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518
Maternal Serotonin Levels and Neurodevelopmental Severity in Autistic Children: A Partial Replication and Extension
Amandeep Jutla1,2, Lauren C Shuffrey3, Stephen J Guter4
1Columbia University, New York, New York.
JAACAP Open
|September 9, 2025
Summary
This study found that while maternal whole blood serotonin (WB5-HT) levels were not significantly lower in children with the highest autism severity, these children were less likely to have WB5-HT in the upper range. Further research is needed to understand this association.
Area of Science:
- Neuroscience
- Genetics
- Developmental Psychology
Background:
- The serotonin system is implicated in autism spectrum disorder (ASD).
- Previous research suggested lower maternal whole blood serotonin (WB5-HT) in mothers of children with severe autism.
- Replication of this finding in an independent cohort was investigated.
Purpose of the Study:
- To replicate the finding of lower maternal WB5-HT in mothers of children with severe autism.
- To investigate the relationship between maternal WB5-HT and autism severity.
- To explore associations between maternal WB5-HT and specific autistic traits.
Main Methods:
- Latent profile analysis was used to identify severity profiles in 259 children with autism.
- Maternal WB5-HT data from 162 participants were analyzed.
- Comparisons of maternal WB5-HT were made across severity profiles and quantiles.
Main Results:
- A three-profile solution (low, medium, high severity) was identified.
- Median maternal WB5-HT did not differ significantly across profiles.
- Maternal WB5-HT was lower at the 90th percentile of severity (adjusted p < .01) and negatively associated with social impairment.
Conclusions:
- This study did not replicate lower group levels of maternal WB5-HT in children with the highest autism severity.
- Children in the high-severity group were less likely to have WB5-HT in the upper range of the distribution.
- The absence of upper-range WB5-HT in this group warrants further investigation.

