AD-risk trafficking defects in SORL1/BIN1/PICALM/retromer may generate parallel early outputs: amyloidogenic APP sorting and selective basal-forebrain cholinergic trophic failure. This best fits the debate because it explains why temporal order can appear inconsistent across cohorts without requiring a single linear sequence.
Curated pathway from expert analysis
flowchart TD
A["NTRK1/TrkA Receptor<br/>Neurotrophin Tyrosine Kinase"]
B["NGF Binding<br/>Dimerization and Autophosphorylation"]
C["PI3K/AKT Pathway<br/>Survival Signal Cascade"]
D["MAPK/ERK Pathway<br/>Neuronal Differentiation"]
E["PLCgamma1 Activation<br/>Calcium Signaling Cascade"]
F["TrkA Internalization<br/>Endosomal Signaling"]
G["Sustained AKT Signaling<br/>Pro-Survival Outcome"]
H["Tau Phosphorylation<br/>ERK-Mediated GSK3B"]
I["Neuronal Apoptosis<br/>Survival Signal Loss"]
A --> B
B --> C
B --> D
B --> E
C --> F
F --> G
D --> H
G -->|"blocks"| I
H -.->|"contributes"| I
style A fill:#1a237e,stroke:#4fc3f7,color:#4fc3f7
style I fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9aNo linked papers recorded for this hypothesis yet.
No curated PDB or AlphaFold mapping for SORL1 yet. Search RCSB →
Median TPM across 13 brain regions for SORL1, BIN1, PICALM, VPS35, APP, NTRK1 from GTEx v10.
No clinical trials data linked to this hypothesis yet.
No curated ClinVar variants loaded for this hypothesis.
Run scripts/backfill_clinvar_variants.py to fetch P/LP/VUS variants.
No DepMap CRISPR Chronos data found for SORL1, BIN1, PICALM, VPS35, APP, NTRK1.
Run python3 scripts/backfill_hypothesis_depmap.py to populate.
| Prediction | Predicted | Observed | Status | Conf |
|---|---|---|---|---|
| IF carriers of AD-risk variants in SORL1/BIN1/PICALM/VPS35 are stratified from the Mayo Clinic Study of Aging cohort, THEN cerebrospinal fluid biomarkers reflecting amyloidogenic APP processing (Aβ42/ | Significant negative correlation between reduced CSF Aβ42/40 ratio and decreased basal forebrain ChAT activity/expression in SORL1/BIN1/PICALM/VPS35 variant car | — no observation — | pending | 0.55 |
| IF endosomal trafficking function is restored (via VPS35 overexpression or SORL1 activation) in human iPSC-derived basal forebrain cholinergic neurons harboring AD-risk variants in SORL1/BIN1/PICALM/V | Simultaneous reduction in Aβ42 secretion (≥50% decrease from baseline) AND increase in ChAT activity (≥30% increase) AND restoration of NTRK1-mediated trophic s | — no observation — | pending | 0.65 |