Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

RGMA

repulsive guidance molecule BMP co-receptor a

translation score 0.60, read 2026-10-18; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.23 (overall 0.15)0.23
cell type
Human Protein Atlas
cell type enhanced in astrocytes (289 nCPM)1.00
chemistry
Open Targets
compounds already reach it: unasnemab, elezanumab0.81
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
7 Parkinson's papers of 2600.73
pathways
Reactome
1 pathway; mostly other0.30
proposal for RGMA, translation score 0.60

Knock down and overexpress RGMA 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; existing compounds already reach the inhibition arm.
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 RGMA 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.

Sealed predictions

  1. RGMA in dopamine neurons, braak-0.14 (p 0.720) → -0.45 (p 0.222)receipt 2207
  2. RGMA in astrocytes, braak+0.05 (p 0.893) → +0.27 (p 0.478)receipt 2206

Swarm cases

receipt 2207: RGMA in dopamine neurons, 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: -0.42 (p 0.086, 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 0.050, n 18). not the mix.
skeptic
leave-one-out range -0.47 to -0.25, sign flips 0; without severely affected donors -0.34 (p 0.164, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for RGMA in dopamine neurons.

case closed: nothing better to follow up.

receipt 2206: RGMA in astrocytes, braak

power
full sample +0.13 (p 0.615, n 18), 95% CI -0.36 to +0.56. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.12 (p 0.627, n 18). does not hold up.
composition
astrocytes share of nuclei vs axis -0.21 (p 0.413); controlling for it: +0.05 (p 0.854, n 18). could be the mix.
skeptic
leave-one-out range -0.01 to +0.24, sign flips 1; without severely affected donors +0.13 (p 0.615, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for RGMA in astrocytes.

case closed: nothing better to follow up.

Receipts

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