Evidence map›Paper›PMID 37708918›Full record

ReviewNeuroscience and biobehavioral reviews2023

Beyond TORCH: A narrative review of the impact of antenatal and perinatal infections on the risk of disability.

Monica Devaraju, Amanda Li, Sandy Ha, Miranda Li, Megana Shivakumar, Hanning Li, Erika Phelps Nishiguchi, Patrick Gérardin, Kristina Adams Waldorf, Benjamin J S Al-Haddad

Open access · greenAbstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Mild SARS-CoV-2 maternal infection in mice induces transient offspring neurodevelopmental aberrance.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Microorganisms · 2024
    Article
  12. Review
  13. 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 4 institutions in 2 countries.

Monica DevarajuUniversity of Washington, School of Medicine, 1959 NE Pacific St, Seattle, WA 98195, USA; University of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA.
Amanda LiUniversity of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA; Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH, USA.
Sandy HaUniversity of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA.
Miranda LiUniversity of Washington, School of Medicine, 1959 NE Pacific St, Seattle, WA 98195, USA; University of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA.
Megana ShivakumarUniversity of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA.
Hanning LiUniversity of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA.
Erika Phelps NishiguchiUniversity of Hawaii, Department of Pediatrics, Division of Community Pediatrics, 1319 Punahou St, Honolulu, HI, USA.
Patrick GérardinINSERM CIC1410, Centre Hospitalier Universitaire de la Réunion, Saint Pierre, Réunion, France; Platform for Clinical and Translational Research, Centre Hospitalier Universitaire, Saint Pierre, Réunion, France.
Kristina Adams WaldorfUniversity of Washington, Department of Obstetrics, 1959 NE Pacific St, Seattle, WA 98195, USA. Electronic address: adamsk@uw.edu.
Benjamin J S Al-HaddadUniversity of Minnesota, Department of Pediatrics, Division of Neonatology, Academic Office Building, 2450 Riverside Ave S AO-401, Minneapolis, MN 55454, USA; Masonic Institute for the Developing Brain, 2025 E River Pkwy, Minneapolis, MN 55414, USA. Electronic address: haddad@umn.edu.
University of Washington · USCentre Hospitalier Universitaire de La Réunion · FRUniversity of Hawaii System · USUniversity of Minnesota · US

Funding

Washington National Primate Research CenterP51OD010425 · OD · UNIVERSITY OF WASHINGTON · PI Mari Ostendorf · 2012 to 2026
$201.8M
YR 50 PROJ- ROBERTS PRIMATE ISLETP51RR000163 · NCRR · OREGON REGIONAL PRIMATE RESEARCH CENTER · PI FRUH, KLAUS J · 1985 to 2011
$140.8M
WaNPRC Macaca nemestrina SPF Breeding ColonyU42OD011123 · OD · UNIVERSITY OF WASHINGTON · PI Melissa R Berg, Cindy Buckmaster · 2012 to 2026
$34.4M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008244 · NIGMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SHIMIZU, YOJI · 1988 to 2024
$13.6M
JAK-STAT Control of Zika Virus-Induced Fetal InjuryR01AI143265 · NIAID · UNIVERSITY OF WASHINGTON · PI ADAMS WALDORF, KRISTINA M., GALE, MICHAEL · 2019 to 2023
$4.6M
Role of the hyaluronidase in GBS VirulenceR01AI133976 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2017 to 2021
$4.5M
Immune Control of Group B Streptococcal PlacentalR01AI145890 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2019 to 2023
$4.4M
Influenza pathogenesis in pregnancyR01AI164588 · NIAID · UNIVERSITY OF WASHINGTON · PI ADAMS WALDORF, KRISTINA M. · 2021 to 2025
$4.2M
Targeted Inhibition of Interleukin-1 beta to Prevent Preterm BirthR01HD098713 · NICHD · UNIVERSITY OF WASHINGTON · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2020 to 2024
$3.8M
NCRR NIH HHS P51 RR000163NIAID NIH HHS R01 AI133976NIAID NIH HHS R01 AI143265NIAID NIH HHS R01 AI145890NIAID NIH HHS R01 AI164588NICHD NIH HHS R01 HD098713NIGMS NIH HHS T32 GM008244NIH HHS P51 OD010425NIH HHS U42 OD011123
6 · The paper itself

Abstract

Infections and inflammation during pregnancy or early life can alter child neurodevelopment and increase the risk for structural brain abnormalities and mental health disorders. There is strong evidence that TORCH infections (i.e., Treponema pallidum, Toxoplasma gondii, rubella virus, cytomegalovirus, herpes virus) alter fetal neurodevelopment across multiple developmental domains and contribute to motor and cognitive disabilities. However, the impact of a broader range of viral and bacterial infections on fetal development and disability is less well understood. We performed a literature review of human studies to identify gaps in the link between maternal infections, inflammation, and several neurodevelopmental domains. We found strong and moderate evidence respectively for a higher risk of motor and cognitive delays and disabilities in offspring exposed to a range of non-TORCH pathogens during fetal life. In contrast, there is little evidence for an increased risk of language and sensory disabilities. While guidelines for TORCH infection prevention during pregnancy are common, further consideration for prevention of non-TORCH infections during pregnancy for fetal neuroprotection may be warranted.

Indexed as

Mental DisordersPregnancy Complications, InfectiousToxoplasmaCytomegalovirusFemaleHumansInfant, NewbornInflammationPregnancyBehavioral disabilitiesCognitive and intellectual disabilityLearning disabilityMaternal immune activationMotor skills disordersNeurodevelopmentNeurodevelopmental delayPerinatal complicationsSensory disabilitiesSpeech language disordersTORCH infections

Identifiers

PMID37708918
PMCPMC10617835
OpenAlexW4386647206

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.