Evidence map›Paper›PMID 42845570›Full record

ArticleResearch square2026

Early Peri-conceptional Alcohol Exposure before Implantation Disrupts Placental Development across Gestation.

Devin Raine Everaldo Cortes, Dalton West, Noah William Coulson, Sean Hartwick, Thomas Becker-Szurszewski, Margaret Caroline Stapleton, Gabriella Marie Saladino, Joseph Leon Simmons, Amanda N Sferruzzi-Perri, Gary Kohanbash and 12 more

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

22 authors.

Devin Raine Everaldo CortesDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0009-0004-8130-8513
Dalton WestDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Noah William CoulsonDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Sean HartwickDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Thomas Becker-SzurszewskiDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Margaret Caroline StapletonDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Gabriella Marie SaladinoDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Joseph Leon SimmonsDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Amanda N Sferruzzi-PerriDepartment of Physiology, Development & Neuroscience, University of Cambridge, UK.ORCID 0000-0002-4931-4233
Gary KohanbashDepartment of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, USA. Pittsburgh, PA, USA.
Chaim SneidermanDepartment of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, USA. Pittsburgh, PA, USA.
Uma ChandranDepartment of Bioinformatics, University of Pittsburgh, Pittsburgh, PA, USA.
Jiefei WangDepartment of Bioinformatics, University of Pittsburgh, Pittsburgh, PA, USA.
Ana Gabriela CristanchoDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, PA, USA.ORCID 0000-0001-9250-8757
Christopher Gordon McKennanDepartment of Statistics, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-2096-8257
Débora Malta CerqueiraDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-9773-4606
Jacqueline HoDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-7115-1381
Sivakama BharathiDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Eric S GoetzmanDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
John Richard ChailletDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh.
Anthony G ChristodoulouDepartment of Radiological Sciences, David Geffen School of Medicine, at UCLA, Los Angeles, CA, USA.ORCID 0000-0002-9334-8684
Yijen Lin WuDepartment of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-9509-5417

Funding

Interrogation and Modulation of the Epigenome after Prenatal Hypoxic Brain InjuryK08NS119797 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Ana Cristancho · 2022 to 2026
$1.1M
Lifespan effects of prenatal and perinatal opioid exposure on the brain's metabolic-epigenetic axisDP1DA063517 · NIDA · CHILDREN'S HOSP OF PHILADELPHIA · PI Ana Cristancho · 2025 to 2026
$1.1M
Regulation of tubulointerstitial crosstalk by microRNAs in renal fibrosisR01DK137410 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HO, JACQUELINE · 2023 to 2025
$936k
Molecular and bioenergetic dynamics of in utero chronic hypoxia on placenta and brainR21HD114071 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI CRISTANCHO, ANA · 2024 to 2025
$470k
Gating-Free Ultra-Fast Fetal Cardiac MRI with Sub-Nyquist Sampling for Live in Utero Imaging and Cardiovascular Phenotyping of Fetal MiceR21EB023507 · NIBIB · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WU, YIJEN LIN · 2019 to 2020
$452k
Bioenergetics and Neuronal Network Remodeling in a Rodent Model of Temporal Lobe EpilepsyR21NS121706 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WU, YIJEN LIN · 2022 to 2023
$439k
NIBIB NIH HHS R21 EB023507NICHD NIH HHS R21 HD114071NIDA NIH HHS DP1 DA063517NIDDK NIH HHS R01 DK137410NINDS NIH HHS K08 NS119797NINDS NIH HHS R21 NS121706
6 · The paper itself

Abstract

Fetal Alcohol Spectrum Disorder, caused by prenatal alcohol exposure, remains a major public health concern, affecting up to 1 in 20 U.S. schoolchildren. As pregnancy is typically not recognized until five to six weeks of gestation, alcohol exposure often occurs unknowingly during the peri-conceptional period, a highly vulnerable developmental window of oocyte maturation, preimplantation and peri-implantaion. During this period, rapid cellular divisions precede lineage specification and organogenesis, rendering the conceptus sensitive to environmental insults such as alcohol. The placenta is increasingly recognized as an active mediator of alcohol-induced neurodevelopmental risk through the placenta-brain axis. We characterize peri-conceptional alcohol (PCA) exposure on placental development in a mouse PCA model mimicking human drinking patterns. Single-cell transcriptomic analyses on late gestation (embryonic day E17.5) placentas revealed disruption of extracellular matrix and collagen remodeling pathways within the labyrinth, processes essential for placental vascular development and mitochondrial dysfunction. Mitochondria isolated from E17.5 placentas showed compromised respiration and oxygen consumption. We assess placental vascular and hemodynamic functions with non-invasive dynamic contrast-enhanced MRI (DCE-MRI), enabling analysis across placental compartments for longitudinal evaluation of perfusion, substrate delivery, and contractile function. We demonstrate that PCA exposure arrests placental vascularization, perfusion, and morphological maturation, with PCA-exposed placentas at E17.5 resembling naïve placentas at E14.5. PCA exposure before implantation altered long-term placental programming, resulting in impaired placental perfusion and mitochondrial functions across gestation. These findings implicate placental dysfunction as a critical mechanism in Fetal Alcohol Spectrum Disorder pathogenesis and identify extracellular matrix remodeling and mitochondria as potential therapeutic targets following PCA exposure.

Indexed as

FASDfetal alcohol spectrum disorderMRIperfusionplacenta

Identifiers

PMID42845570
PMCPMC13640925

What OpenQuestion holds

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Registered trials

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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.