RT Journal Article T1 Gut-brain nexus: Mapping multimodal links to neurodegeneration at biobank scale A1 Shafieinouri, Mohammad A1 Hong, Samantha A1 Lee, Paul Suhwan A1 Grant, Spencer M. A1 Khani, Marzieh A1 Dadu, Anant A1 Schumacher Schuh, Artur F. A1 Makarious, Mary B. A1 Sandon, Rodrigo A1 Simmonds, Emily A1 Iwaki, Hirotaka A1 Hill, Gracelyn A1 Blauwendraat, Cornelis A1 Escott-Price, Valentina A1 Qi, Yue A. A1 Noyce, Alastair J. A1 Reyes-Palomares, Armando A1 Leonard, Hampton L A1 Tansey, Malu A1 Faghri, Faraz A1 Singleton, Andrew B. A1 Nalls, Mike A. A1 Levine, Kristin S. A1 Bandres-Ciga, Sara K1 Alzheimer, Enfermedad de K1 Parkinson, Enfermedad de AB Alzheimer’s disease (AD) and Parkinson’s disease (PD) are influenced by genetic and environmental factors. We conducted a biobank-scale study to (i) identify endocrine, nutritional, metabolic, and digestive disorders with potential causal or temporal associations with AD/PD risk before diagnosis; (ii) assess plasma biomarkers’ specificity for AD/PD in the context of co-occurring gut related traits and disorders; and (iii) integrate multimodal datasets to enhance AD/PD prediction. Our findings show that several disorders were associated with increased AD/PD risk before diagnosis, with variation in the strength and timing of associations across conditions. Polygenic risk scores reveal lower genetic predisposition for AD/PD in individuals with co-occurring disorders. Moreover, the proteomic profile of AD/PD cases was influenced by comorbid gut-brain axis disorders. Last, our multimodal prediction models outperform single-modality paradigms in disease classification. This endeavor illuminates the interplay between factors involved in the gut-brain axis and the development of AD/PD, opening avenues for therapeutic targeting and early diagnosis. PB American Academy of Arts and Sciences (AAAS) SN 2375-2548 YR 2025 FD 2025-08 LK https://hdl.handle.net/10630/44705 UL https://hdl.handle.net/10630/44705 LA eng NO Mohammad Shafieinouri et al. ,Gut-brain nexus: Mapping multimodal links to neurodegeneration at biobank scale.Sci. Adv.11,eadu2937(2025).DOI:10.1126/sciadv.adu2937 DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 3 mar 2026