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Early Second Trimester Maternal Serum Steroid-Related Biomarkers Associated with Autism Spectrum Disorder.


ABSTRACT: Epidemiologic studies link increased autism spectrum disorder (ASD) risk to obstetrical conditions associated with inflammation and steroid dysregulation, referred to as prenatal metabolic syndrome (PNMS). This pilot study measured steroid-related biomarkers in early second trimester maternal serum collected during the first and second trimester evaluation of risk study. ASD case and PNMS exposure status of index offspring were determined through linkage with autism registries and birth certificate records. ASD case (N?=?53) and control (N?=?19) groups were enriched for PNMS exposure. Higher estradiol and lower sex hormone binding globulin (SHBG) were significantly associated with increased ASD risk. Study findings provide preliminary evidence to link greater placental estradiol activity with ASD and support future investigations of the prenatal steroid environment in ASD.

SUBMITTER: Bilder DA 

PROVIDER: S-EPMC6814559 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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Early Second Trimester Maternal Serum Steroid-Related Biomarkers Associated with Autism Spectrum Disorder.

Bilder Deborah A DA   Esplin M Sean MS   Coon Hilary H   Burghardt Paul P   Clark Erin A S EAS   Fraser Alison A   Smith Ken R KR   Worsham Whitney W   Chappelle Katlin K   Rayner Thomas T   Bakian Amanda V AV  

Journal of autism and developmental disorders 20191101 11


Epidemiologic studies link increased autism spectrum disorder (ASD) risk to obstetrical conditions associated with inflammation and steroid dysregulation, referred to as prenatal metabolic syndrome (PNMS). This pilot study measured steroid-related biomarkers in early second trimester maternal serum collected during the first and second trimester evaluation of risk study. ASD case and PNMS exposure status of index offspring were determined through linkage with autism registries and birth certific  ...[more]

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