“…Upregulated glial activation has been shown to be directly related to alterations in peripheral and central cytokine expression in ASD (for review see Masi et al, 2017;Masi et al, 2015). This aberrant cytokine profile in ASD is evidenced by both increased pro-inflammatory responses (Ashwood et al, 2011b;Chez, Dowling, Patel, Khanna, & Kominsky, 2007) and decreased anti-inflammatory responses (Ashwood et al, 2008;El Gohary, El Aziz, Darweesh, & Sadaa, 2015;Okada et al, 2007), contributing to a largely pro-inflammatory profile in ASD. Altered cytokine concentrations have been associated with more severe behavioral features of the disorder, including: increased stereotypies, greater impairments in communication and daily living skills, increased hyperactivity, and increased overall ASD symptom severity (Ashwood et al, 2012;Ashwood et al, 2011b;El Gohary et al, 2015;Piras et al, 2014), as well as greater nonverbal and verbal developmental disruption (Careaga et al, 2017).…”