Propionate may outperform acetate or butyrate at physiological exposure, but mainly as a weak resilience signal rather than a true alpha-synuclein clearance therapy
🧪 Overview
Propionate is the most plausible exploratory monotherapy candidate only because it may have somewhat more realistic systemic signaling potential than butyrate, but the evidence base is thin and not specific to aggregate clearance. It should remain a comparator arm in PK/PD studies, not a primary translational program.
🧬 Mechanism
Curated pathway from expert analysis
flowchart TD
A["Gut Dysbiosis<br/>Reduced Short-Chain Fatty Acids"]
B["Propionate Deficiency<br/>Systemic and CNS"]
C["FFAR3 Free Fatty Acid<br/>Receptor 3 Signal Loss"]
D["STAT3 Anti-Inflammatory<br/>Signaling Reduction"]
E["Microglial Pro-Inflammatory<br/>Activation"]
F["Neuroinflammation<br/>AD/PD Pathology"]
G["Propionate Supplementation<br/>FFAR3 Rescue"]
A --> B
B --> C
C --> D
D --> E
E --> F
G -.-> C
style A fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a
style C fill:#1a237e,stroke:#4fc3f7,color:#4fc3f7
style E fill:#b71c1c,stroke:#ef9a9a,color:#ef9a9a
style G fill:#1b5e20,stroke:#a5d6a7,color:#a5d6a7⚖️ Evidence
No linked papers recorded for this hypothesis yet.
🏥 Translation
🧬 3D Protein Structure — FFAR3
No curated PDB or AlphaFold mapping for FFAR3 yet. Search RCSB →
🧠 GTEx v10 Brain ExpressionJSON
Median TPM across 13 brain regions for FFAR3/STAT3 from GTEx v10.
💉 Clinical Trials
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 FFAR3.
Run python3 scripts/backfill_hypothesis_depmap.py to populate.
🏆 Tournament
🏆 Arenas / Elo
📊 Market Indicators
💾 Resource Usage
🔮 Predictions
| Prediction | Predicted | Observed | Status | Conf |
|---|---|---|---|---|
| IF C57BL/6J mice receiving intravenous propionate at physiological concentrations (2mM) for 8 weeks are compared against mice receiving equimolar acetate or butyrate in a preformed α-synuclein fibril | Propionate superiority over acetate and butyrate in reducing striatal α-synuclein aggregate burden by ≥40% | — no observation — | pending | 0.25 |
| IF differentiated SH-SY5Y cells with preformed α-synuclein aggregates are treated with propionate at 1mM for 72 hours, THEN cellular aggregate load will not decrease more than 15% from baseline (indic | ≤15% reduction in preformed aggregate load; observed effects attributed to anti-aggregation rather than clearance mechanisms | — no observation — | pending | 0.30 |
▸Metadatasource: v1_phase_c_backfill · origin_type: debate_synthesizer
| source | v1_phase_c_backfill |
| origin_type | debate_synthesizer |
| _schema_version | 1 |