Evidence map›Paper›PMID 30566633›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2019

Sex Differences Along the Autism Continuum: A Twin Study of Brain Structure.

Élodie Cauvet, Annelies Van't Westeinde, Roberto Toro, Ralf Kuja-Halkola, Janina Neufeld, Katell Mevel, Sven Bölte

Abstract readTwin Study
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Does Camouflaging Cause Reduced Quality of Life? A Co-Twin Control Study.Journal of autism and developmental disorders · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Syndrome-Specific Neuroanatomical Phenotypes in Girls With Turner and Noonan Syndromes.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2024
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  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

7 authors.

Élodie CauvetKarolinska Institutet Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, CAP Research Centre, Sweden.
Annelies Van't WesteindeKarolinska Institutet Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, CAP Research Centre, Sweden.
Roberto ToroHuman Genetics and Cognitive Functions, Institut Pasteur, Paris, France.
Ralf Kuja-HalkolaDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Janina NeufeldKarolinska Institutet Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, CAP Research Centre, Sweden.
Katell MevelLaboratory for the Psychology of Child Development and Education, CNRS Unit 8240, Paris-Descartes University and Caen University, Alliance for higher education and research Sorbonne Paris Cité (IDEX), Sorbonne, France.
Sven BölteKarolinska Institutet Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet, and Stockholm Health Care Services, Stockholm County Council, CAP Research Centre, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Females might possess protective mechanisms regarding autism spectrum disorder (ASD) and require a higher detrimental load, including structural brain alterations, before developing clinically relevant levels of autistic traits. This study examines sex differences in structural brain morphology in autism and autistic traits using a within-twin pair approach. Twin design inherently controls for shared confounders and enables the study of gene-independent neuroanatomical variation. N = 148 twins (62 females) from 49 monozygotic and 25 dizygotic same-sex pairs were included. Participants were distributed along the whole continuum of autism including twin pairs discordant and concordant for clinical ASD. Regional brain volume, surface area, and cortical thickness were computed. Within-twin pair increases in autistic traits were related to decreases in cortical volume and surface area of temporal and frontal regions specifically in female twin pairs, in particular regions involved in social communication, while only two regions were associated with autistic traits in males. The same pattern was detected in the monozygotic twin pairs only. Thus, non-shared environmental factors seem to impact female more than male cerebral architecture associated with autistic traits. Our results are in line with the hypothesis of a female protective effect in autism and highlights the need to study ASD in females separately from males.

Indexed as

Gene-Environment InteractionSex CharacteristicsAdolescentAdultAutism Spectrum DisorderBrainChildFemaleGenetic Predisposition to DiseaseHumansMaleTwins, DizygoticTwins, MonozygoticYoung Adult

Identifiers

PMID30566633
PMCPMC6373677

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.