Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ZFHX4

zinc finger homeobox 4

translation score 0.39, read 2026-10-30; 2 sealed predictions, 0 held; 3 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.00 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including astrocytes; strongest in pituitary stem cells0.75
chemistry
Open Targets
hard to drug0.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
1 Parkinson's papers of 1050.91
pathways
Reactome
in no curated pathway0.00

No case: the score is under the bar. Receipt 15050

Sealed predictions

  1. ZFHX4 in dopamine neurons, braak+0.35 (p 0.354) → -0.16 (p 0.685)receipt 15058
  2. ZFHX4 in astrocytes, braak+0.24 (p 0.535) → +0.02 (p 0.964)receipt 15057

Swarm cases

receipt 15058: ZFHX4 in dopamine neurons, braak

power
full sample +0.06 (p 0.827, n 18), 95% CI -0.42 to +0.51. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.06 (p 0.814, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.09 (p 0.709, n 18). could be the mix.
skeptic
leave-one-out range -0.05 to +0.18, sign flips 5; without severely affected donors +0.06 (p 0.827, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ZFHX4 in dopamine neurons.

case closed: nothing better to follow up.

receipt 15057: ZFHX4 in astrocytes, braak

power
full sample +0.11 (p 0.664, n 18), 95% CI -0.38 to +0.55. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.09 (p 0.709, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: +0.05 (p 0.847, n 18). could be the mix.
skeptic
leave-one-out range +0.00 to +0.28, sign flips 0; without severely affected donors +0.11 (p 0.664, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ZFHX4 in astrocytes.

case closed: nothing better to follow up.

Receipts

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