Evidence map›Paper›PMID 32746967›Full record

ArticleeLife2020

Intrinsic excitation-inhibition imbalance affects medial prefrontal cortex differently in autistic men versus women.

Stavros Trakoshis, Pablo Martínez-Cañada, Federico Rocchi, Carola Canella, Wonsang You, Bhismadev Chakrabarti, Amber Nv Ruigrok, Edward T Bullmore, John Suckling, Marija Markicevic and 7 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 3 pooled it
11.1field-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

97 citing papers in PubMed, 3 syntheses or guidelines pooled it, 182 citations in OpenAlex.

  1. Glutamatergic Modulation of Brain Function in Psychosis: A Systematic Review of Neuroimaging Studies.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
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  13. Camouflaging and autism: Conceptualisation and methodological issues.Autism : the international journal of research and practice · 2026
    Review
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 7 countries.

Stavros Trakoshis *Laboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Pablo Martínez-Cañada *Neural Computation Laboratory, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Federico RocchiFunctional Neuroimaging Laboratory, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Carola CanellaFunctional Neuroimaging Laboratory, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Wonsang YouArtificial Intelligence and Image Processing Laboratory, Department of Information and Communications Engineering, Sun Moon University, Asan, Republic of Korea.
Bhismadev ChakrabartiAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Amber Nv RuigrokAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Edward T BullmoreCambridgeshire and Peterborough National Health Service Foundation Trust, Cambridge, United Kingdom.
John SucklingBrain Mapping Unit, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Marija MarkicevicNeural Control of Movement Lab, D-HEST, ETH Zurich, Zurich, Switzerland.
Valerio ZerbiNeural Control of Movement Lab, D-HEST, ETH Zurich, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-7984-9565
MRC AIMS Consortium
Simon Baron-CohenAutism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Alessandro Gozzi *Functional Neuroimaging Laboratory, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.ORCID https://orcid.org/0000-0002-5731-4137
Meng-Chuan Lai *Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Stefano Panzeri *Neural Computation Laboratory, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.ORCID http://orcid.org/0000-0003-1700-8909
Michael V Lombardo *Laboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.ORCID https://orcid.org/0000-0001-6780-8619
Italian Institute of Technology · ITUniversity of Cambridge · GBETH Zurich · CHNational Health Service · GBCentre for Addiction and Mental Health · CASun Moon University · KR

Funding

H2020 European Research Council 755816H2020 European Research Council 802371Medical Research Council 400061Medical Research Council MC_G0802534Medical Research Council MR/N026063/1Simons Foundation 602849
6 · The paper itself

Abstract

Excitation-inhibition (E:I) imbalance is theorized as an important pathophysiological mechanism in autism. Autism affects males more frequently than females and sex-related mechanisms (e.g., X-linked genes, androgen hormones) can influence E:I balance. This suggests that E:I imbalance may affect autism differently in males versus females. With a combination of in-silico modeling and in-vivo chemogenetic manipulations in mice, we first show that a time-series metric estimated from fMRI BOLD signal, the Hurst exponent (H), can be an index for underlying change in the synaptic E:I ratio. In autism we find that H is reduced, indicating increased excitation, in the medial prefrontal cortex (MPFC) of autistic males but not females. Increasingly intact MPFC H is also associated with heightened ability to behaviorally camouflage social-communicative difficulties, but only in autistic females. This work suggests that H in BOLD can index synaptic E:I ratio and that E:I imbalance affects autistic males and females differently.

Indexed as

CommunicationAdultAnimalsAutistic DisorderEnglandFemaleHumansInhibition, PsychologicalLanguageMagnetic Resonance ImagingMaleMiceMice, Inbred C57BLMiddle AgedPrefrontal CortexSex FactorsautismexcitationfMRIheterogeneityhumanhuman biologyinhibitionmedicinemouseneurosciencesex/gender

Identifiers

PMID32746967
PMCPMC7402681
OpenAlexW3047079660

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.