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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

Behavior

Is Toxoplasma gondii infection related to brain and behavior impairments in humans? Evidence from a population-representative birth cohort

May 28, 2016
Sugden, K., Moffitt, T. E., Pinto, L., Poulton, R., Williams, B. S., Caspi, A.
Plos One 2016; 11: ARTN e0148435 10.1371/journal.pone.0148435
Click for abstract
Background Toxoplasma gondii (T. gondii) is a protozoan parasite present in around a third of the human population. Infected individuals are commonly asymptomatic, though recent reports have suggested that infection might influence aspects of the host's behavior. In particular, Toxoplasma infection has been linked to schizophrenia, suicide attempt, differences in aspects of personality and poorer neurocognitive performance. However, these studies are often conducted in clinical samples or convenience samples. Methods/Results In a population-representative birth-cohort of individuals tested for presence of antibodies to T. gondii (N = 837) we investigated the association between infection and four facets of human behavior: neuropsychiatric disorder (schizophrenia and major depression), poor impulse control (suicidal behavior and criminality), personality, and neurocognitive performance. Suicide attempt was marginally more frequent among individuals with T. gondii seropositivity (p = .06). Seropositive individuals also performed worse on one out of 14 measures of neuropsychological function. Conclusion On the whole, there was little evidence that T. gondii was related to increased risk of psychiatric disorder, poor impulse control, personality aberrations or neurocognitive impairment.

Tagged: association, depression, Dopamine, health, mood disorders, personality, risk factors, Schizophrenia, seropositivity, suicide

BehaviorCognitive functionsMental health

Seroprevalence of Toxoplasma gondii infection among patients with non-schizophrenic neurodevelopmental disorders in Alexandria, Egypt

May 24, 2016
Shehata, A.I., Hassanein, F.I., Abdul-Ghani, R.
Acta Tropica 2016;154: 155-159
Click for abstract
Toxoplasma gondii is an opportunistic parasite with neurotropic characteristics that can mediate neurodevelopmental disorders, including mental, behavioral and personality aspects of their hosts. Therefore, the seroprevalence of anti-Toxoplasma antibodies has been studied in patients with different neurological disorders from different localities. On searching online databases, however, we could not find published studies on the seroprevalence of anti-Toxoplasma antibodies among patients with neurodevelopmental disorders in Egypt. Therefore, the present preliminary study was conducted to determine the serological profile of T. gondii infection among patients with non -schizophrenic neurodevelopmental disorders in Alexandria, Egypt. Data and blood samples were collected from 188 patients recruited for the study from four mental rehabilitation centers in the period from July 2014 to March 2015. The overall seropositivity rates of IgM and IgG among patients were 16.5% (31/188) and 50.0% (94/188), respectively. Of the studied patients' characteristics, only age was significantly associated with anti-Toxoplasma IgG seropositivity, with older patients being about twice more likely exposed to infection. However, no statistically significant association was found with IgM. In addition, seropositivity of anti-Toxoplasma IgG, but not IgM, was significantly associated with non-schizophrenic neurodevelopmental disorders; however, neither IgG nor IgM showed a significant association with cognitive impairment as indicated by the intelligence quotient scores.

Tagged: alexandria, antibodies, behavior, cerebral-palsy, children born, deficits, diagnosis, governorate, neurodevelopmental disorder seroprevalence, pregnancy, risk, Schizophrenia, Toxoplasma gondii

BehaviorMental health

Assessment of toxoplasma seropositivity in children suffering from attention deficit hyperactivity disorder

May 11, 2016
Afsharpaiman, S., Khosravi, M.H., Faridchehr, M., Komijani, M., Radfar, S., Amirsalari, S., Torkaman, M., Shirbazoo, S.
Galen Medical Journal 2016; 5: 188-193
Click for abstract
Background: Toxoplasmosis, a protozoan infection caused by Toxoplasma gondii, is suggested to be a risk factor for many psychological disorders such as schizophrenia and depression. Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders among children. Previous studies have assessed the correlation between ADHD and infectious diseases like toxoplasmosis. So we aimed to investigate the possible correlation between Toxoplasma seropositivity and ADHD in children. Materials and Methods: In this cross-sectional study children with signs of ADHD were regarded as patients and underwent clinical assessments. Diagnosis of these patients was based on DSM-IV-TR system which was performed by a pediatric psychiatrist. Forty-eight Children without signs of ADHD or other psychic disorders were considered as control, and 48 patients were considered as case group. Parents were asked to answer a questionnaire including demographic, pregnancy and habitual questions. Blood samples were taken from all individuals and assessed for anti-Toxoplasma IgM and IgG antibodies. Results: Ninety-six male and female patients with a mean age of 8.12 years underwent analysis. Seropositivity rate for anti-T.gondii IgG antibody was 4.2% in the case and 2.1% in control individuals (P=0.92). Anti-T.gondii IgM antibodies were not found in control individuals while it was found in 2.1% of case individuals (P=0.74). There was no statistically significant association between seroprevalence of IgM (P=0.74) and IgG (P=0.92) antibodies and ADHD in study individuals. Conclusion: Our findings showed that the toxoplasmosis seropositivity has no significant difference between children with and without ADHD. Further studies are needed with a larger amount of individuals.

Tagged: attention deficit hyperactivity disorder, children, Toxoplasma gondii, toxoplasmosis

BehaviorMental healthPersonality

Toxoplasma gondii infection in interstate truck drivers: a case-control seroprevalence study

October 9, 2015
Alvarado-Esquivel, C., Pacheco-Vega, S. J., Hernandez-Tinoco, J., Salcedo-Jaquez, M., Sanchez-Anguiano, L. F., Berumen-Segovia, L. O., Rabago-Sanchez, E., Liesenfeld, O.
Parasites & Vectors 2015; 8
Click for abstract
Background: Infection with Toxoplasma gondii can be acquired via the ingestion of undercooked or raw meat containing tissue cysts, or via ingestion of water contaminated with oocysts. Professional long distance truck driving may have epidemiological importance for food-borne infections since drivers eat out of home and in places where hygiene and cooking practices are uncertain. We aimed to determine whether interstate truck drivers in Durango, Mexico have an increased risk of infection with T. gondii as indicated by seropositivity; and to determine the socio-demographic, work, clinical, and behavioral characteristics associated with T. gondii seropositivity in interstate truck drivers. Methods: Through a case-control study design, 192 truck drivers and 192 controls from the general population of the same region matched by gender and age were examined with enzyme-linked immunoassays for the presence of anti-Toxoplasma IgG and IgM antibodies. Socio-demographic, work, clinical and behavioral characteristics from the truck drivers were obtained. Results: Anti-T. gondii IgG antibodies were found in 23 (12.0%) of 192 truck drivers and in 13 (6.8%) of 192 controls (OR = 21.0; 95% CI: 1.23-358.38; P = 0.002). Anti-T. gondii IgM antibodies were found in 7 (3.6%) cases and in 7 (3.6%) controls (P = 1.00). The seroprevalence of T. gondii infection was higher in drivers with reflex impairment than in those without this impairment (4/13, 30.8% vs 19/179, 10.6%, respectively; P = 0.05), and in drivers with hearing impairment than in those without this impairment (3/7, 42.9% vs 20/185, 10.8%, respectively; P = 0.03). Multivariate analysis of work and behavioral characteristics of truck drives showed positive associations of T. gondii exposure with trips to the south of Mexico (OR = 3.11; 95% CI: 1.02-9.44; P = 0.04) and consumption of horse meat (OR = 5.18; 95% CI: 1.62-16.55; P = 0.005). Conclusions: Results suggest that interstate truck drivers may have an increased risk for T. gondii infection, and that T. gondii exposure may be impacting neurological functions in truck drivers. Contributing factors for T. gondii exposure should be taken into account for the design of optimal prevention measures against T. gondii infection.

Tagged: accidents, case-control study, durango, hosts, Mexico, population, risk factors, Schizophrenia, seroepidemiology, seroprevalence, suicide attempts, tissues, Toxoplasma gondii, truck drivers

BehaviorPhysical health

“Latent” infection with Toxoplasma gondii: Association with trait aggression and impulsivity in healthy adults

October 9, 2015
Cook, T. B., Brenner, L. A., Cloninger, C. R., Langenberg, P., Igbide, A., Giegling, I., Hartmann, A. M., Konte, B., Friedl, M., Brundin, L., Groer, M. W., Can, A., Rujescu, D., Postolache, T. T.
Journal of Psychiatric Research 2015; 60: 87-94
Click for abstract
Background: Latent chronic infection with Toxoplasma gondii (T. gondii), a common neurotropic pathogen, has been previously linked with suicidal self-directed violence (SSDV). We sought to determine if latent infection with T gondii is associated with trait aggression and impulsivity, intermediate phenotypes for suicidal behavior, in psychiatrically healthy adults. Methods: Traits of aggression and impulsivity were analyzed in relationship to IgG antibody seropositivity for T gondii and two other latent neurotropic infections, herpes simplex virus 1 (HSV1) and cytomegalovirus (CMV). One thousand community-residing adults residing in the Munich metropolitan area with no Axis I or II conditions by SCID for DSM-IV (510 men, 490 women, mean age 53.6 +/- 15.8, range 20-74). Plasma samples were tested for IgG antibodies to T. gondii, HSV-1 and CMV by ELISA. Self-reported ratings of trait aggression scores (Questionnaire for Measuring Factors of Aggression [FAF]) and trait impulsivity (Sensation-Seeking Scale-V [SSS-V]) were analyzed using linear multivariate methods. Results: T gondii IgG seropositivity was significantly associated with higher trait reactive aggression scores among women (p < .01), but not among men. T. gondii-positivity was also associated with higher impulsive sensation-seeking (SSS-V Disinhibition) among younger men (p < .01) aged 20-59 years old (median age = 60). All associations with HSV-1 and CMV were not significant. Conclusions: Aggression and impulsivity, personality traits considered as endophenotypes for SSDV, are associated with latent T gondii infection in a gender and age-specific manner, and could be further investigated as prognostic and treatment targets in 7: gondii-positive individuals at risk for SSDV.

Tagged: aggression, bipolar disorder, c-reactive protein, impulsivity, indirect hostility, major depressive disorder, midbrain periaqueductal gray, personality, personality-disorders, self-destructive behavior, sensation seeking, suicidal-behavior, Toxoplasma gondii, young adults

Behavior

No Association between Toxoplasma gondii infection and financial risk taking in females

September 27, 2015
Lanchava, L., Carlson, K., Flegr, J., Šebánková, B., Nave, G.
PLOS ONE 2015; 10(9): e0136716. doi:10.1371/journal.pone.0136716
Click for abstract
Background Past research linked Toxoplasma gondii (TG) infection in humans with neurological and mental disorders (e.g., schizophrenia, Alzheimer ’ s disease and attention disorders), irregu- larities of the dopaminergic and testosterone system, and increased likelihood of being involved in traffic accidents. Methodology/Principal Findings We test for an association between TG infection and financial decision-making (DM) using a case-control design in a sample of female Czech students (n = 79). We estimate each subject's risk attitude and loss aversion using an experimental economic task involving real monetary incentives. We find no significant evidence that either measure of decision-mak- ing is associated with TG infection. Conclusion We were unable to find evidence of an association between TG infection and financial decision making in females

Tagged: financial risk, Toxoplasma gondii

Behavior

Seroprevalence and associated risk factors of Toxoplasma gondii infection in psychiatric patients: a case-control study in eastern China

May 25, 2015
Cong, W., Dong, W., Bai, L., Wang, X. Y., Ni, X. T., Qian, A. D., Zhu, X. Q.
Epidemiology and Infection 2015; 143: 3103-3109
Click for abstract
In recent years, the effect of Toxoplasma gondii infection on the cerebrum and neuropsychiatric patients has been increasingly highlighted. However, there is limited information about the epidemiology of T. gondii infection in psychiatric patients in Shandong province, eastern China. Therefore, through a case-control study, 445 patients hospitalized for diacrisis or treatment in Weihai, eastern China, and 445 control subjects from the general population of the same region matched by gender, age, and residence were examined with enzyme-linked immunoassays for the presence of IgG and IgM antibodies to T. gondii and associated sociodemographic and behavioural characteristics in a population of psychiatric patients. Seroprevalence of IgG antibodies to T. gondii in psychiatric patients (77/445, 17.30%) was significantly higher than in control subjects (55/445, 12.36%) (P = 0.038). Fourteen (3.15%) psychiatric patients and 10 (2.25%) control subjects had IgM antibodies to T. gondii (P = 0.408). Multivariate analysis using logic regression showed that T. gondii infection was associated with cats at home and consumption of raw/undercooked meat in psychiatric patients. Considering that most psychiatric patients usually have lower cognitive functioning and additional transmission routes related to their inappropriate behaviours that could enhance the risk of infection, psychiatric patients should be considered as a specific group of T. gondii infection.

Tagged: age, eastern china, individuals, population, psychiatric patients, Schizophrenia, seroepidemiology, Toxoplasma gondii, toxoplasmosis, women

BehaviorCognitive functionsMental health

Extraordinary tales parasites hijacking the minds of hosts

May 25, 2015
Bast, F.
Resonance-Journal of Science Education 2015; 20: 893-902
Click for abstract
In the context of biology, parasites are organisms that typically associate with other organisms, their hosts, such that the hosts are damaged while the parasites are benefited. This non-mutual association is known as parasitism. Parasites do not form an evolutionarily distinct group; instead they are part of many different lineages. For example, there are parasites that are protozoa, plants, fungi and animals. Parasitology refers to the study of parasites, with an emphasize on protozoan (single-celled organisms that belong to Kingdom Protista) parasites. This article examines some of the parasites that cause behavioural changes in their host which help the perpetuation of the parasites; either their spread or their lifecycle completion. Specifically, the article examines the tactics of Toxoplasma gondii, lancet liver fluke, guinea worm, the influenza virus, and the parasitic wasp, which are by all means 'evolution's neurobiologists', and are indeed extraordinary in many aspects.

Tagged: amygdala, dicrocoelium, Dopamine, dracunculus, epigenetic remodeling, human-behavior, influenza, polysphincta, risk behavior, Schizophrenia, testosterone, Toxoplasma gondii, tyrosine hydrolase

Behavior

High seroprevalence of Toxoplasma gondii infection in female sex workers: a case-control study

May 25, 2015
Alvarado-Esquivel, C., Sanchez-Anguiano, L. F., Hernandez-Tinoco, J., Arreola-Chaidez, E., Lopez, J., Salcido-Meraz, K. I., Estrada-Martinez, S., Navarrete-Flores, J. A., Perez-Alamos, A. R., Hernandez-Ochoa, M., Rabago-Sanchez, E., Liesenfeld, O.
European Journal of Microbiology and Immunology 2015; 5: 285-292
Click for abstract
Through an age-and sex-matched case-control study, we sought to determine whether female sex workers have an increased risk of Toxoplasma gondii exposure and to determine the sociodemographic, work, clinical, and behavioral characteristics of these workers associated with T. gondii exposure. Female workers (n = 136) and controls (n = 272) were examined with enzyme-linked immunoassays (EIA) for the presence of anti-Toxoplasma IgG and IgM antibodies. IgM positive sera were additionally tested with enzyme linked-fluorescence immunoassay (ELFA). Anti-T. gondii IgG antibodies were found in 21 (15.44%) of 136 cases and in 10 (3.67%) of 272 controls (OR = 4.05; 95% CI: 1.84-8.89; P = 0.0001). Anti-T. gondii IgG levels higher than 150 IU/ml were found in 13 (9.6%) of 136 cases and in 8 (2.9%) of 272 controls (P = 0.007). Anti-T. gondii IgM antibodies were found in two cases and in six controls by EIA, but all were negative by ELFA. T. gondii seropositivity was associated with being born out of Durango State (OR = 10.47; 95% CI: 2.9-36.8; P < 0.01), injuries during sex work (OR = 6.30; 95% CI: 1.1-33.7; P = 0.03), and soil contact (OR = 4.11; 95% CI: 1.2-14.0; P = 0.02). This is the first report of an association of T. gondii infection and female sex workers.

Tagged: case-control study, city, drivers, durango, female sex workers, history, Mexico, risk factors, Schizophrenia, seroepidemiology, seroprevalence, suicide attempts, Toxoplasma gondii, traffic accidents, transmission

BehaviorMental health

Toxoplasma gondii exposure in patients suffering from mental and behavioral disorders due to psychoactive substance use

January 10, 2015
Alvarado-Esquivel, C., Carrillo-Oropeza, D., Pacheco-Vega, S. J., Hernandez-Tinoco, J., Salcedo-Jaquez, M., Sanchez-Anguiano, L. F., Ortiz-Jurado, M. N., Alarcon-Alvarado, Y., Liesenfeld, O., Beristain-Garcia, I.
Bmc Infectious Diseases 2015; 15: Artn 172 10.1186/S12879-015-0912-1
Tagged: Dopamine, durango, Epidemiology, infection, Mexico, northern mexican city, personality, pregnant women, psychiatric patients, psychoactive drug abuse, Schizophrenia, seroepidemiology, seroprevalence, suicidal-behavior, Toxoplasma gondii

BehaviorMental health

No evidence of association between Toxoplasma gondii infection and financial risk taking in females

January 4, 2015
Lanchava, L., Carlson, K., Sebankova, B., Flegr, J., Nave, G.
Plos One 2015; 10: ARTN e0136716 10.1371/journal.pone.0136716
Click for abstract
Background Past research linked Toxoplasma gondii (TG) infection in humans with neurological and mental disorders (e.g., schizophrenia, Alzheimer's disease and attention disorders), irregularities of the dopaminergic and testosterone system, and increased likelihood of being involved in traffic accidents. Methodology/Principal Findings We test for an association between TG infection and financial decision-making (DM) using a case-control design in a sample of female Czech students (n = 79). We estimate each subject's risk attitude and loss aversion using an experimental economic task involving real monetary incentives. We find no significant evidence that either measure of decision-making is associated with TG infection. Conclusion We were unable to find evidence of an association between TG infection and financial decision- making in females.

Tagged: decision-making, host behavior, latent toxoplasmosis, loss aversion, parasite manipulation, preferences, prospect-theory, rhd molecule, testosterone change, traffic accidents

Behavior

New findings: Depression, suicide, and Toxoplasma gondii infection

October 9, 2014
Hsu, P.C., Groer, M., Beckie, T.
Journal of the American Association of Nurse Practitioners 2014; 26: 629-637
Click for abstract
PURPOSE: This article provides an overview of the evidence of a potential pathophysiological relationship between depression, suicide, and the Toxoplasma gondii (T. gondii) infection. It discusses the role of inflammatory processes in depressive illness and the infection theory of psychiatric disease. It also provides guidelines for the screening, diagnosis, and treatment of depression for nurse practitioners (NPs). DATA SOURCE: A narrative review was conducted of the literature from PubMed, PsycINFO, and Google Scholar. References of identified articles were also reviewed. CONCLUSIONS: Seropositivity of the obligate intracellular protozoan parasite, T. gondii is related to various mental health disorders including schizophrenia, suicide attempt, depression, and other neuropsychiatric diseases. Depressive symptoms have been linked to interferon-gamma (IFN-gamma) blocking T. gondii growth by inducing indoleamine-2,3-dioxygenase (IDO) activation and tryptophan depletion, which results in a decrease of serotonin production in the brain. Although exposure to T. gondii was considered unlikely to reactivate in immune-competent individuals, new findings report that this reactivation may be triggered by immune imbalance. IMPLICATIONS FOR PRACTICE: NPs caring for patients with psychiatric illness need to understand the potential mechanisms associated with depression and the T. gondii infection in order to provide effective screening, treatment, and disease prevention.

Tagged: depression, etiology/psychology, humans, suicide/psychology, Toxoplasma/pathogenicity, toxoplasmosis/physiopathology/psychology

BehaviorMental health

High seroprevalence of Toxoplasma gondii infection in inmates: A case control study in Durango City, Mexico

October 9, 2014
Alvarado-Esquivel, C., Hernandez-Tinoco, J., Sanchez-Anguiano, L. F., Ramos-Nevarez, A., Cerrillo-Soto, S. M., Saenz-Soto, L., Liesenfeld, O.
Eur. J. Microbiol. Immunol. (Bp) 2014; 4: 76-82.
Click for abstract
PURPOSE: The seroprevalence of infection with the parasite Toxoplasma gondii and the association with risk factors has not been determined in inmates. Through a case-control study, 166 inmates from a state correctional facility in Durango City, Mexico and 166 age- and gender-matched non-incarcerated subjects were examined for the presence of anti-T. gondii IgG and IgM antibodies using enzyme-linked immunoassays. RESULTS: Seroprevalence of anti-T. gondii IgG antibodies was higher in inmates (35, 21.1%) than in controls (14, 8.4%) (OR = 2.90; 95% CI: 1.43-5.94; P = 0.001). Anti-T. gondii IgM antibodies were detected in two (1.2%) inmates and in seven (4.2%) controls (P = 0.17). Multivariate analysis of socio-demographic, incarceration, and behavioral characteristics of inmates revealed that T. gondii seropositivity was associated with being born out of Durango State (OR = 3.91; 95% CI: 1.29-11.79; P = 0.01). In addition, T. gondii seroprevalence was higher (P = 0.03) in inmates that had suffered from injuries (17/56: 30.4%) than those without such history (18/110: 16.4%). CONCLUSIONS: The seroprevalence of T. gondii infection in inmates in Durango City is higher than the seroprevalences found in the general population in the same city, indicating that inmates may represent a new risk group for T. gondii infection. Further research on T. gondii infection in inmates is needed.

Tagged: inmates, seroprevalence of infection, Toxoplasma gondii

Behavior

Does prevalence of latent toxoplasmosis correlate with nation-wide rate of traffic accidents?

September 27, 2014
Flegr, J., Dama, M.
Folia Parasitologica 2014; 6, 485-494
Click for abstract
Latent toxoplasmosis is probably the most common protistan parasitic disease with many indirect negative impacts on human health. One of the important impacts is impaired psychomotor function leading to reduced driving efficiency in Toxoplasma - seropositive subjects. Numerous case-control studies have established a positive relation between the seroprevalence of Toxoplasma gondii (Nicolle et Manceaux, 1908) and probability of traffic accidents in study populations. The prevalence of toxoplasmosis varies between populations according to local geographical conditions, hygienic practices and kitchen habits. Similarly, we see a striking variation in the incidence of traffic accidents across countries. Hence, we compiled the largest ever data set on the seroprevalence of toxoplasmosis and tried to understand its role in traffic accident-related deaths and disabilities across 87 countries. Simple non - parametric analysis showed a positive and strong relation of T. gondii seroprevalence and traffic accident related disabilities. Further, we conducted multivariate analysis to control for confounding factors. After controlling for wealth, geographical latitude, health of population, length of roads and number of vehicles, the correlation disappeared. When the frequency of RhD negativity and its in - teraction with toxoplasmosis were included into the model, the effects of toxoplasmosis seemingly returned. However, the analysed data suffered from the problem of multicollinearity. When a proper method of analysis, ridge regression, was applied, the effects of toxoplasmosis prevalence and RhD negativity frequency disappeared again. The existence of a strong correlation between the prevalence of toxoplasmosis and health of population in particular countries, which was the probable cause of multicollinearity and possible reason for the negative result of the present study, suggests that ‘asymptomatic’ latent toxoplasmosis could have a large impact on public health

Tagged: correlation study, Disability Adjusted Life Years, ecological regression, manipulation hypothesis, Parasite, Toxoplasma

BehaviorCognitive functions

The possible relationship of Toxoplasma with risk of traffic accidents

September 3, 2014
Khademvatan, S., Forouzan, A., Darian, A. A., Rahim,F., Khoozani, A. S., Masoumi, K.
Health MED 2014; 8: 657-661
Click for abstract
Background: This study investigated the possible role of toxoplasmosis in increasing the risk of traffic accidents. Materials and Methods: This unmatched casecontrol study was done on a total of 103 people (102 men and one woman) involved in a traffic accident as drivers for a time period of one year during 2011–2012.The controls were consisted of 200 people (88 men and 112 women), residents of the same region and in same age group. Blood samples were driven and all serum samples were separated and stored at -20 ºC until the testing. All collected sera were examined using ELISA technique. Results: For IgG seropositivity, a 2.02-fold increase (χ2 = 7.84, P = 0.004, 95%CI: 1.23 – 3.33) in risk for traffic accident was estimated. Furthermore, IgM seropositivity could not significantly increase the risk of traffic accident, with an OR of 0.73 (χ2 = 0.209, P = 0.461, 95%CI: 0.19 – 2.81). However, stratification analysis showed that only the individuals with age range ≤ 30-year were significantly more common in traffic accident than in controls (OR: 2.15, χ2 = 6.91, P = 0.007, 95%CI: 1.20 – 3.85). There was no statistically significant difference between the IgM and IgG seropositivity in case and control groups (X2 = 3.65, P = 0.09, 95%CI: 0.99 – 2.67). Conclusion: There is an increased risk for traffic accidents for drivers owing to these high seroprevalence of latent toxoplasmosis. Latent toxoplasmosis in drivers should be taken into account while developing preventive strategies for traffic accidents in Iran.

Tagged: latent toxoplasmosis, Toxoplasma gondii, traffic accidents

Behavior

The impact of Toxoplasma gondii on host behaviour: can this parasite play a role in some cases of human schizophrenia?

March 26, 2014
Webster, J. P., Kaushik, M.
Integrative and Comparative Biology 2014; 54: E221-E221


BehaviorMental health

Masterpiece of epigenetic engineering – how Toxoplasma gondii reprogrammes host brains to change fear to sexual attraction

January 9, 2014
Flegr, J., Markos, A.
Molecular Ecology 2014; 23:5934-5936
Tagged: Dopamine, epigenetics, evolutionary parasitology, fatal attraction, gene-expression, humans, infection, manipulation hypothesis, men, methylation, rats, Schizophrenia, testosterone, toxoplasmosis

Behavior

Is latent infection with Toxoplasma gondii a risk factor for suicidal behavior?

October 11, 2013
Postolache, T.T., Cook, T.B.
Expert Review of Anti-Infective Therapy 2013; 11: 339-342
Tagged: antibody-titers, brain, cohort, history, individuals, mental-disorders, mood disorders, Schizophrenia, seropositivity, women

BehaviorMental health

Toxoplasma gondii exposure affects neural processing speed as measured by acoustic startle latency in schizophrenia and controls

October 10, 2013
Pearce, B. D., Hubbard, S., Rivera, H. N., Wilkins, P. P., Fisch, M. C., Hopkins, M. H., Hasenkamp, W., Gross, R., Bliwise, N., Jones, J. L., Duncan, E.
Schizophrenia Research 2013; 150: 258-261
Click for abstract
The prevalence of Toxoplasma gondii (TOXO) infection in schizophrenia (SCZ) is elevated compared to controls (odds ratio = 2.73). TOXO infection is associated with psychomotor slowing in rodents and non-psychiatric humans. Latency of the acoustic startle response, an index of neural processing speed, is the time it takes for a startling stimulus to elicit the reflexive response through a three-synapse subcortical circuit. We report a significant slowing of latency in TOXO seropositive SCZ vs. seronegative SCZ, and in TOXO seropositive controls vs. seronegative controls. Latency was likewise slower in SCZ subjects than in controls. These findings indicate a slowing of neural processing speed with chronic TOXO infection; the slowest startle latency was seen in the TOXO seropositive SCZ group

Tagged: acoustic startle, deficits, habituation, infection, latency, normals, performance, prepulse inhibition, rats, reflex, rodents, Schizophrenia, Toxoplasma gondii, traffic accidents

BehaviorCognitive functionsMotor functions

Seroepidemiology of Toxoplasma gondii infection in drivers involved in road traffic accidents in the metropolitan area of Guadalajara, Jalisco, Mexico

October 10, 2013
Galvan-Ramirez, M. D., Sanchez-Orozco, L. V., Rodriguez, L. R., Rodriguez, S., Roig-Melo, E., Sanroman, R. T., Chiquete, E., Armendariz-Borunda, J.
In: Parasites & Vectors 2013;6:10.1186/1756-3305-6-294
Click for abstract
Background: The prevalence of toxoplasmosis in the general population of Guadalajara, Mexico, is around 32%. Toxoplasmosis can cause ocular lesions and slowing of reaction reflexes. Latent toxoplasmosis has been related with traffic accidents. We aimed to assess the prevalence of anti-Toxoplasma gondii antibodies and visual impairments related with traffic accidents in drivers from the metropolitan Guadalajara. Methods: We prospectively evaluated the prevalence of IgG and IgM anti-T. gondii antibodies in 159 individuals involved in traffic accidents, and in 164 control drivers never involved in accidents. Cases of toxoplasmosis reactivation or acute infection were detected by PCR in a subset of 71 drivers studied for the presence of T. gondii DNA in blood samples. Ophthalmologic examinations were performed in drivers with IgG anti-T. gondii antibodies in search of ocular toxoplasmosis. Results: Fifty-four (34%) traffic accident drivers and 59 (36%) controls were positive to IgG anti-T. gondii antibodies (p = 0.70). Among the 113 seropositive participants, mean anti-T. gondii IgG antibodies titers were higher in traffic accident drivers than in controls (237.9 +/- 308.5 IU/ml vs. 122.9 +/- 112.7 IU/ml, respectively; p = 0.01 by Student's t test, p = 0.037 by Mann-Whitney U test). In multivariate analyses, anti-T. gondii IgG antibody titers were consistently associated with an increased risk of traffic accidents, whereas age showed an inverse association. The presence of IgM-anti-T. gondii antibodies was found in three (1.9%) subjects among traffic accident drives, and in two (1.2%) controls. Three (4.2%) samples were positive for the presence of T. gondii DNA, all among seropositive individuals. No signs of ocular toxoplasmosis were found in the entire cohort. Moreover, no other ocular conditions were found to be associated with the risk of traffic accidents in a multivariate analysis. Conclusions: Anti-T. gondii antibody titers are associated with the risk of traffic accidents. We could not determine any association of ocular toxoplasmosis with traffic accidents. Our results warrant further analyses in order to clarify the link between toxoplasmosis and traffic accidents

Tagged: city, diagnosis, elisa, ocular toxoplasmosis, population, rhd molecule, Schizophrenia, seroprevalence, toxoplasmosis, traffic accidents, women, zoonoses

Behavior

Toxoplasma gondii infection and suicide attempts a case-control study in psychiatric outpatients

October 10, 2013
Alvarado-Esquivel, C., Sanchez-Anguiano, L. F., Arnaud-Gil, C. A., Lopez-Longoria, J. C., Molina-Espinoza, L. F., Estrada-Martinez, S. Liesenfeld, O. Hernandez-Tinoco, J. Sifuentes-Alvarez, A. Salas-Martinez, C.
Journal of Nervous and Mental Disease 2013; 201: 948-952.
Click for abstract
The association of Toxoplasma gondii infection with suicide attempts has been scarcely evaluated. Two hundred eighty-three psychiatric outpatients (156 patients with history of suicide attempt and 127 control patients without history of suicide attempt) were examined with enzyme-linked immunoassays for Toxoplasma immunoglobulin G (IgG) and IgM antibodies. Seroprevalences of Toxoplasma IgG and IgM in the cases and the controls were similar: 7 (4.5%) and 3 (1.9%) vs. 10 (7.9%) and 3 (2.4%) (p = 0.23 and p = 0.55), respectively. In contrast, the Toxoplasma IgG levels higher than 150 IU/ml were more frequently observed in the cases than in the controls (100% vs. 50%, respectively; p = 0.04). The seroprevalence of Toxoplasma infection increased with age and with the number of suicide attempts. Toxoplasma seropositivity was associated with reflex impairment, national trips, and snake meat consumption. Our results suggest that although seroprevalence of Toxoplasma infection is not associated with suicide attempts, a high anti-Toxoplasma antibody level is, therefore warranting further research.

Tagged: antibody-titers, case-control study, durango, Epidemiology, history, northern mexican city, parasites, population, rates, Schizophrenia, seroepidemiology, seroprevalence, suicide attempts, Toxoplasma gondii

BehaviorMental health

Toxoplasma gondii infection and behaviour – location, location, location?

March 26, 2013
McConkey, G. A., Martin, H. L., Bristow, G. C., Webster, J. P.
Journal of Experimental Biology 2013; 216: 113-119
Click for abstract
Parasite location has been proposed as an important factor in the behavioural changes observed in rodents infected with the protozoan Toxoplasma gondii. During the chronic stages of infection, encysted parasites are found in the brain but it remains unclear whether the parasite has tropism for specific brain regions. Parasite tissue cysts are found in all brain areas with some, but not all, prior studies reporting higher numbers located in the amygdala and frontal cortex. A stochastic process of parasite location does not, however, seem to explain the distinct and often subtle changes observed in rodent behaviour. One factor that could contribute to the specific changes is increased dopamine production by T. gondii. Recently, it was found that cells encysted with parasites in the brains of experimentally infected rodents have high levels of dopamine and that the parasite encodes a tyrosine hydroxylase, the rate-limiting enzyme in the synthesis of this neurotransmitter. A mechanism is proposed that could explain the behaviour changes due to parasite regulation of dopamine. This could have important implications for T. gondii infections in humans

Tagged: brain, Dopamine, dopamine hypothesis, host behavior, manipulation., mice, mood disorders, neurotransmitter, obsessive-compulsive disorder, Parasite, parkinsonian symptoms, psychiatric patients, rattus-norvegicus, Schizophrenia, wild brown-rats

BehaviorMental health

The role of Toxoplasma gondii-produced tyrosine hydroxylase (TgTH) in parasite manipulation of host behaviour

March 26, 2013
Kaushik, M., Webster, J., Bristow, G., McConkey, G
Tropical Medicine & International Health 2013; 18: 104-104


BehaviorMental health

Persistent neurotropic pathogens and personality-derived intermediate phenotypes of suicidal self directed violence. A focus on aggression and self aggression

January 10, 2013
Cook, T. B., Langenberg, P., Igbide, A., Giegling, I., Hartmann, A. M., Konte, B., Friedl, M., Groer, M., Rujescu, D., Postolache, T. T.
Biological Psychiatry 2013; 73:172-172
Tagged: aggression, neurotropic pathogens, self-aggression, suicidal-behavior, Toxoplasma

BehaviorMental health

Toxoplasma gondii infection, from predation to schizophrenia: can animal behaviour help us understand human behaviour?

January 4, 2013
Webster, J. P., Kaushik, M., Bristow, G. C., McConkey, G. A.
Journal of Experimental Biology 2013; 216: 99-112
Click for abstract
We examine the role of the protozoan Toxoplasma gondii as a manipulatory parasite and question what role study of infections in its natural intermediate rodent hosts and other secondary hosts, including humans, may elucidate in terms of the epidemiology, evolution and clinical applications of infection. In particular, we focus on the potential association between T. gondii and schizophrenia. We introduce the novel term 'T. gondii-rat manipulation-schizophrenia model' and propose how future behavioural research on this model should be performed from a biological, clinical and ethically appropriate perspective.

Tagged: 3rs, altered behavior, behaviour, by-product, card sorting test, dopamine hypothesis, elevated plus-maze, intermediate host, male norway rats, manipulation., mouse, nmda receptor hypofunction, obsessive-compulsive disorder, pathology, rat, rattus-norvegicus, recognition memory, schistosoma-mansoni, Schizophrenia, secondary host, Toxoplasma gondii

BehaviorMental healthReviews

High seroprevalence of Toxoplasma gondii infection in a subset of Mexican patients with work accidents and low socioeconomic status

October 16, 2012
Alvarado-Esquivel, C., Torres-Castorena, A., Liesenfeld, O., Estrada-Martinez, S., Urbina-Alvarez, J. D.
Parasites & Vectors 2012;5: Artn 13 10.1186/1756-3305-5-13
Click for abstract
BACKGROUND: Toxoplasma gondii has been associated with reflex impairment and traffic accidents. It is unknown whether Toxoplasma infection might be associated with work accidents. Therefore, using a case-control seroprevalence study design, 133 patients with a recent work accident and 266 control subjects of the general population from the same region were examined with enzyme-linked immunoassays for the presence and levels of anti-Toxoplasma IgG antibodies and anti-Toxoplasma IgM antibodies. Socio-demographic, work, clinical and behavioral characteristics from each worker were obtained. RESULTS: Eleven (8.3%) of 133 patients, and 14 (5.3%) of 266 controls had anti-T. gondii IgG antibodies. Anti-T. gondii IgG levels were higher than 150 IU/ml in 8 (6%) patients and 10 (3.8%) controls. Anti-T. gondii IgM antibodies were found in one (0.8%) of the workers, and in 6 (2.3%) of the controls. No statistically significant differences in the IgG seroprevalences, frequencies of high IgG levels, and IgM seroprevalences among patients and controls were found. In contrast, a low socio-economic level in patients with work accidents was associated with Toxoplasma seropositivity (P = 0.01). Patients with work accidents and low socioeconomic status showed a significantly (OR = 3.38; 95% CI: 0.84-16.06; P = 0.04) higher seroprevalence of T. gondii infection than controls of the same socioeconomic status (15.1% vs. 5%, respectively). Multivariate analysis showed a positive association of T. gondii infection with boar meat consumption (OR = 3.04; 95% CI: 1.03-8.94; P = 0.04). In contrast, a negative association between T. gondii infection and national trips (OR = 0.40; 95% CI: 0.17-0.96; P = 0.04), sausage consumption (OR = 0.20; 95% CI: 0.05-0.68; P = 0.01), and ham consumption (OR = 0.16; 95% CI: 0.05-0.51; P = 0.002) was found. CONCLUSIONS: In the study described here seropositivity to T. gondii was associated to work accidents in a subset of patients with low socioeconomic status. This is the first report of an association of T. gondii infection and work accidents. Further studies to confirm our results are needed. Results may help in designing optimal prevention strategies to avoid T. gondii infection.

Tagged: accidents, adolescent, adult, aged, antibodies, case-control studies, enzyme-linked immunosorbent assay, female, humans, immunoglobulin G/blood, Immunoglobulin M/blood, male, Mexico/epidemiology, middle aged, multivariate analysis, occupational, protozoan/blood, risk factors, seroepidemiologic studies, social class, Toxoplasma/*immunology, toxoplasmosis/*epidemiology/parasitology, young adult

Behavior

Toxoplasma gondii and elevated suicide risk

October 16, 2012
Godwin R.
Veterinary Record 2012; 171: 225-225
Tagged: animals, cat diseases/epidemiology/transmission, cats humans, suicide attempted/*psychology, Toxoplasma, toxoplasmosis/epidemiology/*psychology, veterinarians/*psychology

BehaviorMental health

Toxoplasma gondii and homicide

October 12, 2012
Lester, D.
Psychological Reports 2012; 111: 196-197
Click for abstract
In a sample of 20 European nations, the prevalence of the brain parasite Toxoplasma gondii was positively associated with national homicide rates, amplifying previous research indicating a positive association of Toxoplasma gondii with suicide rates. Possible causal mechanisms were proposed.

Tagged: Parasite, suicide

BehaviorMental health

Toxoplasma gondii infection and self-directed violence in mothers

October 12, 2012
Pedersen, M. G., Mortensen, P. B., Norgaard-Pedersen, B., Postolache, T. T.
Archives of General Psychiatry 2012; 69: 1123-1130
Click for abstract
Context: Two studies based on clinical samples have found an association between Toxoplasma gondii infection and history of suicide attempt. To our knowledge, these findings have never been replicated in a prospective cohort study. Objective: To examine whether T gondii-infected mothers have an increased risk of self-directed violence, violent suicide attempts, and suicide and whether the risk depends on the level of T gondii IgG antibodies. Design: Register-based prospective cohort study. Women were followed up from the date of delivery, 1992 to 1995 until 2006. Setting: Denmark. Participants: A cohort of 45 788 women born in Denmark whose level of Toxoplasma-specific IgG antibodies was measured in connection with child birth between 1992 and 1995. Main Outcome Measures: Incidence rates of self-directed violence, violent suicide attempts, and suicide in relation to T gondii seropositivity and serointensity. Results: T gondii-infected mothers had a relative risk of self-directed violence of 1.53 (95% CI, 1.27-1.85) compared with noninfected mothers, and the risk seemed to increase with increasing IgG antibody level. For violent suicide attempts, the relative risk was 1.81 (95% CI, 1.13-2.84) and for suicide, 2.05 (95% CI, 0.78-5.20). A similar association was found for repetition of self-directed violence, with a relative risk of 1.54 (95% CI, 0.98-2.39). Conclusion: Women with a T gondii infection have an increased risk of self-directed violence. Arch Gen Psychiatry. 2012;69(11):1123-1130. Published online July 2, 2012. doi:10.1001/archgenpsychiatry.2012.668

Tagged: antibody-titers, behavior, depression, disorders, kynurenines, mechanisms, molecular mimicry, neurobiology, Schizophrenia, suicide attempters

BehaviorMental health

Elevated suicide risks, cats and toxoplasmosis

October 11, 2012
Sparkes, A.
Veterinary Record 2012; 171: 303-304
Tagged: gondi, history, i antibody-titers, population, prevalence

BehaviorMental health

Toxoplasma gondii immunoglobulin G antibodies and nonfatal suicidal self-directed violence

October 11, 2012
Zhang, Y. F., Traskman-Bendz, L., Janelidze, S., Langenberg, P., Saleh, A., Constantine, N., Okusaga, O., Bay-Richter, C., Brundin, L., Postolache, T. T.
Journal of Clinical Psychiatry 2012; 73: 1069-1076
Click for abstract
Objective: The primary aim was to relate Toxoplasma gondii seropositivity and serointensity to scores on the self-rated Suicide Assessment Scale (SUAS-S). Another aim was to reevaluate the previously reported positive association between T gondii serointensity and a history of nonfatal suicidal self-directed violence. Method: This cross-sectional, observational study compared T gondii serointensity and seropositivity in plasma from 54 adult suicide attempters (inpatients at Lund University Hospital, Lund, Sweden) and 30 adult control subjects (randomly selected from the municipal population register in Lund, Sweden) recruited between 2006 and 2010.The potential of patients and controls for self-directed violence was evaluated with the SUAS-S. Psychiatric diagnoses were made according to DSM-IV criteria. Plasma samples were tested for immunoglobulin G antibodies to T gondii, cytomegalovirus, and herpes simplex virus type 1. Data were analyzed using multivariable logistic regression to investigate the association between T gondii serointensity or seropositivity and a history of nonfatal suicidal self-directed violence; multivariable linear regression was used to explore the relationship between T gondii serointensify or seropositivity and the SUAS-S. Both regression models included sex, age, and body mass index as covariates. Results: Seropositivity of T gondii (adjusted odds ratio [OR]=7.12; 95% CI, 1.66-30.6; P=.008) and serointensity of T gondii (adjusted OR=2.01; 95% CI, 1.09-3.71; P=.03) were positively associated with a history of nonfatal suicidal self-directed violence. Seropositivity of T gondii was associated with higher SUAS-S scores, a relationship significant for the whole sample (P=.026), but not for suicide attempters only. No significant associations with other pathogens were identified. Conclusions: These results are consistent with previous reports on the association between T gondii infection and nonfatal suicidal self-directed violence. Confirming these results in future large longitudinal studies and including suicide as an outcome may lead to novel individualized approaches in suicide prevention. J Clin Psychiatry 2012;73 (8):1069-1076 (c) Copyright 2012 Physicians Postgraduate Press, Inc.

Tagged: assessment scale, Cerebral toxoplasmosis, cerebrospinal fluid, depression scale, interferon-gamma, latent toxoplasmosis, personality changes, quinolinic acid, traffic accidents, united-states

BehaviorMental health

Toxoplasma gondii associated behavioural changes in mice, rats and humans: Evidence from current research

January 10, 2012
Bech-Nielsen, S.
Preventive Veterinary Medicine 2012; 103: 78-79
Tagged: host behavior, mechanism, traffic accidents

BehaviorPersonalityReviews

Latent toxoplasmosis and human

January 10, 2012
Dalimi, A., Abdoli, A.
Iranian Journal of Parasitology 2012; 7: 1-17
Click for abstract
Toxoplasmosis is one of the most common parasitic diseases worldwide. Although estimated that one third of the world's population are infected with Toxoplasma gondii, but the most common form of the disease is latent (asymptomatic). On the other hand, recent findings indicated that latent toxoplasmosis is not only unsafe for human, but also may play various roles in the etiology of different mental disorders. This paper reviews new findings about importance of latent toxoplasmosis (except in immunocompromised patients) in alterations of behavioral parameters and also its role in the etiology of schizophrenia and depressive disorders, obsessive compulsive disorder, Alzheimer's diseases and Parkinson's disease, epilepsy, headache and or migraine, mental retardation and intelligence quotients, suicide attempt, risk of traffic accidents, sex ratio and some possible mechanisms of T gondii that could contribute in the etiology of these alterations.

Tagged: 1st-episode schizophrenia, alzheimers-disease, behavioral parameter, congenital toxoplasmosis, cryptogenic epilepsy, gondii infection, kynurenic acid, mental disorder, parasite toxoplasma, parkinson's disease, serum interleukin-6, taxoplasma gondii, toxoplasmosis, traffic accidents

BehaviorCognitive functionsMental healthReviews

Rhesus factor modulation of effects of smoking and age on psychomotor performance, intelligence, personality profile, and health in Czech soldiers

January 9, 2012
Flegr, J., Geryk, J., Volny, J., Klose, J., Cernochova, D.
Plos One 2012; 7: ARTN e49478 10.1371/journal.pone.0049478
Click for abstract
Background: Rhesus-positive and rhesus-negative persons differ in the presence-absence of highly immunogenic RhD protein on the erythrocyte membrane. This protein is a component of NH3 or CO2 pump whose physiological role is unknown. Several recent studies have shown that RhD positivity protects against effects of latent toxoplasmosis on motor performance and personality. It is not known, however, whether the RhD phenotype modifies exclusively the response of the body to toxoplasmosis or whether it also influences effects of other factors. Methodology/Principal Findings: In the present cohort study, we searched for the effects of age and smoking on performance, intelligence, personality and self-estimated health and wellness in about 3800 draftees. We found that the positive effect of age on performance and intelligence was stronger in RhD-positive soldiers, while the negative effect of smoking on performance and intelligence was of similar size regardless of the RhD phenotype. The effect of age on four Cattell's personality factors, i.e., dominance (E), radicalism (Q(1)), self-sentiment integration (Q(3)), and ergic tension (Q(4)), and on Cloninger's factor reward dependency (RD) was stronger for RhD-negative than RhD-positive subjects, while the effect of smoking on the number of viral and bacterial diseases was about three times stronger for RhD-negative than RhD-positive subjects. Conclusions: RhD phenotype modulates the influence not only of latent toxoplasmosis, but also of at least two other potentially detrimental factors, age and smoking, on human behavior and physiology. The negative effect of smoking on health (estimated on the basis of the self-rated number of common viral and bacterial diseases in the past year) was much stronger in RhD-negative than RhD-positive subjects. It is critically needed to confirm the differences in health response to smoking between RhD-positive and RhD-negative subjects by objective medical examination in future studies.

Tagged: abilities, cigarette-smoke, gondii, humans, latent toxoplasmosis, men, parasite toxoplasma, rh, risk, women

BehaviorCognitive functionsMotor functionsPersonality

Toxoplasma gondii seropositivity and suicide rates in women

October 19, 2011
Ling, V. J., Lester, D., Mortensen, P. B., Langenberg, P. W., Postolache, T. T.
Journal of Nervous and Mental Disease 2011; 199: 440-444
Click for abstract
Toxoplasma gondii (T. gondii) is an intracellular protozoan parasite that infects roughly a third of the world population. In an immunocompetent host, infection is generally chronic and asymptomatic, as the immune system keeps T. gondii confined to cysts and the intracellular space within the muscle and brain. Seropositivity has been linked to schizophrenia, car accidents, changes in personality, and more recently, suicidal attempts. Very recently, seroprevalence for 20 European countries was found to be associated with increased suicide rates. Although suicide rates were age-standardized, given that T. gondii seroprevalence increases with age and that the blood samples were drawn in women, we now retested in women only the association between suicide and T. gondii seropositivity, stratified by age. Simple correlations between ranked T. gondii seropositivity and suicide rate identified statistically significant relationships in women 60 years or older (p < 0.05); adjusting for GDP, the statistical significance expanded to include women 45 years and older. The strongest association was in the 60- to 74-year-old group where, after adjustment for GDP, the relationship (p = 0.007) resisted Bonferroni adjustment for multiple comparisons. In conclusion, the results suggest that a positive relationship between rates of infection with T. gondii and suicide is apparent in women of postmenopausal age. Prospective studies are necessary to further confirm this association predictively and to explore mechanisms mediating this relationship.

Tagged: behavior, brain, cat, depletion, depression, europe, infection, latent toxoplasmosis, risk, suicide, Toxoplasma gondii, toxoplasmosis, traffic accidents, tryptophan

BehaviorMental health

Toxoplasma gondii seropositivity and completed suicide in 20 European countries

October 19, 2011
Ling, V. J., Lester, D., Mortensen, P. B., Postolache, T. T.
Biological Psychiatry 2011; 69: 500


BehaviorMental health

Toxoplasma gondii antibody titers and history of suicide attempts in patients with schizophrenia

October 16, 2011
Okusaga, O,. Langenberg, P., Sleemi, A., Vaswani, D., Giegling, I., Hartmann, A. M., Konte, B., Friedl, M., Groer, M. W., Yolken, R. H., Rujescu, D., Postolache, T. T.
Schizophrenia Research 2011; 133: 150-155
Click for abstract
Toxoplasma gondii (T. gondii) a widespread neurotropic parasite, has been previously associated with schizophrenia and more recently with suicidal behavior. However, no previous study has examined the association of T. gondii with suicidal behavior in schizophrenia patients. 950 individuals diagnosed with schizophrenia by SCID were recruited from the Munich area of Germany. Solid-enzyme immunoassay methods were used to measure IgG plasma antibodies to T. gondii, other neurotropic pathogens and gliadin. Logistic regression models were developed to analyze the association of T. gondii seropositivity or serointensity with history of suicidal behavior. In those younger than the median age of the sample, 38, T. gondii serointensity was associated with history of suicidal behavior (p = 0.02), while in the older patients the relationship was not significant (p = 0.21). Seropositivity was also associated with history of suicide attempt in younger patients, odds ratio 1.59 (95% CI 1.06 to 2.40), p = 0.03. Seropositivity for CMV (p = 0.22), HSV-1 (p = 0.36) and gliadin (p = 0.92) was not related to history of suicide attempt in the entire sample or any age subgroup. T. gondii serology might become, with interaction with vulnerability genes, a candidate biomarker for a subgroup of schizophrenia patients prone to attempting suicide

Tagged: behavior, Cerebral toxoplasmosis, endophenotypes, gene-expression, infection, kynurenic acid, lifetime risk, psychosis, reactivation, Schizophrenia, suicidal-behavior, Toxoplasma gondii, united-states

BehaviorMental health

Fatal attraction phenomenon in humans – cat odour attractiveness increased for toxoplasma-infected men while decreased for infected women

September 26, 2011
Flegr, J., Lenochová, P., Hodný, Z., Vondrová, M.
Neglected Tropical Diseases, 5:e1389, 2011
Click for abstract
Background: Latent toxoplasmosis, a lifelong infection with the protozoan Toxoplasma gondii , has cumulative effects on the behaviour of hosts, including humans. The most impressive effect of toxoplasmosis is the ‘‘fatal attraction phenomenon,’’ the conversion of innate fear of cat odour into attraction to cat odour in infected rodents. While most behavioural effects of toxoplasmosis were confirmed also in humans, neither the fatal attraction phenomenon nor any toxoplasmosis-associated changes in olfactory functions have been searched for in them. Principal Findings: Thirty-four Toxoplasma -infected and 134 noninfected students rated the odour of urine samples from cat, horse, tiger, brown hyena and dog for intensity and pleasantness. The raters were blind to their infection status and identity of the samples. No signs of changed sensitivity of olfaction were observed. However, we found a strong, gender dependent effect of toxoplasmosis on the pleasantness attributed to cat urine odour (p = 0.0025). Infected men rated this odour as more pleasant than did the noninfected men, while infected women rated the same odour as less pleasant than did noninfected women. Toxoplasmosis did not affect how subjects rated the pleasantness of any other animal species’ urine odour; however, a non-significant trend in the same directions was observed for hyena urine. Conclusions: The absence of the effects of toxoplasmosis on the odour pleasantness score attributed to large cats would suggest that the amino acid felinine could be responsible for the fatal attraction phenomenon. Our results also raise the possibility that the odour-specific threshold deficits observed in schizophrenia patients could be caused by increased prevalence of Toxoplasma -infected subjects in this population rather than by schizophrenia itself. The trend observed with the hyena urine sample suggests that this carnivore, and other representatives of the Feliformia suborder, should be studied for their possible role as definitive hosts in the life cycle of Toxoplasma .

Tagged: Toxoplasma gondii

BehaviorSensory functions

Parasite manipulation of host behavior: An update and frequently asked questions

October 29, 2010
Poulin, R.
Advances in the Study of Behavior 2010; 41: 151-186
Tagged: acanthocephalan parasite, cockle austrovenus-stutchburyi, gammarus-lacustris, intermediate host, nonhost predators, talorchestia-quoyana amphipoda, Toxoplasma gondii, transmission strategy, trophically transmitted parasite, water-seeking behavior

Behavior

The diagnosis of a personality disorder increases the likelihood for seropositivity to Toxoplasma gondii in psychiatric patients

October 19, 2010
Hinze-Selch, D., Daubener, W., Erdag, S., Wilms, S.
Folia Parasitol (Praha) 2010; 57: 129-135
Click for abstract
Individuals serologically positive for the chronic infection with the parasite Toxoplasma gondii (TG) display certain personality traits differently from uninfected individuals. Experimental data in mice demonstrate that TG infection modulates behaviour. However, psychiatric patients with a personality disorder have not yet been investigated systematically. In our sample containing 896 psychiatric inpatients with the primary diagnoses of schizophrenia, major depression, schizoaffective or bipolar disorder and 214 psychiatrically unaffected controls (same geographic region, sampled during same time period) we analysed for effects of the additional diagnosis of a personality disorder in the patients. Psychiatrically, a patient can meet the criteria of a personality disorder additionally to any of the mentioned primary diagnoses. We applied logistic regression and cross-table statistics, separated groups by the presence/absence of a personality disorder (ICD-10) and adjusted for age between groups. We found that among all patients the additional diagnosis of a personality disorder was significantly associated with TG infection. Furthermore, only in the patients with an additional personality disorder medium titre responses (1:16-1:64) were associated with chronic course and high C-reactive protein (CRP) levels whereas high titre response (>1:64) was associated with a more acute recurrent clinical course. In the older individuals only there was a preponderance of medium titre responses (1:16-1:64) among the patients with personality disorder compared to those without and controls. We conclude that TG infection and the host's response to it make a difference for the diagnosis of a personality disorder. Our data support that TG infection can modulate human behaviour and personality traits.

Tagged: 3-dioxygenase, activation, association, astrocytes, cells, individuals, indoleamine 2, infection, Major depression, nitric-oxide synthase, personality-disorder, Schizophrenia, serology, Toxoplasma gondii, tryptophan depletion

BehaviorMental health
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