Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

SNX18

sorting nexin 18

translation score 0.69, read 2026-10-18; 2 sealed predictions, 0 held; 2 receipts.

Six readers

readerfoundscore
genetics
Open Targets
genetic association 0.30 (overall 0.18)0.30
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in neutrophils0.75
chemistry
Open Targets
reachable by antibody0.45
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
1 pathway; mostly vesicle traffic1.00
proposal for SNX18, translation score 0.69

Knock down and overexpress SNX18 in microglia; measure LRRK2 kinase activity (pT73-Rab10) and lysosome position 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
LRRK2 kinase activity (pT73-Rab10) and lysosome position
Functional readout
uptake and clearance of α-synuclein fibrils and NLRP3 inflammasome activation (IL-1β release)
Rule-out
If neither arm moves LRRK2 kinase activity (pT73-Rab10) 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 SNX18 in iPSC-derived microglia (iMGL); n = 3 differentiations; readouts: LRRK2 kinase activity (pT73-Rab10) and lysosome position; 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. SNX18 in dopamine neurons, braak-0.55 (p 0.125) → +0.66 (p 0.053)receipt 2098
  2. SNX18 in microglia, braak-0.11 (p 0.787) → +0.15 (p 0.701)receipt 2097

Swarm cases

receipt 2098: SNX18 in dopamine neurons, braak

power
full sample +0.29 (p 0.235, n 18), 95% CI -0.20 to +0.67. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: +0.34 (p 0.167, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: +0.26 (p 0.298, n 18). could be the mix.
skeptic
leave-one-out range +0.19 to +0.41, sign flips 0; without severely affected donors +0.29 (p 0.235, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SNX18 in dopamine neurons.

case closed: nothing better to follow up.

receipt 2097: SNX18 in microglia, braak

power
full sample -0.02 (p 0.928, n 18), 95% CI -0.48 to +0.45. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.09 (p 0.709, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.09 (p 0.722, n 18). could be the mix.
skeptic
leave-one-out range -0.18 to +0.08, sign flips 8; without severely affected donors -0.02 (p 0.928, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for SNX18 in microglia.

case closed: nothing better to follow up.

Receipts

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