Evidence map›Paper›PMID 29892052›Full record

ReviewMolecular psychiatry2019

Review and gap analysis: molecular pathways leading to fetal alcohol spectrum disorders.

Friederike Ehrhart, Sylvia Roozen, Jef Verbeek, Ger Koek, Gerjo Kok, Henk van Kranen, Chris T Evelo, Leopold M G Curfs

Open access · hybridAbstract readReview
In one paragraph

Review in Molecular psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
12.7field-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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. The Role of the Hedgehog Pathway in Alcohol-Induced Birth Defects.Advances in experimental medicine and biology · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. In Utero Alcohol and Unsuitable Home Environmental Exposure Combined withInternational journal of molecular sciences · 2025
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Genes · 2023
    Article
  19. Fetal alcohol spectrum disorders.Nature reviews. Disease primers · 2023
    Review
  20. Article
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 1 institution in 1 country.

Friederike Ehrhart *Governor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands. friederike.ehrhart@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-7770-620X
Sylvia Roozen *Governor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Jef VerbeekDepartment of Internal Medicine, Division of gastroenterology and hepatology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Ger KoekGovernor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Gerjo KokGovernor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Henk van KranenGovernor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Chris T EveloGovernor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Leopold M G CurfsGovernor Kremers Centre, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Maastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alcohol exposure during pregnancy affects the development of the fetus in various ways and may lead to Fetal Alcohol Spectrum Disorders (FASD). FASD is one of the leading preventable forms of neurodevelopmental disorders. In the light of prevention and early intervention, knowledge on how ethanol exposure induces fetal damage is urgently needed. Besides direct ethanol and acetaldehyde toxicity, alcohol increases oxidative stress, and subsequent general effects (e.g., epigenetic imprinting, gene expression, and metabolite levels). The current review provides an overview of the existing knowledge about specific downstream pathways for FASD that affects e.g., the SHH pathway, cholesterol homeostasis, neurotransmitter signaling, and effects on the cytoskeleton. Available human data vary greatly, while animal studies with controlled ethanol exposition are only to a certain limit transferable to humans. The main deficits in knowledge about FASD are the lack of pathophysiological understanding and dose-response relationships, together with the lack of reliable biomarkers for either FASD detection or estimation of susceptibility. In addition to single outcome experiments, omics data should be generated to overcome this problem. Therefore, for future studies we recommend holistic data driven analysis, which allows integrative analyses over multiple levels of genetic variation, transcriptomics and metabolomics data to investigate the whole image of FASD development and to provide insight in potential drug targets for intervention.

Indexed as

AnimalsDisease Models, AnimalEthanolFemaleFetal Alcohol Spectrum DisordersFetusHumansPregnancyPrenatal Exposure Delayed EffectsEthanol

Identifiers

PMID29892052
PMCPMC6325721
OpenAlexW2808701657

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.