Evidence map›Paper›PMID 34115189›Full record

SynthesisJournal of neural transmission (Vienna, Austria : 1996)2021

Genetic risk factors for autism-spectrum disorders: a systematic review based on systematic reviews and meta-analysis.

Hongyuan Wei, Yunjiao Zhu, Tianli Wang, Xueqing Zhang, Kexin Zhang, Zhihua Zhang

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neural transmission (Vienna, Austria : 1996), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
3.9field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Steroid hormone pathways, vitamin D and autism: a systematic review.Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Pooled it
  4. Review
  5. Article
  6. Maternal Thyroid Hormone Imbalance and Risk of Autism Spectrum Disorder.The Journal of clinical endocrinology and metabolism · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Frontiers in psychiatry · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

6 authors at 2 institutions in 1 country.

Hongyuan WeiDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, China.
Yunjiao ZhuCenter for Disease Control and Prevention, Jianggan District, Hangzhou, 310000, China.
Tianli WangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, China.
Xueqing ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, China.
Kexin ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, China.
Zhihua ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, China. zhangzh@ahmu.edu.cn.
Anhui Medical University · CNHangzhou Center for Disease Control and Prevention · CN

Funding

National Natural Science Foundation of China No. 81973064Natural Science Fund of Education Department of Anhui province No.KJ2017A184
6 · The paper itself

Abstract

backgroundBased on recent evidence, more than 200 susceptibility genes have been identified to be associated with autism until now. Correspondingly, cytogenetic abnormalities have been reported for almost every chromosome. While the results of multiple genes associated with risk factors for autism are still incomplete, this paper systematically reviews published meta-analyses and systematic reviews of evidence related to autism occurrence.

methodLiterature search was conducted in the PubMed system, and the publication dates were limited between January 2000 and July 2020. We included a meta-analysis and systematic review that assessed the impact of related gene variants on the development of autism. After screening, this comprehensive literature search identified 31 meta-analyses and ten systematic reviews. We arranged the genes related to autism in the published studies according to the order of the chromosomes, and based on the results of a meta-analysis and systematic review, we selected 6 candidate genes related to ASD, namely MTHFR C677T, SLC25A12, OXTR, RELN, 5-HTTLPR, SHANK, including basic features and functions. In addition to these typical genes, we have also listed candidate genes that may exist on almost every chromosome that are related to autism.

resultsWe found that the results of several literature reviews included in this study showed that the MTHFR C667T variant was a risk factor for the occurrence of ASD, and the results were consistent. The results of studies on SLC25A12 variation (rs2056202 and rs2292813) and ASD risk were inconsistent but statistically significant. No association of 5-HTTLPR was found with autism, but when subgroup analysis was performed according to ethnicity, the association was statistically significant. RELN variants (rs362691 and rs736707) were consistent with ASD risk studies, but some of the results were not statistically significant.

conclusionThis review summarized the well-known ASD candidate genes and listed some new genes that need further study in larger sample sets to improve our understanding of the genetic basis of ASD, but sample size and heterogeneity remain major limiting factors in some genome-wide association studies. We also found that common genetic variants in some genes may be co-risk factors for autism or other neuropsychiatric disorders when we collated these results. It is worth considering screening for these mutations in clinical applications.

Indexed as

Autism Spectrum DisorderAutistic DisorderGenome-Wide Association StudyHumansMeta-Analysis as TopicMethylenetetrahydrofolate Reductase (NADPH2)Reelin ProteinRisk FactorsSystematic Reviews as TopicMethylenetetrahydrofolate Reductase (NADPH2)Reelin ProteinRELN protein, human5-HTTLPRAutism spectrum disordersEnvironmentGene–environment interactionGeneticMTHFR C677TOXTRRELNSHANKSLC25A12

Identifiers

PMID34115189
OpenAlexW3169181408

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.