Telethon Kids Institute, North Entrance Perth Children's Hospital, 15 Hospital Ave, Nedlands, WA 6009, Australia.
School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, Australia.
Int J Environ Res Public Health. 2023 Jul 4;20(13):6297. doi: 10.3390/ijerph20136297.
Early onset Non-Communicable Diseases (NCDs), including obesity, allergies, and mental ill-health in childhood, present a serious and increasing threat to lifelong health and longevity. The ORGINS Project (ORIGINS) addresses the urgent need for multidisciplinary efforts to understand the detrimental multisystem impacts of modern environments using well-curated large-scale longitudinal biological sample collections. ORGINS is a prospective community birth cohort aiming to enrol 10,000 pregnant people and follow each family until the children reach 5 years of age. A key objective is to generate a comprehensive biorepository on a sub-group of 4000 families invited to contribute blood, saliva, buccal cells, urine, stool, hair, house dust, cord blood, placenta, amniotic fluid, meconium, breastmilk, and colostrum over eight timepoints spanning the antenatal period and early childhood. Uniquely, ORIGINS includes a series of nested sub-projects, including interventions and clinical trials addressing different aspects of health. While this adds complexity as the project expands, it provides the opportunity for comparative studies. This research design promotes a multidisciplinary, multisystem approach to biological sample collection, analysis, and data sharing to ensure more integrated perspectives and solutions. This paper details the evolving protocol of our collaborative biobanking concept. Further, we outline our future visions for local, national, and ultimately international, comparative, and collaborative opportunities to advance our understanding of early onset NCDs and the opportunities to improve health outcomes for future generations.
儿童期早发非传染性疾病(NCDs),包括肥胖、过敏和精神健康问题,对终身健康和长寿构成了严重且日益严重的威胁。ORGINS 项目(起源)旨在解决使用精心策划的大规模纵向生物样本收集来理解现代环境对多系统造成的有害影响的多学科努力的迫切需求。ORGINS 是一个前瞻性的社区出生队列,旨在招募 10000 名孕妇,并跟踪每个家庭,直到孩子 5 岁。一个主要目标是在邀请 4000 个家庭贡献血液、唾液、口腔细胞、尿液、粪便、头发、室内灰尘、脐带血、胎盘、羊水、胎粪、母乳和初乳的子组中生成一个综合生物库,跨越产前和儿童早期的 8 个时间点。独特的是,起源包括一系列嵌套的子项目,包括干预和临床试验,涉及健康的不同方面。虽然这增加了项目扩展的复杂性,但它提供了进行比较研究的机会。这种研究设计促进了多学科、多系统的生物样本收集、分析和数据共享方法,以确保更综合的观点和解决方案。本文详细介绍了我们协作式生物银行概念不断发展的方案。此外,我们还概述了我们对本地、国家和最终国际的比较和协作机会的未来愿景,以推进我们对儿童期早发非传染性疾病的理解,并为后代改善健康结果提供机会。