Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

SESN2

sestrin 2

translation score 0.57, read 2026-10-24; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.02 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in proximal tubule cells0.75
chemistry
Open Targets
a small-molecule pocket0.60
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
4 Parkinson's papers of 4610.79
pathways
Reactome
3 pathways; mostly lysosome and autophagy1.00
proposal for SESN2, translation score 0.57

Knock down and overexpress SESN2 in microglia; measure glucocerebrosidase (GCase) activity and LC3-II and p62 flux 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.
Molecular readout
glucocerebrosidase (GCase) activity and LC3-II and p62 flux
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves glucocerebrosidase (GCase) activity 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 SESN2 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: glucocerebrosidase (GCase) activity and LC3-II and p62 flux; 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. SESN2 in dopamine neurons, braak-0.21 (p 0.586) → -0.05 (p 0.893)receipt 8276
  2. SESN2 in microglia, braak+0.18 (p 0.638) → +0.28 (p 0.459)receipt 8275

Swarm cases

receipt 8276: SESN2 in dopamine neurons, braak

power
full sample -0.29 (p 0.239, n 18), 95% CI -0.67 to +0.20. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.28 (p 0.265, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.33 (p 0.185, n 18). could be the mix.
skeptic
leave-one-out range -0.49 to -0.23, sign flips 0; without severely affected donors -0.29 (p 0.239, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SESN2 in dopamine neurons.

case closed: nothing better to follow up.

receipt 8275: SESN2 in microglia, braak

power
full sample +0.22 (p 0.374, n 18), 95% CI -0.27 to +0.62. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.13 (p 0.609, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: +0.09 (p 0.728, n 18). could be the mix.
skeptic
leave-one-out range +0.10 to +0.36, sign flips 0; without severely affected donors +0.22 (p 0.374, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SESN2 in microglia.

case closed: nothing better to follow up.

Receipts

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