“…The “leaky gut theory” postulates that an exceptionally increased permeability of the intestinal mucosa barrier represents a fundamental mechanism underlying autistic pathology (de Magistris et al, ; D'Eufemia et al, ; Horvath & Perman, ; Panksepp, ; Wakefield et al, ). Studies on subgroups of ASD subjects have revealed that this deficiency is partly contributed by (a) alterations in microbial composition, with an overrepresentation of bacterium Akkermansia muciniphila , known to degrade the mucus lining (Wang et al, ), (b) prevalence of Clostridia and reduced abundance of Bifidobacteria , increasing pro‐inflammatory cytokines production, which aggravates mucosa permeability (Heberling, Dhurjati, & Sasser, ), (c) elevated plasma levels of zonulin, a protein that regulates permeability (Esnafoglu et al, ), (d) decreased amounts of tight junction proteins at the intestinal barrier (Fiorentino et al, ), potentially due to increased toxins from Clostridia (Hecht, Pothoulakis, LaMont, & Madara, ), (e) infection by Escherichia coli , which leads to transformation of actin and tight junction structures (Long, Nisa, Donnenberg, & Hassel, ), (f) abundance of Candida fungi, which expresses root‐like formations that invade the intestinal wall (de Magistris et al, ), and (g) increased levels of claudin, a molecule that contributes to pores formation (Fiorentino et al, ). Individuals with both autistic and gastrointestinal disorders exhibit a distinct cytokine (Ashwood & Wakefield, ; Torrente et al, ) and regulatory (Ashwood, Anthony, Torrente, & Wakefield, ) profile.…”