Evidence map›Paper›PMID 39521839›Full record

ArticleMolecular psychiatry2025

Maternal COVID-19 infection associated with offspring neurodevelopmental disorders.

Lian Duan, Huamin Yin, Jiaxin Liu, Wenhang Wang, Peijun Huang, Li Liu, Jingling Shen, Zhendong Wang

Abstract read
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In one paragraph

Article in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
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

8 authors.

Lian Duan *Central Laboratory, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.ORCID 0000-0001-8363-2211
Huamin Yin *Central Laboratory, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.ORCID 0009-0005-3968-511X
Jiaxin LiuInstitute of Life Sciences, College of Life and Environmental Sciences, Wenzhou University, Wenzhou, 325035, China.
Wenhang WangInstitute of Life Sciences, College of Life and Environmental Sciences, Wenzhou University, Wenzhou, 325035, China.ORCID 0009-0008-0764-6409
Peijun HuangSchool of Pharmaceutical Science, Wenzhou Medical University, Wenzhou, 325035, China.ORCID 0009-0006-1371-2893
Li LiuInstitute of Life Sciences, College of Life and Environmental Sciences, Wenzhou University, Wenzhou, 325035, China.ORCID 0000-0002-4137-5859
Jingling ShenInstitute of Life Sciences, College of Life and Environmental Sciences, Wenzhou University, Wenzhou, 325035, China. jingling_shen@wzu.edu.cn.ORCID 0000-0003-0177-1985
Zhendong WangKey Laboratory of Interventional Pulmonology of Zhejiang Province, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China. wangzd85@outlook.com.ORCID 0000-0002-1709-6075

Funding

National Natural Science Foundation of China (National Science Foundation of China) 31671252National Natural Science Foundation of China (National Science Foundation of China) 81701350
6 · The paper itself

Abstract

Maternal COVID-19 infection increases the incidence of neurodevelopmental disorders (NDDs) in offspring, although the underlying mechanisms have not been elucidated. This study demonstrated that COVID-19 infection during pregnancy disrupted the balance of maternal and fetal immune environments, driving alterations in astrocytes, endothelial cells, and excitatory neurons. A risk score was established using 47 unique genes in the single-cell transcriptome of gestational mothers. The high risk score in CD4 proliferating T cell level served as an indicator for increased risk of offspring NDDs. Summary-based Mendelian randomization and phenome-wide association study analyses were conducted to identify the causal association of the transcriptional changes with the increased risk of offspring NDDs. Additionally, 10 drugs were identified as potential therapeutic candidates. Our findings support a model where the maternal COVID-19 infection changed the levels of CD4 proliferating T cells, leading to the alterations of astrocytes, endothelial cells, and excitatory neurons in offspring, contributing to the increased risk of NDDs in these individuals.

Indexed as

COVID-19Neurodevelopmental DisordersPregnancy Complications, InfectiousPrenatal Exposure Delayed EffectsAstrocytesCD4-Positive T-LymphocytesEndothelial CellsFemaleGenome-Wide Association StudyHumansMaleNeuronsPregnancyRisk FactorsSARS-CoV-2Transcriptome

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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.