Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

EIF4A1

eukaryotic translation initiation factor 4A1

translation score 0.64, read 2026-10-23; 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 in microglia (82 nCPM)1.00
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
10 pathways; mostly protein handling0.90
proposal for EIF4A1, translation score 0.64

Knock down and overexpress EIF4A1 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 EIF4A1 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. EIF4A1 in dopamine neurons, braak-0.16 (p 0.685) → -0.35 (p 0.354)receipt 7483
  2. EIF4A1 in microglia, braak+0.08 (p 0.839) → -0.11 (p 0.785)receipt 7482

Swarm cases

receipt 7483: EIF4A1 in dopamine neurons, braak

power
full sample -0.34 (p 0.161, n 18), 95% CI -0.70 to +0.15. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.33 (p 0.185, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.31 (p 0.218, n 18). could be the mix.
skeptic
leave-one-out range -0.56 to -0.29, sign flips 0; without severely affected donors -0.34 (p 0.161, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for EIF4A1 in dopamine neurons.

case closed: nothing better to follow up.

receipt 7482: EIF4A1 in microglia, braak

power
full sample +0.07 (p 0.781, n 18), 95% CI -0.41 to +0.52. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.04 (p 0.861, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: +0.06 (p 0.814, n 18). could be the mix.
skeptic
leave-one-out range -0.05 to +0.23, sign flips 3; without severely affected donors +0.07 (p 0.781, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for EIF4A1 in microglia.

case closed: nothing better to follow up.

Receipts

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