Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

PRKN

parkin RBR E3 ubiquitin protein ligase

translation score 0.66, read 2026-10-27; 3 sealed predictions, 0 held; 5 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.94 (overall 0.85)0.94
cell type
Human Protein Atlas
expressed broadly, no clear home in brain cells0.40
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
4 Parkinson's trials, 1 stopped0.80
literature
PubMed
488 Parkinson's papers of 8580.18
pathways
Reactome
6 pathways; mostly mitochondrial quality control1.00
proposal for PRKN, translation score 0.66

Knock down and overexpress PRKN in a dopamine neuron, astrocyte and microglia tri-culture; measure PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub) and dopamine neuron survival after α-synuclein fibril challenge.

Cell type
a dopamine neuron, astrocyte and microglia tri-culture
Direction
Both arms: public data does not say which way helps.
Molecular readout
PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub)
Functional readout
dopamine neuron survival after α-synuclein fibril challenge
Rule-out
If neither arm moves PINK1–parkin mitophagy flux (mt-Keima) 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 PRKN in a tri-culture of iPSC dopamine neurons, astrocytes and microglia; n = 3 differentiations; readouts: PINK1–parkin mitophagy flux (mt-Keima) and phospho-ubiquitin (pS65-Ub); dopamine neuron survival after α-synuclein fibril challenge. Controls: non-targeting guide, empty vector. About 8 to 10 weeks, most of it differentiation.

Earlier readings: 2026-10-26 0.66; 2026-10-25 0.66; 2026-10-24 0.66; 2026-10-23 0.53.

Sealed predictions

  1. PRKN in dopamine neurons, braak+0.64 (p 0.064) → -0.03 (p 0.946)receipt 0512
  2. PRKN in dopamine neurons, resilience+0.13 (p 0.614) → +0.30 (p 0.339)receipt 0011
  3. PRKN in dopamine neurons, braak-0.15 (p 0.337) → -0.27 (p 0.082)receipt 0010

In the sealed studies

Swarm cases

receipt 0512: PRKN in dopamine neurons, braak

power
full sample +0.24 (p 0.332, n 18), 95% CI -0.25 to +0.64. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.28 (p 0.258, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.37 (p 0.127, n 18). could be the mix.
skeptic
leave-one-out range +0.14 to +0.33, sign flips 0; without severely affected donors +0.24 (p 0.332, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for PRKN in dopamine neurons.

case closed: nothing better to follow up.

receipt 0011: PRKN in dopamine neurons, resilience

power
full sample +0.23 (p 0.247, n 55), 95% CI -0.04 to +0.46. the interval is wide: not enough donors to tell.
confounder
adjusted for age, sex and PMI: +0.26 (p 0.178, n 55). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.12 (p 0.542); controlling for it: +0.24 (p 0.214, n 55). could be the mix.
skeptic
leave-one-out range +0.15 to +0.32, sign flips 0; without severely affected donors +0.26 (p 0.193, n 46). fragile.
cell type
no other cell group does better.
axis
no measure beats "differs in resilient donors (Lewy pathology, no parkinsonism)" for PRKN in dopamine neurons.

case closed: nothing better to follow up.

receipt 0010: PRKN in dopamine neurons, braak

power
full sample -0.24 (p 0.031, n 84), 95% CI -0.43 to -0.02. the interval excludes zero: something may be there, smaller than a half can see.
confounder
adjusted for age, sex and PMI: -0.21 (p 0.056, n 84). does not hold up.
composition
dopamine neurons share of nuclei vs axis -0.72 (p 1.8e-14); controlling for it: -0.12 (p 0.282, n 84). could be the mix.
skeptic
leave-one-out range -0.26 to -0.21, sign flips 0; without severely affected donors -0.28 (p 0.014, n 75). robust.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for PRKN in dopamine neurons.

case closed: nothing better to follow up.

Receipts

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