Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

IDUA

alpha-L-iduronidase

translation score 0.71, read 2026-10-17; 1 sealed predictions, 0 held; 1 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.68 (overall 0.43)0.68
cell type
Human Protein Atlas
expressed broadly, no clear home in brain cells0.40
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
5 Parkinson's papers of 5530.76
pathways
Reactome
4 pathways; mostly protein handling0.90
proposal for IDUA, translation score 0.71

Knock down and overexpress IDUA in a dopamine neuron, astrocyte and microglia tri-culture; measure proteasome activity and the load of ubiquitinated protein and dopamine neuron survival after α-synuclein fibril challenge.

Cell type
a dopamine neuron, astrocyte and microglia tri-culture
Direction
Both arms: public data does not say which way helps.
Molecular readout
proteasome activity and the load of ubiquitinated protein
Functional readout
dopamine neuron survival after α-synuclein fibril challenge
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 IDUA in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: proteasome activity and the load of ubiquitinated protein; dopamine neuron survival after α-synuclein fibril challenge. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Sealed predictions

  1. IDUA in dopamine neurons, braak-0.24 (p 0.536) → -0.56 (p 0.118)receipt 0467

Swarm cases

receipt 0467: IDUA in dopamine neurons, braak

power
full sample -0.50 (p 0.033, n 18), 95% CI -0.79 to -0.05. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for sex: -0.53 (p 0.024, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.67 (p 0.0022, n 18). not the mix.
skeptic
leave-one-out range -0.65 to -0.44, sign flips 0; without severely affected donors -0.50 (p 0.033, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for IDUA in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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