Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

TUBB4A

tubulin beta 4A class IVa

translation score 0.66, read 2026-10-19; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.08 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced in oligodendrocytes (184 nCPM)1.00
chemistry
Open Targets
compounds already reach it: denintuzumab mafodotin, epothilone d, imgn-388 +831.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
4 Parkinson's papers of 1410.79
pathways
Reactome
38 pathways; mostly vesicle traffic1.00
proposal for TUBB4A, translation score 0.66

Knock down and overexpress TUBB4A in oligodendrocytes; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position 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
LRRK2 kinase activity (pT73-Rab10) and lysosome position
Functional readout
α-synuclein uptake and myelin basic protein output under oxidative stress
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 TUBB4A in iPSC-derived oligodendrocytes; n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; 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.

Sealed predictions

  1. TUBB4A in dopamine neurons, braak+0.03 (p 0.946) → -0.26 (p 0.493)receipt 3391
  2. TUBB4A in oligodendrocytes, braak+0.23 (p 0.549) → -0.22 (p 0.576)receipt 3390

Swarm cases

receipt 3391: TUBB4A in dopamine neurons, braak

power
full sample -0.02 (p 0.935, n 18), 95% CI -0.48 to +0.45. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.01 (p 0.983, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.06 (p 0.820, n 18). could be the mix.
skeptic
leave-one-out range -0.16 to +0.06, sign flips 8; without severely affected donors -0.02 (p 0.935, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TUBB4A in dopamine neurons.

case closed: nothing better to follow up.

receipt 3390: TUBB4A in oligodendrocytes, braak

power
full sample +0.01 (p 0.969, n 18), 95% CI -0.46 to +0.47. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.01 (p 0.969, n 18). does not hold up.
composition
oligodendrocytes share of nuclei vs axis +0.03 (p 0.915); controlling for it: -0.01 (p 0.976, n 18). could be the mix.
skeptic
leave-one-out range -0.09 to +0.14, sign flips 6; without severely affected donors +0.01 (p 0.969, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TUBB4A in oligodendrocytes.

case closed: nothing better to follow up.

Receipts

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