“…Triggers of mast cells can reach the hypothalamus from the nasal cavity through the cribriform plexus [99], or through the brain lymphatics [100]. Alternatively, mast cell-derived mediators, especially cytokines [101,102], can increase the permeability of the gut-blood barrier [103] and the BBB [57,104,105], allowing toxins to cross into the brain, activating microglia [38,95] and disrupting neuronal connectivity, especially in the amygdala [39,106,107].Immune-neural connections regulate responses to environmental and infectious agents, leading to altered behavior [108]. Environmental triggers have been implicated in ASD [17,[109][110][111][112], including air pollutants [113,114], and a variety of pathogens [103].…”