Precision cardiovascular diseases phenotyping and pathophysiological pathways in the carrs cohort (precision-carrs)

Active Project Grant Awarded Last action

Award ID
P01HL154996
Recipient
Awarding agency
Obligated
$22,292,052

Award facts

Assistance listing
93.837 Cardiovascular Diseases Research
Completion date 93% complete
Place of performance
Atlanta, GA 30322, USA

Award details come from USAspending.gov.

Description

Abstract
(overall) precision-carrs will revolutionize the cardiovascular disease (CVD) prevention and care paradigm from imprecise prediction with focus on late stage disease to personalized and precise prediction with improved understanding of early-stage disease to maintain cardiovascular health. Atherosclerotic CVD (ascvd) and heart failure (HF) phenotypes are heterogeneous and result from complex interactions between immutable genetic factors and mutable forces operating at environmental (e.g., ambient air quality), individual (e.g., health behaviors, social influence), and molecular (e, g, proteins, 'omics) levels. South asians are an understudied population at high CVD risk even at young ages, at low body weight, and in the absence of traditional risk factors. We will leverage substantial matched resources, and also build upon the nhlbi- funded carrs cohort, a representative sample of n=21,864 south asians aged = 20 years, with ongoing follow-up for clinical ascvd risk factors, clinical disease, and mortality. The cohort has high retention (>95% have at least one follow-up) and a biorepository of 360,000 stored samples. We will add detailed subclinical and clinical CVD phenotyping, repeated measures of targeted protein markers and untargeted multi-omics, and real-time assessment of health behaviors. By extending follow-up by an additional 5 years, we will accrue 176,536 person-years of follow up, >1,000 incident ascvd, and nearly >900 cases of clinical HF (stages c/d). Enabled by precise mapping of CVD at the granular level of subclinical and clinical phenotypes, we will investigate the epidemiology and causes of CVD along both ascvd and HF pathways. Three complementary cores (administrative and field coordination; CVD phenotyping; and data management and analysis) will support four interconnected projects, one of which is led by an early-stage investigator (ESI). All four project examine common subclinical and clinical endpoints from synergistic vantage points: traditional risk factors and targeted protein-based pathophysiological pathways (project 1), the impact of air pollution and mediating mechanisms (project 2), molecular signals and mechanisms through integrative untargeted multi-omics (project 3), and socio-behavioral influences on CVD risk and outcomes studied via spousal dyads (project 4, ESI). Precision-carrs will unravel the natural history, pathophysiology, and causal factors of vascular and myocardial disease and pave the way for precision CVD diagnostics, prevention, and care for south asians-who represent one fifth of humanity and are a rapidly growing sub- population in the US. In summary, precision-carrs is designed to be a powerful platform to understand the natural history of CVD in an understudied high-risk population and to spur future innovative scientific collaborations with other CVD longitudinal cohorts in the US and globally.

Transactions

Action Obligated Date
Amendment $230,466
Amendment $2,074,195
Amendment $2,074,195
Amendment $180,502
Amendment $180,502
Amendment $2,030,636
Amendment $2,030,636
Amendment $2,030,636
Amendment $0
Amendment $0
Amendment $0
Amendment $0
Amendment $2,289,655
Amendment $2,289,655
Amendment $2,289,655
Amendment $2,289,655
Original award $2,301,664
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Subawards

Subrecipient Amount Awarded
All India Institute Of Medical Sciences Precision Cardiovascular Diseases Phenotyping and Pathophysiological Pathways $3,894
Madras Diabetes Research Foundation $36,753
The Regents Of The University Of California. San Francisco $2,022
Centre For Chronic Disease Control $45,918
Subrecipient not on record $70,162
The Regents Of The University Of California. San Francisco $18,199
Subrecipient not on record $78,710
Madras Diabetes Research Foundation $27,125
Madras Diabetes Research Foundation $167,446
Madras Diabetes Research Foundation $134,029
Centre For Chronic Disease Control $8,540
Centre For Chronic Disease Control $76,575
Centre For Chronic Disease Control $64,153
Centre For Chronic Disease Control $206,188
Centre For Chronic Disease Control $55,760
All India Institute Of Medical Sciences $35,059
Centre For Chronic Disease Control $134,468
Madras Diabetes Research Foundation $120,129
Madras Diabetes Research Foundation $26,007
Madras Diabetes Research Foundation $169,109
The Regents Of The University Of California. San Francisco $34,170
Subrecipient not on record $108,424
Centre For Chronic Disease Control $59,631
Centre For Chronic Disease Control $207,851
Centre For Chronic Disease Control $2,083
Centre For Chronic Disease Control $8,540
Centre For Chronic Disease Control $64,153
Centre For Chronic Disease Control $104,702
Subrecipient not on record $113,992
All India Institute Of Medical Sciences $31,707
Madras Diabetes Research Foundation $28,898
Madras Diabetes Research Foundation $122,584
Madras Diabetes Research Foundation $192,535
Centre For Chronic Disease Control $59,631
Centre For Chronic Disease Control $9,489
Centre For Chronic Disease Control $308,821
Centre For Chronic Disease Control $71,281
Centre For Chronic Disease Control $2,314
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Quick answers

Who received award P01HL154996?

P01HL154996 was awarded to Emory University by National Heart Lung and Blood Institute (National Institutes of Health) on May 15, 2022.

How much is award P01HL154996 worth?

$22,292,052 has been obligated on P01HL154996.

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