Evidence map›Paper›PMID 34987169›Full record

ArticleMolecular psychiatry2022

Maternal mid-gestational and child cord blood immune signatures are strongly associated with offspring risk of ASD.

Xiaoyu Che, Mady Hornig, Michaeline Bresnahan, Camilla Stoltenberg, Per Magnus, Pål Surén, Siri Mjaaland, Ted Reichborn-Kjennerud, Ezra Susser, W Ian Lipkin

Open access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  16. Association between history of miscarriage and autism spectrum disorder.European archives of psychiatry and clinical neuroscience · 2023
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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

10 authors at 4 institutions in 2 countries.

Xiaoyu Che *Center for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
Mady Hornig *Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID http://orcid.org/0000-0001-7572-3092
Michaeline BresnahanDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Camilla StoltenbergNorwegian Institute of Public Health, Oslo, Norway.ORCID http://orcid.org/0000-0002-8747-1985
Per MagnusNorwegian Institute of Public Health, Oslo, Norway.ORCID http://orcid.org/0000-0002-6427-4735
Pål SurénNorwegian Institute of Public Health, Oslo, Norway.
Siri MjaalandNorwegian Institute of Public Health, Oslo, Norway.
Ted Reichborn-KjennerudNorwegian Institute of Public Health, Oslo, Norway.
Ezra SusserDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. ess8@cumc.columbia.edu.ORCID http://orcid.org/0000-0001-7665-4826
W Ian LipkinCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA. wil2001@cumc.columbia.edu.ORCID http://orcid.org/0000-0002-8768-9386
Norwegian Institute of Public Health · NOColumbia University · USColumbia University Irving Medical Center · USNew York Psychoanalytic Society and Institute · US

Funding

Gene-Environment Interactions in an Autism Birth CohortU01NS047537 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LIPKIN, W. IAN · 2003 to 2013
$27.0M
Infection, fever and immune signatures in an autism birth cohortR56NS086122 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HORNIG, MADY HORNIG, LIPKIN, W. IAN · 2014 to 2014
$789k
NINDS NIH HHS R56 NS086122NINDS NIH HHS U01 NS047537
6 · The paper itself

Abstract

Epidemiological studies and work in animal models indicate that immune activation may be a risk factor for autism spectrum disorders (ASDs). We measured levels of 60 cytokines and growth factors in 869 maternal mid-gestational (MMG) and 807 child cord blood (CB) plasma samples from 457 ASD (385 boys, 72 girls) and 497 control children (418 boys, 79 girls) from the Norwegian Autism Birth Cohort. We analyzed associations first using sex-stratified unadjusted and adjusted logistic regression models, and then employed machine learning strategies (LASSO + interactions, Random Forests, XGBoost classifiers) with cross-validation and randomly sampled test set evaluation to assess the utility of immune signatures as ASD biomarkers. We found prominent case-control differences in both boys and girls with alterations in a wide range of analytes in MMG and CB plasma including but not limited to IL1RA, TNFα, Serpin E1, VCAM1, VEGFD, EGF, CSF1, and CSF2. MMG findings were most striking, with particularly strong effect sizes in girls. Models did not change appreciably upon adjustment for maternal conditions, medication use, or emotional distress ratings. Findings were corroborated using machine learning approaches, with area under the receiver operating characteristic curve values in the test sets ranging from 0.771 to 0.965. Our results are consistent with gestational immunopathology in ASD, may provide insights into sex-specific differences, and have the potential to lead to biomarkers for early diagnosis.

Indexed as

Autism Spectrum DisorderAutistic DisorderBiomarkersCase-Control StudiesFemaleFetal BloodHumansMaleBiomarkers

Identifiers

PMID34987169
PMCPMC9106807
OpenAlexW4206470509

What Socratic holds

Textmetadata
LicenceTDM
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.