Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

GABRA4

gamma-aminobutyric acid type A receptor subunit alpha4

translation score 0.70, read 2026-10-17; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.37 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced in brain inhibitory neurons (153 nCPM)1.00
chemistry
Open Targets
compounds already reach it: methaqualone hydrochloride, adipiplon, zopiclone +701.00
trials
ClinicalTrials.gov
3 Parkinson's trials, 0 stopped1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
1 pathway; mostly dopamine synapse1.00
proposal for GABRA4, translation score 0.70

Knock down and overexpress GABRA4 in dopamine neurons; measure evoked dopamine release and dopamine transporter uptake and survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils.

Cell type
dopamine neurons
Direction
Both arms: public data does not say which way helps; existing compounds already reach the inhibition arm.
Molecular readout
evoked dopamine release and dopamine transporter uptake
Functional readout
survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils
Rule-out
If neither arm moves evoked dopamine release 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 GABRA4 in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; survival of TH-positive neurons and phospho-α-synuclein (pS129) inclusions after seeding with α-synuclein fibrils. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. GABRA4 in dopamine neurons, braak+0.75 (p 0.019) → -0.44 (p 0.240)receipt 0759

Swarm cases

receipt 0759: GABRA4 in dopamine neurons, braak

power
full sample +0.11 (p 0.658, n 18), 95% CI -0.37 to +0.55. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.14 (p 0.579, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.13 (p 0.621, n 18). could be the mix.
skeptic
leave-one-out range -0.01 to +0.27, sign flips 1; without severely affected donors +0.11 (p 0.658, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for GABRA4 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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