Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

PIK3CD

phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit delta

translation score 0.65, read 2026-10-22; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.04 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: leniolisib phosphate, pf-04691502, duvelisib monohydrate +431.00
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
no papers tie it to Parkinson's yet1.00
pathways
Reactome
14 pathways; mostly immune signalling0.90
proposal for PIK3CD, translation score 0.65

Knock down and overexpress PIK3CD 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 PIK3CD 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. PIK3CD in dopamine neurons, braak+0.00 (p 1.000) → -0.43 (p 0.244)receipt 6257
  2. PIK3CD in microglia, braak-0.18 (p 0.651) → -0.53 (p 0.145)receipt 6256

Swarm cases

receipt 6257: PIK3CD in dopamine neurons, braak

power
full sample -0.23 (p 0.365, n 18), 95% CI -0.63 to +0.27. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.25 (p 0.310, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.32 (p 0.198, n 18). could be the mix.
skeptic
leave-one-out range -0.38 to -0.12, sign flips 0; without severely affected donors -0.23 (p 0.365, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for PIK3CD in dopamine neurons.

case closed: nothing better to follow up.

receipt 6256: PIK3CD in microglia, braak

power
full sample -0.17 (p 0.509, n 18), 95% CI -0.59 to +0.33. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.21 (p 0.408, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.22 (p 0.384, n 18). could be the mix.
skeptic
leave-one-out range -0.31 to -0.07, sign flips 0; without severely affected donors -0.17 (p 0.509, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for PIK3CD in microglia.

case closed: nothing better to follow up.

Receipts

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