Evidence map›Paper›PMID 23045646›Full record

ReviewProceedings of the National Academy of Sciences of the United States of America2012

Early environments and the ecology of inflammation.

Thomas W McDade

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Proceedings of the National Academy of Sciences of the United States of America, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
17.9field-weighted citation impact, top 1% of its field
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.

NCT02123160 phase1terminatednot on this mapstarted 2013, after this paper: background citation

Dyadic Therapy for Mothers and Children

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2013 to 2014Enrolled2ConditionsDepression, Behavioral ProblemsArmsChild Parent Psychotherapy (CPP), Control (usual treatment)
NCT07195006 recruitingnot on this mapstarted 2025, after this paper: background citation

Early Life Diarrhoea Episode(s), Malnutrition, Environmental Enteric Dysfunction and Microbiome Trajectories From Birth Until 3 Years of Life ; The University of Zimbabwe Birth Cohort Study-2 (UZBCS-2)

TypeobservationalSponsorUniversity of ZimbabweRan2025 to 2032Enrolled368ConditionsMalnutrition Pregnancy, Malnutrition in Children, Malnutrition (Calorie), Environmental Enteric DysfunctionArmsMalnutrition in pregnancy as exposure, Poor WASH living conditions as exposure
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 213 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Review
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  13. Early-life infectious disease exposure, the "hygiene hypothesis," and lifespan: Evidence from hookworm disease.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Comparison of age-related inflammation and oxidative stress in two lemur species.Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2025
    Article
  15. Circulating Epstein-Barr Virus Antibody Levels as a Biomarker of Socioecological Adversity in Amazonian Ecuador.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  16. Oxidative Stress in Children and Adolescents: Insights Into Human Biology.American journal of human biology : the official journal of the Human Biology Council · 2025
    Review
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  19. Lower Socioeconomic Status Predicts Increased Proinflammatory Signaling in Late Pregnancy: Evidence From a Filipino Cohort.American journal of human biology : the official journal of the Human Biology Council · 2024
    Article
  20. Article

35 more citing papers are in PubMed but not listed here.

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

1 author at 1 institution in 1 country.

Thomas W McDadeDepartment of Anthropology and Cells to Society: The Center on Social Disparities and Health at the Institute for Policy Research, Northwestern University, Evanston, IL 60208, USA. t-mcdade@northwestern.edu
Northwestern University · US

Funding

Obesity development and CVD risk factor--Filipino womenR01HL085144 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S · 2006 to 2009
$1.9M
Effect of Health on Education &Work in Filipino YouthR01TW005596 · FIC · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S · 2001 to 2005
$1.5M
FIC NIH HHS 5 R01 TW05596FIC NIH HHS R01 TW005596NHLBI NIH HHS R01 HL085144
6 · The paper itself

Abstract

Recent research has implicated inflammatory processes in the pathophysiology of a wide range of chronic degenerative diseases, although inflammation has long been recognized as a critical line of defense against infectious disease. However, current scientific understandings of the links between chronic low-grade inflammation and diseases of aging are based primarily on research in high-income nations with low levels of infectious disease and high levels of overweight/obesity. From a comparative and historical point of view, this epidemiological situation is relatively unique, and it may not capture the full range of ecological variation necessary to understand the processes that shape the development of inflammatory phenotypes. The human immune system is characterized by substantial developmental plasticity, and a comparative, developmental, ecological framework is proposed to cast light on the complex associations among early environments, regulation of inflammation, and disease. Recent studies in the Philippines and lowland Ecuador reveal low levels of chronic inflammation, despite higher burdens of infectious disease, and point to nutritional and microbial exposures in infancy as important determinants of inflammation in adulthood. By shaping the regulation of inflammation, early environments moderate responses to inflammatory stimuli later in life, with implications for the association between inflammation and chronic diseases. Attention to the eco-logics of inflammation may point to promising directions for future research, enriching our understanding of this important physiological system and informing approaches to the prevention and treatment of disease.

Indexed as

Chronic DiseaseC-Reactive ProteinCytokinesEcosystemEcuadorEnvironmentFemaleHumansImmune SystemInflammationInflammation MediatorsMaleModels, BiologicalPhenotypePhilippinesPregnancyC-Reactive ProteinCytokinesInflammation MediatorsVaccines

Identifiers

PMID23045646
PMCPMC3477398
OpenAlexW2084385377

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.