Evidence map›Paper›PMID 28607066›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2017

Socioeconomic disadvantage, gestational immune activity, and neurodevelopment in early childhood.

Stephen E Gilman, Mady Hornig, Akhgar Ghassabian, Jill Hahn, Sara Cherkerzian, Paul S Albert, Stephen L Buka, Jill M Goldstein

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
12.2field-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.

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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Household Income, Maternal Allostatic Load During Pregnancy, and Offspring With Autism Spectrum Disorders.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

1 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

8 authors at 6 institutions in 1 country.

Stephen E GilmanHealth Behavior Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892; stephen.gilman@nih.gov.ORCID 0000-0002-8331-6419
Mady HornigCenter for Infection and Immunity, Columbia University Mailman School of Public Health, New York, NY 10032.
Akhgar GhassabianEpidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20892.
Jill HahnDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA 02115.
Sara CherkerzianDivision of Women's Health, Brigham and Women's Hospital, Boston, MA 02120.
Paul S AlbertBiostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD 20850.
Stephen L BukaDepartment of Epidemiology, Brown University, Providence, RI 02912.
Jill M GoldsteinDivision of Women's Health, Brigham and Women's Hospital, Boston, MA 02120.
Brigham and Women's Hospital · USHarvard University · USBrown University · USColumbia University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USNational Cancer Institute · US

Funding

Methods for Epidemiology StudiesZIACP010181 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALBERT, PAUL · 2009 to 2025
$34.8M
Sex-Specific Programming of the HPA Axis by GlucocorticoidsP50MH082679 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLDSTEIN, JILL M · 2007 to 2011
$5.9M
Fetal Antecedents to Depression and Risk for CVDR01MH074679 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLDSTEIN, JILL M · 2007 to 2011
$3.7M
Social Imprinting in the Development of Major DepressionR01MH087544 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI GILMAN, STEPHEN E · 2009 to 2012
$1.3M
Maternal immune activity during pregnancy and offspring neurodevelomentZIAHD008961 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI GILMAN, STEPHEN · 2017 to 2017
$134k
NIMH NIH HHS P50 MH082679NIMH NIH HHS R01 MH074679NIMH NIH HHS R01 MH087544
6 · The paper itself

Abstract

Children raised in economically disadvantaged households face increased risks of poor health in adulthood, suggesting that inequalities in health have early origins. From the child's perspective, exposure to economic hardship may begin as early as conception, potentially via maternal neuroendocrine-immune responses to prenatal stressors, which adversely impact neurodevelopment. Here we investigate whether socioeconomic disadvantage is associated with gestational immune activity and whether such activity is associated with abnormalities among offspring during infancy. We analyzed concentrations of five immune markers (IL-1β, IL-6, IL-8, IL-10, and TNF-α) in maternal serum from 1,494 participants in the New England Family Study in relation to the level of maternal socioeconomic disadvantage and their involvement in offspring neurologic abnormalities at 4 mo and 1 y of age. Median concentrations of IL-8 were lower in the most disadvantaged pregnancies [-1.53 log(pg/mL); 95% CI: -1.81, -1.25]. Offspring of these pregnancies had significantly higher risk of neurologic abnormalities at 4 mo [odds ratio (OR) = 4.61; CI = 2.84, 7.48] and 1 y (OR = 2.05; CI = 1.08, 3.90). This higher risk was accounted for in part by fetal exposure to lower maternal IL-8, which also predicted higher risks of neurologic abnormalities at 4 mo (OR = 7.67; CI = 4.05, 14.49) and 1 y (OR = 2.92; CI = 1.46, 5.87). Findings support the role of maternal immune activity in fetal neurodevelopment, exacerbated in part by socioeconomic disadvantage. This finding reveals a potential pathophysiologic pathway involved in the intergenerational transmission of socioeconomic inequalities in health.

Indexed as

Maternal ExposureAdultCytokinesFemaleHumansInfantNeurodevelopmental DisordersPregnancyPrenatal Exposure Delayed EffectsRisk FactorsSocioeconomic FactorsStress, PsychologicalCytokinesepidemiologygestationinflammationneurodevelopmentsocioeconomic disadvantage

Identifiers

PMID28607066
PMCPMC5495226
OpenAlexW2625925685

What OpenQuestion holds

Textmetadata
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.