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EPIC4ND-European Prospective Investigation into Cancer and Nutrition follow-up for neurodegenerative diseases.

EPIC4ND-European Prospective Investigation into Cancer and Nutrition follow-up for neurodegenerative diseases.

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Where did the research take place?

The study site has not been established. Author addresses may differ from where the research occurred.

Münster, DE · Author affiliation

Translational Epidemiology Unit, Institute of Epidemiology and Social Medicine, University of Münster, Domagkstr. 3, Münster, Germany. christina.lill@uni-muenster.de.
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London, GB · Author affiliation

Ageing and Epidemiology Unit (AGE), School of Public Health, Imperial College London, London, UK. christina.lill@uni-muenster.de.
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Oxford, GB · Author affiliation

Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
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Lyon, FR · Author affiliation

International Agency for Research on Cancer (IARC/WHO), Nutrition and Metabolism Branch, Lyon, France.
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Murcia, ES · Author affiliation

Department of Epidemiology, Murcia Regional Health Council-IMIB, Murcia, Spain.
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Madrid, ES · Author affiliation

CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
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Villejuif, FR · Author affiliation

Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, CESP, Villejuif, France.
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Utrecht, NL · Author affiliation

Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.
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Cambridge, GB · Author affiliation

Medical Research Council Epidemiology Unit, University of Cambridge, Cambridge, UK.
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Lübeck, DE · Author affiliation

Lübeck Interdisciplinary Platform for Genome Analytics (LIGA), University of Lübeck, Lübeck, Germany.
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ES · Author affiliation · country only

Epidemiology and Public Health Area, Biodonostia Health Research Institute, San Sebastián, Spain.
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Pamplona, ES · Author affiliation

Instituto de Salud Pública y Laboral de Navarra, Pamplona, Spain.
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Centro, ES · Author affiliation

Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
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Granada, ES · Author affiliation

Escuela Andaluza de Salud Pública (EASP), Granada, Spain.
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Umeå, SE · Author affiliation

Department of Clinical Sciences, Neurosciences, Umeå University, Umeå, Sweden.
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Heidelberg, DE · Author affiliation

Division of Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany.
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Mannheim, DE · Author affiliation

1st Medical Clinic, University Hospital Mannheim, Mannheim, Germany.
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Medellín, CO · Author affiliation

9 Enero Research Group On Demography and Health, National Faculty of Public Health, University of Antioquia, Medellin, Colombia.
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DE · Author affiliation · country only

Department of Neurology, Saarland University Clinic, Saarland, Germany.
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Copenhagen, DK · Author affiliation

Danish Cancer Institute, Danish Cancer Society, Copenhagen, Denmark.
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Milan, IT · Author affiliation

Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
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Florence, IT · Author affiliation

Department of Statistics, Computer Science, Applications "G. Parenti", University of Florence, Florence, Italy.
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Gothenburg, SE · Author affiliation

Department of Psychiatry and Neurochemistry, University of Gothenburg, Molndal, Sweden.
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Mölndal, SE · Author affiliation

Department of Psychiatry and Neurochemistry, University of Gothenburg, Molndal, Sweden.
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Hong Kong, HK · Author affiliation

Hong Kong Center for Neurodegenerative Diseases, Clear Water Bay, Hong Kong, China.
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US · Author affiliation · country only

Wisconsin Alzheimer's Disease Research Center, School of Medicine and Public Health, University of Wisconsin, University of Wisconsin-Madison, Madison, WI, USA.
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Kiel, DE · Author affiliation

Institute of Clinical Molecular Biology, Christian-Albrechts-University of Kiel, Kiel, Germany.
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Novara, IT · Author affiliation

Department of Health Sciences, University of Eastern Piedmont, Novara, Italy.
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Original abstract

The 'European Prospective Investigation into Cancer and Nutrition' cohort (EPIC) is a prospective study including ~ 520,000 participants recruited across Europe (1991-2000) with in-depth baseline data on nutritional, lifestyle, medical, and anthropometric variables, and baseline blood samples. Here we introduce EPIC4ND, a case-cohort study within EPIC designed to identify biomarkers predicting a future onset of dementia, Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS). EPIC4ND comprises 6415 initially non-diseased participants (aged 35-80 years, mean age at baseline: 54 ± 9, 64% women) including 1899 incident cases with up to 30 years of follow-up and data on at least one omics domain available from pre-disease blood samples. EPIC4ND includes 4604 subcohort members (4441 non-cases and 163 incident cases) and 1811 additional incident cases ascertained from the broader EPIC cohort. Among the incident cases, there are 1190 dementia cases (818 AD), 610 PD cases, and 199 ALS cases. Additionally, 72 prevalent PD cases and 118 incident Parkinsonism cases are available for comparison. Molecular data generated encompass proteomics, genome-wide DNA methylation, and SNP genotyping with 4127 EPIC4ND participants (including 1635 incident cases) having data on all three domains. Smaller studies include data on metals, metabolites, and environmental chemicals, while ongoing efforts focus on ultrasensitive targeted biomarker measurements and small RNA sequencing. Genome-wide association studies and analyses of epidemiological risk factors validate the dataset by confirming many known risk factors. Leveraging these extensive pre-disease multi-layered omics data offers a unique opportunity to identify biomarker signatures predicting neurodegenerative diseases and to explore their interplay with epidemiological risk factors.

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