Evidence map›Paper›PMID 28415925›Full record

ReviewThe Journal of international medical research2017

The role of oxidative stress, inflammation and acetaminophen exposure from birth to early childhood in the induction of autism.

William Parker, Chi Dang Hornik, Staci Bilbo, Zoie E Holzknecht, Lauren Gentry, Rasika Rao, Shu S Lin, Martha R Herbert, Cynthia D Nevison

Open access · goldAbstract readReview
In one paragraph

Review in The Journal of international medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 5 pooled it
8.6field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 5 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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  6. Trial
  7. Article
  8. Exposure to Acetaminophen (Paracetamol) during Pregnancy and Childhood Cancer: A Population-Based Cohort Study in Taiwan.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
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  10. Acetaminophen's Role in Autism and ADHD: A Mitochondrial Perspective.International journal of molecular sciences · 2025
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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

9 authors at 4 institutions in 1 country.

William Parker1 Departments of Surgery, Duke University Medical Center, Durham, NC USA.
Chi Dang Hornik2 Departments of Pediatrics, Duke University Medical Center, Durham, NC USA.
Staci Bilbo3 Departments of Pediatrics, Harvard Medical School, Charlestown, MA, USA.
Zoie E Holzknecht1 Departments of Surgery, Duke University Medical Center, Durham, NC USA.
Lauren Gentry1 Departments of Surgery, Duke University Medical Center, Durham, NC USA.
Rasika Rao1 Departments of Surgery, Duke University Medical Center, Durham, NC USA.
Shu S Lin1 Departments of Surgery, Duke University Medical Center, Durham, NC USA.
Martha R Herbert4 Departments of Neurology, Harvard Medical School, Charlestown, MA, USA.
Cynthia D Nevison5 Institute for Arctic and Alpine Research, University of Colorado, Boulder, Boulder, CO, USA.
Duke Medical Center · USHarvard University · USDuke University Hospital · USInstitute of Arctic and Alpine Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The wide range of factors associated with the induction of autism is invariably linked with either inflammation or oxidative stress, and sometimes both. The use of acetaminophen in babies and young children may be much more strongly associated with autism than its use during pregnancy, perhaps because of well-known deficiencies in the metabolic breakdown of pharmaceuticals during early development. Thus, one explanation for the increased prevalence of autism is that increased exposure to acetaminophen, exacerbated by inflammation and oxidative stress, is neurotoxic in babies and small children. This view mandates extreme urgency in probing the long-term effects of acetaminophen use in babies and the possibility that many cases of infantile autism may actually be induced by acetaminophen exposure shortly after birth.

Indexed as

Oxidative StressAcetaminophenAnalgesics, Non-NarcoticAspartameAutistic DisorderChildChild, PreschoolFemaleFolic AcidHumansHyperbilirubinemiaInfantInflammationMaleMetals, HeavyOrganophosphatesAcetaminophenAnalgesics, Non-NarcoticAspartameFolic AcidMetals, HeavyOrganophosphatesThimerosalVitamin B 12acetaminophenAutisminflammationoxidative stressparacetamolparacetamolo

Identifiers

PMID28415925
PMCPMC5536672
OpenAlexW2595478684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.