Evidence map›Paper›PMID 20504979›Full record

ArticleThe American journal of clinical nutrition2010

Maternal MTHFR genotype and haplotype predict deficits in early cognitive development in a lead-exposed birth cohort in Mexico City.

J Richard Pilsner, Howard Hu, Robert O Wright, Katarzyna Kordas, Adrienne S Ettinger, Brisa N Sánchez, David Cantonwine, Alicia L Lazarus, Alejandra Cantoral, Lourdes Schnaas and 2 more

Abstract read
In one paragraph

Article in The American journal of clinical nutrition, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. A Meta-Analysis of Stressors from the Total Environment Associated with Children's General Cognitive Ability.International journal of environmental research and public health · 2020
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Polymorphisms in geneFrontiers in nutrition · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Beyond classical inheritance: the influence of maternal genotype upon child's brain morphology and behavior.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2014
    Article
  14. Review
  15. Article
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

12 authors.

J Richard PilsnerDepartment of Epidemiology, University of Michigan, Ann Arbor, MI, USA. rpils@umich.edu
Howard Hu
Robert O Wright
Katarzyna Kordas
Adrienne S Ettinger
Brisa N Sánchez
David Cantonwine
Alicia L Lazarus
Alejandra Cantoral
Lourdes Schnaas
Martha Maria Téllez-Rojo
Mauricio Hernández-Avila

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
VANADIUM AND HUMAN HEALTHP42ES005947 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KELSEY, KARL TIMOTHY · 1992 to 2006
$19.6M
Stress, Lead, Iron Deficiency and NeurodevelopmentR01ES013744 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2007 to 2026
$13.4M
LEAD DOSE BIOMARKERS, REPRODUCTION, AND INFANT OUTCOMESR01ES007821 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 1998 to 2010
$4.7M
Metals, Nutrition and Stress in Child DevelopmentP01ES012874 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SPENGLER, JOHN D · 2004 to 2008
$3.2M
Metal Mixtures and NeurodevelopmentR01ES014930 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2006 to 2010
$3.2M
NEUROCHEMICAL AND GENETIC MARKERS OF LEAD TOXICITYK23ES000381 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2000 to 2004
$670k
Genetic & Epigenetic Modifiers of Maternal-Fetal Transfer of Toxicants & OutcomesK01ES014907 · NIEHS · YALE UNIVERSITY · PI ETTINGER, ADRIENNE S · 2008 to 2011
$502k
NIEHS NIH HHS K01 ES014907NIEHS NIH HHS K23 ES000381NIEHS NIH HHS P01 ES012874NIEHS NIH HHS P30 ES00002NIEHS NIH HHS P42 ES05947NIEHS NIH HHS R01 ES007821NIEHS NIH HHS R01 ES013744NIEHS NIH HHS R01 ES014930
6 · The paper itself

Abstract

backgroundMaternal folate nutritional status and prenatal lead exposure can influence fetal development and subsequent health. The methylenetetrahydrofolate reductase (MTHFR) gene is important for folate metabolism, and 2 common polymorphisms, C677T and A1298C, reduce enzymatic activity; C677T is present at high penetrance in Mexican populations.

objectiveThe objective of this study was to examine potential links between maternal and child MTHFR polymorphisms and child neurodevelopment in a lead-exposed population.

designData regarding MTHFR polymorphisms C677T and A1298C, peri- and postnatal lead measures, and Bayley Mental Development Index at 24 mo of age (MDI-24) scores were available for 255 mother-child pairs who participated in the ELEMENT (Early Life Exposures in Mexico to Environmental Toxicants) study during 1994-1995.

resultsIn covariate-adjusted regression models, maternal MTHFR 677 genotype predicted MDI-24 scores, in which each copy of the maternal MTHFR 677T variant allele was associated with lower MDI-24 scores (beta = -3.52; 95% CI: -6.12, -0.93; P = 0.004). Maternal MTHFR haplotype also predicted MDI-24 scores (mean +/- SE: 93.3 +/- 1.2 for 677C-1298A compared with 89.9 +/- 0.8 for 677T-1298A; P < 0.05). MDI-24 scores were not associated with maternal MTHFR 1298 genotype or child MTHFR genotypes. We did not observe significant MTHFR genotype x lead interactions with respect to any of the subject biomarkers of lead exposure.

conclusionsThe maternal MTHFR 677T allele is an independent predictor of poorer child neurodevelopment at 24 mo. These results suggest that maternal genetic variations in folate metabolism during pregnancy may program offspring neurodevelopment trajectories. Further research is warranted to determine the generalizability of these results across other populations.

Indexed as

Polymorphism, GeneticAdolescentAdultBone and BonesChild, PreschoolCognition DisordersDevelopmental DisabilitiesDietary SupplementsEnergy IntakeFemaleGenetic LinkageGenotypeHaplotypesHumansLeadLead PoisoningLeadMethylenetetrahydrofolate Reductase (NADPH2)

Identifiers

PMID20504979
PMCPMC2884326

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Registered trials

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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 OpenQuestion graph.