| 1 | eIF2α Phosphorylation Imbalance Disrupts Mitochondrial Protein Import and Bioen… h-var-501d347dbb | EIF2S1,eIF2α,PERK,GCN2,ATF4,TOMM20,TIMM23,NDUFS1,NDUFS3,COX4I1,COX5A,mitochondrial protein import | open | — | 2026-05-13 | Open → |
| 2 | GluN2B-Mediated Thalamocortical Control of Glymphatic Tau Clearance h-var-e2b5a7e7db | GRIN2B | validated | 0.964 | 2026-05-16 | Open → |
| 3 | Cortico-Striatal Synchrony Restoration via NMDA Modulation h-var-5e33600319 | GRIN2B | proposed | 0.950 | 2026-05-13 | Open → |
| 4 | Microglial-Mediated Tau Clearance Dysfunction via TREM2 Receptor Impairment h-var-59fc393ba6 | MAPT | proposed | 0.937 | 2026-05-13 | Open → |
| 5 | Gut Microbiome Remodeling to Prevent Systemic NLRP3 Priming in Neurodegeneration h-var-08a4d5c07a | NLRP3, CASP1, IL1B, PYCARD | validated | 0.924 | 2026-05-13 | Open → |
| 6 | eIF2α Phosphorylation Imbalance Creates Integrated Stress Response Overflow Tha… h-alsmnd-870c6115d68c | EIF2S1,eIF2α,PERK,GCN2,ATF4,ATF5,CHOP,DDIT3,integrated stress response,protein synthesis | validated | 0.896 | 2026-05-13 | Open → |
| 7 | SIRT1-Mediated Reversal of TREM2-Dependent Microglial Senescence h-var-b7de826706 | SIRT1 | validated | 0.893 | 2026-05-16 | Open → |
| 8 | TREM2-Mediated Astrocyte-Microglia Crosstalk in Neurodegeneration h-var-66156774e7 | TREM2 | validated | 0.892 | 2026-05-16 | Open → |
| 9 | ACSL4-Driven Ferroptotic Priming in Disease-Associated Microglia h-seaad-v4-26ba859b | ACSL4 | validated | 0.891 | 2026-05-16 | Open → |
| 10 | RBM45 Liquid-Liquid Phase Separation Dominance Hijacks RNA Processing Condensat… h-alsmnd-9d62ae58bdc1 | RBM45,GSK3B,TDP-43,TARDBP,hnRNP A1,HNRNPA1,phase separation,Liquid droplet | validated | 0.868 | 2026-05-13 | Open → |
| 11 | SFPQ Paralog Displacement Triggers Cryptic Polyadenylation and Global RNA Stabi… h-alsmnd-c5d2e9c2edeb | SFPQ,NONO,PSP1,TARDBP,poly(A) machinery,CPSF,PABPN1 | validated | 0.864 | 2026-05-13 | Open → |
| 12 | hnRNP A2/B1 Staufen2-Mediated Axonal RNA Granule Transport Failure Drives Dista… h-alsmnd-006d646506ab | HNRNPA2B1,STAU2,PRMT1,GSK3B,MAP1B,β-actin,axonal transport machinery | validated | 0.851 | 2026-05-13 | Open → |
| 13 | Prime Editing Precision Correction of APOE4 to APOE3 in Microglia h-42f50a4a | APOE | validated | 0.850 | 2026-05-16 | Open → |
| 14 | ATM Kinase Hyperactivation Triggers DNA Damage Response Overflow and p53-Depend… h-alsmnd-9d07702213f0 | ATM,CHEK2,TP53,BAX,PUMA,BCL2,DNA damage response,oxidative stress | validated | 0.837 | 2026-05-13 | Open → |
| 15 | IL-6 Trans-Signaling Blockade at the Oligodendrocyte-Microglia Interface h-2dbf5f1f | IL6R, IL6 | validated | 0.831 | 2026-05-14 | Open → |
| 16 | Microglial AIM2 Inflammasome as the Primary Driver of TDP-43 Proteinopathy Neur… h-var-a0933e666d | AIM2, CASP1, IL1B, PYCARD, TARDBP | validated | 0.824 | 2026-05-16 | Open → |
| 17 | GLE1-Mediated mRNA Export Defect Creates Translation-Competent mRNA Starvation… h-alsmnd-e448328ae294 | GLE1,DBP10,EXPORTIN-1,XPO1,mRNA export machinery,NPC | validated | 0.823 | 2026-05-13 | Open → |
| 18 | SASP-Mediated Complement Cascade Amplification h-58e4635a | C1Q/C3 | validated | 0.822 | 2026-05-16 | Open → |
| 19 | Astrocyte-Intrinsic NLRP3 Inflammasome Activation by Alpha-Synuclein Aggregates… h-var-adfecef68a | NLRP3, CASP1, IL1B, PYCARD | validated | 0.822 | 2026-05-13 | Open → |
| 20 | TIA1 Low-Complexity Domain Oxidation Drives Aberrant Stress Granule Assembly an… h-alsmnd-54f981ca6a25 | TIA1,TDP-43,TARDBP,G3BP1,MAPK1,Oxidative stress response | validated | 0.810 | 2026-05-13 | Open → |
| 21 | Mitochondrial DAMPs-Driven AIM2 Inflammasome Activation in Neurodegeneration h-var-6957745fea | AIM2, CASP1, IL1B, PYCARD | validated | 0.805 | 2026-05-13 | Open → |
| 22 | Calcium-Dysregulated mPTP Opening as an Alternative mtDNA Release Mechanism for… h-var-af9eb8e59b | AIM2, CASP1, IL1B, PYCARD, PPIF | validated | 0.804 | 2026-05-13 | Open → |
| 23 | Mitochondrial DNA-Driven AIM2 Inflammasome Activation in Neurodegeneration h-var-d04a952932 | AIM2, CASP1, IL1B, PYCARD | validated | 0.803 | 2026-05-13 | Open → |
| 24 | MATR3 Nuclear Body Disruption Impairs RNA Processing Hubs and Triggers Splicing… h-alsmnd-01446b71d93f | MATR3,U1 snRNP,SNRPB,SNRNP70, splicing machinery,spliceosome | validated | 0.801 | 2026-05-13 | Open → |
| 25 | ACSL4-Ferroptotic Priming in Stressed Oligodendrocytes Drives White Matter Dege… h-var-22c38d11cd | ACSL4 | validated | 0.801 | 2026-05-13 | Open → |
| 26 | 40 Hz Gamma Entrainment Gates ACSL4-Mediated Ferroptotic Priming to Selectively… h-var-261452bfb4 | ACSL4 | validated | 0.801 | 2026-05-13 | Open → |
| 27 | Selective APOE4 Degradation via Proteolysis Targeting Chimeras (PROTACs) h-11795af0 | APOE | promoted | 0.795 | 2026-05-13 | Open → |
| 28 | Targeting SASP-Complement Amplification Through HIF-1α Downstream Effectors h-a9f2570b | C1QA, C1QB, C3, IL1B | promoted | 0.793 | 2026-05-14 | Open → |
| 29 | Competitive APOE4 Domain Stabilization Peptides h-d0a564e8 | APOE | promoted | 0.784 | 2026-05-13 | Open → |
| 30 | LAMP2A Liquid-Liquid Phase Separation Defects in Dopaminergic Neurons Create Se… hyp-lyso-snca-1d58cf205e1f | LAMP2 | active | 0.783 | 2026-05-13 | Open → |
| 31 | SASP-Driven Aquaporin-4 Dysregulation h-807d7a82 | AQP4 | promoted | 0.782 | 2026-05-13 | Open → |
| 32 | TFEB Nuclear Translocation to Reset Lysosomal-Hypoxia Axis h-810ec0eb | TFEB, MTOR | promoted | 0.779 | 2026-05-14 | Open → |
| 33 | ACSL4-Driven Ferroptotic Priming in Disease-Associated Oligodendrocytes Underli… h-var-f96e38ec20 | ACSL4 | superseded | 0.779 | 2026-05-13 | Open → |
| 34 | PDE4 Inhibition as Inflammatory Reset for PD Oligodendrocytes h-67914e81 | PDE4A, PDE4B, PDE4D | promoted | 0.779 | 2026-05-14 | Open → |
| 35 | Transcriptional Autophagy-Lysosome Coupling h-ae1b2beb | FOXO1 | promoted | 0.777 | 2026-05-16 | Open → |
| 36 | LPCAT3-Mediated Lands Cycle Remodeling as the Primary Ferroptotic Priming Engin… h-var-e4cae9d286 | LPCAT3 | debated | 0.777 | 2026-05-16 | Open → |
| 37 | Exosomal SNCA Propagation from Lysosome-Compromised Neurons Contains a Distinct… hyp-lyso-snca-3429d8065d63 | SNCA | active | 0.777 | 2026-05-13 | Open → |
| 38 | LPCAT3-Mediated Lands Cycle Amplification of Ferroptotic Substrate Pools in Dis… h-var-c56b26facf | LPCAT3 | debated | 0.776 | 2026-05-16 | Open → |
| 39 | ALOX15-Driven Enzymatic Ferroptosis in AD Oligodendrocytes via PUFA-PE Peroxida… h-var-97b18b880d | ALOX15 | debated | 0.772 | 2026-05-16 | Open → |
| 40 | APOE4 Allosteric Rescue via Small Molecule Chaperones h-44195347 | APOE | debated | 0.765 | 2026-05-13 | Open → |
| 41 | Chromatin Remodeling-Mediated Nutrient Sensing Restoration h-var-a09491064e | SMARCA4 | promoted | 0.764 | 2026-05-16 | Open → |
| 42 | LPCAT3-Mediated Lands Cycle Amplification of Ferroptotic Vulnerability in Disea… h-var-70a95f9d57 | LPCAT3 | debated | 0.764 | 2026-05-16 | Open → |
| 43 | SASP-Mediated Cholinergic Synapse Disruption h-1acdd55e | MMP2/MMP9 | promoted | 0.763 | 2026-05-13 | Open → |
| 44 | Circadian Clock-Autophagy Synchronization h-b7898b79 | CLOCK | debated | 0.763 | 2026-05-13 | Open → |
| 45 | Cell-Type Specific TREM2 Upregulation in DAM Microglia h-seaad-51323624 | TREM2 | promoted | 0.761 | 2026-05-16 | Open → |
| 46 | STMN2 Cryptic Exon Inclusion is the Earliest Loss-of-Function Marker of TDP-43… ec8b839c-6440-45dc-aff6-5edea1fd2d6d | TARDBP | open | 0.760 | 2026-05-13 | Open → |
| 47 | Multi-Modal Stress Response Harmonization h-1e564178 | NR3C1/CRH/TNFA | promoted | 0.756 | 2026-05-13 | Open → |
| 48 | GFAP-Positive Reactive Astrocyte Subtype Delineation h-seaad-56fa6428 | GFAP | promoted | 0.754 | 2026-05-13 | Open → |
| 49 | GBA1 Loss Triggers a TFEB-to-TFE3 Compensatory Switch in A9 Dopaminergic Neuron… hyp-lyso-snca-3a610efd001e | TFEB | active | 0.750 | 2026-05-13 | Open → |
| 50 | Astrocyte C3aR Signaling as Bifurcation Point for A1/A2 Fate h-immunity-6e54942b | C3, C3aR, NFKB1, PPARGC1A | open | 0.749 | 2026-05-16 | Open → |