Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

A2M

alpha-2-macroglobulin

translation score 0.57, read 2026-10-22; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.03 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in vascular endothelial cells0.75
chemistry
Open Targets
compounds already reach it: technetium tc 99m succimer1.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
16 Parkinson's papers of 8130.63
pathways
Reactome
4 pathways; mostly protein handling0.90
proposal for A2M, translation score 0.57

Knock down and overexpress A2M in microglia; measure proteasome activity and the load of ubiquitinated protein and uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release).

Cell type
microglia
Direction
Both arms: public data does not say which way helps.
Molecular readout
proteasome activity and the load of ubiquitinated protein
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves proteasome activity 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 A2M in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: proteasome activity and the load of ubiquitinated protein; uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release). Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. A2M in dopamine neurons, braak+0.72 (p 0.029) → +0.21 (p 0.581)receipt 6367
  2. A2M in microglia, braak+0.36 (p 0.348) → -0.01 (p 0.982)receipt 6366

Swarm cases

receipt 6367: A2M in dopamine neurons, braak

power
full sample +0.44 (p 0.069, n 18), 95% CI -0.04 to +0.75. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.43 (p 0.077, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.35 (p 0.159, n 18). could be the mix.
skeptic
leave-one-out range +0.36 to +0.54, sign flips 0; without severely affected donors +0.44 (p 0.069, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for A2M in dopamine neurons.

case closed: nothing better to follow up.

receipt 6366: A2M in microglia, braak

power
full sample +0.15 (p 0.561, n 18), 95% CI -0.34 to +0.57. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.28 (p 0.269, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: +0.28 (p 0.269, n 18). could be the mix.
skeptic
leave-one-out range +0.04 to +0.26, sign flips 0; without severely affected donors +0.15 (p 0.561, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for A2M in microglia.

case closed: nothing better to follow up.

Receipts

loading the receipts