Evidence map›Paper›PMID 31787129›Full record

ArticlePsychological medicine2021

Male fetus susceptibility to maternal inflammation: C-reactive protein and brain development.

Sharon K Hunter, M Camille Hoffman, Angelo D'Alessandro, Kathleen Noonan, Anna Wyrwa, Robert Freedman, Amanda J Law

Open access · greenAbstract read
In one paragraph

Article in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Perinatal hardship and infant neurodevelopment: insights from a global pandemic.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Association between history of miscarriage and autism spectrum disorder.European archives of psychiatry and clinical neuroscience · 2023
    Article
  17. Article
  18. Article
  19. 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

7 authors at 1 institution in 1 country.

Sharon K HunterDepartments of Psychiatry, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.
M Camille HoffmanDepartments of Psychiatry, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.ORCID 0000-0003-3116-4502
Angelo D'AlessandroBiochemistry and Molecular Genetics, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.
Kathleen NoonanDepartments of Psychiatry, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.
Anna WyrwaDepartments of Psychiatry, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.
Robert FreedmanDepartments of Psychiatry, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.ORCID 0000-0002-2181-2898
Amanda J LawDepartments of Psychiatry, University of Colorado Denver School of Medicine, Aurora, Colorado80045, USA.ORCID 0000-0002-2574-1564
University of Colorado Denver · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
PHARMACOLOGY OF NICOTINIC RECEPTORSP50MH068582 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FREEDMAN, ROBERT · 2004 to 2008
$9.4M
COLORADO WRHR CAREER DEVELOPMENT CENTERK12HD001271 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Saketh R Guntupalli · 1999 to 2026
$8.9M
NCATS NIH HHS UL1 TR001082NICHD NIH HHS K12 HD001271NIMH NIH HHS P50 MH068582
6 · The paper itself

Abstract

backgroundMaternal inflammation in early pregnancy has been identified epidemiologically as a prenatal pathogenic factor for the offspring's later mental illness. Early newborn manifestations of the effects of maternal inflammation on human fetal brain development are largely unknown.

methodsMaternal infection, depression, obesity, and other factors associated with inflammation were assessed at 16 weeks gestation, along with maternal C-reactive protein (CRP), cytokines, and serum choline. Cerebral inhibition was assessed by inhibitory P50 sensory gating at 1 month of age, and infant behavior was assessed by maternal ratings at 3 months of age.

resultsMaternal CRP diminished the development of cerebral inhibition in newborn males but paradoxically increased inhibition in females. Similar sex-dependent effects were seen in mothers' assessment of their infant's self-regulatory behaviors at 3 months of age. Higher maternal choline levels partly mitigated the effect of CRP in male offspring.

conclusionsThe male fetal-placental unit appears to be more sensitive to maternal inflammation than females. Effects are particularly marked on cerebral inhibition. Deficits in cerebral inhibition 1 month after birth, similar to those observed in several mental illnesses, including schizophrenia, indicate fetal developmental pathways that may lead to later mental illness. Deficits in early infant behavior follow. Early intervention before birth, including prenatal vitamins, folate, and choline supplements, may help prevent fetal development of pathophysiological deficits that can have life-long consequences for mental health.

Indexed as

Prenatal Exposure Delayed EffectsSensory GatingBrainCholineC-Reactive ProteinFemaleFetal DevelopmentFetusGestational AgeHumansInfantInfant BehaviorInfant, NewbornInflammationMalePregnancyCholineC-Reactive ProteinChild developmentcholineC-reactive proteinpregnancyprenatal exposure delayed effectssensory gating

Identifiers

PMID31787129
PMCPMC7263978
OpenAlexW2992417865

What OpenQuestion holds

Textmetadata
LicenceTDM
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.