Evidence map›Paper›PMID 28609669›Full record

ArticlePsychoneuroendocrinology2017

Sex differences in associations between white matter microstructure and gonadal hormones in children and adolescents with prenatal alcohol exposure.

K A Uban, M M Herting, J R Wozniak, E R Sowell, CIFASD

Open access · greenAbstract read
In one paragraph

Article in Psychoneuroendocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

K A UbanDepartment of Pediatrics, Children's Hospital Los Angeles/University of Southern California, Los Angeles, CA, USA. Electronic address: kuban@chla.usc.edu.
M M HertingDepartment of Pediatrics, Children's Hospital Los Angeles/University of Southern California, Los Angeles, CA, USA; Department of Preventative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
J R WozniakDepartment of Psychiatry, University of Minnesota, Minneapolis, MN, USA.
E R SowellDepartment of Pediatrics, Children's Hospital Los Angeles/University of Southern California, Los Angeles, CA, USA. Electronic address: esowell@chla.usc.edu.
CIFASD
Children's Hospital of Los Angeles · USUniversity of Minnesota · USUniversity of Southern California · US

Funding

Mapping the Brain, the Face, and Neurocognitive Function in FASD (U01)U01AA017122 · NIAAA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SOWELL, ELIZABETH R · 2007 to 2016
$5.9M
Multi-modal connectivity methods for the validation of Fetal Alcohol Spectrum Disorder diagnostic criteriaU01AA026102 · NIAAA · UNIVERSITY OF MINNESOTA · PI WOZNIAK, JEFFREY ROBERT · 2017 to 2021
$1.7M
Assessing Stable Characteristics of Endocrine Function Among Boys and Girls with Prenatal Alcohol Exposure as a Novel Clinical ToolK01AA026889 · NIAAA · UNIVERSITY OF CALIFORNIA-IRVINE · PI UBAN, KRISTINA ANDREA · 2018 to 2022
$894k
A longitudinal study: the influence of sex and puberty on neurodevelopmentF32HD078084 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI HERTING, MEGAN MARIE · 2013 to 2015
$159k
Effects of in utero alcohol exposure on adolescent brain connectivityF32AA022561 · NIAAA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI UBAN, KRISTINA ANDREA · 2013 to 2015
$154k
NIAAA NIH HHS F32 AA022561NIAAA NIH HHS K01 AA026889NIAAA NIH HHS U01 AA017122NIAAA NIH HHS U01 AA026102NICHD NIH HHS F32 HD078084
6 · The paper itself

Abstract

Despite accumulating evidence from animal models demonstrating that prenatal alcohol exposure (PAE) results in life-long neuroendocrine dysregulation, very little is known on this topic among humans with fetal alcohol spectrum disorders (FASD). We expected that alterations in gonadal hormones might interfere with the typical development of white matter (WM) myelination, and in a sex-dependent manner, in human adolescents with FASD. In order to investigate this hypothesis, we used diffusion tensor imaging (DTI) to assess: 1) whether or not sex moderates the impact of PAE on WM microstructure; and 2) how gonadal hormones relate to alterations in WM microstructure in children and adolescents affected by PAE.

methods61 youth (9 to 16 yrs.; 49% girls; 50% PAE) participated as part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders (CIFASD). DTI scans and passive drool samples were obtained to examine neurodevelopmental associations with testosterone (T) and dehydroepiandrosterone (DHEA) levels in boys and girls, and estradiol (E2) and progesterone (P) levels in girls. Tract-based spatial statistics were utilized to generate fractional anisotropy (FA) and mean diffusivity (MD) for 9 a priori WM regions of interest (ROIs).

resultsAs predicted, alterations in FA were observed in adolescents with PAE relative to controls, and these differences varied by sex. Girls with PAE exhibited lower FA (Inferior fronto-occipital and Uncinate fasciculi) while boys with PAE exhibited higher FA (Callosal body, Cingulum, Corticospinal tract, Optic radiation, Superior longitudinal fasciculus) relative to age-matched controls. When gonadal hormone levels were examined in relation to DTI measures, additional group differences in FA were revealed, demonstrating that neuroendocrine factors are associated with PAE-related brain alterations.

conclusionsThese findings provide human evidence that PAE relates to sex-specific differences in WM microstructure, and underlying alterations in gonadal hormone function may, in part, contribute to these effects. Determining PAE-effects on neuroendocrine function among humans is an essential first step towards developing novel clinical (e.g., assessment or intervention) tools that target hormone systems to improve on-going brain development among children and adolescents with FASD.

Indexed as

Abnormalities, Drug-InducedAdolescentAnisotropyBrainChildDiffusion Tensor ImagingEthanolFemaleFetal Alcohol Spectrum DisordersGonadal HormonesHumansMaleNerve NetPregnancyPrenatal Exposure Delayed EffectsSalivaEthanolGonadal Hormones

Identifiers

PMID28609669
PMCPMC5877456
OpenAlexW2619377792

What OpenQuestion holds

Textmetadata
LicenceTDM
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.