Gestational thyroid hormones and autism-related traits in the EARLI and HOME studies
Corresponding Author
Caichen Zhong
Department of Epidemiology and Biostatistics, Drexel University, Philadelphia, Pennsylvania, USA
Correspondence
Caichen Zhong, 3020 Market St, Philadelphia, PA 19104, USA.
Email: [email protected]
Search for more papers by this authorJuliette Rando
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
Search for more papers by this authorMarisa A. Patti
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
Search for more papers by this authorJoseph M. Braun
School of Public Health, Brown University, Providence, Rhode Island, USA
Search for more papers by this authorAimin Chen
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Search for more papers by this authorYingying Xu
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Search for more papers by this authorBruce P. Lanphear
Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
Search for more papers by this authorKimberly Yolton
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Search for more papers by this authorLisa A. Croen
Kaiser Permanente Northern California, Oakland, California, USA
Search for more papers by this authorM. Daniele Fallin
Emory Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
Search for more papers by this authorIrva Hertz-Picciotto
Department of Public Health Sciences, UC Davis School of Medicine, Sacramento, California, USA
Search for more papers by this authorCraig J. Newschaffer
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
College of Health and Human Development, Pennsylvania State University, University Park, Pennsylvania, USA
Search for more papers by this authorKristen Lyall
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
Search for more papers by this authorCorresponding Author
Caichen Zhong
Department of Epidemiology and Biostatistics, Drexel University, Philadelphia, Pennsylvania, USA
Correspondence
Caichen Zhong, 3020 Market St, Philadelphia, PA 19104, USA.
Email: [email protected]
Search for more papers by this authorJuliette Rando
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
Search for more papers by this authorMarisa A. Patti
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
Search for more papers by this authorJoseph M. Braun
School of Public Health, Brown University, Providence, Rhode Island, USA
Search for more papers by this authorAimin Chen
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
Search for more papers by this authorYingying Xu
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Search for more papers by this authorBruce P. Lanphear
Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
Search for more papers by this authorKimberly Yolton
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
Search for more papers by this authorLisa A. Croen
Kaiser Permanente Northern California, Oakland, California, USA
Search for more papers by this authorM. Daniele Fallin
Emory Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
Search for more papers by this authorIrva Hertz-Picciotto
Department of Public Health Sciences, UC Davis School of Medicine, Sacramento, California, USA
Search for more papers by this authorCraig J. Newschaffer
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
College of Health and Human Development, Pennsylvania State University, University Park, Pennsylvania, USA
Search for more papers by this authorKristen Lyall
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, USA
Search for more papers by this authorAbstract
Thyroid hormones are essential for neurodevelopment. Few studies have considered associations with quantitatively measured autism spectrum disorder (ASD)-related traits, which may help elucidate associations for a broader population. Participants were drawn from two prospective pregnancy cohorts: the Early Autism Risk Longitudinal Investigation (EARLI), enrolling pregnant women who already had a child with ASD, and the Health Outcomes and Measures of the Environment (HOME) Study, following pregnant women from the greater Cincinnati, OH area. Gestational thyroid-stimulating hormone (TSH) and free thyroxine (FT4) were measured in mid-pregnancy 16 (±3) weeks gestation serum samples. ASD-related traits were measured using the Social Responsiveness Scale (SRS) at ages 3–8 years. The association was examined using quantile regression, adjusting for maternal and sociodemographic factors. 278 participants (132 from EARLI, 146 from HOME) were included. TSH distributions were similar across cohorts, while FT4 levels were higher in EARLI compared to HOME. In pooled analyses, particularly for those in the highest SRS quantile (95th percentile), higher FT4 levels were associated with increasing SRS scores (β = 5.21, 95% CI = 0.93, 9.48), and higher TSH levels were associated with decreasing SRS scores (β = −6.94, 95% CI = −11.04, −2.83). The association between TSH and SRS remained significant in HOME for the 95% percentile of SRS scores (β = −6.48, 95% CI = −12.16, −0.80), but not EARLI. Results for FT4 were attenuated when examined in the individual cohorts. Our results add to evidence that gestational thyroid hormones may be associated with ASD-related outcomes by suggesting that relationships may differ across the distribution of ASD-related traits and by familial likelihood of ASD.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
Supporting Information
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