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Table 1 Neurotensin actions relevant to autism spectrum disorder (ASD) pathogenesis

From: Focal brain inflammation and autism

Effect

Result

Activation and proliferation of microglia

Brain inflammation

Activation of mast cells

Blood–brain-barrier disruption and inflammation

Disruption of gut-blood barrier

Leaky gut and inflammation

Mast cell stimulation, especially in the subgroup of ASD patients with allergic symptoms

Augmentation of allergic symptoms

Extracellular secretion of mitochondrial components that act as innate pathogens

Inflammation

Stimulation of glutamate receptors

Neuronal damage

Direct neurotoxicity

Neuronal damage