Psychotropic Agents, Statins, and Beta-Blockers in Pregnancy: A New Risk Factor for Autism Spectrum Disorders in Children (Analysis of a Retrospective RWD/RWE Study)
https://doi.org/10.30895/2312-7821-2026-14-2-127-130
Abstract
Editor-in-Chief of Safety and Risk of Pharmacotherapy Renad N. Alyautdin presents an analysis of the article “Sterol pathway disruption in pregnancy: A link to autism” (2026), published in Molecular Psychiatry, which reports the results of a large-scale retrospective RWD/RWE study of more than 6 million mother–child pairs (2014–2023). The study identifies an association between prenatal exposure to inhibitors of post-lanosterol cholesterol synthesis and the risk of autism spectrum disorder in children.
Keywords
About the Author
R. N. AlyautdinRussian Federation
Renad N. Alyautdin, Dr. Sci. (Med.), Professor
8/2 Petrovsky Blvd., Moscow 127051;
2/4 Bolshaya Pirogovskaya St., Moscow, 119048
References
1. Peeples ES, Mirnics K, Korade Ž. Sterol pathway disruption in pregnancy: A link to autism. Mol Psychiatry. 2026. https://doi.org/10.1038/s41380-026-03610-7
2. Korade Ž, Heffer M, Mirnics K. Medication effects on developmental sterol biosynthesis. Mol Psychiatry. 2022;27(1):490–501. https://doi.org/10.1038/s41380-021-01074-5
3. Korade Ž, Mirnics K. Sterol biosynthesis disruption by common prescription medications: critical implications for neural development and brain health. Brain Med. 2025. https://doi.org/10.61373/bm025p.0011
4. Lin J, De Rezende V, De Aguiar Da Costa M, et al. Cholesterol metabolism pathway in autism spectrum disorder: From animal models to clinical observations. Pharmacol Biochem Behav. 2023;223:173522. https://doi.org/10.1016/j.pbb.2023.173522
5. Aneja A, Tierney E. Autism: The role of cholesterol in treatment. Int Rev Psychiatry. 2008;20(2):165–70. https://doi.org/10.1080/09540260801889062
6. Schüle M, Butto T, Dewi S, et al. mTOR driven gene transcription is required for cholesterol production in neurons of the developing cerebral cortex. Int J Mol Sci. 2021;22(11):6034. https://doi.org/10.3390/ijms22116034
7. Peeples E, Mirnics K, Korade Ž. Chemical inhibition of sterol biosynthesis. Biomolecules. 2024;14(4):410. https://doi.org/10.3390/biom14040410
8. Kay H, Jang H, Kim I, Oh J. Pregnancy and neonatal outcomes after fetal exposure to statins among women with dyslipidemia: A nationwide cohort. Eur J Pediatr. 2025;184(6):340. https://doi.org/10.1007/s00431-025-06119-3
9. Edison R, Muenke M. Mechanistic and epidemiologic considerations in the evaluation of adverse birth outcomes following gestational exposure to statins. Am J Med Genet A. 2004;131(3):287–98. https://doi.org/10.1002/ajmg.a.30386
10. Esposito C, Buoli M, Ciappolino V, et al. The role of cholesterol and fatty acids in the etiology and diagnosis of autism spectrum disorders. Int J Mol Sci. 2021;22(7):3550. https://doi.org/10.3390/ijms22073550
Review
For citations:
Alyautdin R.N. Psychotropic Agents, Statins, and Beta-Blockers in Pregnancy: A New Risk Factor for Autism Spectrum Disorders in Children (Analysis of a Retrospective RWD/RWE Study). Safety and Risk of Pharmacotherapy. 2026;14(2):127-130. (In Russ.) https://doi.org/10.30895/2312-7821-2026-14-2-127-130
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