Evidence map›Paper›PMID 33208138›Full record

ArticleBMC psychiatry2020

Early childhood infections, antistreptococcal and basal ganglia antibodies in adult ADHD: a preliminary study.

Francesco Oliva, Giulia di Girolamo, Francesca Malandrone, Noemi Iaia, Fiorella Biasi, Giuseppe Maina

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

6 authors at 1 institution in 1 country.

Francesco OlivaDepartment of Clinical and Biological Science, University of Turin, Orbassano (TO), Italy. francesco.oliva@unito.it.ORCID 0000-0002-1939-552X
Giulia di GirolamoDepartment of Neurosciences "Rita Levi Montalcini", University of Turin, Turin, Italy.
Francesca MalandroneDepartment of Clinical and Biological Science, University of Turin, Orbassano (TO), Italy.
Noemi IaiaDepartment of Clinical and Biological Science, University of Turin, Orbassano (TO), Italy.
Fiorella BiasiDepartment of Clinical and Biological Science, University of Turin, Orbassano (TO), Italy.
Giuseppe MainaDepartment of Neurosciences "Rita Levi Montalcini", University of Turin, Turin, Italy.
University of Turin · IT

Funding

Local research funding call, B quota, No OLIF_RILO_17_01 OLIF_RILO_17_01
6 · The paper itself

Abstract

backgroundTo explore the relationship between adult Attention Deficit/ Hyperactivity Disorder (ADHD), antistreptococcal titers, ABGA, and recurrent infections during early childhood.

methodChildhood history of recurrent infections and a blood sample were collected in a sample of DSM-IV adult outpatients with ADHD. The anti-streptolysin O (ASO), anti-deoxyribonuclease B (anti-DNase B), and anti-basal ganglia antibodies (ABGA) titers were determined in patient plasma by enzyme-linked immunosorbent assay (ELISA). Titers positivity was evaluated following manufacturer's specifications. Absolute titers were also collected as continuous variables.

resultsFourteen out of 22 (63.6%) have had recurrent infections in childhood (i.e., seven, 31.8%, have had tonsillitis or adenoiditis and seven, 31.8%, have had any other infections). Eighteen patients (81.9%) were positive for anti-DNase B, five (22.7%) for ASO, and 4 (18.2%) were positive for both of them. Five participants (22.7%) were ABGA positive, whereas only two (9.1%) were positive for all three antibodies.

conclusionspatients with ADHD might be more prone to infections during childhood and subclinical streptococcal infections during adulthood. Moreover, they seem to have an increased risk for basal ganglia autoimmunity in adulthood. Both infections and the ensuing acquired autoimmunity could influence the neurodevelopmental process, by contributing, at least in part, to the ADHD pathogenesis.

Indexed as

Attention Deficit Disorder with HyperactivityStreptococcal InfectionsAdultBasal GangliaChildChild, PreschoolHumansABGAADHDAdultAnti-deoxyribonuclease BAnti-streptolysin OBasal gangliaGroup a streptococcus

Identifiers

PMID33208138
PMCPMC7672808
OpenAlexW3104980447

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.