Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

CTSB

cathepsin B

translation score 0.73, read 2026-10-16; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.74 (overall 0.47)0.74
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in kupffer cells0.75
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
56 Parkinson's papers of 1,1040.47
pathways
Reactome
8 pathways; mostly vesicle traffic1.00
proposal for CTSB, translation score 0.73

Knock down and overexpress CTSB in microglia; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position 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
LRRK2 kinase activity (pT73-Rab10) and lysosome position
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
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 CTSB in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; 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. CTSB in dopamine neurons, braak+0.24 (p 0.529) → -0.17 (p 0.670)receipt 0283
  2. CTSB in microglia, braak+0.21 (p 0.586) → -0.63 (p 0.068)receipt 0282

In the sealed studies

Swarm cases

receipt 0283: CTSB in dopamine neurons, braak

power
full sample -0.13 (p 0.597, n 18), 95% CI -0.57 to +0.36. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.14 (p 0.573, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.19 (p 0.460, n 18). could be the mix.
skeptic
leave-one-out range -0.28 to -0.03, sign flips 0; without severely affected donors -0.13 (p 0.597, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CTSB in dopamine neurons.

case closed: nothing better to follow up.

receipt 0282: CTSB in microglia, braak

power
full sample -0.29 (p 0.243, n 18), 95% CI -0.67 to +0.20. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.26 (p 0.298, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.31 (p 0.207, n 18). could be the mix.
skeptic
leave-one-out range -0.48 to -0.19, sign flips 0; without severely affected donors -0.29 (p 0.243, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for CTSB in microglia.

case closed: nothing better to follow up.

Receipts

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