Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

PLXNA4

plexin A4

translation score 0.55, read 2026-10-20; 1 sealed predictions, 0 held; 1 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 brain excitatory neurons; strongest in adipocytes0.75
chemistry
Open Targets
reachable by antibody0.45
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
1 Parkinson's papers of 790.91
pathways
Reactome
5 pathways; mostly iron and oxidative stress0.80
proposal for PLXNA4, translation score 0.55

Knock down and overexpress PLXNA4 in dopamine neurons; measure reactive oxygen species (CellROX) and lipid peroxidation and labile iron 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
reactive oxygen species (CellROX) and lipid peroxidation and labile iron
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 reactive oxygen species (CellROX) 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 PLXNA4 in iPSC-derived midbrain dopamine neurons (FOXA2+, LMX1A+, TH+); n = 3 differentiations; readouts: reactive oxygen species (CellROX) and lipid peroxidation and labile iron; 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. PLXNA4 in dopamine neurons, braak-0.37 (p 0.329) → +0.21 (p 0.591)receipt 4282

Swarm cases

receipt 4282: PLXNA4 in dopamine neurons, braak

power
full sample -0.19 (p 0.455, n 18), 95% CI -0.60 to +0.31. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.20 (p 0.424, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.47 (p 0.047, n 18). not the mix.
skeptic
leave-one-out range -0.33 to -0.09, sign flips 0; without severely affected donors -0.19 (p 0.455, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for PLXNA4 in dopamine neurons.

case closed: nothing better to follow up.

Receipts

loading the receipts