MMR-vaccine and regression in autism spectrum disorders: negative results presented from Japan
Abstract
It has been suggested that the measles, mumps, and rubella vaccine (MMR) is a cause of regressive autism. As MMR was used in Japan only between 1989 and 1993, this time period affords a natural experiment to examine this hypothesis. Data on 904 patients with autism spectrum disorders (ASD) were analyzed. During the period of MMR usage no significant difference was found in the incidence of regression between MMR-vaccinated children and non-vaccinated children. Among the proportion and incidence of regression across the three MMR-program-related periods (before, during and after MMR usage), no significant difference was found between those who had received MMR and those who had not. Moreover, the incidence of regression did not change significantly across the three periods.
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The cohort study of Uchiyama 2007 was potentially affected by bias because participants were from a private clinic and definitions of ASD diagnosis and methods for ASD regression ascertainment were not clearly reported.
“The cohort study of Uchiyama 2007 was potentially affected by a different type of bias, considering that the participants were from a private clinic and that definitions of applied Autistic Spectrum Disorders (ASD) diagnosis and of methods used for ASD regression ascertainment were not clearly reported.”
From Vaccines for measles, mumps and rubella in children (2012) · cites this paper as Uchiyama 2007
Cites
1 retracted
Wakefield, A., Murch, S., Anthony, A., Linnell, J., Casson, D., Malik, M., Berelowitz, M., Dhillon, A., Thomson, M., Harvey, P., et al. (1998) · The Lancet · doi:10.1016/s0140-6736(97)11096-0 · Cited by 3,006 · see citing works
RetractedDiagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Siegel, L. J., & Fletcher‐Janzen, E. (2008) · Wiley eBooks · doi:10.1002/9780470373699.speced0655 · Cited by 8,468 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
Raber, G., & Spokas, M. (2024) · doi:10.4135/9781071886229.n145 · Cited by 2,806 · see citing works
Autism and measles, mumps, and rubella vaccine: no epidemiological evidence for a causal association
Taylor, B., Miller, E., Farrington, C., Petropoulos, M.-C., Favot-Mayaud, I., Li, J., & Waight, P. A. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01239-8 · Cited by 753 · see citing works
A population-based study of measles, mumps, and rubella vaccination and autism.
Madsen, K. M., Hviid, A., Vestergaard, M., Schendel, D., Wohlfahrt, J., Thorsen, P., Olsen, J., & Melbye, M. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa021134 · Cited by 710 · see citing works
Tuchman, R. F., & Rapin, I. (1997) · PEDIATRICS · doi:10.1542/peds.99.4.560 · Cited by 470 · see citing works
Kaye, J. A., Melero-Montes, M. D. M., & Jick, H. (2001) · BMJ · doi:10.1136/bmj.322.7284.460 · Cited by 388 · see citing works
Taylor, B. (2002) · BMJ · doi:10.1136/bmj.324.7334.393 · Cited by 345 · see citing works
No evidence for a new variant of measles-mumps-rubella-induced autism
Fombonne, E., & Chakrabarti, S. (2001) · PEDIATRICS · doi:10.1542/peds.108.4.e58 · Cited by 312 · see citing works
Neurologic disorders after measles-mumps-rubella vaccination
Mäkelä, A., Nuorti, J. P., & Peltola, H. (2002) · PEDIATRICS · doi:10.1542/peds.110.5.957 · Cited by 183 · see citing works
Aseptic meningitis as a complication of mumps vaccination
Sugiura, A., & Yamada, A. (1991) · The Pediatric Infectious Disease Journal · doi:10.1097/00006454-199103000-00008 · Cited by 127 · see citing works
Clinical Features of Autistic Children with Setback Course in Their Infancy
Hoshino, Y., Kaneko, M., Yashima, Y., Kumashiro, H., Volkmar, F. R., & Cohen, D. J. (1987) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.1987.tb00407.x · Cited by 112 · see citing works
Kurita, H. (1996) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.1996.tb02739.x · Cited by 19 · see citing works
An Epidemiological Study on Japanese Autism concerning Routine Childhood Immunization History
Takahashi, H., Suzumura, S., Shirakizawa, F., Wada, N., Tanaka‐Taya, K., Arai, S., Okabe, N., Ichikawa, H., & Sato, T. (2003) · Japanese Journal of Infectious Diseases · doi:10.7883/yoken.jjid.2003.114 · Cited by 17 · see citing works
Autism and Infection/Immunization Episodes in Japan
Takahashi, H., Arai, S., Tanaka‐Taya, K., & Okabe, N. (2001) · Japanese Journal of Infectious Diseases · doi:10.7883/yoken.jjid.2001.78 · Cited by 14 · see citing works
Clinical studies of pervasive developmental disorders in Japan
Kurita, H. (1996) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.1996.tb01683.x · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Taylor, L. E., Swerdfeger, A. L., & Eslick, G. D. (2014) · Vaccine · doi:10.1016/j.vaccine.2014.04.085 · Cited by 583 · see citing works
Vaccines for measles, mumps and rubella in children
Demicheli, V., Rivetti, A., Debalini, M. G., & Di Pietrantonj, C. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004407.pub3 · Cited by 372 · see citing works
Adverse Effects of Vaccines: Evidence and Causality
Stratton, K. R., Ford, A. Q., Rusch, E., & Clayton, E. W. (2013) · Cited by 346 · see citing works
Vaccines for measles, mumps, rubella, and varicella in children
Pietrantonj, C. D., Rivetti, A., Marchione, P., Debalini, M. G., & Demicheli, V. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004407.pub4 · Cited by 197 · see citing works
Lack of Association between Measles Virus Vaccine and Autism with Enteropathy: A Case-Control Study
Hornig, M., Briese, T., Buie, T. M., Bauman, M. L., Lauwers, G. Y., Siemetzki, U., Hummel, K., Rota, P. A., Bellini, W. J., O’Leary, J. J., et al. (2008) · PLoS ONE · doi:10.1371/journal.pone.0003140 · Cited by 150 · see citing works
Curtis, L. T., & Patel, K. (2008) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2007.0610 · Cited by 137 · see citing works
Environmental risk factors for autism
Dietert, R. R., Dietert, J. M., & DeWitt, J. C. (2011) · Emerging Health Threats Journal · doi:10.3402/ehtj.v4i0.7111 · Cited by 136 · see citing works
Vaccines and Autism: Evidence Does Not Support a Causal Association
Destefano, F. R. (2007) · Clinical Pharmacology & Therapeutics · doi:10.1038/sj.clpt.6100407 · Cited by 130 · see citing works
Autism spectrum disorders: clinical and research frontiers
Caronna, E. B., Milunsky, J. M., & Tager-Flusberg, H. B. (2008) · Archives of Disease in Childhood · doi:10.1136/adc.2006.115337 · Cited by 121 · see citing works
Vaccines for measles, mumps, rubella, and varicella in children
Pietrantonj, C. D., Rivetti, A., Marchione, P., Debalini, M. G., & Demicheli, V. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004407.pub5 · Cited by 100 · see citing works
Ng, M., de Montigny, J., Ofner, M., & Do, M. (2017) · Health Promotion and Chronic Disease Prevention in Canada · doi:10.24095/hpcdp.37.1.01 · Cited by 90 · see citing works
Successes and challenges for preventing measles, mumps and rubella by vaccination
Bankamp, B., Hickman, C. J., Icenogle, J. P., & Rota, P. A. (2019) · Current Opinion in Virology · doi:10.1016/j.coviro.2019.01.002 · Cited by 82 · see citing works
Wiggins, L. D., Rice, C. E., & Baio, J. (2009) · Autism · doi:10.1177/1362361309105662 · Cited by 75 · see citing works
Mrożek-Budzyn, D., Kiełtyka, A., & Majewska, R. (2010) · Pediatric Infectious Disease Journal · doi:10.1097/inf.0b013e3181c40a8a · Cited by 72 · see citing works
Autism and immune factors: A comprehensive review
Stigler, K. A., Sweeten, T. L., Posey, D. J., & McDougle, C. J. (2009) · Research in Autism · doi:10.1016/j.rasd.2009.01.007 · Cited by 64 · see citing works
Rapin, I., & Tuchman, R. F. (2008) · Current Opinion in Neurology · doi:10.1097/wco.0b013e3282f49579 · Cited by 55 · see citing works
Autism: the quest for the genes
Sykes, N. H., & Lamb, J. A. (2007) · Expert Reviews in Molecular Medicine · doi:10.1017/s1462399407000452 · Cited by 58 · see citing works
Gender Differences in Core Symptomatology in Autism Spectrum Disorders across the Lifespan
Taylor, T., & Matson, J. L. (2011) · Journal of Developmental and Physical Disabilities · doi:10.1007/s10882-011-9235-3 · Cited by 53 · see citing works
Uno, Y., Uchiyama, T., Kurosawa, M., Aleksić, B., & Ozaki, N. (2012) · Vaccine · doi:10.1016/j.vaccine.2012.01.093 · Cited by 51 · see citing works
Vaccines for measles, mumps and rubella in children
Demicheli, V., Rivetti, A., Debalini, M. G., & Pietrantonj, C. D. (2013) · Evidence-Based Child Health A Cochrane Review Journal · doi:10.1002/ebch.1948 · Cited by 51 · see citing works
Uno, Y., Uchiyama, T., Kurosawa, M., Aleksić, B., & Ozaki, N. (2015) · Vaccine · doi:10.1016/j.vaccine.2014.12.036 · Cited by 45 · see citing works
Caparrotta, T. M., Dear, J. W., Colhoun, H. M., & Webb, D. J. (2019) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.14024 · Cited by 34 · see citing works
Atypical Antipsychotics in Children with Pervasive Developmental Disorders
Chavez, B., Chávez-Brown, M., Sopko, M. A., & Rey, J. A. (2007) · Pediatric Drugs · doi:10.2165/00148581-200709040-00006 · Cited by 33 · see citing works
Autism and environmental influences: Review and commentary
Bello, S. C. (2007) · Reviews on Environmental Health · doi:10.1515/reveh.2007.22.2.139 · Cited by 29 · see citing works
Adverse events following immunization: real causality and myths
Principi, N., & Esposito, S. (2016) · Expert Opinion on Drug Safety · doi:10.1517/14740338.2016.1167869 · Cited by 26 · see citing works
DeWitt, J. C., & Dietert, R. R. (2011) · Journal of Immunotoxicology · doi:10.3109/1547691x.2011.580794 · Cited by 18 · see citing works
Sahni, L. C., Boom, J. A., Mire, S. S., Berry, L. N., Dowell, L. R., Minard, C. G., Cunningham, R. M., & Goin‐Kochel, R. P. (2020) · Children s Health Care · doi:10.1080/02739615.2020.1740883 · Cited by 18 · see citing works
Goin‐Kochel, R. P., Mire, S. S., Dempsey, A. G., Fein, R. H., Guffey, D., Minard, C. G., Cunningham, R. M., Sahni, L. C., & Boom, J. A. (2016) · Vaccine · doi:10.1016/j.vaccine.2016.02.008 · Cited by 14 · see citing works
Autismo y vacunas: ¿punto final?
Pallarés, J. A. (2010) · Revista de Neurología · doi:10.33588/rn.50s03.2009761 · Cited by 9 · see citing works
Hobson, K. A., Mateu, P. F., Coryn, C. L. S., & Graves, C. (2012) · World Medical & Health Policy · doi:10.1515/1948-4682.1225 · Cited by 8 · see citing works
Dispelling vaccine myths: MMR and considerations for practicing pharmacists
Mormann, M. M., Gilbertson, C., Milavetz, G., & Vos, S. S. (2012) · Journal of the American Pharmacists Association · doi:10.1331/japha.2012.11239 · Cited by 6 · see citing works
Autism and vaccination: The value of the evidence base of a recent meta-analysis
Turville, C., & Golden, I. (2015) · Vaccine · doi:10.1016/j.vaccine.2015.02.002 · Cited by 6 · see citing works
A surprising MET amorphosis: Autism genetics finds a common functional variant
State, M. W. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0608027103 · Cited by 5 · see citing works
The Controversy That Will Not Go Away: Vaccines and Autism
Chatterjee, A. (2013) · Springer eBooks · doi:10.1007/978-1-4614-7438-8_10 · Cited by 3 · see citing works
The vaccine–autism connection: No link, still debate, and we are failing to learn the lessons
Gulati, S., Sharawat, I. K., Panda, P. K., & Kothare, S. V. (2025) · Autism · doi:10.1177/13623613251345281 · Cited by 3 · see citing works
Taylor, E. (2020) · Mental health and illness worldwide · doi:10.1007/978-981-10-2348-4_56 · Cited by 2 · see citing works
Vaccines and Autism – An Unlikely Connection
Chatterjee, A., & Moffatt, K. A. (2011) · InTech eBooks · doi:10.5772/17434 · Cited by 2 · see citing works
Challenging the Public’s Perception of Life on Autism Spectrum: The Impact of the Vaccination Myth
Bennett, M., Webster, A. A., Goodall, E., & Rowland, S. (2018) · Springer eBooks · doi:10.1007/978-981-13-3359-0_3 · Cited by 2 · see citing works
Parental Constructions of Autism and the Impact of Autism on the Family: A Critical Exploration
Eremin, M. (2011) · ResearchSpace (University of Auckland) · Cited by 1 · see citing works
Etiology of Autism Spectrum Disorder (ASD): Familial Perceptions versus Empirically Validated Data
Lubin, J. (2015) · Digital Showcase Research, Scholarship, & Creative Works (University of Lynchburg) · Cited by 1 · see citing works
Ng, M., de Montigny, J., Ofner, M., & Do, M. (2017) · Promotion de la santé et prévention des maladies chroniques au Canada · doi:10.24095/hpcdp.37.1.01f · Cited by 1 · see citing works
Examining Maternal Psychological Recollections of Children Diagnosed With Autism Spectrum Disorders
Shoop, C. D. (2016) · ScholarWorks (Walden University) · Cited by 1 · see citing works
Neurologic Complications of Immunization
Chiriboga, C. A. (2017) · Elsevier eBooks · doi:10.1016/b978-0-323-37101-8.00117-x · Cited by 1 · see citing works
Gillespie, C. W. (2010) · DigitalCommons - CalPoly (California State Polytechnic University)
Ekıncı, O., Işık, U., & Melek, İ. (2012) · Dusunen Adam The Journal of Psychiatry and Neurological Sciences · doi:10.5350/dajpn2012250209
Environmental factors in autism.
Fujiwara, T., & Takamatsu, I. (2010) · Hoken iryou kagaku
Autism Spectrum Conditions and Friendship in a Turkish Speaking Sample
Kocabaşoğlu, N. (2015) · Eastern Mediterranean University Institutional Repository (Eastern Mediterranean University)
Toutant, S., Guillot, J., Archambault, S., Santerre, D., Davignon, L.-A., Martin, V., Vincent, P., & Paquin, M. (2007)
Autism Spectrum Disorders and Implications for Teachers
Echaniz, C., & Cronin, K. A. (2014) · Journal of the American Academy of Special Education Professionals · doi:10.64546/jaasep.227
Αιτιολογικοί παράγοντες των διαταραχών αυτιστικού φάσματος(ΔΑΦ)
Αντωνίου, Α. Σ., & Daliana, N. (2017) · Πανελλήνιο Συνέδριο Επιστημών Εκπαίδευσης · doi:10.12681/edusc.836
Current awareness: Pharmacoepidemiology and drug safety
(2007) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1383
Dittmann, S. (2010) · Side effects of drugs annual · doi:10.1016/s0378-6080(10)32032-0
Neurologic Complications of Immunization
Chiriboga, C. A. (2012) · Elsevier eBooks · doi:10.1016/b978-1-4377-0435-8.00080-9
Measles, mumps, and rubella vaccines
(2015) · Elsevier eBooks · doi:10.1016/b978-0-444-53717-1.01021-0
The Controversy That Will Not Go Away: Vaccines and Autism
Gogoi, M., Chatterjee, A., & Chatterjee, A. (2026) · Springer eBooks · doi:10.1007/978-1-0716-5464-4_14
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Ristić, A., Stojanović, A., & Stevanović, S. (2026) · Srpski medicinski casopis Lekarske komore · doi:10.5937/smclk7-67550
- Authors
- Uchiyama, T., Kurosawa, M., & Inaba, Y.
- Affiliations
- Otsuma Women's University (JP)
- Juntendo University (JP)
- Corresponding author
- Uchiyama, Tokio
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2006-07-25
- Volume
- 37
- Issue
- 2
- Pages
- 210-217
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W1991698391
- Cited by
- 58
- References
- 17
- Citations by year
- 2026: 2 · 2025: 1 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 6
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Pharmacovigilance and Adverse Drug Reactions
- Keywords
- MMR vaccine, regressive autism, autism spectrum disorder, vaccine safety, natural experiment, Japan, childhood immunization
- MeSH terms
- Autistic Disorder, Child, Humans, Immunization, Japan, Surveys and Questionnaires, Prevalence, Measles-Mumps-Rubella Vaccine
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