Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

HLA-DRB5

major histocompatibility complex, class II, DR beta 5

translation score 0.56, 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 enterocytes0.75
chemistry
Open Targets
compounds already reach it: apolizumab0.81
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
16 Parkinson's papers of 2790.63
pathways
Reactome
9 pathways; mostly dopamine synapse1.00
proposal for HLA-DRB5, translation score 0.56

Knock down and overexpress HLA-DRB5 in microglia; measure evoked dopamine release and dopamine transporter uptake 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
evoked dopamine release and dopamine transporter uptake
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
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 HLA-DRB5 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: evoked dopamine release and dopamine transporter uptake; 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. HLA-DRB5 in microglia, braak-0.45 (p 0.227) → +0.11 (p 0.787)receipt 6533
  2. HLA-DRB5 in dopamine neurons, braak-0.42 (p 0.262) → +0.51 (p 0.160)receipt 6534

Swarm cases

receipt 6534: HLA-DRB5 in dopamine neurons, braak

power
full sample +0.01 (p 0.969, n 18), 95% CI -0.46 to +0.47. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.07 (p 0.794, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.04 (p 0.881, n 18). could be the mix.
skeptic
leave-one-out range -0.13 to +0.16, sign flips 8; without severely affected donors +0.01 (p 0.969, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for HLA-DRB5 in dopamine neurons.

case closed: nothing better to follow up.

receipt 6533: HLA-DRB5 in microglia, braak

power
full sample -0.22 (p 0.384, n 18), 95% CI -0.62 to +0.28. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.13 (p 0.603, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.04 (p 0.881, n 18). could be the mix.
skeptic
leave-one-out range -0.38 to -0.12, sign flips 0; without severely affected donors -0.22 (p 0.384, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for HLA-DRB5 in microglia.

case closed: nothing better to follow up.

Receipts

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