Evidence map›Paper›PMID 33238400›Full record

ArticleMetabolites2020

The Urine Metabolome of Young Autistic Children Correlates with Their Clinical Profile Severity.

Michele Mussap, Martina Siracusano, Antonio Noto, Claudia Fattuoni, Assia Riccioni, Hema Sekhar Reddy Rajula, Vassilios Fanos, Paolo Curatolo, Luigi Barberini, Luigi Mazzone

Open access · goldAbstract read
In one paragraph

Article in Metabolites, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Recognition of the microbial metaboliteFrontiers in molecular neuroscience · 2025
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. ACS pharmacology & translational science · 2025
    Review
  8. Article
  9. Article
  10. Review of Elevated Para-Cresol in Autism and Possible Impact on Symptoms.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Metabolomic changes in children with autism.World journal of clinical pediatrics · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  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

10 authors at 2 institutions in 1 country.

Michele MussapDepartment of Surgical Sciences, School of Medicine, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0002-3417-1284
Martina SiracusanoDepartment of Biomedicine and Prevention, Tor Vergata University of Rome, 00133 Rome, Italy.
Antonio NotoDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Claudia FattuoniDepartment of Chemical and Geological Sciences, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0002-6956-7967
Assia RiccioniChild Neurology and Psychiatry Unit, System Medicine Department, Tor Vergata University Hospital of Rome, 00133 Rome, Italy.ORCID 0000-0001-6496-8756
Hema Sekhar Reddy RajulaDepartment of Surgical Sciences, School of Medicine, University of Cagliari, 09042 Monserrato, Italy.ORCID 0000-0003-4667-8143
Vassilios FanosDepartment of Surgical Sciences, School of Medicine, University of Cagliari, 09042 Monserrato, Italy.
Paolo CuratoloChild Neurology and Psychiatry Unit, System Medicine Department, Tor Vergata University Hospital of Rome, 00133 Rome, Italy.
Luigi BarberiniDepartment of Medical Sciences and Public Health, University of Cagliari, 09042 Monserrato, Italy.
Luigi MazzoneChild Neurology and Psychiatry Unit, System Medicine Department, Tor Vergata University Hospital of Rome, 00133 Rome, Italy.
University of Cagliari · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autism diagnosis is moving from the identification of common inherited genetic variants to a systems biology approach. The aims of the study were to explore metabolic perturbations in autism, to investigate whether the severity of autism core symptoms may be associated with specific metabolic signatures; and to examine whether the urine metabolome discriminates severe from mild-to-moderate restricted, repetitive, and stereotyped behaviors. We enrolled 57 children aged 2-11 years; thirty-one with idiopathic autism and twenty-six neurotypical (NT), matched for age and ethnicity. The urine metabolome was investigated by gas chromatography-mass spectrometry (GC-MS). The urinary metabolome of autistic children was largely distinguishable from that of NT children; food selectivity induced further significant metabolic differences. Severe autism spectrum disorder core deficits were marked by high levels of metabolites resulting from diet, gut dysbiosis, oxidative stress, tryptophan metabolism, mitochondrial dysfunction. The hierarchical clustering algorithm generated two metabolic clusters in autistic children: 85-90% of children with mild-to-moderate abnormal behaviors fell in cluster II. Our results open up new perspectives for the more general understanding of the correlation between the clinical phenotype of autistic children and their urine metabolome. Adipic acid, palmitic acid, and 3-(3-hydroxyphenyl)-3-hydroxypropanoic acid can be proposed as candidate biomarkers of autism severity.

Indexed as

autism core deficitsautism spectrum disorderfood selectivitygut dysbiosishierarchical clustering analysismetabolomics

Identifiers

PMID33238400
PMCPMC7700197
OpenAlexW3109929143

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.