Evidence map›Paper›PMID 35300604›Full record

ArticleBMC neurology2022

Urinary metabolomics using gas chromatography-mass spectrometry: potential biomarkers for autism spectrum disorder.

Zaib Un Nisa Khan, Prem Chand, Hafsa Majid, Sibtain Ahmed, Aysha Habib Khan, Azeema Jamil, Saba Ejaz, Ambreen Wasim, Khaleel Ahmad Khan, Lena Jafri

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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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 3 institutions in 2 countries.

Zaib Un Nisa KhanDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan.
Prem ChandDepartment of Pediatrics & Child Health AKU, Karachi, Pakistan.
Hafsa MajidDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan.
Sibtain AhmedDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan.
Aysha Habib KhanDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan.
Azeema JamilDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan.
Saba EjazDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan.
Ambreen WasimDepartment of Pathology and Laboratory Medicine AKU, Karachi, Pakistan.
Khaleel Ahmad KhanBolan Medical College, Quetta, Pakistan.
Lena JafriDepartment of Pathology and Laboratory Medicine AKU, Section of Chemical Pathology, Karachi, Pakistan. lena.jafri@aku.edu.ORCID https://orcid.org/0000-0001-6807-5429
Aga Khan University Hospital · PKAga Khan University Hospital Nairobi · KEBolan University of Medical and Health Sciences · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosis of autism spectrum disorder (ASD) is generally made phenotypically and the hunt for ASD-biomarkers continues. The purpose of this study was to compare urine organic acids profiles of ASD versus typically developing (TD) children to identify potential biomarkers for diagnosis and exploration of ASD etiology.

methodsThis case control study was performed in the Department of Pathology and Laboratory Medicine in collaboration with the Department of Pediatrics and Child Health, Aga Khan University, Pakistan. Midstream urine was collected in the first half of the day time before noon from the children with ASD diagnosed by a pediatric neurologist based on DSM-5 criteria and TD healthy controls from August 2019 to June 2021. The urine organic acids were analyzed by Gas Chromatography-Mass Spectrometry. To identify potential biomarkers for ASD canonical linear discriminant analysis was carried out for the organic acids, quantified in comparison to an internal standard.

resultsA total of 85 subjects were enrolled in the current study. The mean age of the ASD (n = 65) and TD groups (n = 20) was 4.5 ± 2.3 and 6.4 ± 2.2 years respectively with 72.3% males in the ASD group and 50% males in the TD group. Parental consanguinity was 47.7 and 30% in ASD and TD groups, respectively. The common clinical signs noted in children with ASD were developmental delay (70.8%), delayed language skills (66.2%), and inability to articulate sentences (56.9%). Discriminant analysis showed that 3-hydroxyisovalericc, homovanillic acid, adipic acid, suberic acid, and indole acetic were significantly different between ASD and TD groups. The biochemical classification results reveal that 88.2% of cases were classified correctly into ASD& TD groups based on the urine organic acid profiles.

conclusion3-hydroxy isovaleric acid, homovanillic acid, adipic acid, suberic acid, and indole acetic were good discriminators between the two groups. The discovered potential biomarkers could be valuable for future research in children with ASD.

Indexed as

Autism Spectrum DisorderBiomarkersCase-Control StudiesChildChild, PreschoolFemaleGas Chromatography-Mass SpectrometryHumansMaleMetabolomicsBiomarkersAutismGas chromatography/mass spectrumOrganic acids

Identifiers

PMID35300604
PMCPMC8932302
OpenAlexW4220886963

What Socratic holds

Textmetadata
LicenceCC BY
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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.