Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

ITPKB

inositol-trisphosphate 3-kinase B

translation score 0.70, read 2026-10-27; 4 sealed predictions, 0 held; 4 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.82 (overall 0.58)0.82
cell type
Human Protein Atlas
cell type enhanced, including astrocytes; strongest in choroid plexus epithelial cells0.75
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
11 Parkinson's papers of 1170.67
pathways
Reactome
1 pathway; mostly other0.30
proposal for ITPKB, translation score 0.70

Knock down and overexpress ITPKB in astrocytes; measure a transcriptome-wide state shift (bulk RNA-seq) and α-synuclein uptake and degradation, and dopamine neuron survival in co-culture.

Cell type
astrocytes
Direction
Both arms: public data does not say which way helps.
Molecular readout
a transcriptome-wide state shift (bulk RNA-seq)
Functional readout
α-synuclein uptake and degradation, and dopamine neuron survival in co-culture
Rule-out
If neither arm moves a transcriptome-wide state shift (bulk RNA-seq) 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 ITPKB in iPSC-derived midbrain astrocytes; n = 3 differentiations; readouts: a transcriptome-wide state shift (bulk RNA-seq); α-synuclein uptake and degradation, and dopamine neuron survival in co-culture. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Earlier readings: 2026-10-26 0.70; 2026-10-25 0.70; 2026-10-24 0.70; 2026-10-23 0.70.

Sealed predictions

  1. ITPKB in astrocytes, braak-0.79 (p 0.012) → +0.01 (p 0.982)receipt 0568
  2. ITPKB in dopamine neurons, braak-0.65 (p 0.058) → -0.83 (p 0.006)receipt 0569
  3. ITPKB in astrocytes, braak-0.17 (p 0.270) → -0.08 (p 0.629)receipt 0099
  4. ITPKB in astrocytes, resilience-0.13 (p 0.653) → -0.21 (p 0.448)receipt 0100

Swarm cases

receipt 0569: ITPKB in dopamine neurons, braak

power
full sample -0.78 (p 1.4e-4, n 18), 95% CI -0.91 to -0.49. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for sex: -0.78 (p 1.4e-4, n 18). holds up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.78 (p 1.4e-4, n 18). not the mix.
skeptic
leave-one-out range -0.83 to -0.75, sign flips 0; without severely affected donors -0.78 (p 1.4e-4, n 18). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ITPKB in dopamine neurons.

case closed: nothing better to follow up.

receipt 0568: ITPKB in astrocytes, braak

power
full sample -0.34 (p 0.164, n 18), 95% CI -0.70 to +0.15. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.22 (p 0.374, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: -0.32 (p 0.194, n 18). could be the mix.
skeptic
leave-one-out range -0.51 to -0.27, sign flips 0; without severely affected donors -0.34 (p 0.164, n 18). fragile.
cell type
strongest in dopamine neurons: -0.78 (p 1.4e-4, n 18) vs -0.34 in astrocytes. proposing dopamine neurons.
axis
no measure beats "tracks Braak Lewy-body stage" for ITPKB in astrocytes.

follow-up registered; not confirmed in substantia nigra, an independent cohort.
follow-up ITPKB · dopamine neurons · braak: substantia nigra, an independent cohort (Parkinson's or LBD vs controls) -0.07 p 0.790 (needs p < 0.0016)

receipt 0100: ITPKB in astrocytes, resilience

power
full sample -0.14 (p 0.474, n 55), 95% CI -0.39 to +0.13. the interval is wide: not enough donors to tell.
confounder
adjusted for age, sex and PMI: -0.11 (p 0.570, n 55). does not hold up.
composition
astrocytes share of nuclei vs axis +0.34 (p 0.084); controlling for it: -0.21 (p 0.283, n 55). could be the mix.
skeptic
leave-one-out range -0.25 to -0.08, sign flips 0; without severely affected donors -0.14 (p 0.479, n 46). fragile.
cell type
no other cell group does better.
axis
no measure beats "differs in resilient donors (Lewy pathology, no parkinsonism)" for ITPKB in astrocytes.

case closed: nothing better to follow up.

receipt 0099: ITPKB in astrocytes, braak

power
full sample -0.11 (p 0.302, n 84), 95% CI -0.32 to +0.10. the interval sits on zero: probably nothing there.
confounder
adjusted for age, sex and PMI: -0.05 (p 0.658, n 84). does not hold up.
composition
astrocytes share of nuclei vs axis +0.26 (p 0.016); controlling for it: -0.08 (p 0.486, n 84). could be the mix.
skeptic
leave-one-out range -0.15 to -0.09, sign flips 0; without severely affected donors -0.13 (p 0.269, n 75). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for ITPKB in astrocytes.

case closed: nothing better to follow up.

Receipts

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