Evidence map›Paper›PMID 31139876›Full record

ReviewPsychopharmacology2019

Beyond the brain: A multi-system inflammatory subtype of autism spectrum disorder.

Robyn P Thom, Christopher J Keary, Michelle L Palumbo, Caitlin T Ravichandran, Jennifer E Mullett, Eric P Hazen, Ann M Neumeyer, Christopher J McDougle

Abstract readReview
PubMed Publisher
In one paragraph

Review in Psychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Microglia as critical mediators linking perinatal immune stress to mental health trajectories.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Maternal risk factors vary between subpopulations of children with autism spectrum disorder.Autism research : official journal of the International Society for Autism Research · 2022
    Article
  8. Cognitive correlates of autism spectrum disorder symptoms.Autism research : official journal of the International Society for Autism Research · 2021
    Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. 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 4 institutions in 1 country.

Robyn P ThomMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Christopher J KearyMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Michelle L PalumboMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Caitlin T RavichandranMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Jennifer E MullettMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Eric P HazenMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Ann M NeumeyerMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Christopher J McDougleMassachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA. cmcdougle@mgh.harvard.edu.
Massachusetts General Hospital · USCenter for Autism and Related Disorders · USHarvard University · USLemuel Shattuck Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An immune-mediated subtype of autism spectrum disorder (ASD) has long been hypothesized. This article reviews evidence from family history studies of autoimmunity, immunogenetics, maternal immune activation, neuroinflammation, and systemic inflammation, which suggests immune dysfunction in ASD. Individuals with ASD have higher rates of co-morbid medical illness than the general population. Major medical co-morbidities associated with ASD are discussed by body system. Mechanisms by which FDA-approved and emerging treatments for ASD act upon the immune system are then reviewed. We conclude by proposing the hypothesis of an immune-mediated subtype of ASD which is characterized by systemic, multi-organ inflammation or immune dysregulation with shared mechanisms that drive both the behavioral and physical illnesses associated with ASD. Although gaps in evidence supporting this hypothesis remain, benefits of this conceptualization include framing future research questions that will help define a clinically meaningful subset of patients and focusing clinical interactions on early detection and treatment of high-risk medical illnesses as well as interfering behavioral signs and symptoms across the lifespan.

Indexed as

Autism Spectrum DisorderBrainComorbidityHumansImmune SystemInflammationAutismAutoimmunityImmune dysfunctionInflammationMedical co-morbiditiesSpectrum disorder

Identifiers

PMID31139876
OpenAlexW2947843302

What OpenQuestion holds

Textmetadata
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.