Evidence map›Paper›PMID 41504861›Full record

ArticleDigestive diseases and sciences2026

Children with Autism Spectrum Disorder and Chronic Gastrointestinal Symptoms Have Alterations in Intestinal Neurotransmitter Pathways.

Anna M Tingler, Yosauri Fernandez Figuereo, Kristen A Engevik, Victoria G Weis, Arthur Krigsman, Melinda A Engevik, Stephen J Walker

Abstract read
In one paragraph

Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Anna M Tingler *Department of Regenerative Medicine & Cell Biology, Medical University of South Carolina, Charleston, SC, USA.
Yosauri Fernandez Figuereo *Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Kristen A EngevikDepartment of Regenerative Medicine & Cell Biology, Medical University of South Carolina, Charleston, SC, USA.
Victoria G WeisWake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Arthur KrigsmanPediatric Gastroenterology Resources, Georgetown, TX, USA.
Melinda A EngevikDepartment of Regenerative Medicine & Cell Biology, Medical University of South Carolina, Charleston, SC, USA.
Stephen J WalkerWake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA. stephen.j.walker@wfusm.edu.

Funding

Cellular, Biochemical and Molecular Sciences Training Program: Developing the skills and expertise needed for a changing biomedical landscapeT32GM132055 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Amy D Bradshaw, John P O'Bryan · 2019 to 2026
$3.9M
Therapeutic Mechanisms of Placental Stem Cell-Based Therapy in Necrotizing EnterocolitisK01DK125633 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI WEIS, VICTORIA · 2021 to 2025
$673k
American Gastroenterological Association Research Scholar AwardBrain Research Foundation Brain Foundation AwardNIDDK NIH HHS K01 DK125633NIDDK NIH HHS K01DK125633NIDDK NIH HHS K01K123195-01NIGMS NIH HHS T32 GM132055NIGMS NIH HHS T32GM132055
6 · The paper itself

Abstract

BACKGROUND AND

aimsEmerging evidence supports a strong bidirectional relationship between the gastrointestinal system and the central nervous system, referred to as the gut-brain axis. This axis has been proposed to be of particular importance in the context of neurodevelopmental disorders including autism spectrum disorder (ASD). While neurotransmitter dysregulation and synaptic dysfunction have been well documented in the brains of individuals with ASD, less is known about how these molecular changes manifest in the gut

methodsIn this study, we analyzed RNA signatures in biopsies from the ileum and colon of children with chronic GI symptoms, either with (cases) or without (controls) an autism diagnosis.

resultsGenes associated with serotonin signaling (AANAT, HTR1D, HTR3A, SLC6A4), dopamine synthesis and receptor function (DDC,DRD5), and glutamatergic pathways (GAD2, GRIK3, GLUD1, GRIN2C, SLC1A3, SLC38A1, GABRP, GABRB3, GRM4) were significantly altered in children with ASD, suggesting a broad disruption in neurotransmitter homeostasis in the gut. Additionally,several neuroactive compounds, such as NPY, GIP, NTS, AREG, GKN1, GHRL, LEP, PDYN, and EDN2, were also impacted,further implicating altered neuroimmune interactions and developmental pathways in gut tissues.

conclusionsThese findings highlight the potential role of the gut as a critical modulator of neurodevelopmental processes in ASD and suggest that gut-brain axis dysregulation may contribute to the ASD phenotype. This study provides new insights into the molecular mechanisms in the gastrointestinal tract in individuals with ASD and suggests novel therapeutic targets for restoring healthy gut-brain communication.

Indexed as

Autism Spectrum DisorderColonGastrointestinal DiseasesIleumNeurotransmitter AgentsChildChild, PreschoolChronic DiseaseFemaleHumansMaleSignal TransductionNeurotransmitter AgentsDopamineGut–brainNeurotransmittersSerotonin

Identifiers

PMID41504861
PMCPMC13357376

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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.