Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

CD274

CD274 molecule

translation score 0.62, read 2026-10-24; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.02 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in syncytiotrophoblasts0.75
chemistry
Open Targets
compounds already reach it: atezolizumab, envafolimab, bintrafusp alfa +100.90
trials
ClinicalTrials.gov
200 Parkinson's trials, 5 stopped0.92
literature
PubMed
1 Parkinson's papers of 1,6600.91
pathways
Reactome
8 pathways; mostly lysosome and autophagy1.00
proposal for CD274, translation score 0.62

Knock down and overexpress CD274 in microglia; measure glucocerebrosidase (GCase) activity and LC3-II and p62 flux 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; existing compounds already reach the inhibition arm.
Molecular readout
glucocerebrosidase (GCase) activity and LC3-II and p62 flux
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves glucocerebrosidase (GCase) 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 CD274 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: glucocerebrosidase (GCase) activity and LC3-II and p62 flux; 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. CD274 in dopamine neurons, braak-0.47 (p 0.197) → +0.21 (p 0.586)receipt 8143
  2. CD274 in microglia, braak-0.61 (p 0.078) → -0.03 (p 0.946)receipt 8142

Swarm cases

receipt 8143: CD274 in dopamine neurons, braak

power
full sample -0.16 (p 0.521, n 18), 95% CI -0.58 to +0.33. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.10 (p 0.702, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.11 (p 0.677, n 18). could be the mix.
skeptic
leave-one-out range -0.31 to -0.05, sign flips 0; without severely affected donors -0.16 (p 0.521, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CD274 in dopamine neurons.

case closed: nothing better to follow up.

receipt 8142: CD274 in microglia, braak

power
full sample -0.28 (p 0.254, n 18), 95% CI -0.66 to +0.21. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.28 (p 0.265, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.31 (p 0.214, n 18). could be the mix.
skeptic
leave-one-out range -0.40 to -0.16, sign flips 0; without severely affected donors -0.28 (p 0.254, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CD274 in microglia.

case closed: nothing better to follow up.

Receipts

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