Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ITGAM

integrin subunit alpha M

translation score 0.57, read 2026-10-20; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.06 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in neutrophils0.75
chemistry
Open Targets
compounds already reach it: rovelizumab0.81
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
8 Parkinson's papers of 6590.71
pathways
Reactome
6 pathways; mostly immune signalling0.90
proposal for ITGAM, translation score 0.57

Knock down and overexpress ITGAM in microglia; measure IL-1β and TNF release and surface HLA-DR 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
IL-1β and TNF release and surface HLA-DR
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves IL-1β 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 ITGAM in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: IL-1β and TNF release and surface HLA-DR; 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. ITGAM in dopamine neurons, braak-0.55 (p 0.125) → +0.18 (p 0.638)receipt 4501
  2. ITGAM in microglia, braak+0.04 (p 0.910) → -0.18 (p 0.646)receipt 4500

Swarm cases

receipt 4501: ITGAM in dopamine neurons, braak

power
full sample -0.06 (p 0.820, n 18), 95% CI -0.51 to +0.42. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.09 (p 0.728, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.15 (p 0.555, n 18). could be the mix.
skeptic
leave-one-out range -0.18 to +0.08, sign flips 2; without severely affected donors -0.06 (p 0.820, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ITGAM in dopamine neurons.

case closed: nothing better to follow up.

receipt 4500: ITGAM in microglia, braak

power
full sample -0.06 (p 0.814, n 18), 95% CI -0.51 to +0.42. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.09 (p 0.728, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.04 (p 0.888, n 18). could be the mix.
skeptic
leave-one-out range -0.19 to +0.06, sign flips 3; without severely affected donors -0.06 (p 0.814, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ITGAM in microglia.

case closed: nothing better to follow up.

Receipts

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