Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

KIF5A

kinesin family member 5A

translation score 0.59, read 2026-10-16; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.01 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced in other brain neurons (125 nCPM)1.00
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 2880.67
pathways
Reactome
6 pathways; mostly vesicle traffic1.00
proposal for KIF5A, translation score 0.59

Knock down and overexpress KIF5A in dopamine neurons; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position 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.
Molecular readout
LRRK2 kinase activity (pT73-Rab10) and lysosome position
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 LRRK2 kinase activity (pT73-Rab10) 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 KIF5A in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; 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. KIF5A in dopamine neurons, braak+0.05 (p 0.755) → +0.12 (p 0.463)receipt 0070
  2. KIF5A in dopamine neurons, resilience+0.32 (p 0.264) → -0.37 (p 0.183)receipt 0071

Swarm cases

receipt 0071: KIF5A in dopamine neurons, resilience

power
full sample +0.01 (p 0.966, n 55), 95% CI -0.26 to +0.27. the interval is wide: not enough donors to tell.
confounder
adjusted for age, sex and PMI: +0.00 (p 1.000, n 55). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.12 (p 0.542); controlling for it: +0.04 (p 0.850, n 55). could be the mix.
skeptic
leave-one-out range -0.07 to +0.11, sign flips 22; without severely affected donors +0.08 (p 0.709, n 46). fragile.
cell type
no other cell group does better.
axis
no measure beats "differs in resilient donors (Lewy pathology, no parkinsonism)" for KIF5A in dopamine neurons.

case closed: nothing better to follow up.

receipt 0070: KIF5A in dopamine neurons, braak

power
full sample +0.07 (p 0.537, n 84), 95% CI -0.15 to +0.28. the interval sits on zero: probably nothing there.
confounder
adjusted for age, sex and PMI: +0.05 (p 0.663, n 84). does not hold up.
composition
dopamine neurons share of nuclei vs axis -0.72 (p 1.8e-14); controlling for it: -0.01 (p 0.943, n 84). could be the mix.
skeptic
leave-one-out range +0.04 to +0.10, sign flips 0; without severely affected donors -0.00 (p 0.985, n 75). fragile.
cell type
strongest in astrocytes: +0.30 (p 0.0059, n 84) vs +0.07 in dopamine neurons. proposing astrocytes.
axis
no measure beats "tracks Braak Lewy-body stage" for KIF5A in dopamine neurons.

follow-up registered; not confirmed in ventral tegmental area.
follow-up KIF5A · astrocytes · braak: ventral tegmental area +0.25 p 0.025 (needs p < 0.0045)

Receipts

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