Evidence map›Paper›PMID 28607458›Full record

ArticleMolecular psychiatry2018

Prenatal fever and autism risk.

M Hornig, M A Bresnahan, X Che, A F Schultz, J E Ukaigwe, M L Eddy, D Hirtz, N Gunnes, K K Lie, P Magnus and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 2 pooled it
43.8field-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

101 citing papers in PubMed, 2 syntheses or guidelines pooled it, 212 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Maternal immune activation in mice recapitulates features of attention-deficit/hyperactivity disorder (ADHD) in susceptible offspring.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Prenatal exposure to extreme heat and autism in children.The Science of the total environment · 2026
    Article
  11. ACMT Position Statement: ACMT Responds to the Acetaminophen and Autism Controversy.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
  12. Frontiers in cellular neuroscience · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

41 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

18 authors at 4 institutions in 2 countries.

M HornigCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.ORCID 0000-0001-7572-3092
M A BresnahanDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
X CheCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
A F SchultzCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
J E UkaigweCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
M L EddyCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
D HirtzNational Institute of Neurological Disorders and Stroke, National Institutes of Health, Rockville, MD, USA.
N GunnesNorwegian Institute of Public Health, Oslo, Norway.
K K LieNorwegian Institute of Public Health, Oslo, Norway.
P MagnusNorwegian Institute of Public Health, Oslo, Norway.
S MjaalandNorwegian Institute of Public Health, Oslo, Norway.
T Reichborn-KjennerudNorwegian Institute of Public Health, Oslo, Norway.
S SchjølbergNorwegian Institute of Public Health, Oslo, Norway.
A-S ØyenNorwegian Institute of Public Health, Oslo, Norway.
B LevinDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
E S SusserDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
C StoltenbergNorwegian Institute of Public Health, Oslo, Norway.
W I LipkinCenter for Infection and Immunity, Mailman School of Public Health, Columbia University, New York, NY, USA.
Norwegian Institute of Public Health · NOColumbia University · USNew York Psychoanalytic Society and Institute · USNational Institutes of Health · US

Funding

Gene-Environment Interactions in an Autism Birth CohortU01NS047537 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LIPKIN, W. IAN · 2003 to 2013
$27.0M
Infection, fever and immune signatures in an autism birth cohortR56NS086122 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HORNIG, MADY HORNIG, LIPKIN, W. IAN · 2014 to 2014
$789k
NINDS NIH HHS R56 NS086122NINDS NIH HHS U01 NS047537
6 · The paper itself

Abstract

Some studies suggest that prenatal infection increases risk of autism spectrum disorders (ASDs). This study was undertaken in a prospective cohort in Norway to examine whether we could find evidence to support an association of the prenatal occurrence of fever, a common manifestation of infection, with ASD risk. Prospective questionnaires provided maternal exposure data; case status was established from clinical assessments and registry linkages. In a large, prospectively ascertained cohort of pregnant mothers and their offspring, we examined infants born ⩾32 weeks for associations between fever exposure in each trimester and ASD risk using logistic regression. Maternal exposure to second-trimester fever was associated with increased ASD risk, adjusting for presence of fever in other trimesters and confounders (adjusted odds ratio (aOR), 1.40; 95% confidence interval, 1.09-1.79), with a similar, but nonsignificant, point estimate in the first trimester. Risk increased markedly with exposure to three or more fever episodes after 12 weeks' gestation (aOR, 3.12; 1.28-7.63). ASD risk appears to increase with maternal fever, particularly in the second trimester. Risk magnified dose dependently with exposure to multiple fevers after 12 weeks' gestation. Our findings support a role for gestational maternal infection and innate immune responses to infection in the pathogenesis of at least some cases of ASD.

Indexed as

AdultAutism Spectrum DisorderAutistic DisorderFemaleFeverGenetic LinkageGestational AgeHumansImmunity, InnateInfantInfant, NewbornInfectionsMaleMaternal ExposureMothersNorway

Identifiers

PMID28607458
PMCPMC5822459
OpenAlexW2624811387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.