +0.55. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.07 (p 0.787, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.08 (p 0.741, n 18). could be the mix.
skeptic
leave-one-out range +0.03 to +0.26, sign flips 0; without severely affected donors +0.11 (p 0.652, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TUBB2B in dopamine neurons.

case closed: nothing better to follow up.

receipt 4913: TUBB2B in astrocytes, braak

power
full sample -0.39 (p 0.105, n 18), 95% CI -0.73 to +0.09. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.38 (p 0.116, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: -0.35 (p 0.156, n 18). could be the mix.
skeptic
leave-one-out range -0.51 to -0.31, sign flips 0; without severely affected donors -0.39 (p 0.105, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TUBB2B in astrocytes.

case closed: nothing better to follow up.

Receipts

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