Evidence map›Paper›PMID 40576710›Full record

ArticleEuropean journal of pediatrics2025

Serum iron status and risk of Tourette's syndrome: a Mendelian randomization study.

Haixiang Zhang, Kejin Zhang, Fuyong Jiao, Cuixiang Xu

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Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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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

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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.

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4 · The record

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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

4 authors.

Haixiang ZhangShaanxi Provincial Key Laboratory of Infection and Immune Diseases, Shaanxi Provincial People's Hospital, 256# West Youyi Road, Xi'an, 710068, People's Republic of China.
Kejin ZhangShaanxi Provincial Key Laboratory of Infection and Immune Diseases, Shaanxi Provincial People's Hospital, 256# West Youyi Road, Xi'an, 710068, People's Republic of China.
Fuyong JiaoShaanxi Provincial Kawasaki Disease Treatment Center/Children's Hospital of Shaanxi Provincial People's Hospital, Xi'an, 710068, China.
Cuixiang XuShaanxi Provincial Key Laboratory of Infection and Immune Diseases, Shaanxi Provincial People's Hospital, 256# West Youyi Road, Xi'an, 710068, People's Republic of China. xucuixiang1129@163.com.

Funding

International Science and Technology Cooperation Program of Shaanxi Province 2022 KWZ-20Open Funds for Shaanxi Provincial Key Laboratory of Infection and Immune Diseases 2022-MS-4
6 · The paper itself

Abstract

Tourette's syndrome (TS) is a common neurodevelopmental disorder with tics, emerging in childhood or adolescence and linked to neurotransmitter system abnormalities. Given iron's key role in neurotransmitter synthesis and transport, a close link between serum iron status and TS is hypothesized. But current studies, partly due to their inherent limitations, offer inconclusive evidence. A Mendelian randomization (MR) analysis was conducted. The analysis utilized summary statistics from two genome-wide association studies (GWAS) for TS (primary study: N = 456,348; and replication study: N = 21,081) and four GWASs related to serum iron status. The inverse variance-weighted MR method was used to evaluate the relationship between serum iron status and risk of TS using both the primary dataset and the replication dataset. Additionally, four other MR methods, which are more robust to pleiotropy and outliers, were used for sensitivity analyses. The analysis revealed no significant association between serum iron status and risk of TS (all Ps > 0.05). Repeated analysis with an independent TS sample yielded consistent results.

conclusionThis MR study failed to uncover substantial evidence supporting a causal relationship between serum iron status in risk of TS due to its weak proxies to reflect brain iron levels. Therefore, additional validation from clinical and experimental investigations is warranted. WHAT IS KNOWN: • A close link between serum iron status and Tourette's syndrome (TS) is hypothesized, because of iron's key role in neurotransmitter synthesis and transport. But current studies, partly due to their inherent limitations, offer inconclusive evidence. WHAT IS NEW: • No substantial evidence supporting a causal relationship between serum iron status and risk of TS has been observed, even estimated by the Mendelian randomization design which can effectively control interfering factors such as the environment, heterogeneity, and reverse associations.

Indexed as

IronTourette SyndromeAdolescentChildFemaleGenome-Wide Association StudyHumansMaleMendelian Randomization AnalysisRisk FactorsIronCausal relationshipMendelian randomizationSerum iron statusTourette’s syndrome

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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.