Evidence map›Paper›PMID 28163867›Full record

ArticleMolecular autism2017

Umbilical cord blood androgen levels and ASD-related phenotypes at 12 and 36 months in an enriched risk cohort study.

Bo Y Park, Brian K Lee, Igor Burstyn, Loni P Tabb, Jeff A Keelan, Andrew J O Whitehouse, Lisa A Croen, Margaret D Fallin, Irva Hertz-Picciotto, Owen Montgomery and 1 more

Open access · goldAbstract read
In one paragraph

Article in Molecular autism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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.

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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Steroid hormone pathways, vitamin D and autism: a systematic review.Journal of neural transmission (Vienna, Austria : 1996) · 2023
    Pooled it
  2. Review
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  12. Autism-Like Behavior in the Offspring ofFrontiers in neuroscience · 2021
    Article
  13. Review
  14. Article
  15. Human gender development.Neuroscience and biobehavioral reviews · 2020
    Review
  16. Untargeted Metabolomics Screen of Mid-pregnancy Maternal Serum and Autism in Offspring.Autism research : official journal of the International Society for Autism Research · 2020
    Article
  17. Article
  18. Article
  19. Review
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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

11 authors at 6 institutions in 2 countries.

Bo Y ParkDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway HH884, Baltimore, MD 21205 USA.
Brian K LeeDepartment of Epidemiology and Biostatistics, Drexel University School of Public Health, 3215 Market Street, Philadelphia, PA 19104 USA.
Igor BurstynDepartment of Environmental and Occupational Health, Drexel University School of Public Health, 3215 Market Street, Philadelphia, PA 19104 USA.
Loni P TabbDepartment of Epidemiology and Biostatistics, Drexel University School of Public Health, 3215 Market Street, Philadelphia, PA 19104 USA.
Jeff A KeelanSchool of Women's and Infants' Health, University of Western Australia, 35 Stirling Hwy, Crawley, WA 6009 Australia.
Andrew J O WhitehouseTelethon Kids Institute, University of Western Australia, 100 Roberts Rd, Subiaco, WA 6009 Australia.
Lisa A CroenKaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612 USA.
Margaret D FallinDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway HH884, Baltimore, MD 21205 USA.
Irva Hertz-PicciottoThe MIND (Medical Investigations of Neurodevelopmental Disorders) Institute, University of California Davis, One Shields Ave. Med-Sci 1C, Davis, CA 95616 USA.
Owen MontgomeryDepartment of Obstetrics and Gynecology, Drexel University College of Medicine, 219 N. Broad St, Philadelphia, PA 19107 USA.
Craig J NewschafferDepartment of Epidemiology and Biostatistics, Drexel University School of Public Health, 3215 Market Street, Philadelphia, PA 19104 USA.
Drexel University · USJohns Hopkins University · USKaiser Permanente · USThe Kids Research Institute Australia · AUUniversity of California, Davis · USUniversity of Western Australia · AU

Funding

Early Autism Risk Longitudinal Investigation (EARLI) NetworkR01ES016443 · NIEHS · DREXEL UNIVERSITY · PI NEWSCHAFFER, CRAIG J · 2008 to 2013
$15.6M
Prenatal Antimicrobial Agent Exposure, Fetal Androgens and ASD RiskR21ES025559 · NIEHS · DREXEL UNIVERSITY · PI NEWSCHAFFER, CRAIG J · 2015 to 2016
$430k
Autism Speaks AS5938Autism Speaks AS8556NIEHS NIH HHS R01 ES016443NIEHS NIH HHS R21 ES025559
6 · The paper itself

Abstract

backgroundAutism spectrum disorder (ASD) affects more than 1% of children in the USA. The male-to-female prevalence ratio of roughly 4:1 in ASD is a well-recognized but poorly understood phenomenon. An explicit focus on potential etiologic pathways consistent with this sex difference, such as those involving prenatal androgen exposure, may help elucidate causes of ASD. Furthermore, the multi-threshold liability model suggests that the genetic mechanisms in females with ASD may be distinct and may modulate ASD risk in families with female ASD in the pedigree.

methodsWe examined umbilical cord blood from 137 children in the Early Autism Risk Longitudinal Investigation (EARLI) cohort. EARLI is an ASD-enriched risk cohort with all children having an older sibling already diagnosed with ASD. Fetal testosterone (T), androstenedione (A4), and dehyroepiandrosterone (DHEA) levels were measured in cord blood using liquid chromatography-tandem mass spectrometry (LC-MS/MS). Robust linear regression models were used to determine associations between cord blood androgen levels and 12-month Autism Observation Scales for Infants (AOSI) scores and 36-month Social Responsiveness Scale (SRS) scores adjusting for potential confounders.

resultsIncreasing androgens were not associated with increasing 12-month AOSI score or 36-month total SRS score in either boys or girls. However, the association between T and autistic traits among subjects with a female older affected sibling was greater at 12 months (test of interaction,

conclusionsWhile increased prenatal testosterone levels were not associated with autistic traits at 12 or 36 months, our findings of a positive association in infants whose older ASD-affected siblings were female suggests an androgen-related mechanism that may be dependent on, or related to, genetic liability factors present more often in families containing female ASD cases. However, this initial finding, based on a small subgroup of our sample, should be interpreted with considerable caution.

Indexed as

AdultAndrostenedioneAutism Spectrum DisorderChromatography, LiquidCohort StudiesDehydroepiandrosteroneFemaleFetal BloodHumansInfantLinear ModelsLongitudinal StudiesMalePregnancyProspective StudiesRisk AssessmentAndrostenedioneDehydroepiandrosteroneTestosteroneAutismSex differenceSiblingTestosteroneUmbilical cord blood

Identifiers

PMID28163867
PMCPMC5282802
OpenAlexW2583689964

What OpenQuestion 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 OpenQuestion graph.