Evidence map›Paper›PMID 41732740›Full record

ReviewBrain, behavior, & immunity - health2026

Autism and the gut metabolome: Evidence for altered short-chain fatty acid profiles from a systematic review and meta-analysis.

Zhaoming Yang, Xuemei Chen, Yinhua Li, Yanqing Feng, Liheng Lin, Xiaohui Hou

Abstract readReview
In one paragraph

Review in Brain, behavior, & immunity - health, 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. Review
  2. 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

6 authors.

Zhaoming YangSchool of Sport and Health, Guangzhou Sport University, Guangzhou, 510500, China.
Xuemei ChenSchool of Sport and Health, Guangzhou Sport University, Guangzhou, 510500, China.
Yinhua LiSchool of Kinesiology, Shanghai University of Sport, Shanghai, 200438, China.
Yanqing FengSchool of Sport and Health, Guangzhou Sport University, Guangzhou, 510500, China.
Liheng LinSchool of Sport and Health, Guangzhou Sport University, Guangzhou, 510500, China.
Xiaohui HouSchool of Sport and Health, Guangzhou Sport University, Guangzhou, 510500, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growing evidence implicates gut microbiome dysbiosis and its metabolites, particularly short-chain fatty acids (SCFAs), in the pathophysiology of autism spectrum disorder (ASD). However, individual study findings are inconsistent. Objective: This systematic review and meta-analysis synthesized evidence comparing SCFA profiles between individuals with ASD and neurotypical controls. Methods: We comprehensively searched PubMed, EMBASE, Cochrane Library, Web of Science, and CNKI databases from inception to December 1, 2024. Observational studies reporting quantitative SCFA measurements were included. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using random-effects models. Results: Sixteen studies (473 ASD cases, 514 controls) were included. Meta-analysis revealed substantial heterogeneity across studies for most SCFAs. Despite this, levels of valeric acid (SMD = 0.76, 95% CI: 0.23 to 1.29) and hexanoic acid (SMD = 0.60, 95% CI: 0.05 to 1.16) were significantly elevated in individuals with ASD. Isobutyric acid also showed a positive association (SMD = 0.21, 95% CI: 0.03 to 0.46) with lower heterogeneity. No significant overall differences were found for acetic, propionic, or butyric acids, but subgroup analyses indicated crucial variations based on sample source (e.g., fecal, plasma, urine). Conclusion: This meta-analysis provides evidence for altered SCFA profiles in ASD, specifically elevated valeric and hexanoic acids and a consistent signal for isobutyric acid, suggesting gut microbial dysbiosis involving distinct metabolic pathways. The significant heterogeneity and sample-source-dependent effects highlight the complexity of the gut-brain axis in ASD and underscore the need for future research with standardized protocols and longitudinal designs to clarify the role of SCFAs.

Indexed as

Autism spectrum disorderGut-brain axisGut microbiotaHexanoic acidShort-chain fatty acidsValeric acid

Identifiers

PMID41732740
PMCPMC12925314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.