Evidence map›Paper›PMID 31358906›Full record

ArticleMolecular psychiatry2020

Foetal oestrogens and autism.

Simon Baron-Cohen, Alexandros Tsompanidis, Bonnie Auyeung, Bent Nørgaard-Pedersen, David M Hougaard, Morsi Abdallah, Arieh Cohen, Alexa Pohl

Open access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 4 pooled it
13.7field-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

90 citing papers in PubMed, 4 syntheses or guidelines pooled it, 194 citations in OpenAlex.

  1. Steroid hormone pathways, vitamin D and autism: a systematic review.Journal of neural transmission (Vienna, Austria : 1996) · 2023
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  17. Autistic Adults Avoid Unpredictability in Decision-Making.Journal of autism and developmental disorders · 2025
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30 more citing papers are in PubMed but not listed here.

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 3 institutions in 2 countries.

Simon Baron-Cohen *Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK. sb205@cam.ac.uk.
Alexandros Tsompanidis *Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK. at768@medschl.cam.ac.uk.
Bonnie AuyeungAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.
Bent Nørgaard-PedersenDepartment for Congenital Disorders, Danish Center for Neonatal Screening, Statens Serum Institute, Copenhagen, Denmark.
David M HougaardDepartment for Congenital Disorders, Danish Center for Neonatal Screening, Statens Serum Institute, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-5928-3517
Morsi AbdallahDepartment of Child and Adolescent Mental Health Services, Region of Southern Denmark, Hospital of Southern Jutland, Aabenraa, Denmark.ORCID http://orcid.org/0000-0001-7433-620X
Arieh CohenDepartment for Congenital Disorders, Danish Center for Neonatal Screening, Statens Serum Institute, Copenhagen, Denmark.
Alexa PohlAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK.
University of Cambridge · GBStatens Serum Institut · DKMental Health Services · DK

Funding

Department of HealthMedical Research Council G0600977Wellcome Trust
6 · The paper itself

Abstract

Elevated latent prenatal steroidogenic activity has been found in the amniotic fluid of autistic boys, based on measuring prenatal androgens and other steroid hormones. To date, it is unclear if other prenatal steroids also contribute to autism likelihood. Prenatal oestrogens need to be investigated, as they play a key role in synaptogenesis and corticogenesis during prenatal development, in both males and females. Here we test whether levels of prenatal oestriol, oestradiol, oestrone and oestrone sulphate in amniotic fluid are associated with autism, in the same Danish Historic Birth Cohort, in which prenatal androgens were measured, using univariate logistic regression (n = 98 cases, n = 177 controls). We also make a like-to-like comparison between the prenatal oestrogens and androgens. Oestradiol, oestrone, oestriol and progesterone each related to autism in univariate analyses after correction with false discovery rate. A comparison of standardised odds ratios showed that oestradiol, oestrone and progesterone had the largest effects on autism likelihood. These results for the first time show that prenatal oestrogens contribute to autism likelihood, extending the finding of elevated prenatal steroidogenic activity in autism. This likely affects sexual differentiation, brain development and function.

Indexed as

AdultAutistic DisorderEstradiolEstriolEstrogensFemaleFetusHumansMaleMaternal AgePaternal AgePregnancyPrenatal Exposure Delayed EffectsProgesteroneEstradiolEstriolEstrogensProgesterone

Identifiers

PMID31358906
PMCPMC7577840
OpenAlexW2965322977

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.