Evidence map›Paper›PMID 41275316›Full record

SynthesisBMC pharmacology & toxicology2025

Investigating the clinical efficacy, safety and molecular mechanism of sulforaphane in autism spectrum disorder: an integrated study combining meta-analysis, network pharmacology, and computational biology.

Junzi Long, Xingxing Liao, Zhiqing Tang, Kaiyue Han, Jiarou Chen, Xianna Wang, Jianjun Liu, Yan Zhang, Hao Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pharmacology & toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Junzi LongSchool of Rehabilitation, Capital Medical University, Beijing, China.
Xingxing LiaoSchool of Rehabilitation, Capital Medical University, Beijing, China.
Zhiqing TangSchool of Rehabilitation, Capital Medical University, Beijing, China.
Kaiyue HanSchool of Rehabilitation, Capital Medical University, Beijing, China.
Jiarou ChenDepartment of Neurorehabilitation, China Rehabilitation Research Center, Beijing, China.
Xianna WangSchool of Rehabilitation, Capital Medical University, Beijing, China.
Jianjun LiuSchool of Rehabilitation, Capital Medical University, Beijing, China.
Yan ZhangSchool of Rehabilitation, Capital Medical University, Beijing, China.
Hao ZhangSchool of Rehabilitation, Capital Medical University, Beijing, China. crrczh2020@163.com.

Funding

China Disabled Persons' Federation CDPF2023KF00001
6 · The paper itself

Abstract

backgroundSulforaphane, a natural antioxidant rich in cruciferous vegetables, has emerged as a promising dietary supplement for autism spectrum disorder (ASD). However, its therapeutic efficacy remains controversial, and the pharmacological mechanisms are not fully elucidated.

methodsEligible randomized controlled trials were retrieved from PubMed, Web of Science, Embase, and Cochrane Library databases. Review Manager 5.4 was used for meta-analysis and bias risk assessment. Network pharmacology, Mendelian randomization, GEO data analyses, molecular docking, and molecular dynamics simulation were employed to explore the mechanisms of sulforaphane in ASD.

resultsSix trials involving 333 participants were included in the meta-analysis. Pooled results demonstrated that both 4-5 weeks and 8-10 weeks of sulforaphane supplementation significantly decreased the scores on the Social Responsiveness Scale compared to placebo controls. No significant difference was observed in the incidence of adverse events. Network pharmacology identified 10 core targets of sulforaphane in ASD, including AKT1, EGFR, HSP90AA1, SRC, CASP3, STAT1, MAPK1, MMP9, MAPK8, and JAK2. These targets were implicated in the PI3K-Akt signaling pathway, MAPK signaling pathway, Chemokine signaling pathway, Chemical carcinogenesis - reactive oxygen species, TNF signaling pathway, Th17 cell differentiation, mTOR signaling pathway, and IL-17 signaling pathway. Mendelian randomization further revealed an inverse association between STAT1 levels and ASD risk. GEO transcriptomic data provided independent validation for the network pharmacology predictions. The binding energies between sulforaphane and the top 10 core targets are all ≤ -4.0 kcal/mol. Molecular dynamics simulations further validated the stable interaction between MMP-9 and sulforaphane.

conclusionSulforaphane may serve as an efficacious and safe adjunctive therapy for ASD, mediated by its anti-oxidant and anti-inflammatory effects along with the modulation of autophagy. PROSPERO REGISTRATION NUMBER: CRD42025635045.

Indexed as

Autism Spectrum DisorderIsothiocyanatesSulfoxidesComputational BiologyHumansMolecular Docking SimulationMolecular Dynamics SimulationNetwork PharmacologyRandomized Controlled Trials as TopicIsothiocyanatessulforaphaneSulfoxidesAutism spectrum disorderEfficacyInflammationMeta-analysisNetwork pharmacologyOxidative stressSafetySulforaphane

Identifiers

PMID41275316
PMCPMC12751817

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.