Evidence mapPaperPMID 40943505Full record

ReviewInternational journal of molecular sciences2025

Acetaminophen's Role in Autism and ADHD: A Mitochondrial Perspective.

Stephanie Chu, Seth Woodfin, Emily Bayliss, Merritt Smith, Alan Fulp, Ersilia Mirabelli, William Moore

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Beyond the Headlines: Examining the Evidence Around Acetaminophen and Autism Risk.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stephanie ChuDepartment of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA.ORCID 0009-0007-9623-634X
Seth WoodfinDepartment of Biomedical Sciences, West Virginia School of Osteopathic Medicine, Lewisburg, WV 24901, USA.
Emily BaylissDepartment of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA.
Merritt SmithDepartment of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA.
Alan FulpDepartment of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA.
Ersilia MirabelliDepartment of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA.
William MooreDepartment of Biology and Chemistry, School of Health Sciences, Liberty University, Lynchburg, VA 24515, USA.ORCID 0000-0002-2979-3660

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One in 36 children were identified with autism in 2020, a 22% increase from 2018 and a 98% increase from 2010. Simultaneously, attention-deficit/hyperactivity disorder (ADHD) diagnoses increased 36% from 2003 to 2016-2019. Despite this surge, their etiologies remain largely unknown. However, numerous studies document higher incidences of mitochondrial abnormalities in affected individuals. Additionally, acetaminophen has been implicated in these disorders in longitudinal studies and murine models. This paper is a compilation of literature aiming to explore a theoretical framework for acetaminophen-induced mitochondrial damage in utero. It focuses on a toxic metabolite of acetaminophen, N-acetyl-p-benzoquinone imine (NAPQ1), and its role in neuroinflammation. Based on our findings, we recommend further research studying fetal mitochondria after maternal acetaminophen usage.

Indexed as

AcetaminophenAttention Deficit Disorder with HyperactivityAutistic DisorderMitochondriaAnimalsBenzoquinonesFemaleHumansIminesPregnancyAcetaminophenBenzoquinonesIminesN-acetyl-4-benzoquinoneimineacetaminophenattention-deficit/hyperactivity disorder (ADHD)autism spectrum disorder (ASD)mitochondrial dysfunctionN-acetyl-p-benzoquinone imine (NAPQI)neuroinflammationoxidative stressprenatal exposure

Identifiers

PMID40943505
PMCPMC12429359

What Socratic holds

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LicenceCC BY
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.