Evidence map›Paper›PMID 30510526›Full record

ArticleFrontiers in psychiatry2018

Prenatal Progestin Exposure Is Associated With Autism Spectrum Disorders.

Ling Li, Min Li, Jianping Lu, Xiaohu Ge, Weiguo Xie, Zichen Wang, Xiaoling Li, Chao Li, Xiaoyan Wang, Yan Han and 6 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Review
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Diethylstilbestrol and autism.Frontiers in endocrinology · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Prenatal Exposure to Diethylstilbestrol and Multigenerational Psychiatric Disorders: An Informative Family.International journal of environmental research and public health · 2021
    Article
  19. Article
  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

16 authors.

Ling LiDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.
Min LiInstitute of Rehabilitation Center, Tongren Hospital of Wuhan University, Wuhan, China.
Jianping LuDepartment of Child Psychiatry, Kangning Hospital of Shenzhen, Shenzhen, China.
Xiaohu GeSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD., Guangzhou, China.
Weiguo XieInstitute of Rehabilitation Center, Tongren Hospital of Wuhan University, Wuhan, China.
Zichen WangDepartment of Child Psychiatry, Kangning Hospital of Shenzhen, Shenzhen, China.
Xiaoling LiDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.
Chao LiDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.
Xiaoyan WangSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD., Guangzhou, China.
Yan HanDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.
Yifei WangSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD., Guangzhou, China.
Liyan ZhongDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.
Wei XiangDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.
Xiaodong HuangInstitute of Rehabilitation Center, Tongren Hospital of Wuhan University, Wuhan, China.
Haijia ChenSALIAI Stem Cell Institute of Guangdong, Guangzhou SALIAI Stem Cell Science and Technology Co. LTD., Guangzhou, China.
Paul YaoDepartment of Pediatrics, Hainan Maternal and Child Health Hospital, Haikou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have previously reported that prenatal progestin exposure induces autism-like behavior in offspring through ERβ (estrogen receptor β) suppression in the brain, indicating that progestin may induce autism spectrum disorders (ASD). In this study, we aim to investigate whether prenatal progestin exposure is associated with ASD. A population-based case-control epidemiology study was conducted in Hainan province of China. The ASD children were first screened with the Autism Behavior Checklist (ABC) questionnaire, and then diagnosed by clinical professionals using the ASD diagnosis criteria found in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V). Eventually, 235 cases were identified as ASD from 37863 children aged 0-6 years old, and 682 matched control subjects with typically developing children were selected for the analysis of potential impact factors on ASD prevalence using multivariate logistic regression. Our data show that the ASD prevalence rate in Hainan was 0.62% with a boy:girl ratio of 5.4:1. Interestingly, we found that the following factors were strongly associated with ASD prevalence: use of progestin to prevent threatened abortion, use of progestin contraceptives at the time of conception, and prenatal consumption of progestin-contaminated seafood during the first trimester of pregnancy. All the above factors were directly or indirectly involved with prenatal progestin exposure. Additionally, we conducted

Indexed as

Autism spectrum disordersestrogen receptor βprenatal exposureprogestinratZebrafish

Identifiers

PMID30510526
PMCPMC6252360

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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.