Evidence map›Paper›PMID 28824796›Full record

ArticleMolecular autism2017

Prenatal levonorgestrel exposure induces autism-like behavior in offspring through ERβ suppression in the amygdala.

Yuanlin Zou, Qiaomei Lu, Dan Zheng, Zhigang Chu, Zhaoyu Liu, Haijia Chen, Qiongfang Ruan, Xiaohu Ge, Ziyun Zhang, Xiaoyan Wang and 8 more

Abstract 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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
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

43 citing papers in PubMed.

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  19. Diethylstilbestrol and autism.Frontiers in endocrinology · 2022
    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

18 authors.

Yuanlin Zou *Internal Medicine of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Qiaomei Lu *Internal Medicine of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Dan Zheng *Institute of Environmental Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Zhigang ChuInstitute of Burns, Tongren Hospital of Wuhan University, Wuhan, 430060 People's Republic of China.
Zhaoyu LiuInternal Medicine of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Haijia ChenSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD, Guangzhou, 510055 People's Republic of China.
Qiongfang RuanInstitute of Burns, Tongren Hospital of Wuhan University, Wuhan, 430060 People's Republic of China.
Xiaohu GeSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD, Guangzhou, 510055 People's Republic of China.
Ziyun ZhangInternal Medicine of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Xiaoyan WangSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD, Guangzhou, 510055 People's Republic of China.
Wenting LouInstitute of Burns, Tongren Hospital of Wuhan University, Wuhan, 430060 People's Republic of China.
Yongjian HuangTongji Wenchang Hospital, Huazhong University of Science and Technology, Wenchang, 571321 People's Republic of China.
Yifei WangSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD, Guangzhou, 510055 People's Republic of China.
Xiaodong HuangInstitute of Burns, Tongren Hospital of Wuhan University, Wuhan, 430060 People's Republic of China.
Zhengxiang LiuInternal Medicine of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Weiguo XieInstitute of Burns, Tongren Hospital of Wuhan University, Wuhan, 430060 People's Republic of China.
Yikai ZhouInstitute of Environmental Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.
Paul YaoInternal Medicine of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030 People's Republic of China.ORCID 0000-0001-9407-0779

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutism spectrum disorder (ASD) is characterized by impairments in social communication and restricted or repetitive behaviors or interests. ASD is now diagnosed in more than one out of 100 children and is biased towards males by a ratio of at least 4:1. Many possible explanations and potential causative factors have been reported, such as genetics, sex, and environmental factors, although the detailed mechanisms of ASD remain unclear.

methodsThe dams were exposed through oral contraceptives to either vehicle control (VEH) alone, levonorgestrel (LNG) alone, ethinyl estradiol (EE) alone, or a combination of LNG/EE for 21 days during their pregnancy. The subsequent 10-week-old offspring were used for autism-like behavior testing, and the limbic tissues were isolated for analysis. In another experimental group, 8-week-old male offspring were treated by infusion of ERβ overexpression/knockdown lentivirus in the amygdala, and the offspring were analyzed after 2 weeks.

resultsWe show that prenatal exposure of either LNG alone or a LNG/EE combination, but not EE alone, results in suppression of ERβ (estrogen receptor β) and its target genes in the amygdala with autism-like behavior in male offspring, while there is a much smaller effect on female offspring. However, we find that there is no effect on the hippocampus and hypothalamus. Further investigation shows that ERβ suppression is due to LNG-mediated altered methylation on the ERβ promoter and results in tissue damage with oxidative stress and the dysfunction of mitochondria and fatty acid metabolism, which subsequently triggers autism-like behavior. Overexpression of ERβ in the amygdala completely restores LNG-induced ERβ suppression and autism-like behaviors in offspring, while ERβ knockdown mimics this effect, indicating that ERβ expression in the amygdala plays an important role in autism-like behavior development.

conclusionsWe conclude that prenatal levonorgestrel exposure induces autism-like behavior in offspring through ERβ suppression in the amygdala. To our knowledge, this is the first time the potential effect of oral contraceptives on the contribution of autism-like behavior in offspring has been discovered.

Indexed as

Prenatal Exposure Delayed EffectsAmygdalaAnimalsAutism Spectrum DisorderBehavior, AnimalContraceptive Agents, FemaleDisease Models, AnimalDNA MethylationEstrogen Receptor betaFemaleGene ExpressionLevonorgestrelMaleMaternal ExposureOxidative StressPregnancyContraceptive Agents, FemaleEstrogen Receptor betaLevonorgestrelReactive Oxygen SpeciesAmygdalaAutism-like behaviorEstrogen receptor βOral contraceptivesOxidative stress

Identifiers

PMID28824796
PMCPMC5561609

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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.