Braak stage 1, 100% of pigmented neurons left
parkinsonconnecting

Gene record

TENM4

teneurin transmembrane protein 4

translation score 0.41, read 2026-10-19; 2 sealed predictions, 0 held; 3 receipts.

Six readers

readerfoundscore
genetics
Open Targets
no genetic evidence; overall 0.09 from other evidence0.00
cell type
Human Protein Atlas
cell type enhanced, including microglia; strongest in pituitary stem cells0.75
chemistry
Open Targets
reachable by antibody0.45
trials
ClinicalTrials.gov
no Parkinson's trials on record: an open field1.00
literature
PubMed
6 Parkinson's papers of 680.74
pathways
Reactome
in no curated pathway0.00

No case: the score is under the bar. Receipt 2958

Sealed predictions

  1. TENM4 in dopamine neurons, braak-0.62 (p 0.073) → +0.14 (p 0.714)receipt 2967
  2. TENM4 in microglia, braak-0.27 (p 0.476) → -0.11 (p 0.785)receipt 2966

Swarm cases

receipt 2967: TENM4 in dopamine neurons, braak

power
full sample -0.25 (p 0.319, n 18), 95% CI -0.64 to +0.25. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.26 (p 0.306, n 18). does not hold up.
composition
dopamine neurons share of nuclei vs axis +0.05 (p 0.854); controlling for it: -0.49 (p 0.039, n 18). not the mix.
skeptic
leave-one-out range -0.39 to -0.15, sign flips 0; without severely affected donors -0.25 (p 0.319, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TENM4 in dopamine neurons.

case closed: nothing better to follow up.

receipt 2966: TENM4 in microglia, braak

power
full sample -0.19 (p 0.450, n 18), 95% CI -0.60 to +0.30. the interval is wide: not enough donors to tell.
confounder
adjusted for sex: -0.21 (p 0.403, n 18). does not hold up.
composition
microglia share of nuclei vs axis -0.11 (p 0.652); controlling for it: -0.21 (p 0.403, n 18). could be the mix.
skeptic
leave-one-out range -0.36 to -0.09, sign flips 0; without severely affected donors -0.19 (p 0.450, n 18). fragile.
cell type
no other cell group does better.
axis
no measure beats "tracks Braak Lewy-body stage" for TENM4 in microglia.

case closed: nothing better to follow up.

Receipts

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