Evidence map›Paper›PMID 40025012›Full record

ArticleNature communications2025

Associations of prenatal metal exposure with child neurodevelopment and mediation by perturbation of metabolic pathways.

Ya Xie, Han Xiao, Dejuan Zheng, Gaga Mahai, Yuanyuan Li, Wei Xia, Shunqing Xu, Aifen Zhou

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  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

8 authors.

Ya Xie *Department of Obstetrics, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China.
Han Xiao *Department of Obstetrics, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China.
Dejuan ZhengSchool of Public Health, Tongji Medical College, Huazhong University of Science and Technology / Key Laboratory of Environment and Health, Ministry of Education / Key Laboratory of Environmental Pollution and Health Effects of the Ministry of Ecology and Environment, Wuhan, Hubei, PR China.
Gaga MahaiSchool of Environmental Science and Engineering, Hainan University, Haikou, Hainan, PR China.
Yuanyuan LiDepartment of Obstetrics, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China.
Wei XiaDepartment of Obstetrics, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China. xiawei@hust.edu.cn.
Shunqing XuDepartment of Obstetrics, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China. xus@hainanu.edu.cn.
Aifen ZhouDepartment of Obstetrics, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China. april1972@163.com.

Funding

China Postdoctoral Science Foundation 2023M730892National Natural Science Foundation of China (National Science Foundation of China) 2015ZDTD047National Natural Science Foundation of China (National Science Foundation of China) 42277428National Natural Science Foundation of China (National Science Foundation of China) 42307542National Natural Science Foundation of China (National Science Foundation of China) U21A20397Natural Science Foundation of Hubei Province (Hubei Provincial Natural Science Foundation) 2024AFB555
6 · The paper itself

Abstract

Prenatal exposure to metals has been associated with impaired neurodevelopment in children, but the detailed molecular mechanisms remain largely unknown. Based on the Wuhan Healthy Baby Cohort, China (N = 1088), eleven metals were measured in maternal urine during early pregnancy (13.1 ± 1.1 weeks) and metabolomics profiling was conducted in cord blood. Neurodevelopment was evaluated using the Bayley Scales of Infant Development in 2-year-old children to obtain the mental development index (MDI) and psychomotor development index (PDI). After false discovery rate correction, higher maternal urinary levels of manganese, nickel, aluminum, rubidium, gallium, and the summary score of metals were only significantly associated with lower MDI scores. The weighted quantile sum index of the metal mixture showed a significant inverse association with MDI and PDI scores, with aluminum contributing the most to the associations. Histidine, beta-alanine, purine, and pyrimidine metabolism significantly mediated the above associations, suggesting that disturbances in amino acids, neurotransmitter and neuroendocrine metabolism may be important mediators in contributing to impaired neurodevelopment of children.

Indexed as

Child DevelopmentMaternal ExposureMetabolic Networks and PathwaysMetalsPrenatal Exposure Delayed EffectsAdultChild, PreschoolChinaCohort StudiesFemaleFetal BloodHumansInfantMaleMetabolomicsPregnancyMetals

Identifiers

PMID40025012
PMCPMC11873229

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.