Heck, we barely know how neurons work. Sure, we’ve got the important stuff down like action potentials and ion channels, but there’s all sorts of stuff we don’t fully understand yet. For example, we know the huntingtin protein is critical to neuron growth (maybe for axons?), and we know if the gene has too many mutations it causes Huntington’s disease. But we don’t know why huntingtin is essential, or how it actually effects neuron growth. We just know that cells die without it, or when it is misformed.

Now, take that uncertainty and multiply it by the sheer number of genes and proteins we haven’t fully figured out and baby, you’ve got a stew going.