Evidence map›Paper›PMID 32707260›Full record

ArticleBrain, behavior, and immunity2020

Evaluation of maternal inflammation as a marker of future offspring ADHD symptoms: A prospective investigation.

Hanna C Gustafsson, Elinor L Sullivan, Eleanor A J Battison, Kathleen F Holton, Alice M Graham, Sarah L Karalunas, Damien A Fair, Jennifer M Loftis, Joel T Nigg

Open access · greenAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

42 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Gestational kynurenine metabolites mediate effects of pregnancy adiposity on child negative affect.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  7. NFAT1Cellular & molecular biology letters · 2026
    Article
  8. Article
  9. The Evolving ADHD Phenotype in the Externalizing Context.The American journal of psychiatry · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. 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

9 authors at 3 institutions in 1 country.

Hanna C GustafssonOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. Electronic address: gustafha@ohsu.edu.
Elinor L SullivanOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA; Oregon National Primate Research Center, 505 NW 185th Avenue, Beaverton, OR 97006, USA; University of Oregon, 1585 E 13th Ave, Eugene, OR 97403, USA. Electronic address: sullivel@ohsu.edu.
Eleanor A J BattisonOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. Electronic address: battison@ohsu.edu.
Kathleen F HoltonAmerican University, 4400 Massachusetts Ave NW, Washington, DC 20016, USA. Electronic address: holton@american.edu.
Alice M GrahamOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. Electronic address: grahaal@ohsu.edu.
Sarah L KaralunasOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. Electronic address: karaluna@ohsu.edu.
Damien A FairOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. Electronic address: faird@ohsu.edu.
Jennifer M LoftisOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA; VA Portland Health Care System, 3710 SW US Veterans Hospital Rd, Portland, OR 97239, USA. Electronic address: loftisj@ohsu.edu.
Joel T NiggOregon Health and Science University, 3181 SW Sam Jackson Park Rd., Portland, OR 97239, USA. Electronic address: niggj@ohsu.edu.
Oregon Health & Science University · USAmerican University · USVA Portland Health Care System · US

Funding

Upgrade of confocal microscopy at the Oregon National Primate Research CenterP51OD011092 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI Bonnie J. Nagel · 2012 to 2026
$203.9M
Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Supplement to Prevention Research Center: Parenting Among Women Who Are Opioid Users, Project 2P50DA048756 · NIDA · UNIVERSITY OF OREGON · PI BERKMAN, ELLIOT TODD · 2019 to 2023
$18.0M
ADHD heterogeneity, mechanisms, and risk profileR37MH059105 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIGG, JOEL T · 2014 to 2023
$7.0M
Oregon Clinical and Translational Research Institute TL1 ProgramTL1TR002371 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALLISON Deborah FRYER, JESSINA C MCGREGOR · 2017 to 2026
$6.2M
Developmental origins and early detection of ADHD and dysregulatory psychopathologyR01MH124824 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI SULLIVAN, ELINOR L. · 2021 to 2025
$3.8M
Brain trajectories in ADHDR01MH115357 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI FAIR, DAMIEN A, NIGG, JOEL T · 2017 to 2021
$3.8M
The Impact of Maternal Obesity and Poor Antenatal Nutrition on Offspring RDoC Dimensions and Risk for Neurodevelopmental DisordersR01MH117177 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIGG, JOEL T, SULLIVAN, ELINOR L. · 2018 to 2022
$3.6M
Supplement to Prenatal and Early Life Predictors of Child PsychopathologyK01MH120507 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUSTAFSSON, HANNA C · 2019 to 2024
$934k
NCATS NIH HHS TL1 TR002371NCATS NIH HHS UL1 TR002369NIDA NIH HHS P50 DA048756NIH HHS P51 OD011092NIMH NIH HHS K01 MH120507NIMH NIH HHS R01 MH115357NIMH NIH HHS R01 MH117177NIMH NIH HHS R01 MH124824NIMH NIH HHS R37 MH059105
6 · The paper itself

Abstract

Early life predictors of attention-deficit/hyperactivity disorder (ADHD) are critically needed; they could inform etiological theory and may help identify new prevention targets. The current study examined prospectively whether maternal cytokine levels during pregnancy predict offspring ADHD symptoms at age 4-6 years. Secondarily, we evaluated maternal cytokine levels as a possible common pathway through which prenatal risks exert influence on child ADHD. Data came from a sample of women recruited during the 2nd trimester of pregnancy (N = 62) and followed postnatally until children were 4-6 years old. Maternal inflammation was assessed using 3rd trimester plasma concentrations of three indicators of nuclear factor kappa B signaling: interleukin-6, tumor necrosis factor-alpha, and monocyte chemoattractant protein-1 which were combined into a latent variable. Mothers and teachers reported on child ADHD symptoms, negative affect, and externalizing behaviors at 48-72 months of age. Maternal inflammation in the 3rd trimester predicted ADHD symptoms when children were 4-6 years old (β = 0.53, 95% CI = 0.154, 0.905, p = 0.006). Further, maternal inflammation mediated the effect of prenatal distress on child ADHD (β = 0.21, 95% CI = 0.007, 0.419, p = 0.04). The inflammation effect on ADHD was not explained by concurrent child negative affect, externalizing behavior, or familial ADHD status. This is the first human study to prospectively link maternal pregnancy cytokine levels and offspring ADHD symptoms, suggesting that cytokine levels are a possible marker of ADHD risk. Results also provide new evidence that maternal prenatal inflammation may be one common pathway by which prenatal risk factors influence offspring mental health outcomes.

Indexed as

Attention Deficit Disorder with HyperactivityPrenatal Exposure Delayed EffectsChildChild, PreschoolFemaleHumansInflammationMothersPregnancyProspective StudiesADHDCytokinesInflammationPrenatal distress

Identifiers

PMID32707260
PMCPMC7703804
OpenAlexW3044082321

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.