Evidence map›Paper›PMID 41219186›Full record

ArticleSignal transduction and targeted therapy2025

Maternal cholesterol deficiency predisposes congenital heart defects risk.

Yayun Gu, Jimiao Gao, Hong Lv, Yan Zhou, Tao Jiang, Jia Guo, Wanting Ma, Yiwei Cheng, Xia Chi, Qi Xi and 10 more

Abstract read
In one paragraph

Article in Signal transduction and targeted therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

20 authors.

Yayun Gu *State Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Jimiao Gao *State Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Hong Lv *State Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Yan Zhou *State Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Tao Jiang *State Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Jia GuoState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Wanting MaState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Yiwei ChengState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Xia ChiDepartment of Child Health Care, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, 210000, China.
Qi XiDepartment of Obstetrics, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, 215002, Jiangsu, China.
Kan YeDepartment of Child Health Care, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, 215002, Jiangsu, China.
Jiangbo DuState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Jiong LiState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Cheng WangState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Juncheng DaiState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Hongxia MaState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Guangfu JinState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Yuan LinState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Hongbing ShenState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China.
Zhibin HuState Key Laboratory of Reproductive Medicine and offspring health, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, 211100, China. zhibin_hu@njmu.edu.cn.ORCID 0000-0002-8277-5234

Funding

Basic Research Program of Jiangsu Education Department No. 23KJB330002National Natural Science Foundation of China (National Science Foundation of China) 2024YFA1803900National Natural Science Foundation of China (National Science Foundation of China) 2024YFC2706800National Natural Science Foundation of China (National Science Foundation of China) 82322032National Natural Science Foundation of China (National Science Foundation of China) 82404346National Natural Science Foundation of China (National Science Foundation of China) 82471890National Natural Science Foundation of China (National Science Foundation of China) 82495190
6 · The paper itself

Abstract

The relationship between maternal cholesterol deficiency and the risk of congenital heart defects (CHDs) in offspring is not fully understood. In a birth cohort study of 5041 family trios, we found that low maternal cholesterol levels were significantly associated with an increased risk of CHD, with RRs of 1.52 in the second trimester and 1.73 in the third trimester. To further investigate this link, we treated pregnant mice with cholesterol-lowering agents, namely, ezetimibe or atorvastatin. Both treatments led to a significant increase in the incidence of CHD in offspring. To identify a pathogenic variant that could provide genetic evidence linking cholesterol synthesis to CHD occurrence and serve as a target for constructing a genetic mouse model, we performed whole-genome sequencing (WGS) on 103 CHD cases from the birth cohort. We identified a recurrent functional variant in the CYP51A1 gene (c.1147 A > G, p.Ile383Val). We then developed a Cyp51

Indexed as

CholesterolHeart Defects, CongenitalAnimalsEzetimibeFemaleHedgehog ProteinsHumansMaleMicePregnancyRisk FactorsCholesterolEzetimibeHedgehog Proteins

Identifiers

PMID41219186
PMCPMC12606117

What Socratic holds

Textmetadata
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.