“…5,6 Earlier studies have documented prominent microglial activation and increased production of inflammatory cytokines and chemokines, including interferon gamma (IFN-g), interleukin (IL)-1b, IL-6, IL-12p40, tumor necrosis factor alpha (TNF-a), and chemokine (C-C motif) ligand 2 (CCL2) in the brain tissue and cerebrospinal fluid (CSF) of some individuals with ASD. 3,7 Although findings are not consistent, there is growing evidence indicating elevated plasma levels of pro-inflammatory cytokines, including TNF-a, IFN-g, IL-1b, IL-6, IL-12, IL-17A, IL-23, [8][9][10][11][12][13][14][15] and decreased plasma levels of the anti-inflammatory cytokines IL-10 and transforming growth factor-beta (TGF-b) in children with ASD as compared to controls. 1,16 Although the phenotypic and neurobiological heterogeneity in ASD might be underlying factors that account for inconsistent findings, it should also be noted that important confounding factors influencing immune markers, such as medication and body mass index (BMI), have not been adequately addressed in previous research.…”