Evidence map›Paper›PMID 42797005›Full record

Trial reportNutrients2026

Plasma and Brain-Derived Extracellular Vesicle Biomarkers Following a Randomized Controlled Trial of Choline for Neurodevelopment in Fetal Alcohol Spectrum Disorder: A Pilot Analysis.

Phu V Tran, Zia L Maxim, Judith K Eckerle, Steven H Zeisel, Michael K Georgieff, Jeffrey R Wozniak

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02735473 (Choline Supplementation as a Neurodevelopmental Intervention in Fetal Alcohol Spectrum Disorders), which is not on this map. Not yet cited in PubMed.

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

NCT02735473 phase2completednot on this map

Choline Supplementation as a Neurodevelopmental Intervention in Fetal Alcohol Spectrum Disorders

TypeinterventionalSponsorUniversity of MinnesotaRan2016 to 2021Enrolled46ConditionsFetal Alcohol Spectrum DisordersArmsCholine bitartrate, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Phu V TranDepartment of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-4301-941X
Zia L MaximDepartment of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0009-0003-4401-3110
Judith K EckerleDepartment of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA.
Steven H ZeiselNutrition Research Institute, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA.
Michael K GeorgieffDepartment of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0003-0844-6907
Jeffrey R WozniakMasonic Institute for the Developing Brain, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0002-7132-8519

Funding

Choline Supplementation as a Neurodevelopmental Intervention in Fetal Alcohol Spectrum DisordersR01AA024123 · NIAAA · UNIVERSITY OF MINNESOTA · PI GEORGIEFF, MICHAEL K., WOZNIAK, JEFFREY ROBERT · 2015 to 2025
$4.6M
Postnatal Choline Supplementation in Children with Prenatal Alcohol ExposureR33AA019580 · NIAAA · UNIVERSITY OF MINNESOTA · PI WOZNIAK, JEFFREY ROBERT · 2011 to 2013
$647k
Postnatal Choline Supplementation in Children with Prenatal Alcohol ExposureR21AA019580 · NIAAA · UNIVERSITY OF MINNESOTA · PI WOZNIAK, JEFFREY ROBERT · 2009 to 2010
$405k
Choline Supplementation as a Neurodevelopmental Intervention in Fetal Alcohol Spectrum DisordersR56AA024123 · NIAAA · UNIVERSITY OF MINNESOTA · PI GEORGIEFF, MICHAEL K., WOZNIAK, JEFFREY ROBERT · 2020 to 2020
$154k
Masonic Institute for the Developing Brain NANIAAA NIH HHS R01 AA024123NIAAA NIH HHS R21 AA019580NIAAA NIH HHS R33 AA019580NIAAA NIH HHS R56 AA024123NIH HHS 1R01AA024123-05NIH HHS 1R33AA019580-03NIH HHS 1R56AA024123-03NIH HHS 5R21AA019580-02
6 · The paper itself

Abstract

backgroundPostnatal choline supplementation improves memory, non-verbal IQ, executive function, and white-matter microstructure in children with fetal alcohol spectrum disorder (FASD) across randomized controlled trials; however, peripheral and brain biomarkers of these effects are uncharacterized.

methodsWe measured eight immune and neurotrophic biomarkers (TNFα, transferrin receptor 1 [TfR1], BDNF, ferritin, MCP-1, RANTES, CRP, and Eotaxin) in plasma and brain-derived extracellular vesicles (BDEVs) from 24 children with FASD randomized to choline (

resultsPlasma MCP-1 showed a nominally significant Group × Time interaction (

conclusionsIn this small, exploratory sample of children with FASD, a condition characterized by brain iron deficiency and inflammation, choline was associated with an attenuated rise in pro-inflammatory plasma MCP-1 relative to placebo, generating a new hypothesized candidate biomarker for further study. Most BDEV markers changed over time (Pre-to-Post), not with treatment. Plasma and BDEV BDNF were not significantly associated overall, although a between-person association was present without a corresponding within-person signal, suggesting that inferring central nervous system function from plasma BDNF should proceed with caution. These hypothesis-generating findings support further, larger-scale investigation of BDEV content analysis as a candidate complement to this trial program's cognitive and neuroimaging outcomes. Replication and expansion of the BDEV panel of analytes in a larger sample are needed.

trial registrationClinicalTrials.Gov [NCT02735473]; registered 2 April 2016.

Indexed as

BrainCholineExtracellular VesiclesFetal Alcohol Spectrum DisordersBiomarkersBrain-Derived Neurotrophic FactorChemokine CCL11Chemokine CCL2Chemokine CCL5ChildC-Reactive ProteinDietary SupplementsFemaleFerritinsHumansMaleBiomarkersBrain-Derived Neurotrophic FactorCCL2 protein, humanCCL5 protein, humanChemokine CCL11Chemokine CCL2Chemokine CCL5CholineC-Reactive ProteinFerritinsReceptors, TransferrinTumor Necrosis Factor-alphabiomarkersbrain-derived extracellular vesiclescholinefetal alcohol spectrum disordersneuroinflammationrandomized controlled trial

Identifiers

PMID42797005
PMCPMC13610065

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Registered trials

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.