# Gut–Brain Inflammation and Disrupted Homeostasis Due to Activation of Mast Cells and Microglia

**Authors:** Pejman Katiraei, Richard E. Frye, Theoharis C. Theoharides

PMC · DOI: 10.3390/ijms27041768 · International Journal of Molecular Sciences · 2026-02-12

## TL;DR

The paper explores how gut and brain inflammation caused by mast cells and microglia activation may contribute to Autism Spectrum Disorder, and suggests ways to address these processes.

## Contribution

The paper novelly connects environmental and pathogenic factors to gut-brain inflammation via mast cells and microglia activation in ASD.

## Key findings

- Environmental and pathogenic toxins may disrupt gut and brain barriers through mast cell and microglia activation.
- Chronic gut-brain inflammation could lead to epigenetic effects and increased ASD susceptibility.
- Simple interventions may help address key processes in ASD pathogenesis.

## Abstract

Recent data from the Centers for Disease Control (CDC) indicate that the incidence of Autism Spectrum Disorder (ASD), a neurodevelopmental disorder characterized by deficits in social communication and the presence of restricted interests and repetitive behaviors, has increased to 1 in 31 children. Individuals with ASD have a constellation of neurological, behavioral, sensory, feeding, gastrointestinal, and immunological issues. Even though there is some genetic component to the pathogenesis of ASD, accumulation of environmental and pathogenic toxins could contribute to disruption of the gut–blood-barrier (GBB) and blood–brain barrier (BBB) via activation of mast cells (MCs) and microglia, resulting in a chronic cycle of gut–brain inflammation. Here we discuss how various environmental, pathogenic, and stress factors can disrupt gut–brain homeostasis to create susceptibility and epigenetic effects that contribute to the development of ASD. We also suggest simple ways to address some of the key pathogenetic processes involved in ASD.

## Linked entities

- **Diseases:** Autism Spectrum Disorder (MONDO:0005258), ASD (MONDO:0006664)

## Full-text entities

- **Genes:** IL5 (interleukin 5) [NCBI Gene 3567] {aka EDF, IL-5, TRF}, LY6E (lymphocyte antigen 6 family member E) [NCBI Gene 4061] {aka RIG-E, RIGE, SCA-2, SCA2, TSA-1}, ST8SIA4 (ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 4) [NCBI Gene 7903] {aka PST, PST1, SIAT8-D, SIAT8D, ST8SIA-IV, ST8SiaIV}, CMA1 (chymase 1) [NCBI Gene 1215] {aka CYH, MCT1, chymase}, HLA-A (major histocompatibility complex, class I, A) [NCBI Gene 3105] {aka HLAA}, TRIM44 (tripartite motif containing 44) [NCBI Gene 54765] {aka AN3, DIPB, HSA249128, MC7}, FCER1A (Fc epsilon receptor Ia) [NCBI Gene 2205] {aka FCE1A, FCERIA, FcERI}, TAC1 (tachykinin precursor 1) [NCBI Gene 6863] {aka Hs.2563, NK2, NKNA, NPK, TAC2}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}, NLRP3 (NLR family pyrin domain containing 3) [NCBI Gene 114548] {aka AGTAVPRL, AII, AVP, C1orf7, CIAS1, CLR1.1}, HDAC3 (histone deacetylase 3) [NCBI Gene 8841] {aka HD3, KDAC3, RPD3, RPD3-2}, PCLAF (PCNA clamp associated factor) [NCBI Gene 9768] {aka KIAA0101, L5, NS5ATP9, OEATC, OEATC-1, OEATC1}, HNMT (histamine N-methyltransferase) [NCBI Gene 3176] {aka HMT, HNMT-S1, HNMT-S2, MRT51}, C5AR1 (complement C5a receptor 1) [NCBI Gene 728] {aka C5A, C5AR, C5R1, CD88}, MMP9 (matrix metallopeptidase 9) [NCBI Gene 4318] {aka CLG4B, GELB, MANDP2, MMP-9}, IL17A (interleukin 17A) [NCBI Gene 3605] {aka CTLA-8, CTLA8, IL-17, IL-17A, IL17, ILA17}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, NTS (neurotensin) [NCBI Gene 4922] {aka NMN-125, NN, NT, NT/N, NTS1}, TPSB2 (tryptase beta 2) [NCBI Gene 64499] {aka TPS2, tryptaseB, tryptaseC}, KIT (KIT proto-oncogene, receptor tyrosine kinase) [NCBI Gene 3815] {aka C-Kit, CD117, MASTC, PBT, SCFR}, MTHFR (methylenetetrahydrofolate reductase) [NCBI Gene 4524], VIP (vasoactive intestinal peptide) [NCBI Gene 7432] {aka PHM27}, CRH (corticotropin releasing hormone) [NCBI Gene 1392] {aka CRF, CRH1}, TLR9 (toll like receptor 9) [NCBI Gene 54106] {aka CD289}, IL12B (interleukin 12B) [NCBI Gene 3593] {aka CLMF, CLMF2, IL-12B, IMD28, IMD29, NKSF}, HLA-DRB1 (major histocompatibility complex, class II, DR beta 1) [NCBI Gene 3123] {aka DRB1, HLA-DR1B, HLA-DRB, SS1}, COMT (catechol-O-methyltransferase) [NCBI Gene 1312] {aka HEL-S-98n}, MC5R (melanocortin 5 receptor) [NCBI Gene 4161] {aka MC2}, APOE (apolipoprotein E) [NCBI Gene 348] {aka AD2, APO-E, ApoE4, LDLCQ5, LPG}, CXCL8 (C-X-C motif chemokine ligand 8) [NCBI Gene 3576] {aka GCP-1, GCP1, IL8, LECT, LUCT, LYNAP}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, CXCR1 (C-X-C motif chemokine receptor 1) [NCBI Gene 3577] {aka C-C, C-C-CKR-1, CD128, CD181, CDw128a, CKR-1}, IL31 (interleukin 31) [NCBI Gene 386653] {aka IL-31}, AOC1 (amine oxidase copper containing 1) [NCBI Gene 26] {aka ABP, ABP1, DAO, DAO1, KAO, KDAO}, DAO (D-amino acid oxidase) [NCBI Gene 1610] {aka DAAO, DAMOX, OXDA}, CCL5 (C-C motif chemokine ligand 5) [NCBI Gene 6352] {aka D17S136E, RANTES, SCYA5, SIS-delta, SISd, TCP228}, IL33 (interleukin 33) [NCBI Gene 90865] {aka C9orf26, DVS27, IL1F11, NF-HEV, NFEHEV}, HP (haptoglobin) [NCBI Gene 3240] {aka HP2ALPHA2, HPA1S}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, IL10 (interleukin 10) [NCBI Gene 3586] {aka CSIF, GVHDS, IL-10, IL10A, TGIF}, OCLN (occludin) [NCBI Gene 100506658] {aka BLCPMG, PPP1R115, PTORCH1}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, IGHE (immunoglobulin heavy constant epsilon) [NCBI Gene 3497] {aka IgE}, CPT1B (carnitine palmitoyltransferase 1B) [NCBI Gene 1375] {aka CPT1-M, CPT1M, CPTI, CPTI-M, M-CPT1, MCCPT1}, C3 (complement C3) [NCBI Gene 718] {aka AHUS5, ARMD9, ASP, C3a, C3b, CPAMD1}, HK1 (hexokinase 1) [NCBI Gene 3098] {aka CNSHA5, HK, HK1-ta, HK1-tb, HK1-tc, HKD}, TLR4 (toll like receptor 4) [NCBI Gene 7099] {aka ARMD10, CD284, TLR-4, TOLL}, ITGAE (integrin subunit alpha E) [NCBI Gene 3682] {aka CD103, HUMINAE}, HPGDS (hematopoietic prostaglandin D synthase) [NCBI Gene 27306] {aka GSTS, GSTS1, GSTS1-1, PGD2, PGDS}, NGF (nerve growth factor) [NCBI Gene 4803] {aka Beta-NGF, HSAN5, NGFB}, SPP1 (secreted phosphoprotein 1) [NCBI Gene 6696] {aka BNSP, BSPI, ETA-1, OPN}, IL1B (interleukin 1 beta) [NCBI Gene 3553] {aka IL-1, IL1-BETA, IL1F2, IL1beta}, MRGPRX2 (MAS related GPR family member X2) [NCBI Gene 117194] {aka MGRG3, MRGX2}, HLA-DRB4 (major histocompatibility complex, class II, DR beta 4) [NCBI Gene 3126] {aka DR4, DRB4, HLA-DR4B, HLA-DRB, HLA-DRB4*}, CPA3 (carboxypeptidase A3) [NCBI Gene 1359] {aka MC-CPA}, WDR11 (WD repeat domain 11) [NCBI Gene 55717] {aka BRWD2, DR11, HH14, SRI1, WDR15}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}
- **Diseases:** muscle pain (MESH:D063806), system (MESH:D015619), aggression (MESH:D010554), constipation (MESH:D003248), Dysfunction (MESH:D006331), allergic (MESH:D004342), appetite loss (MESH:D001068), candida (MESH:D002177), impulse control disorder (MESH:D007174), organ damage (MESH:D000092124), inflammatory bowel disease (MESH:D015212), OCD (MESH:D009771), mucosal damage (MESH:D052016), depression (MESH:D003866), neuronal injury (MESH:D009410), chronic (MESH:D002908), deficits in social communication (MESH:D003147), restricted interests (MESH:D002313), neurodevelopmental disorder (MESH:D002658), Immune dysregulation (OMIM:614878), bacterial or fungal infections (MESH:D009181), gut (MESH:C536735), demyelination (MESH:D003711), brain dysfunction (MESH:D001927), eczema (MESH:D004485), Endotoxemia (MESH:D019446), axis dysfunction (MESH:C566610), food allergies (MESH:D005512), lethargy (MESH:D053609), toxicity (MESH:D064420), immune dysfunction (MESH:D007154), COVID-19 (MESH:D000086382), gastrointestinal (GI) disorders (MESH:D005767), endocrine disruptors (MESH:D004700), ADD (MESH:D001289), colitis (MESH:D003092), uremic (MESH:D006463), infections (MESH:D007239), Gut-Brain Inflammation (MESH:D004660), atopic diseases (MESH:D006969), diarrhea (MESH:D003967), autoimmune and (MESH:D001327), ASP (MESH:D017825), anaphylaxis (MESH:D000707), anxiety disorders (MESH:D001008), nasal polyps (MESH:D009298), neurologic disorders (MESH:D009461), addictive behaviors (MESH:D000437), gut dysfunction (MESH:C535334), ASD (MESH:D000067877), atopic conditions (MESH:C566404), mastocytosis (MESH:D008415), degenerative diseases (MESH:D019636), injury to (MESH:D014947), GI symptoms (MESH:D012817), allergic inflammation (MESH:D007249), headache (MESH:D006261), MCAS (MESH:D000090267), asthma (MESH:D001249), anxiety (MESH:D001007)
- **Chemicals:** p-cresol (MESH:C032538), LPS (MESH:D008070), lipid (MESH:D008055), SCFAs (MESH:D005232), berberine (MESH:D001599), heavy metals (MESH:D019216), calcium (MESH:D002118), Methoxyluteolin (MESH:C000627046), serotonin (MESH:D012701), 3-methylindole (MESH:D012862), Indole (MESH:C030374), bioflavonoid (MESH:D005419), heparin (MESH:D006493), Luteolin (MESH:D047311), dopamine (MESH:D004298), PCB (MESH:D011078), cromolyn (MESH:D004205), valeric acid (MESH:C038780), compounds (-), olive oil (MESH:D000069463), carbohydrates (MESH:D002241), N-methylhistamine (MESH:C048140), glyphosate (MESH:C010974), Propionate (MESH:D011422), amines (MESH:D000588), vitamin D3 (MESH:D002762), leukotrienes (MESH:D015289), butyrate (MESH:D002087), 3-(3-hydroxyphenyl)-3-hydroxypropionic acid (MESH:C041797), propionic acid (MESH:C029658), Leucovorin (MESH:D002955), luminal (MESH:D010634), leukotriene E4 (MESH:D017999), phenol (MESH:D019800), prostaglandin D2 (MESH:D015230), quinolinic acid (MESH:D017378), prostaglandin F2a (MESH:D015237), glutamate (MESH:D018698), GABA (MESH:D005680), noradrenaline (MESH:D009638), sodium sulfide (MESH:C033479), PEA (MESH:C005958), Histamine (MESH:D006632), Rutin (MESH:D012431), Quercetin (MESH:D011794)
- **Species:** gut metagenome (species) [taxon 749906], Gallus gallus (bantam, species) [taxon 9031], Viruses (acellular root) [taxon 10239], Homo sapiens (human, species) [taxon 9606], candida [taxon 1535326], Clostridium (genus) [taxon 1485], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Helicobacter pylori (species) [taxon 210], Rattus norvegicus (brown rat, species) [taxon 10116], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Citrus x limon (lemon, species) [taxon 2708], Arachis hypogaea (goober, species) [taxon 3818], Spinacia oleracea (spinach, species) [taxon 3562], Mus musculus (house mouse, species) [taxon 10090]
- **Mutations:** D816V, C677T

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12940406/full.md

## References

534 references — full list in the complete paper: https://tomesphere.com/paper/PMC12940406/full.md

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Source: https://tomesphere.com/paper/PMC12940406