Evidence map›Paper›PMID 28070266›Full record

Trial reportMolecular autism2017

Serum and cerebrospinal fluid immune mediators in children with autistic disorder: a longitudinal study.

Carlos A Pardo, Cristan A Farmer, Audrey Thurm, Fatma M Shebl, Jorjetta Ilieva, Simran Kalra, Susan Swedo

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Molecular autism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00298246 (Clinical and Immunological Investigations of Subtypes of Autism), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00298246 completednot on this map

Clinical and Immunological Investigations of Subtypes of Autism

TypeobservationalSponsorNational Institute of Mental Health (NIMH)Ran2006 to 2017Enrolled557ConditionsAutism Spectrum Disorders, Seizures
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. The Ambiguous Role of Growth Factors in Autism: What Do We Really Know?International journal of molecular sciences · 2025
    Review
  9. Review
  10. Review
  11. Cytokine Dynamics in Autism: Analysis of BMAC Therapy Outcomes.International journal of molecular sciences · 2023
    Article
  12. Article
  13. Review
  14. Review
  15. Immune Dysregulation in Autism Spectrum Disorder: What Do We Know about It?International journal of molecular sciences · 2022
    Review
  16. Ethical dimensions of translational developmental neuroscience research in autism.Journal of child psychology and psychiatry, and allied disciplines · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Carlos A PardoJohns Hopkins University School of Medicine, 627 Pathology Bld., 6000 North Wolfe Street, Baltimore, MD 21287 USA.
Cristan A FarmerPediatrics and Developmental Neuroscience, National Institute of Mental Health, Bethesda, MD USA.
Audrey ThurmPediatrics and Developmental Neuroscience, National Institute of Mental Health, Bethesda, MD USA.
Fatma M SheblYale School of Public Health, Yale University, New Haven, CT USA.
Jorjetta IlievaJohns Hopkins University School of Medicine, 627 Pathology Bld., 6000 North Wolfe Street, Baltimore, MD 21287 USA.
Simran KalraPediatrics and Developmental Neuroscience, National Institute of Mental Health, Bethesda, MD USA.
Susan SwedoPediatrics and Developmental Neuroscience, National Institute of Mental Health, Bethesda, MD USA.
National Institute of Mental Health · USJohns Hopkins Medicine · USJohns Hopkins University · USYale University · US

Funding

Clinical and Behavioral Phenotyping of Autism and Related DisordersZIAMH002868 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI SWEDO, SUSAN · 2009 to 2017
$17.8M
6 · The paper itself

Abstract

backgroundThe causes of autism likely involve genetic and environmental factors that influence neurobiological changes and the neurological and behavioral features of the disorder. Immune factors and inflammation are hypothesized pathogenic influences, but have not been examined longitudinally.

methodsIn a cohort of 104 participants with autism, we performed an assessment of immune mediators such as cytokines, chemokines, or growth factors in serum and cerebrospinal fluid (

resultsAs compared with 54 typically developing controls, we found no evidence of differences in the blood profile of immune mediators supportive of active systemic inflammation mechanisms in participants with autism. Some modulators of immune function (e.g., EGF and soluble CD40 ligand) were increased in the autism group; however, no evidence of group differences in traditional markers of active inflammation (e.g., IL-6, TNFα, IL-1β) were observed in the serum. Further, within-subject stability (measured by estimated intraclass correlations) of most analytes was low, indicating that a single measurement is not a reliable prospective indicator of concentration for most analytes. Additionally, in participants with autism, there was little correspondence between the blood and CSF profiles of cytokines, chemokines, and growth factors, suggesting that peripheral markers may not optimally reflect the immune status of the central nervous system. Although the relatively high fraction of intrathecal production of selected chemokines involved in monocyte/microglia function may suggest a possible relationship with the homeostatic role of microglia, control data are needed for further interpretation of its relevance in autism.

conclusionsThese longitudinal observations fail to provide support for the hypothesized role of disturbances in the expression of circulating cytokines and chemokines as an indicator of systemic inflammation in autism. ClinicalTrials.gov, NCT00298246.

Indexed as

Autistic DisorderChemokinesChildChild, PreschoolCytokinesFemaleHumansIntercellular Signaling Peptides and ProteinsLongitudinal StudiesMaleProspective StudiesChemokinesCytokinesIntercellular Signaling Peptides and ProteinsAutismChemokineCSFCytokineGrowth factorImmune

Identifiers

PMID28070266
PMCPMC5217649
OpenAlexW2568716867

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.