Proyectos - Internacionales - Programas de Investigación e Innovación de la UE

These projects have received funding from the European UnionThese projects have received funding from the European Union's Horizon 2020 research
and innovation programme under grant agreement which is refrenced under each Project.
Título:
Secondary prevention of Cardiovascular disease in the elderly trial
Acrónimo
SECURE
Convocatoria:
H2020-PHC-2014-two-stage
Referencia:
GA-633765
Investigador principal
Valentín Fuster Carulla
Fecha inicio:
01/05/2015
Fecha fin:
31/12/2021
Presupuesto concedido:
1.465.972,00 €
Fuente de financiación:
EC-European Commission
Título:
Professional cross-priming for ovary and prostate cancer
Acrónimo
PROCROP
Convocatoria:
H2020-PHC-2014-two-stage
Referencia:
GA-635122
Investigador principal
David Sancho Madrid
Fecha inicio:
01/09/2015
Fecha fin:
28/02/2021
Presupuesto concedido:
655.000,00 €
Fuente de financiación:
EC-European Commission
Título:
Molecular strategies to treat inherited arrhythmias
Acrónimo
EU-rhythmy
Convocatoria:
H2020-ERC-2014-ADG
Referencia:
GA-669387
Investigador principal
Silvia Priori
Fecha inicio:
01/11/2015
Fecha fin:
31/10/2021
Presupuesto concedido:
600.000,00 €
Fuente de financiación:
EC-European Research Council
Título:
4D analysis of heart development and regeneration using advanced light microscopy
Acrónimo
4DHeart
Convocatoria:
H2020-MSCA-ITN-2016
Referencia:
GA-722427
Investigador principal
Miguel Torres
Fecha inicio:
01/01/2017
Fecha fin:
28/02/2021
Presupuesto concedido:
248.543,00 €
Fuente de financiación:
EC-European Commission
Título:
Realising the therapeutic potential of novel cardioprotective therapies
Acrónimo
COST 16225
Convocatoria:
H2020-COST 2017
Referencia:
COST 16225
Investigador principal
Borja Ibáñez Cabeza
Fecha inicio:
01/01/2017
Fecha fin:
31/12/2020
Fuente de financiación:
EUROPEAN COOPERATION IN THE FIELD OF SCIENTIFIC AND TECHNICAL RESEARCH
Título:
Tissue regeneration and aging: the decisive quiescent stem-cell state
Acrónimo
STEM-AGING
Convocatoria:
H2020-ERC-2016-AdG
Referencia:
GA-741966
Investigador principal
Pura Muñoz Cánoves
Fecha inicio:
01/11/2017
Fecha fin:
31/10/2022
Presupuesto concedido:
1.248.125,00 €
Fuente de financiación:
EC-European Research Council
Título:
Functional characterisation of mitochondrial metabolic adaptations to innate sensing in dendritic cell subsets
Acrónimo
MITOMAD
Convocatoria:
H2020-ERC-2016-CoG
Referencia:
GA-725091
Investigador principal
David Sancho Madrid
Fecha inicio:
01/12/2017
Fecha fin:
30/11/2023
Presupuesto concedido:
1.995.000,00 €
Fuente de financiación:
EC-European Research Council
Resumen:
We are investigating how tissue damage and microbial signals lead to mitochondrial reprogramming in dendritic cells (DCs) and macrophages, and how manipulation of mitochondrial metabolism regulates myeloid cell function. This project aims to identify new targets to exploit DCs and macrophages for improved immunotherapy. So far we have: 1. Characterized the metabolic reprogramming after DC stimulation with different stimuli both in mouse and human DCs. 2. We are performing the analysis of how innate sensing connects with mitochondrial adaptations in DCs; 3. We have addressed the effect of drugs targeting mitochondrial biology and now we are analyzing the effect of genetic manipulation of mitochondrial biology on DC function in vitro. 4. We are assessing the functional in vivo effects of targeting mitochondrial biology in DCs in homeostasis and disease.

The project aims 1. the analysis of how sensing of external stimuli by DCs leads to mitochondrial adaptations; 2. The investigation in how mitochondrial metabolism may impact in DC function.

The main results obtained in these aims are:
1. In the current reporting period we have found how macrophage polarization is regulated by Fgr kinase-mediated phosphorylation of mitochondrial CII, which impacts on proinflammatory macrophages in the adipose tissue. Fgr deficiency leads to improved glucose metabolism and leaner mice with reduced liver steatosis (Acín-Pérez et al. Nat Metabolism 2020). In addition, we found that a polybacterial preparation induces metabolic reprogramming and trained immunity, protects against viral infection and enhances vaccine immunogenicity (Brandi et al. 2022. Cell Reports; del Fresno et al. Front. Immunol. 2021).
2. Our novel genetic approaches based on CD11c-selective deletion of key proteins affecting OXPHOS complexes have revealed diverse results depending on the targeted complex. We performed the analysis of CD11c-expressing macrophages. We found that distinct physiological functions direct the metabolic requirements of tissue-resident macrophages. Using the CD11c-Cre driver line, we observed a profound phenotype in some CD11c-expressing macrophage (MF) populations. Using our CD11c∆Tfam mice and Lysozyme M-Cre Tfamf/f (LysM∆Tfam) mice, we found that mitochondrial impairment differentially affects presence and identity of MFs correlating with their expression levels of OXPHOS-related genes. Alveolar macrophages are drastically affected and the oxphos is needed for macrophage lipid handling activity. Macrophages in tissues exposed to lipids in homeostasis are more dependent on oxphos for their metabolism. In addition, proinflammatory macrophages in the adipose tissue are also oxphos-dependent. Due to the lack of this proinflammatory macrophages, LysM∆Tfam mice are leaner and show better glucose metabolism and less liver steatosis than control mice (Wculek et al. submitted).

In relation with the previous mentioned objectives, the progress and expected potential are:
1. We have characterized how innate stimuli lead to distinct metabolic signatures and have described modulatory mechanisms that affect metabolic reprogramming and trained immunity (Saz-Leal et al. Cell Reports. 2018). We found that a polybacterial preparation induces metabolic reprogramming and trained immunity, protects against viral infection and enhances vaccine immunogenicity (Brandi et al. 2022. Cell Reports; del Fresno et al. Front. Immunol. 2021).We are now working on new regulators of trained immunity with particular focus on the role of mitochondrial metabolism.
2. In our biased approach we have established the involvement of the HIF-1 pathway in alveolar macrophage function and the importance of sensing oxygen for terminal differentiation (Izquierdo et al. Cell Reports. 2018). We are also analyzing other sensing pathways that affect DC and macrophage mitochondrial metabolism.
3. We have found a new function in inflammation of DCs (Del Fresno et al. Science. 2018) and a new pathway of sensing microbiota that affects immunity in the gut (Martínez-López et al. Immunity. 2019). This has potential impact as new functional targets that can be affected by the manipulation of mitochondrial metabolism, and we are currently exploring this avenue. In fact, we have recently described that Fgr kinase can modulate mitochondrial complex II activity and macrophage polarization, which affects host metabolism. Fgr promotes proinflammatory macrophage polarization, obesity and metabolic syndrome (Acín-Pérez et al. Nat Metab. 2020).
4. Our work has established that cDC1s can be effectively used for cancer immunotherapy (Wculek et al. JITC. 2019). The potential is to manipulate metabolism in cDC1s to improve cancer immunotherapy.
Título:
International Interdisciplinary PhD Studies in Biomedical Research - COFUND
Acrónimo
COFUNDImPRESS
Convocatoria:
H2020-MSCA-COFUND-2016
Referencia:
GA-754432
Investigador principal
Ana Dopazo
Fecha inicio:
01/02/2018
Fecha fin:
31/01/2023
Fuente de financiación:
EC-European Commission
Título:
Transgenerational epigenetic inheritance of cardiac regenerative capacity in the zebrafish
Acrónimo
TransReg
Convocatoria:
H2020-ERC-2018-CoG
Referencia:
GA-819717
Investigador principal
Nadia Mercader
Fecha inicio:
01/08/2019
Fecha fin:
31/07/2025
Presupuesto concedido:
326.250,00 €
Fuente de financiación:
EC-European Research Council
Título:
Novel mitochondria-targeting therapies for chemotherapy-induced cardiotoxicity
Acrónimo
Matrix
Convocatoria:
H2020-ERC-2018-CoG
Referencia:
GA-819775
Investigador principal
Borja Ibáñez Cabeza
Fecha inicio:
01/09/2019
Fecha fin:
31/05/2025
Presupuesto concedido:
1.473.437,50 €
Fuente de financiación:
EC-European Research Council
Título:
New-generation cardiac therapeutic strategies directed to the activation of endogenous regenerative
Acrónimo
REANIMA
Convocatoria:
H2020-SC1-BHC-07-2019
Referencia:
GA-874764
Investigador principal
Miguel Torres
Fecha inicio:
01/01/2020
Fecha fin:
30/06/2025
Presupuesto concedido:
1.380.000,00 €
Fuente de financiación:
EC-European Commission
Título:
Personalized Prevention for Coronary Heart Disease
Acrónimo
CoroPrevention
Convocatoria:
H2020-SC1-BHC-25-2019
Referencia:
GA-848056
Investigador principal
Borja Ibáñez Cabeza
Fecha inicio:
01/01/2020
Fecha fin:
31/12/2026
Presupuesto concedido:
228.750,00 €
Fuente de financiación:
EC-European Commission
Título:
Development of “smart” amplifiers of reactive oxygen species specific to aberrant polymorphonuclear neutrophils for treatment of inflammatory and autoimmune diseases, cancer and myeloablation.
Acrónimo
NeutroCure
Convocatoria:
H2020-FETOPEN-2018-2020
Referencia:
GA-861878
Investigador principal
Andrés Hidalgo Alonso
Fecha inicio:
01/01/2020
Fecha fin:
31/10/2025
Presupuesto concedido:
400.000,00 €
Fuente de financiación:
EC-European Commission
Título:
EXpansion and Phenotype Loss Of SMCs In Atherosclerosis: Causal effects and therapeutic possibilities
Acrónimo
EXPLOSIA
Convocatoria:
H2020-ERC-2019-COG
Referencia:
GA-866240
Investigador principal
Jacob Fog Bentzon
Fecha inicio:
01/08/2020
Fecha fin:
31/07/2025
Presupuesto concedido:
702.755,00 €
Fuente de financiación:
EC-European Research Council
Título:
European Research Training in Understanding the Molecular Regulation and the Role of EndoLysosomal Processes in Cardio-Metabolic Diseases
Acrónimo
EndoConnect
Convocatoria:
H2020-MSCA-ITN-2020
Referencia:
953489
Investigador principal
Miguel Ángel del Pozo Barriuso
Fecha inicio:
01/01/2021
Fecha fin:
31/12/2022
Fuente de financiación:
EC-European Commission
Título:
Machine learning artificial intelligence early detection stroke atrial fibrillation
Acrónimo
MAESTRIA
Convocatoria:
SC1-BHC-06-2020
Referencia:
GA-965286
Investigador principal
José Jalife Sacal
Fecha inicio:
01/03/2021
Fecha fin:
28/02/2026
Presupuesto concedido:
801.000,00 €
Fuente de financiación:
EC-European Commission
Título:
Understanding and modulating vascular arrest with ultra-high definition
Acrónimo
AngioUnrestUHD
Convocatoria:
H2020-ERC-2020-COG
Referencia:
GA-101001814
Investigador principal
Rui Benedito
Fecha inicio:
01/03/2021
Fecha fin:
28/02/2026
Presupuesto concedido:
1.998.500,00 €
Fuente de financiación:
EC-European Research Council
Título:
Remote Ischemic Conditioning in Lymphoma Patients Receiving Anthracyclines
Acrónimo
RESILIENCE
Convocatoria:
H2020-SC1-BHC-08-2020
Referencia:
GA-945118
Investigador principal
Borja Ibáñez Cabeza
Fecha inicio:
01/06/2021
Fecha fin:
31/05/2026
Presupuesto concedido:
1.725.938,00 €
Fuente de financiación:
EC-European Commission
Resumen:
RESILIENCE: a European Commission-funded project, coordinated by CNIC, aimed at reducing the incidence of heart failure in cancer survivors

Cancer survivors are at high risk for cardiovascular complications. Anthracyclines are an extremely effective treatment against many cancer types, but they can induce cardiac toxicity resulting in chronic heart failure. RESILIENCE will test a novel preventive intervention (remote ischemic conditioning) in patients at risk for anthracycline-induced cardiotoxicity. In addition, new diagnostic modalities will be used to identify anthracyclines-induced cardiotoxicity in its very early stages. RESILIENCE counts on a multidisciplinary consortium with the active participation of patients.
Título:
Rituximab in patients with acute myocardial infarction: a phase 2 placebo-controlled randomised clinical trial
Acrónimo
RITA-MI2
Convocatoria:
H2020-SC1-BHC-08-2020
Referencia:
GA-899991
Investigador principal
Borja Ibáñez Cabeza
Fecha inicio:
01/06/2021
Fecha fin:
31/05/2026
Presupuesto concedido:
53.957,50 €
Fuente de financiación:
EC-European Commission
Título:
Uncovering Protein Mechanics in Physiology and Disease
Acrónimo
ProtMechanics-Live
Convocatoria:
H2020-ERC-2020-COG
Referencia:
GA-101002927
Investigador principal
Jorge Alegre-Cebollada
Fecha inicio:
01/06/2021
Fecha fin:
31/05/2026
Presupuesto concedido:
2.000.000,00 €
Fuente de financiación:
EC-European Research Council
Título:
STING signalling modulation via the Electron Transport Chain
Acrónimo
STIMULATE
Convocatoria:
H2020-MSCA-IF-2019
Referencia:
GA-892965
Investigador principal
Gillian Dunphy
Fecha inicio:
01/07/2021
Fecha fin:
30/06/2023
Presupuesto concedido:
160.932,48 €
Fuente de financiación:
EC-European Commission
Título:
Functional relevance of mitochondrial supercomplex assembly in myeloid cells
Acrónimo
MY MITOCOMPLEX
Convocatoria:
H2020-MSCA-IF-2019
Referencia:
GA-893682
Investigador principal
Dieke Van Dinther
Fecha inicio:
01/11/2021
Fecha fin:
16/01/2024
Presupuesto concedido:
172.932,48 €
Fuente de financiación:
EC-European Commission
Título:
DecIphering nucLEar Mechanics in diabetes: a Multi-scAle perspective
Acrónimo
DILEMMA
Convocatoria:
HORIZON-MSCA-Postdoctoral Fellowships 2021
Referencia:
101065552
Investigador principal
Andra C. Dumitru
Fecha inicio:
01/06/2022
Fecha fin:
14/12/2022
Presupuesto concedido:
181.152,96 €
Fuente de financiación:
EC-European Commission
Título:
Enabling advances in diagnosis, patient stratification and treatment for dilated cardiomyopathy patients and families
Acrónimo
DCM-NEXT
Convocatoria:
HORIZON-EIC-2022-PATHFINDERCHALLENGES-01
Referencia:
101115416
Investigador principal
Enrique Lara Pezzi
Fecha inicio:
01/10/2023
Fecha fin:
30/09/2027
Presupuesto concedido:
461.000,00 €
Fuente de financiación:
EC-European Commission
Resumen:
Dilated cardiomyopathy (DCM) is a condition known to cause heart failure and sudden cardiac death. It often affects young adults, with a prevalence of up to 1 in 250 individuals. Currently, medical treatment is limited to managing symptoms, and the only curative option is an invasive heart transplantation at the end-stage of DCM. The EU-funded DCM-NEXT project will address the gaps in understanding DCM's genetic architecture, genes, and genetic variants. This project is supported by world-renowned experts from various fields such as phenotyping, cardio genomics, artificial intelligence, and others. Their main objectives include identifying and validating targets involved in the pathogenesis of DCM, revolutionising diagnostic testing, enabling precise risk prediction, and developing novel therapies for DCM.
Título:
Joint Action on CARdiovascular diseases and DIabetes
Acrónimo
JACARDI
Convocatoria:
EU4H-2022-PJ-11
Referencia:
101126953
Investigador principal
Héctor Bueno Zamora, Fátima Sánchez Cabo, Fátima Lois Díaz
Fecha inicio:
01/11/2023
Fecha fin:
31/10/2027
Presupuesto concedido:
1.093.154,00 €
Fuente de financiación:
EC-European Commission
Título:
MSCA COFUND Cure Heart and Brain
Acrónimo
Cure Heart and Brain
Convocatoria:
HORIZON-MSCA-COFUND-2022
Referencia:
GA-101126521
Investigador principal
Enrique Lara-Pezzi, María Ángeles Moro
Fecha inicio:
01/01/2024
Fecha fin:
31/12/2028
Presupuesto concedido:
1.719.360,00 €
Fuente de financiación:
EC-European Commission
Resumen:
The Centro Nacional de Investigaciones Cardiovasculares Carlos III (F.S.P.) is a globally recognised institution dedicated to improving cardiovascular health. It generates scientific knowledge, translates it efficiently into clinical applications, and provides comprehensive training to emerging researchers. With support from the Marie Skłodowska-Curie Actions programme, the CURE HEARTandBRAIN project will establish a postdoctoral fellowship programme designed to develop skills, foster innovation, promote open science practices, and enhance public engagement. The programme will be open to 12 candidates with a PhD and will offer training, international mobility, and opportunities to advance the potential of translational researchers in cardiovascular research and related fields, while effectively communicating research results to the public.
Título:
Human Antibody-enabled Cardiovascular Personalized Theranosis
Acrónimo
ABCardionostics
Convocatoria:
HORIZON-EIC-2023-PATHFINDEROPEN-01-01
Referencia:
101130308
Investigador principal
Carlos Perez Medina
Fecha inicio:
01/04/2024
Fecha fin:
31/03/2028
Presupuesto concedido:
503.065,00 €
Fuente de financiación:
EC-European Commission
Resumen:
Atherosclerosis, a leading cause of heart disease, poses a challenge due to its complex and often asymptomatic progression. In this context, the EIC-funded ABCardionostics project will develop a multi-marker PET/MRI system. Specifically, ABCardionostics aims to enhance the staging and personalised treatment of patients with vulnerable atherosclerosis. The project focuses on creating human antibodies (HuAbs) that target specific monocyte/macrophage populations involved in plaque development. These antibodies will provide detailed insights into plaque composition and progression. Using advanced biotechnologies, including phage display and multispectral mapping, ABCardionostics will pioneer in vivo imaging techniques and novel immunotherapy strategies, potentially transforming diagnostic and therapeutic practices for atherosclerosis and beyond.
Título:
Targeting the Imidazole Propionate/Imidazoline I1 receptor axis as a novel treatment for Atherosclerosis
Acrónimo
ImnovAth
Convocatoria:
HORIZON-ERC-2023-PoC
Referencia:
GA-101158245
Investigador principal
David Sancho Madrid
Fecha inicio:
01/09/2024
Fecha fin:
28/02/2026
Presupuesto concedido:
150.000,00 €
Fuente de financiación:
EC-European Research Council
Resumen:
Atherosclerosis (AT) is one of the main causes of death worldwide. Current treatments (e.g. lipid-lowering therapies) are still insufficient to tackle future CV events and we urgently need new complementary treatments to improve therapeutic efficacy. ImnovAth aims to develop the new idea of targeting a metabolite/metabolite receptor axis to complete our preclinical results with an existing pharmacological agent that blocks this pathway, with the long-term goal of moving towards clinical trials and to a marketable product. In the context of our ERC-funded project, we found a microbiota-derived metabolite that affects the development of innate and adaptive immunity. We have subsequently found that this metabolite is both associated with and causal for AT and that blockade of the sensing of this metabolite prevents AT progression.
We propose: 1) Validation to demonstrate that blockade of the metabolite/metabolite receptor axis is effective in AT treatment. We will study toxicity/tolerability of the existing pharmacological agent and the effect/efficacy of the blockade of this axis with the pharmacological agent alone or in combination with other current gold-standard treatments for AT in a preclinical therapeutic setting. 2) We will reinforce our IPR position and strategy proceeding towards a marketable product based on our currently filed patent application, market analysis and industry sector contacts. 3) Dissemination and communication activities. In sum, we propose an alternative therapy for AT focused on the inhibition of a novel target that can generate an independent or a complementary therapy to existing gold-standard treatments for AT, thus increasing their effectiveness.
Título:
CONTRATO ENTRE LA FUNDACIÓN PARA EL CONOCIMIENTO MADRI+D Y CNIC PARA LA REALIZACIÓN DE ACTIVIDADES DEL PROYECTO LA NOCHE EUROPEA DE LOS INVESTIGADORES.
Acrónimo
NIGHT2024-2025
Convocatoria:
HORIZON-MSCA-2023-CITIZENS-01
Referencia:
CM-2024-036-09
Investigador principal
Irene Sánchez Nieto
Fecha inicio:
27/09/2024
Fecha fin:
26/09/2025
Presupuesto concedido:
2.500,00 €
Fuente de financiación:
EC-European Commission
Título:
The transcriptional regulation of cardiomyocyte polyploidization and its relevance in cardiac regeneration
Acrónimo
REACTIVA
Convocatoria:
HORIZON-ERC-2023-ADG
Referencia:
101142005
Investigador principal
Miguel Torres
Fecha inicio:
01/10/2024
Fecha fin:
30/09/2029
Presupuesto concedido:
2.500.000,00 €
Fuente de financiación:
EC-European Research Council
Resumen:
In mammals, the heart has a brief regenerative window shortly after birth, but adult human cardiomyocytes have a very low turnover rate, limiting heart regeneration. This limitation often leads to heart failure in diseases involving cardiomyocyte loss, such as acute ischaemia. Funded by the European Research Council, the REACTIVA project aims to reactivate an endogenous heart-regeneration mechanism. This approach is based on the fact that most adult cardiomyocytes cannot divide due to polyploidy, which relates to high contractility needs. Researchers identified a molecular signature of adult diploid cardiomyocytes, whose proliferation is controlled by a repressor transcription factor. Inhibiting this factor could promote adult heart regeneration.
Título:
Computational biomechanics and bioengineering 3D printing to develop a personalized regenerative biological ventricular assist device to provide lasting functional support to damaged hearts
Acrónimo
BRAV3
Convocatoria:
H2020-SC1-BHC-07-2019
Referencia:
874827
Investigador principal
David Filgueiras Rama
Fecha inicio:
15/10/2024
Fecha fin:
30/06/2025
Presupuesto concedido:
100.000,00 €
Fuente de financiación:
EC-European Commission
Resumen:
Ischemic heart disease is the main cause of death in the EU, straining patients and economies. Regenerative Medicine has failed at delivering a definitive solution, and even the breakthrough of cell reprogramming, biomaterials or 3D printing, have not been able to find a curative solution. Generating a muscle with efficient pumping requires a careful recapitulation of the myocardial architecture. BRAV∃ is born with the ambition of shaping this quantum leap in the field. The overall concept is to provide a lasting functional support to injured hearts through the fabrication of regenerative personalized advanced tissue engineering-based biological ventricular assist devices (BioVADs). To do so, we will apply multimodal deep cardiac phenotyping, coupled to advanced Computational Modelling and biomechanical analysis in a large animal model of disease, to create a personalised 3D printable design. We will for the first time create a fibre-reinforced human heart-sized cardiac tissue able to recapitulate the low Young´s Modulus of the myocardium while withstanding pressures generated during the cardiac circle. Using the latest human induced pluripotent stem cell (hiPSC) technology and industrial-scale growth and differentiation, we will cellularize this novel human heart-sized constructs, creating a highly efficiently aligned cardiac tissue (including vasculature). BioVADs will be matured in in-Consortium built electromechanical stimulation bioreactors before transplantation in a porcine model of disease. We anticipate our BioVADs will constitute a one-shot regenerative treatment of IHD, decreasing the burden on healthcare providers and improving the quality of life of patients. Crucially, we will for the first time generate a wealth of information on heart development at a human scale. Delivering this novel application whilst developing the technological environment (bioreactor, chamber, pacemaker) will boost the capacity of the EU to grow economically and lead the field.
Título:
Brain health in Atherosclerosis and Cardiovascular risk in mid-life, a PESA-Brain project.
Acrónimo
BrainAtCardio
Convocatoria:
HORIZON-MSCA-Postdoctoral Fellowships 2024
Referencia:
101210785
Investigador principal
Jennifer Monereo Sánchez
Fecha inicio:
01/04/2025
Fecha fin:
31/03/2027
Presupuesto concedido:
194.074,00 €
Fuente de financiación:
EC-European Commission
Resumen:
This project aims to investigate the early associations between cardiovascular health and Alzheimer’s disease (AD) pathology, with a focus on subclinical atherosclerosis (SCAth) and cardiovascular risk factors (CVRFs), in a large cohort of asymptomatic, middle-aged individuals. The overarching objective is to determine how cardiovascular health in subclinical stages influences both cerebrovascular integrity and early AD biomarkers, and to examine how these factors contribute to cognitive decline, with particular emphasis on sex-specific differences.

The proposed research leverages data from the PESA-Brain study, a deeply phenotyped cohort integrating advanced neuroimaging and cognitive testing, with longitudinal cardiovascular and blood-based biomarkers assessments. We will first test the relationships between cardiovascular health markers and cerebrovascular health, focusing on brain perfusion, microstructure, and microinfarcts. We will then explore the links between cardiovascular health and AD pathology, using plasma and brain amyloid and tau biomarkers, as well as cognitive outcomes, including memory and executive function.

The project will employ advanced statistical approaches, such as linear mixed models and mediation analysis, to handle the complexity of multimodal data and examine causal relationships between cardiovascular health, brain pathology, and cognition. By including sex-stratified analyses, the research will provide critical insights into gender-specific susceptibilities, which have been underexplored in previous studies.

The relevance of this project to the work programme lies in its potential to shift the focus of AD prevention to midlife, offering novel insights into the neurobiological pathways that link cardiovascular dysfunction and neurodegeneration. These findings could pave the way for earlier interventions targeting modifiable CVRFs, significantly reducing the incidence and societal burden of dementia in aging populations.