Evidence map›Paper›PMID 34341515›Full record

ArticleMolecular psychiatry2021

Pre-treatment clinical and gene expression patterns predict developmental change in early intervention in autism.

Michael V Lombardo, Elena Maria Busuoli, Laura Schreibman, Aubyn C Stahmer, Tiziano Pramparo, Isotta Landi, Veronica Mandelli, Natasha Bertelsen, Cynthia Carter Barnes, Vahid Gazestani and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06817746 (Fostering Infant Responsivity and Reciprocity - Support to Thrive. A Multisite Randomized Control Trial of a Preemptive Telehealth Intervention for Infants With Early Signs of Autism Spectrum Disorders), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 26% 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.

NCT06817746 narecruitingnot on this mapstarted 2024, after this paper: background citation

Fostering Infant Responsivity and Reciprocity - Support to Thrive. A Multisite Randomized Control Trial of a Preemptive Telehealth Intervention for Infants With Early Signs of Autism Spectrum Disorders

TypeinterventionalSponsorIRCCS Fondazione Stella MarisRan2024 to 2027Enrolled132ConditionsAutism Spectrum Disorder (ASD)ArmsFIRRST, Parent Education
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Epigenetic regulation and ROS signaling in plant stress adaptation: an integrated framework.TAG. Theoretical and applied genetics. Theoretische und angewandte Genetik · 2026
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  10. Proportion and Profile of Autistic Children Not Acquiring Spoken Language Despite Receiving Evidence-Based Early Interventions.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2025
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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

14 authors at 5 institutions in 3 countries.

Michael V Lombardo *Laboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy. michael.lombardo@iit.it.ORCID http://orcid.org/0000-0001-6780-8619
Elena Maria Busuoli *Laboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Laura SchreibmanDepartment of Psychology, University of California, San Diego, La Jolla, CA, USA.
Aubyn C StahmerDepartment of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA, USA.
Tiziano PramparoDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA.
Isotta LandiLaboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Veronica MandelliLaboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Natasha BertelsenLaboratory for Autism and Neurodevelopmental Disorders, Center for Neuroscience and Cognitive Systems @UniTn, Istituto Italiano di Tecnologia, Rovereto, Italy.
Cynthia Carter BarnesDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA.
Vahid GazestaniDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA.
Linda LopezDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA.
Elizabeth C BaconDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA.
Eric CourchesneDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-3772-5799
Karen PierceDepartment of Neurosciences, Autism Center of Excellence, University of California, San Diego, La Jolla, CA, USA. kpierce@health.ucsd.edu.
University of California San Diego · USUniversity of Trento · ITItalian Institute of Technology · ITUniversity of California, Davis · USUniversity of Cambridge · GB

Funding

TARGETING GENETIC PATHWAYS FOR BRAIN OVERGROWTH IN AUTISM SPECTRUM DISORDERSP50MH081755 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI COURCHESNE, ERIC · 2007 to 2013
$10.3M
1/2-Testing the impact of early screening on the long-term outcomes of children with ASDR01MH121595 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI PIERCE, KAREN L · 2020 to 2023
$4.9M
Developmental Functional Genomics in ASD ToddlersR01MH110558 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI COURCHESNE, ERIC, LEWIS, NATHAN ENOCH · 2016 to 2020
$3.0M
Discovering Neural Biomarkers of Language and Social Development in ASD ToddlersR01DC016385 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI COURCHESNE, ERIC, PIERCE, KAREN L · 2017 to 2021
$3.0M
European Research Council 755816NIDCD NIH HHS R01 DC016385NIMH NIH HHS P50 MH081755NIMH NIH HHS R01 MH110558NIMH NIH HHS R01 MH121595
6 · The paper itself

Abstract

Early detection and intervention are believed to be key to facilitating better outcomes in children with autism, yet the impact of age at treatment start on the outcome is poorly understood. While clinical traits such as language ability have been shown to predict treatment outcome, whether or not and how information at the genomic level can predict treatment outcome is unknown. Leveraging a cohort of toddlers with autism who all received the same standardized intervention at a very young age and provided a blood sample, here we find that very early treatment engagement (i.e., <24 months) leads to greater gains while controlling for time in treatment. Pre-treatment clinical behavioral measures predict 21% of the variance in the rate of skill growth during early intervention. Pre-treatment blood leukocyte gene expression patterns also predict the rate of skill growth, accounting for 13% of the variance in treatment slopes. Results indicated that 295 genes can be prioritized as driving this effect. These treatment-relevant genes highly interact at the protein level, are enriched for differentially histone acetylated genes in autism postmortem cortical tissue, and are normatively highly expressed in a variety of subcortical and cortical areas important for social communication and language development. This work suggests that pre-treatment biological and clinical behavioral characteristics are important for predicting developmental change in the context of early intervention and that individualized pre-treatment biology related to histone acetylation may be key.

Indexed as

Autism Spectrum DisorderAutistic DisorderCommunicationEarly Intervention, EducationalGene ExpressionHumansTreatment Outcome

Identifiers

PMID34341515
PMCPMC8872998
OpenAlexW3189548282

What OpenQuestion holds

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Registered trials

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.