RPL27 and multiple system atrophy: Among the downregulated genes in PD (MSA-P > PD), key components included those involved in stress adaptation (HSP90AA1, GABRA6, NTRK3, DDX31), signal transduction (HSP90AA1, NTRK3, BTRC, PITPNM1, PPP2R2B), and ribosomal biogenesis (RPL27, DDX31) (Fig. 4E).