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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

behavior

Toxoplasma gondii – obsessive -compulsive disorder relationship: is it different in children?

February 6, 2020
Miman, O., Ozcan, O., Unal, S., Atambay, M.
Nordic Journal of Psychiatry 2019, 72: 501 - 505
Click for abstract
Background and aim: Obsessive-compulsive disorder (OCD) is a common neuropsychiatric illness. Although the etiology of OCD is still unknown, recent investigations have associated development of OCD with infectious illness. Toxoplasma gondii (T. gondii) is a neurotropic protozoan parasite that causes infection of the central nervous system. In the last decade, a lot of researches have focused on the possible relationship between exposure to T. gondii and neuropsychiatric disorders such as schizophrenia. Therefore, in this study, it was aimed to investigate a possible association between Toxoplasma infection and OCD in children and adolescents.Methods: We selected 55 patients with OCD (aged between 7 and 16 years) and 59 healthy children and adolescents (aged between 7 and 16 years), and investigated the seropositivity rate for anti-Toxoplasma IgG antibodies by enzyme-linked immunosorbent assay.Results: The seropositivity rate for anti-T. gondii IgG antibodies among OCD patients (21.82%) was found to be higher than the rate in control group (15.25%). However, the difference between the OCD group and the control group was not statistically significant (p>.05).Conclusion: In contrast to studies in adult patients, the results of this study do not support the relationship between T. gondii and OCD children and adolescents.

Tagged: adolescent, behavior, child, enzyme-linked immunosorbent assay, epidemiologyadolescent, infecton, obsessive-compulsive disorder, Schizophrenia, Toxoplasa gondii

BehaviorMental health

Toxoplasma gondii – obsessive -compulsive disorder relationship: is it different in children?

February 1, 2020
Miman, O., Ozcan, O., Unal, S., Atambay, M.
Nordic Journal of Psychiatry 2019, 72: 501 - 505
Click for abstract
Background and aim: Obsessive-compulsive disorder (OCD) is a common neuropsychiatric illness. Although the etiology of OCD is still unknown, recent investigations have associated development of OCD with infectious illness. Toxoplasma gondii (T. gondii) is a neurotropic protozoan parasite that causes infection of the central nervous system. In the last decade, a lot of researches have focused on the possible relationship between exposure to T. gondii and neuropsychiatric disorders such as schizophrenia. Therefore, in this study, it was aimed to investigate a possible association between Toxoplasma infection and OCD in children and adolescents.Methods: We selected 55 patients with OCD (aged between 7 and 16 years) and 59 healthy children and adolescents (aged between 7 and 16 years), and investigated the seropositivity rate for anti-Toxoplasma IgG antibodies by enzyme-linked immunosorbent assay.Results: The seropositivity rate for anti-T. gondii IgG antibodies among OCD patients (21.82%) was found to be higher than the rate in control group (15.25%). However, the difference between the OCD group and the control group was not statistically significant (p>.05).Conclusion: In contrast to studies in adult patients, the results of this study do not support the relationship between T. gondii and OCD children and adolescents.

Tagged: adolescents, adolesent, antibodies, behavior, enzym-linked immunosorbent assay, Epidemiology, infection, obsessive-compulsive disorder-diagnosis-parasitology-psychology, Schizophrenia, Toxoplasma gondii

BehaviorMental health

Is there any association between Toxoplasma gondii infection and depression? A systematic review and meta-analysis

January 31, 2020
Chegeni, T. N., Sharif, M., Sarvi, S., Moosazadeh, M., Montazeri, M., Aghayan, S. A., Balalami, N. J., Gholami, S., Hosseininejad, Z., Saberi, R., Anvari, D., Gohardehi, S., Daryani, A.
PLoS ONE 2019, 14
Click for abstract
Background Toxoplasma gondii (T. gondii) is an obligate intracellular opportunistic parasite that is the causative agent of toxoplasmosis. This parasite accounts for mental disorders; however, the relationship between T. gondii infection and depressive disorder is unclear. Regarding this, the present systematic review and meta-analysis was conducted to investigate the scientific evidence regarding the potential association between major depression disorder (MDD) and Toxoplasma infection. Methods For the purpose of the study, the articles related to the subject of interest were systematically searched in seven electronic databases. Special attention was given to the studies examining T. gondii seropositivity level in depressed patients and controls. Results The search process resulted in the identification of a total of 30 publications meeting the inclusion criteria and published up to April 2018 for the systematic review. Furthermore, 29 studies met the inclusion criteria to be entered into meta-analysis. Our meta-analysis involved the review of cross-sectional studies including 1657 depressed patients and 19565 individuals as controls and case-control studies entailing 1311 depressed cases and 6015 controls without depression. 1582 depressed people participated in cross-sectional studies whose results were reported as odds ratio (OR). In addition, the total number of participants was 15068 in this type of studies. Statistical analysis indicated that the pooled OR of the risk of anti-T. gondii IgG antibody in depressed individuals in case-control and cross-sectional studies was 1.15 (95% confidence interval (CI): 0.95-1.39). Conclusions As the findings of the reviewed articles indicated, toxoplasmosis is not a risk factor for MDD. However, it is necessary to perform further research to clarify the detailed association between T. gondii and dysthymia or mild and moderate depression. Furthermore, it is recommended to better investigate the effect of antibody titers on the relationship between depression and T. gondii infection.

Tagged: antibodies, behavior, bipolar disorder, prevalence, psychiatric patients, risk factors, Schizophrenia, suicide

Mental health

The effects of latent Toxoplasma gondii infection on the behavior and personality characteristics of university students

January 30, 2020
Akgul, O
Anadolu Psikiyatri Dergisi-Anatolian Journal of Psychiatry 2020, 21: 70 - 76
Click for abstract
Objective: It is well known that one-third of the world population is infected with toxoplasma gondii (T. gondii), and the seroprevalence varies according to socioeconomic status and hygienic habits. Nowadays, it's thought that T. gondii which is related asymptomatic latent infections in brain and muscle tissue may be related with neuropsychiatric conditions. Methods: T. gondii lgG levels of serum samples obtained from 150 volunteer university students who participated in the study according to inclusion criteria were determined according to the manufacturer's recommendations by ELISA (Enzyme-Linked lmmunosorbent Assay) method. Criminal profiles (accident claims, criminal conviction), impulsive behaviors (non-suicidal self-injury, attempted suicide) and personality traits (extra-version, agreeableness, conscientiousness, neuroticism and openness to experience) of the participants were recorded by appropriate scales and/or clinical interviews. The aim of this study was to investigate the relationship between T. gondii seropositivity and impulsive behaviors such as suicide attempt and physical injury, criminal events such as crime and traffic accidents and 5 factor personality types in psychiatric healthy individuals. Results: Sixty-nine (46%) of participants were male and 81 were female (54%), ages ranged from 20 to 37 (25.71 +/- 3.08) and the rate of seropositivity was determined as 30.66%. The relationship between seropositivity and accident claims was not statistically significant; the criminal conviction, non-suicidal self-injury and attempted suicide were statistically correlated. There was no statistically difference in terms of the features of extraversion or openness to experience between seronegative and seropositive groups. However, the T. gondii lgG were statistically highly correlated with lower agreeableness, lower conscientiousness and higher neuroticism scores. Conclusion: The data obtained from our study which is the first study conducted with this context in our country, confirms that latent T. gondii may be associated with negative behavioral outcomes. In order to fully understand the possible effects of T. gondii in psychiatric disorders, prospective-based studies are needed.

Tagged: behavior, personalit, Schizophrenia, Toxlasma gondii

Behavior

Seroprevalance Anti-Toxoplasma gondii antibodies in children and adolescents with tourette syndrome/chronic motor or vocal tic disorder: A case-control study

September 3, 2018
Akaltun, I., Kara, T., Kara, S. S., Ayaydin, H.
Psychiatry Research 2018; 263: 154-157
Click for abstract
Toxoplasma gondii infection may be associated with psychiatric disorders due to its neurological effects. The purpose of this study was to investigate the relation between tic disorders in children and adolescents and Anti-Toxoplasma IgG. 43 children diagnosed with Tourette's syndrome(TS) and 87 with chronic motor or vocal tic disorder(CMVTD), and 130 healthy volunteers, all aged 7-18, were enrolled. Anti-Toxoplasma IgG antibody levels obtained from blood specimens were investigated. Toxoplasma IgG positivity was determined in 16(37.2%) of the patients with TS, in 27(31%) of those with CMVTD and in 12(9.2%) members of the control group. Anti-Toxoplasma gondii antibody positivity was 5.827-fold higher in subjects with TS and 4.425-fold higher in subjects with CMVTD compared to the control group. Correlation was determined between a diagnosis of TS or CMVTD and Anti-Toxoplasma gondii antibodies. We think that it will be useful for the neuropsychiatric process associated with Anti-Toxoplasma gondii antibodies to be clarified.

Tagged: association, behavior, children, disease, infection, mechanisms, obsessive-compulsive disorder, risk, seroprevalance, tic disorders, tourette's syndrome, Toxoplasma gondii, traffic accidents

Mental healthPhysical health

Lower performance of Toxoplasma-infected, Rh-negative subjects in the weight holding and hand-grip tests

September 3, 2018
Flegr, J., Sebankova, B., Priplatova, L., Chvatalova, V., Kankova, S.
PLoS ONE 2018; 13
Click for abstract
Background Toxoplasma, a protozoan parasite of cats, infects many species of intermediate and paratenic hosts, including about one-third of humans worldwide. After a short phase of acute infection, the tissue cysts containing slowly dividing bradyzoites are formed in various organs and toxoplasmosis proceeds spontaneously in its latent form. In immunocompetent subjects, latent toxoplasmosis was considered asymptomatic. However, dozens of studies performed on animals and humans in the past twenty years have shown that it is accompanied by a broad spectrum of specific behavioural, physiological and even morphological changes. In human hosts, the changes often go in the opposite direction in men and women, and are mostly weaker or non-existent in Rh-positive subjects. Methods Here, we searched for the indices of lower endurance of the infected subjects by examining the performance of nearly five hundred university students tested for toxoplasmosis and Rh phenotype in two tests, a weight holding test and a grip test. Results The results confirmed the existence of a negative association of latent toxoplasmosis with the performance of students, especially Rh-negative men, in these tests. Surprisingly, but in an accordance with some already published data, Toxoplasma-infected, Rh-positive subjects expressed a higher, rather than lower, performance in our endurance tests. Discussion Therefore, the results only partly support the hypothesis for the lower endurance of Toxoplasma infected subjects as the performance of Rh-positive subjects (representing majority of population) correlated positively with the Toxoplasma infection.

Tagged: association, behavior, concentration, gondii antibody-titers, latent toxoplasmosis, phenotype, Schizophrenia, seropositivity, suicide attempts, testosterone, women

BehaviorMotor functions

The microbiome in psychology and cognitive neuroscience

February 12, 2018
Sarkar, A. , Harty, S., Lehto,S. M., Moeller, A. H. , Dinan, T. G. , Dunbar,R. I. M. , Cryan, J. F. ,Burnet, P. W. J.
Trends in Cognitive Sciences 2018; 22: 611-636
Click for abstract
Psychology and microbiology make unlikely friends, but the past decade has witnessed striking bidirectional associations between intrinsic gut microbes and the brain, relationships with largely untested psychological implications. Although microbe-brain relationships are receiving a great deal of attention in biomedicine and neuroscience, psychologists have yet to join this journey. Here, we illustrate microbial associations with emotion, cognition, and social behavior. However, despite considerable enthusiasm and potential, technical and conceptual limitations including low statistical power and lack of mechanistic descriptions prevent a nuanced understanding of microbiome-brain-behavior relationships. Our goal is to describe microbial effects in domains of cognitive significance and the associated challenges to stimulate interdisciplinary research on the contribution of this hidden kingdom to psychological processes.

Tagged: anxiety-like, autism spectrum disorder, behavior, central-nervous-system, elevated plus-maze, fecal microbiota, gut microbiota, histone deacetylase inhibitor, lactobacillus-helveticus toxoplasma-gondii, major depressive disorder

Cognitive functionsReviews

Toxoplasma gondii infection and behavioral outcomes in humans: a systematic review

February 12, 2018
Martinez, V. O. , Lima, F. W. D., . de Carvalho, C. F, Menezes, J. A.
Parasitology Research 2018; 117: 3059-3065
Click for abstract
Studies suggest that the protozoan Toxoplasma gondii can disturb human behavior. This study aimed to systematically review the scientific literature on the possible associations between Toxoplasma gondii infection and neurobehavioral abnormalities in humans. We reviewed and summarized the studies published since 1990. The descriptors used were related to T. gondii infection and behavioral outcomes in humans; the main databases of the medical literature were accessed. The results of eight original articles published between 1994 and 2016 were evaluated and described. The most common serological method was the enzyme immunoassay. Most of the researchers used validated instruments for behavioral evaluation. Seven studies reported some association between the prevalence of anti-T. gondii antibodies and some altered behavioral aspects in adult humans; these studies focused on adult population in Europe and the USA. The most reported behavioral deviations are related to greater impulsivity and aggressiveness. There are very few studies on this subject, which present some limitations for inference and conclusions: most were cross-sectional studies, with a small sample size and in similar populations. Investigations with a larger sample size of different population groups should be performed to evaluate multiple factors.

Tagged: aggression, behavior, disease, disorders, latent toxoplasmosis, metaanalysis, neurobehavioral manifestations, personality, problems, Schizophrenia, seroprevalence, Toxoplasma, women

BehaviorReviews

The potential risk of toxoplasmosis for traffic accidents: A systematic review and meta-analysis

February 12, 2018
Gohardehi, S. , Sharif, M. , Sarvi, S., Moosazadeh, M., Alizadeh-Navaei,R., Hosseini,S. A., Amouei,A. , Pagheh, A. , Sadeghi , M., Daryani, A.
Experimental Parasitology 2018; 191: 19-24
Click for abstract
Toxoplasmosis is a prevalent infectious disease. Although most people infected by Toxoplasma gondii are asymptomatic, evidence has suggested that this disease might affect some aspects of a hoses behavior and associate with schizophrenia, suicide attempt, changes in various aspects of personality, and poor neurocognitive performance. These associations may play roles in increasing the risk of a number of incidents, such as traffic accidents, among infected people. In this regard, this study aimed to provide summary estimates for the available data on the potential risk of toxoplasmosis for traffic accidents. To this end, using a number of search terms, i.e. toxoplasmosis, Toxoplasma gondii, traffic accident, road accident car accident, crash, and prevalence, literature searches (up to October 1, 2017) were carried out via 6 databases. The meta-analysis was conducted using the StatsDirect statistical software and a P-value less than 0.05 was regarded as significant in all statistical analyses. Out of 1841 identified studies, 9 studies were finally considered eligible for carrying out this systematic review. Reviewing results of these studies indicated that 5 out of 9 studies reported a significant relationship between Toxoplasma gondii and traffic accidents. Additionally, data related to gender showed significant differences between infected and control men and women. Considering age, reviewing the results of these studies revealed a significant difference between the infected people and the Toxoplasma-negative subjects under 45 years of age. However, no significant difference was found between the two groups aged 45 or older. Given these results, it can be concluded that Toxoplasma gondii significantly increases the risk of having traffic accidents.

Tagged: behavior, gondii infection, latent asymptomatic toxoplasmosis, meta-analysis, performance, systematic review, Toxoplasma gondii, toxoplasmosis, traffic accidents, women

BehaviorReviews

Prevalence of toxoplasmosis and its association with dementia in older adults in Central Africa: a result from the EPIDEMCA programme

February 12, 2018
Bouscaren, N., Pilleron,S. , Mbelesso,P. , Ndamba-Bandzouzi,B., Dartigues,J. F. , Clement,J. P. , Preux, P. M., Darde,M. L., Guerchet , M. , Grp, E.
Tropical Medicine and International Health 2018;23: 1304-1313
Click for abstract
Objective We aimed at estimating the seroprevalence of Toxoplasma gondii (T. gondii) infection in older adults living in Central Africa and investigating its association with dementia using data from the Epidemiology of Dementia in Central Africa (EPIDEMCA) programme. Methods A cross-sectional multicentre population-based study was carried out among participants aged 73 (+/- 7) years on average, living in rural and urban areas of the Central African Republic and the Republic of Congo between November 2011 and December 2012. Blood samples were collected from each consenting participant. The detection of anti-T. gondii immunoglobulin G antibodies was performed in 2014 in France using a commercially available ELISA kit. Participants were interviewed using a standardised questionnaire including sociodemographic characteristics. DSM-IV criteria were required for a diagnosis of dementia. Multivariate binary logistic regression models were used to assess the association between toxoplasmosis infection and dementia. Results Among 1662 participants, the seroprevalence of toxoplasmosis was 63.0% (95% confidence interval (CI): 60.7-65.3) overall, 66.6% (95%CI: 63.4-69.8) in Central African Republic and 59.4% (95%CI: 56.1-62.7) in the Republic of Congo. In multivariate analyses, toxoplasmosis status was significantly associated with increasing age (P = 0.006), Republic of Congo (P = 0.002), urban area (P = 0.001) and previous occupation (P = 0.002). No associations between dementia and toxoplasmosis status or anti-T. gondii IgG titres were found. Conclusion Toxoplasma gondii infection was not associated with dementia among older adults in Central Africa. Our findings are consistent with previous studies and add to the knowledge on the relationship between T. gondii infection and neurological disorders.

Tagged: adults, alzheimers-disease, behavior, congo, dementia, genotypes, gondii infection, health, link, memory, older, seroprevalence, sub-saharan africa, Toxoplasma gondii

Cognitive functions

Significance of chronic toxoplasmosis in epidemiology of road traffic accidents in Russian Federation

December 8, 2017
Stepanova, E. V., Kondrashin, A. V., Sergiev, V. P., Morozova, L. F., Turbabina, N. A., Maksimova, M. S., Brazhnikov, A. I., Shevchenko, S. B., Morozov, E. N.
PLoS ONE 2017;12: 10.1371/journal.pone.0184930
Click for abstract
Studies carried out in Moscow residents have revealed that the prevalence of chronic toxoplasmosis is very close to those in countries of Eastern and Central Europe. Our findings also demonstrated a statistically significant relationship between the rate of traffic accidents and the seroprevalence of chronic toxoplasmosis in drivers who were held responsible for accidents. The latter was 2.37 times higher in drivers who were involved in road accidents compared with control groups. These results suggest that the consequences of chronic toxoplasmosis (particularly a slower reaction time and decreased concentration) might contribute to the peculiarities of the epidemiology of road traffic accidents in the Russian Federation and might interfere with the successful implementation of the Federal Programme named "Increase road traffic safety" . Suggestions for how to address overcome this problem are discussed in this paper.

Tagged: behavior, gondii, human personality, humans, latent toxoplasmosis, Parasite, risk

Behavior

New, previously unreported correlations between latent Toxoplasma gondii infection and excessive ethanol consumption

December 6, 2017
Samojlowicz, D., Borowska-Solonynko, A., Kruczyk, M.
Forensic Science International 2017; 280: 49-54
Click for abstract
A number of world literature reports indicate that a latent Toxoplasma gondii infection leads to development of central nervous system disorders, which in turn may lead to altered behavior in the affected individuals. T. gondii infection has been observed to play the greatest role in drivers, suicides, and psychiatric patients. Studies conducted for this manuscript involve a different, never before really reported correlation between latent T. gondii infection and ethanol abuse. A total of 538 decedents with a known cause of death were included in the study. These individuals were divided into three groups: the risky behavior group, inconclusively risky behavior group, and control group. The criterion for this division was the likely effect of the individual's behavior on the mechanism and cause of his/her death. The material used for analyses were blood samples collected during routine medico-legal examinations in these cases. The blood samples were used to measure anti-T. gondii IgG antibodies with an enzyme-linked immunosorbent assay (ELISA). Moreover, the following data were recorded for each decedent: sex, age, circumstances of death, cause of death, time from death to autopsy, and (if provided) substance abuse status (alcohol, illicit drugs). In those cases where blood alcohol level or toxicology tests were requested by the Prosecutor's Office, their results were also included in our analysis. Test results demonstrated a strong correlation between latent T. gondii infection and engaging in risky behaviors leading to death. Moreover, analyses demonstrated a positive correlation between the presence of anti-T. gondii IgG antibodies and psychoactive substance (especially ethanol) abuse, however, the causal relationship remains unclear. Due to the fact that alcohol abuse constitutes a significant social problem, searching for eliminable risk factors for addiction is extremely important. Our analyses provided new important information on the possible effects of latent T. gondii infection in humans.

Tagged: behavior, childhood/psychology, ethyl alcohol, post-mortem serological testing, risk behaviors, Schizophrenia, suicide, Toxoplasma gondii, toxoplasmosis, traffic accidents

BehaviorMental health

Toxoplasma gondii  infection: Relationship with aggression in psychiatric subjects

October 6, 2016
Coccaro, E. F., Lee, R., Groer, M. W., Can, A., Coussons-Read, M., Postolache, T. T.,
Journal of Clinical Psychiatry 2016; 77: 334-341.
Click for abstract
Objective: Toxoplasma gondii (T. gondii), a protozoan parasite that persists in host tissues, including brain, has been associated with several psychiatric disorders and with suicidal behavior. We sought to test the hypothesis that latent T. gondii infection, as manifest by circulating immunoglobulin G (IgG) antibodies to T. gondii, is associated with both categorical and dimensional measures of aggression. Method: IgG antibodies to T. gondii were collected between 1991 and 2008 from 358 adult subjects with DSM-5 intermittent explosive disorder (IED), non-IED psychiatric disorders (psychiatric controls), or no evidence of any psychiatric diagnosis (healthy controls). Assessments of aggression, anger, and impulsivity, as well as state/trait anger, depression, and anxiety were completed. T. gondii seropositive status (IgG > 12 IU) was the primary outcome measure for this study. Results: T. gondii seropositive status (IgG > 12 IU) was associated with higher aggression (P = .022) and impulsivity (P = .05) scores. When both aggression and impulsivity scores were controlled for, however, only aggression scores were higher in seropositive subjects (P = .011). In addition, T. gondii seropositive status and marginal mean +/- SE aggression scores increased from healthy controls (9.1% and -0.66 +/- 0.05) to psychiatric controls (16.7% and -0.27 +/- 0.05) to subjects with IED (21.8% and 1.15 +/- 0.06; P = .05). These findings were not accounted for by the presence of other syndromal/personality disorders or by states or traits related to depressed or anxious moods. Conclusions: These data are consistent with previous studies suggesting a relationship between T. gondii and self-directed aggression (ie, suicidal behavior) and further add to the biological complexity of impulsive aggression both from a categorical and a dimensional perspective.

Tagged: antibody-titers, behavior, humans, intermittent explosive disorder, mood disorders, personality-disorder, risk factors, Schizophrenia, suicide attempts, united-states

Mental healthPersonality

Toxoplasma gondii infection and schizophrenia: an inter-kingdom communication perspective

October 6, 2016
Elsheikha, H.M., Zhu, X.Q.
Current Opinion in Infectious Diseases 2016; 29: 311-318.
Click for abstract
Purpose of review The apicomplexan protozoan Toxoplasma gondii has a striking predilection for infecting the central nervous system and has been suggested as a risk factor for schizophrenia. Here, we address some of the mechanisms by which T. gondii achieves this by manipulating signaling pathways of the host brain cells. Recent findings Recent years have brought notable progress in the understanding of how the opportunistic parasite T. gondii establishes a successful infection in mammalian brain by secreting effector molecules that manipulate multiple cell functions. Many pathways involved in this inter-kingdom signaling, such as dopaminergic, GABAergic and kynurenine pathways, also have key roles in the development of schizophrenia. More understanding of T. gondii-brain cell interaction holds the key to unlocking the mystery of T. gondii-mediated schizophrenia pathogenesis. Summary T. gondii usurps a variety of host signaling pathways to ensure physiological adaptation, evasion of host immune defense systems, and efficient replication. A detailed knowledge of T. gondii signaling molecules involved in this cross-kingdom communication with host brain cells will probably provide novel means of pharmacologically manipulating host cellular pathways to promote efficient elimination of the parasite and may permit the development of new schizophrenia-modifying therapeutics.

Tagged: acid, behavior, brain, cell-cultures, cognitive impairment, host-pathogen interaction, inter-kingdom signaling, mice, nadph oxidase, Parasite, reproducing increased dopamine, Schizophrenia, Toxoplasma gondii, tyrosine-hydroxylase activity

Mental health

Reduced ERPs and theta oscillations underlie working memory deficits in Toxoplasma gondii infected seniors

October 6, 2016
Gajewski, P. D., Falkenstein, M., Hengstler, J. G., Golka, K.
Psychology 2016; 120: 35-45.
Click for abstract
Toxoplasma gondii is one of the most widespread infections in humans. Recent studies give evidence for memory deficits in infected older adults. To investigate working memory dysfunction in infected elderly, a double-blinded electrophysiological study was conducted. 84 persons derived from a sample of 131 healthy participants with the mean age of 70 years were assigned to two groups of 42 non-infected and 42 infected individuals. The outcome measures were behavioral performance, target and response-related ERPs, and time-frequency wavelets during performance in a n-back working-memory task. The infected individuals showed a reduced rate of detected targets and diminished P3b amplitude both in target-locked as well as response-locked data compared to the non-infected group. Time-frequency decomposition of the EEG-signals revealed lower evoked power in the theta frequency range in the target-locked as well as in the response-locked data in infected individuals. The reported effects were comparable with differences between healthy young and old adults described previously. Taking together, the reduced working-memory performance accompanied by an attenuated P3b and frontal theta activity may suggest neurotransmitter imbalance like dopamine and norepinephrine in T. gondii infected individuals. In face of a high prevalence of T. gondii infection and the increasing ratio of older population their accelerated memory decline may have substantial socioeconomic consequences.

Tagged: (erps) aging, behavior, brain, Dopamine, eeg-dynamics, event-related potentials, latent toxoplasmosis, norepinephrine, p300, performance, response-locked erps, Schizophrenia, stimulus-locked erps, task, theta, time-window, Toxoplasma gondii, working memory

Cognitive functions

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

October 3, 2016
Shehata AI, Hassanein FI, 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, pregnancy, risk, Schizophrenia, seroprevalence, Toxoplasma gondii

Mental health

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

May 28, 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, pregnancy, risk, Schizophrenia, seroprevalence, Toxoplasma gondii

Cognitive 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

Toxoplasmosis Titers and past Suicide Attempts Among Older Adolescents Initiating SSRI Treatment

March 23, 2016
Coryell, W., Yolken, R., Butcher, B., Burns, T., Dindo, L., Schlechte, J., Calarge, C.
Archives of Suicide Research 2016; 20: 605-613
Click for abstract
Latent infection with toxoplasmosis is a prevalent condition that has been linked in animal studies to high-risk behaviors, and in humans, to suicide and suicide attempts. This analysis investigated a relationship between suicide attempt history and toxoplasmosis titers in a group of older adolescents who had recently begun treatment with an SSRI. Of 108 participants, 17 (15.7%) had a lifetime history of at least one suicide attempt. All were given structured and unstructured diagnostic interviews and provided blood samples. Two individuals (11.9%) with a past suicide attempt, and two (2.1%) without this history, had toxoplasmosis titers >= 10 IU/ml (p = 0.166). Those with a past suicide attempt had mean toxoplasmosis titers that were significantly different (p = 0.018) from those of patients who lacked this history. An ROC analysis suggested a lower optimal threshold for distinguishing patients with and without suicide attempts (3.6 IU/ml) than that customarily used to identify seropositivity. Toxoplasmosis titers may quantify a proneness to suicidal behavior in younger individuals being treated with antidepressants.

Tagged: aggression, behavior, children, gondii antibody-titers, history, impulsivity, latent infection, mood disorder, risk, suicide attempt, toxoplasmosis, traffic accidents

Mental health

Seropositivity and serointensity of Toxoplasma gondii antibodies and DNA among patients with schizophrenia

October 29, 2015
Omar, A., Bakar, O. C., Adam, N. F., Osman, H., Osman, A., Suleiman, A. H., Manaf, M. R. A., Selamat, M. I.
Korean Journal of Parasitology 2015; 53: 29-34
Click for abstract
The aim of this cross sectional case control study was to examine the serofrequency and serointensity of Toxoplasma gondii (Tg) IgG, IgM, and DNA among patients with schizophrenia. A total of 101 patients with schizophrenia and 55 healthy controls from Sungai Buloh Hospital, Selangor, Malaysia and University Malaya Medical Center (UMMC) were included in this study. The diagnosis of schizophrenia was made based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). The presence of Tg infection was examined using both indirect (ELISA) and direct (quantitative real-time PCR) detection methods by measuring Tg IgG and IgM and DNA, respectively. The serofrequency of Tg IgG antibodies (51.5%, 52/101) and DNA (32.67%, 33/101) among patients with schizophrenia was significantly higher than IgG (18.2%, 10/55) and DNA (3.64%, 2/55) of the controls (IgG, P=0.000, OD=4.8, CI=2.2-10.5; DNA, P=0.000, OD=12.9, CI=2.17-10.51). However, the Tg IgM antibody between patients with schizophrenia and controls was not significant (P>0.005). There was no significant difference (P>0.005) in both serointensity of Tg IgG and DNA between patients with schizophrenia and controls. These findings have further demonstrated the strong association between the active Tg infection and schizophrenia.

Tagged: 1st-episode, behavior, brain, disorders, Dopamine, individuals, infectious agents, meta-analysis, mice, receptor-binding, Schizophrenia, serofrequency, serointensity, Toxoplasma gondii

Mental health

Association between latent toxoplasmosis and cognition in adults: a cross-sectional study

October 9, 2015
Gale, S. D., Brown, B. L., Erickson, L. D., Berrett, A., Hedges, D. W.
Parasitology 2015; 142: 557-565
Click for abstract
Latent infection from Toxoplasma gondii (T. gondii) is widespread worldwide and has been associated with cognitive deficits in some but not all animal models and in humans. We tested the hypothesis that latent toxoplasmosis is associated with decreased cognitive function in a large cross-sectional dataset, the National Health and Nutrition Examination Survey (NHANES). There were 4178 participants aged 20-59 years, of whom 191% had IgG antibodies against T. gondii. Two ordinary least squares (OLS) regression models adjusted for the NHANES complex sampling design and weighted to represent the US population were estimated for simple reaction time, processing speed and short-term memory or attention. The first model included only main effects of latent toxoplasmosis and demographic control variables, and the second added interaction terms between latent toxoplasmosis and the poverty-to-income ratio (PIR), educational attainment and race-ethnicity. We also used multivariate models to assess all three cognitive outcomes in the same model. Although the models evaluating main effects only demonstrated no association between latent toxoplasmosis and the cognitive outcomes, significant interactions between latent toxoplasmosis and the PIR, between latent toxoplasmosis and educational attainment, and between latent toxoplasmosis and race-ethnicity indicated that latent toxoplasmosis may adversely affect cognitive function in certain groups.

Tagged: attention, behavior, brain, cognition, deficits, disease, gondii infection, memory, Mexico, performance, processing speed, Schizophrenia, seroprevalence, socioeconomic position, Toxoplasma gondii, toxoplasmosis

Cognitive functions

Toxoplasma gondii and anxiety disorders in a community-based sample

October 6, 2015
Markovitz, A. A., Simanek, A. M., Yolken, R. H., Galea, S., Koenen, K. C., Chen, S., Aiello, A. E.
Brain Behavior and Immunity 2015; 43: 192-197
Click for abstract
A growing body of literature suggests that exposure to the neurotropic parasite Toxoplasma gondii (T. gondii) is associated with increased risk of mental disorders, particularly schizophrenia. However, a potential association between T. gondii exposure and anxiety disorders has not been rigorously explored. Here, we examine the association of T. gondii infection with both anxiety and mood disorders. Participants (n = 484) were drawn from the Detroit Neighborhood Health Study, a population-representative sample of Detroit residents. Logistic regression was used to examine the associations between T. gondii exposure (defined by seropositivity and IgG antibody levels) and three mental disorders: generalized anxiety disorder (GAD), posttraumatic stress disorder (PTSD) and depression. We found that T. gondii seropositivity was associated with a 2 times greater odds of GAD (odds ratio (OR). 2.25: 95% confidence interval (CI), 1.11-4.53) after adjusting for age, gender, race, income, marital status, and medication. Individuals in the highest antibody level category had more than 3 times higher odds of GAD (OR, 3.35: 95% Cl, 1.41-7.97). Neither T. gondii seropositivity nor IgG antibody levels was significantly associated with PTSD or depression. Our findings indicate that T. gondii infection is strongly and significantly associated with GAD. While prospective confirmation is needed, T. gondii infection may play a role in the development of GAD.

Tagged: behavior, depression, generalized anxiety disorder, genetic epidemiology, individuals, infection, mental health, metaanalysis, posttraumatic-stress-disorder, ptsd infection, rattus-norvegicus mood disorders, risk factors, Schizophrenia, Toxoplasma gondii

Mental healthPersonality

Toxoplasma gondii seropositivity and cognitive functions in school-aged children

October 6, 2015
Mendy, A., Vieira, E. R., Albatineh, A. N., Gasana, J.
Parasitology 2015; 142: 1221-1227
Click for abstract
Toxoplasma gondii (T. gondii) infects one-third of the world population, but its association with cognitive functions in school-aged children is unclear. We examined the relationship between Toxoplasma seropositivity and neuropsychological tests scores (including math, reading, visuospatial reasoning and verbal memory) in 1755 school-aged children 12-16 years old who participated to the Third National Health and Nutrition Examination Survey, using multiple linear regressions adjusted for covariates. Toxoplasma seroprevalence was 7.7% and seropositivity to the parasite was associated with lower reading skills (regression coefficient [beta] = -5.86, 95% confidence interval [CI]: -11.11, -0.61, P = 0.029) and memory capacities (beta = -0.86, 95% CI: -1.58, -0.15, P = 0.017). The interaction between T. gondii seropositivity and vitamin E significantly correlated with memory scores. In subgroup analysis, Toxoplasma-associated memory impairment was worse in children with lower serum vitamin E concentrations (beta = -1.61, 95% CI: -2.44, -0.77, P < 0.001) than in those with higher values (beta = -0.12, 95% CI: -1.23, 0.99, P = 0.83). In conclusion, Toxoplasma seropositivity may be associated with reading and memory impairments in school-aged children. Serum vitamin E seems to modify the relationship between the parasitic infection and memory deficiency.

Tagged: adults, association, behavior, cognition, cognitive function, disease, Dopamine, gene-expression, infection, intelligence, math, memory, mice, parasites, performance, reading, school-aged children, Toxoplasma gondii, vitamin e, vitamins

Cognitive functions

Seropositivity and serointensity of Toxoplasma gondii antibodies and DNA among patients with schizophrenia

October 6, 2015
Omar, A., Bakar, O. C., Adam, N. F., Osman, H., Osman, A., Suleiman, A. H., Manaf, M. R. A., Selamat, M. I.
Korean Journal of Parasitology 2015; 53: 29-34.
Click for abstract
The aim of this cross sectional case control study was to examine the serofrequency and serointensity of Toxoplasma gondii (Tg) IgG, IgM, and DNA among patients with schizophrenia. A total of 101 patients with schizophrenia and 55 healthy controls from Sungai Buloh Hospital, Selangor, Malaysia and University Malaya Medical Center (UMMC) were included in this study. The diagnosis of schizophrenia was made based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). The presence of Tg infection was examined using both indirect (ELISA) and direct (quantitative real-time PCR) detection methods by measuring Tg IgG and IgM and DNA, respectively. The serofrequency of Tg IgG antibodies (51.5%, 52/101) and DNA (32.67%, 33/101) among patients with schizophrenia was significantly higher than IgG (18.2%, 10/55) and DNA (3.64%, 2/55) of the controls (IgG, P=0.000, OD=4.8, CI=2.2-10.5; DNA, P=0.000, OD=12.9, CI=2.17-10.51). However, the Tg IgM antibody between patients with schizophrenia and controls was not significant (P>0.005). There was no significant difference (P>0.005) in both serointensity of Tg IgG and DNA between patients with schizophrenia and controls. These findings have further demonstrated the strong association between the active Tg infection and schizophrenia.

Tagged: 1st-episode disorders, behavior, brain, Dopamine, individuals, infectious agents, metaanalysis, mice, receptor-binding, Schizophrenia, serofrequency, serointensity, Toxoplasma gondii

Mental health

Toxoplasma gondii impairs memory in infected seniors

October 10, 2014
Gajewski, P. D., Falkenstein, M., Hengstler, J. G., Golka, K.
Brain Behavior and Immunity 2014; 36: 193-199
Click for abstract
lmost 30% of humans present a Toxoplasma gondii positive antibody status and its prevalence increases with age. The central nervous system is the main target. However, little is known about the influence of asymptomatic i.e. latent Toxoplasmosis on cognitive functions in humans. To investigate neurocognitive dysfunctions in asymptomatic older adults with T. gondii positive antibody status a double-blinded neuropsychological study was conducted. The participants were classified from a population-based sample (N = 131) of healthy participants with an age of 65 years and older into two groups with 42 individuals each: Toxoplasmosis positive (T-pos; IgG > 50 IU/ml) and Toxoplasmosis negative (T-neg; IgG = 0 IU/ml). The outcome measures were a computer-based working-memory test (2-back) and several standardized psychometric tests of memory and executive cognitive functions. T-pos seniors showed an impairment of different aspects of memory. The rate of correctly detected target symbols in a 2-back task was decreased by nearly 9% (P = 0.020), corresponding to a performance reduction of about 35% in working memory relative to the T-neg group. Moreover, T-pos seniors had a lower performance in a verbal memory test, both regarding immediate recall (10% reduction; P = 0.022), delayed recognition (6%; P = 0.037) and recall from long-term memory assessed by the word fluency tests (12%; P = 0.029). In contrast, executive functions were not affected. The effects remained mostly unchanged after controlling for medication. The impairment of memory functions in T-pos seniors was accompanied by a decreased self-reported quality of life. Because of the high prevalence of asymptomatic Toxoplasmosis and an increasing population of older adults this finding is of high relevance for public health

Tagged: age, aging, behavior, challenges, cognition, Dopamine, humans, load, memory, performance, rats, task, Toxoplasma gondii, vaccines, working memory

Cognitive functions

Association between latent toxoplasmosis and major depression, generalised anxiety disorder and panic disorder in human adults

October 9, 2014
Gale, S. D., Brown, B. L., Berrett, A., Erickson, L. D., Hedges, D. W.
Folia Parasitologica 2014; 61: 285-292.
Click for abstract
Latent infection with the apicomplexan Toxoplasma gondii (Nicolle et Manceaux, 1908) has been associated with schizophrenia, bipolar disorder and self-harm behaviour. However, the potential relationship between T. gondii immunoglobulin G antibody (IgG) seropositivity and generalised-anxiety disorder (GAD) and panic disorder (PD) has not been investigated. The associations between serum reactivity to T. gondii and major depressive disorder (MDD), GAD and PD were evaluated in a total sample of 1846 adult participants between the ages of 20 and 39 years from the United States Center for Disease Control's National Health and Nutrition Examination Survey (NHANES). Approximately 16% of the overall sample was seropositive for T. gondii and 7% of the sample met criteria for MDD, 2% for GAD and 2% for PD. There were no significant associations between T gondii IgG seroprevalence and MDD (OR = 0.484, 95% CI = 0.186-1.258), GAD (OR = 0.737, 95% CI = 0.218-2.490) or PD (OR = 0.683, 95% CI = 0.206-2.270) controlling for sex, ethnicity, poverty-to-income ratio and educational attainment. However, limited evidence suggested a possible association between absolute antibody titres for T. gondii and GAD and PD but not MDD. Toxoplasma gondii seroprevalence was not associated with MDD, GAD or PD within the context of the limitations of this study, although there may be an association of T. gondii serointensity with and GAD and PD, which requires further study.

Tagged: antibodies, behavior, behaviour, bipolar disorder, brain, gondii infection, mood, mood disorders, national health and nutrition examination survey (nhanes), psychiatric, risk factors, Schizophrenia, seroprevalence, Toxoplasma gondii, united-states

Mental health

Psychiatric disorders in Toxoplasma seropositive patients – CD8 connection

October 11, 2013
Bhadra, R., Cobb, D. A., Weiss, L. M., Khan, I. A.
Schizophrenia Bulletin 2013; 39: 485-489
Click for abstract
Although the highest numbers of studies linking an infectious agent with schizophrenia has involved the parasite Toxoplasma gondii, the mechanistic underpinnings of this correlation has remained unaddressed. Incidentally, CD8 T cells, which play a pivotal role in mediating long-term immunity to Toxoplasma, are downregulated in schizophrenia patients. Recent studies have demonstrated that CD8 response is also impaired during chronic toxoplasmosis in murine models. In light of these new findings, in this article, we discuss the potential role of CD8 T cells in causing altered mental status in Toxoplasma seropositive schizophrenia patients.

Tagged: behavior, cd8 t cells, cells, disease, Dopamine, exhaustion, gondii, infection, lymphocytes, oxoplasma, pd-1, receptors, risk factors, Schizophrenia

Mental health

Prevalence of Toxoplasma gondii infection among individuals with severe mental illness in Nigeria: a case control study

October 11, 2013
James, B. O., Agbonile, I. O., Okolo, M., Lawani, A. O., Omoaregba, J. O.
Pathogens and Global Health 2013; 107: 189-193
Click for abstract
Background: While the aetiology for most psychotic disorders is unknown, a strong association has been observed between Toxoplasma gondii infection and psychosis. The proportion of individuals with psychotic disorders who have current or past infection with toxoplasma has been varied. Reports from the African continent have however been scanty. Methods: A case control study of patients with a psychotic disorder presenting for the first time to a regional psychiatric facility was undertaken and compared to age and sex-matched healthy controls. In addition to socio-demographic and clinical characteristics, seroprevalence (IgG and IgM) of T. gondii was undertaken using an immunoassay test kit. Results: IgG seropositivity was significantly higher among cases (30.7% vs 17.85%, OR=2.04, 95% CI=1.12-3.74, P<0.02). In contrast, IgM seropositivity was significantly lower among the cases (7.14% vs 8.57%, OR=0.82, 95% CI=0.31-2.16, P=0.82). Cases who were IgG seropositive to T. gondii were more likely to be older (P<0.001) and female (P<0.001). There was no statistically significant difference in terms of T. gondii infection and, eaten poorly cooked meat (0.88), and diagnostic group (P=0.53). Though there was a trend towards exposure to cats, this failed to reach significance (P=0.08). Conclusion: T. gondii (IgG) infection is common among individuals with severe mental illness sampled and significantly higher compared to controls.

Tagged: agents, antibodies, behavior, nigeria, posttraumatic-stress-disorder, risk factors, Schizophrenia, severe mental illness, Toxoplasma gondii

Mental health

Differences in some developmental features between Toxoplasma gondii-seropositive and seronegative school children

October 9, 2013
Mizgajska-Wiktor, H., Jarosz, W., Andrzejewska, I., Krzykala, M., Janowski, J., Kozlowska, M.
Folia Parasitologica 2013; 60: 416-424
Click for abstract
Knowledge about the influence of latent toxoplasmosis on development and general biological condition of children is scant and thus the aim of the present study was to investigate these aspects in some detail. We compare school children in rural area seropositive and seronegative to the apicomplexan parasite Toxoplasma gondii (Nicolle et Manceaux, 1908) in terms of their developmental age, body mass and body height, physical fitness and end-of-term grades. Additionally, we evaluated the risk factors of infection with T gondii such as the presence of cats in the household and eating raw meat products. With IFAT and ELISA tests, the prevalence of anti-Toxoplasma antibodies was 41% (190 children examined) and the rate of infection was higher in girls (44%) than in boys (36%). No significant differences were observed in morphological features and physical fitness of examined children. In girls the level of developmental age measured with electrophoretical mobility of nuclei method was significantly higher and school performance significantly lower for those infected with Toxoplasma than for uninfected; this finding was particularly intriguing. Only boys who ate raw meat products were more likely to be seropositive. The study provides some new information on gender differences in reaction to Toxoplasma infection.

Tagged: animals, antibodies, areas, behavior, children development, developmental age, infection, latent toxoplasmosis, physical fitness, risk, risk factors, Schizophrenia, seroprevalence, toxoplasmosis

Cognitive functions

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

The relation of cortisol and sex hormone levels to results of psychological, performance, IQ and memory tests in military men and women

January 9, 2012
Flegr, J., Hampl, R., Černochová, D., Preiss, M., Bičíkova, M., Sieger, L., Příplatová, L., Kaňková, S., Klose, J.
Neuroendocrinology Letters 2012; 33: 224-235
Click for abstract
BACKGROUND: Cortisol, along with other hormones of hypothalamo-pituitary-adrenal axis, belongs to one of the main factors influencing psychological and pathognomic factors, intelligence, and memory. METHODS: The aim of our study was to review a large battery of psychological, performance, IQ and memory tests as to their relation with cortisol, testosterone and estrogen levels in groups of 100 men and 93 women who attended the Central Military Hospital in Prague for regular entrance psychological examinations for military personnel. RESULTS: In men, we detected positive correlations between cortisol and emotional lability, and negative correlations with impulsivity, while in women hypochondria and psychopathology were negatively correlated, and aggression measured with the Meili selective memory test had a positive relation to cortisol level. Testosterone correlated positively with emotional liability and negatively with impulsivity in men, and negatively with hypochondria and psychasteny, indirect aggression, irritability and paranoia in women. Estradiol correlated positively with psychopathology in men, and negatively with phobia. It was positively correlated with negativism in women. No clear correlation was observed between the concentration of steroid hormones and psychomotor performance or intelligence. CONCLUSIONS: Concentrations of steroid hormones correlate with results of several psychological tests, the sign and magnitude of these correlations, however, very often differ in military men and women.

Tagged: aggression, bdi, behavior, cortisol, dominance, estrogen, gender differences, hypothesis, intelligence, meili test, memory, miller 2009, n-70, od-1, otis test, personality, personality tests, psychology, questionnaire, responses, stress, supports, testosterone, testosterone concentration, topp, toxoplasmosis, wmt

Cognitive functionsPersonality

Toxoplasma infection in schizophrenia patients: A comparative study with control group

October 19, 2011
Alipour, A., Shojaee, S., Mohebali, M., Tehranidoost, M., Masoleh, F. A., Keshavarz, H.
Iranian Journal of Parasitology 2011; 6: 31-37
Click for abstract
Background: Schizophrenia is a serious, chronic, and often debilitating neuropsychiatric disorder. Its causes are still poorly understood. Besides genetic and non-genetic (environmental) factors are thought to be important as the cause of the structural and functional deficits that characterize schizophrenia. This study aimed to compare Toxoplasma gondii infection between schizophrenia patients and non-schizophrenia individuals as control group. Methods: A case-control study was designed in Tehran, Iran during 2009-2010. Sixty-two patients with schizophrenia and 62 non-schizophrenia volunteers were selected. To ascertain a possible relationship between T. gondii infection and schizophrenia, anti-Toxoplasma IgG antibodies were detected by indirect-ELISA. Data were statistically analyzed by chi- square at a confidence level of 99%. Results: The sero-positivity rate among patients with schizophrenia (67.7%) was significantly higher than control group (37.1) (P <0.01). Conclusion: A significant correlation between Toxoplasma infection and schizophrenia might be expected.

Tagged: antibodies, behavior, bipolar disorder, brain, elisa, episode schizophrenia, gondii infection, individuals, Iran, metaanalysis, personality, recent-onset schizophrenia, Schizophrenia, Toxoplasma gondii

Mental health

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 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

The neurotropic parasite Toxoplasma gondii increases dopamine metabolism

March 26, 2011
Prandovszky, E., Gaskell, E., Martin, H., Dubey, J. P., Webster, J. P., McConkey, G. A.
Plos One 2011; 6: ARTN e23866 10.1371/journal.pone.0023866
Click for abstract
The highly prevalent parasite Toxoplasma gondii manipulates its host's behavior. In infected rodents, the behavioral changes increase the likelihood that the parasite will be transmitted back to its definitive cat host, an essential step in completion of the parasite's life cycle. The mechanism(s) responsible for behavioral changes in the host is unknown but two lines of published evidence suggest that the parasite alters neurotransmitter signal transduction: the disruption of the parasite-induced behavioral changes with medications used to treat psychiatric disease (specifically dopamine antagonists) and identification of a tyrosine hydroxylase encoded in the parasite genome. In this study, infection of mammalian dopaminergic cells with T. gondii enhanced the levels of K+-induced release of dopamine several-fold, with a direct correlation between the number of infected cells and the quantity of dopamine released. Immunostaining brain sections of infected mice with dopamine antibody showed intense staining of encysted parasites. Based on these analyses, T. gondii orchestrates a significant increase in dopamine metabolism in neural cells. Tyrosine hydroxylase, the rate-limiting enzyme for dopamine synthesis, was also found in intracellular tissue cysts in brain tissue with antibodies specific for the parasite-encoded tyrosine hydroxylase. These observations provide a mechanism for parasite-induced behavioral changes. The observed effects on dopamine metabolism could also be relevant in interpreting reports of psychobehavioral changes in toxoplasmosis-infected humans.

Tagged: behavior, cells, impact, infection, mice, neurons, rats, risk, Schizophrenia, storage

Mental health

Is there a relationship between Toxoplasma gondii infection and idiopathic Parkinson’s disease?

October 19, 2010
Celik, T., Kamisli, O., Babur, C., Cevik, M.O., Oztuna, D., Altinayar, S
Scandinavian Journal of Infectious Diseases 2010; 42: 604-608
Click for abstract
Idiopathic Parkinson's disease defines a group of Parkinson's disease (PD) of which the aetiology is unknown but an underlying brain disease is suspected. We selected patients of this subgroup of PD and investigated the seropositivity rate for anti-Toxoplasma IgG antibody by Sabin-Feldman dye test (SFDT). By measuring seropositivity in PD patients, we searched for a probable relationship between Toxoplasma gondii infection and idiopathic PD incidence. Fifty patients diagnosed with idiopathic PD and 50 healthy volunteers were included in the study. Blood samples were taken from all 100 participants and anti-T. gondii antibody titres were investigated using SFDT. Anti-T. gondii antibodies were detected at a titre of >= 1/16 in 25 of the 50 patients (50%) and in 20 of the control group (40%). No higher antibody titre was found in the control group. In conclusion, despite the emerging literature on a possible relationship between T. gondii infection and neurological disease, and the high anti-T. gondii seropositivity found in our PD patients, we did not detect any statistically significant association between T. gondii and idiopathic PD.

Tagged: behavior, host, mice, origin, personality

Mental health

Toxoplasma gondii infection in first-episode and inpatient individuals with schizophrenia

January 9, 2010
Hamidinejat, H., Ghorbanpoor, M., Hosseini, H., Alavi, S. M., Nabavi, L., Jalali, M. H., Borojeni, M. P., Jafari, H., Mohammadaligol, S.
International Journal of Infectious Diseases 2010; 14: E978-E981
Click for abstract
Background: A high seroprevalence of Toxoplasma gondii infection has been detected in psychiatric patients, particularly in schizophrenia cases. Methods: In the present study 98 patients suffering from schizophrenia (58 inpatients and 40 first-episode patients) and 96 control patients (50 healthy volunteers and 46 with a depressive disorder) were examined for the presence of both IgG and IgM antibodies against T. gondii by enzyme-linked immunosorbent assay (ELISA). We applied the Bradford Hill criteria to identify the weight of causal inference. Results: The positivity rate of anti-T. gondii IgG antibodies among individuals with schizophrenia (57.1%) was significantly higher than in healthy controls (29.2%). There were no associations between immune status ratio (ISR) values and the risk of schizophrenia. The weight of evidence approach using the Bradford Hill criteria revealed a 92% probability of a causal association. Conclusion: Our results show that exposure to T. gondii may lead to schizophrenia. (C) 2010 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Tagged: agents, antibodies, behavior, depressive disorder, disorders, mice, rats, Schizophrenia, Toxoplasma gondii

Mental health

A possible relationship between Toxoplasma gondii and schizophrenia: A seroprevalence study

October 26, 2009
Dogruman-Al, F., Aslan, S., Yalcin, S., Kustimur, S., Turk, S.
International Journal of Psychiatry in Clinical Practice 2009; 13: 82-87.
Click for abstract
Objective. Schizophrenia is a pervasive neuropsychiatric disease of uncertain etiology. We aimed to investigate a possible association between Toxoplasma gondii infection and schizophrenia in this study. Method. We selected individuals with schizophrenia (n=88) and tested them with commercially available enzyme-linked immunosorbent assay (ELISA) for anti-Toxoplasma IgG and IgM antibodies and compared these seropositivity rate to those of controls without psychiatric disease (n=88). Results. The rate of IgG antibody in the schizophrenia patients (47.7%) was higher than the control groups (20.4%) (P0.001). We did not find any anti-Toxoplasma IgM seropositivity in both schizophrenia patients and control group. In schizophrenic patients with and without anti-Toxoplasma IgG groups statistical analysis did not reveal any correlation between demographic variables and Toxoplasma infection. Conclusion. Our findings supported previous studies indicate that T.gondii may play a role in etiopathogenesis in some cases of schizophrenia.

Tagged: 1st-episode schizophrenia, anti-toxoplasma igg, anti-toxoplasma igm, antibodies, association, behavior, bipolar disorder, brain, exposure, individuals, infection, necrosis-factor-alpha, Schizophrenia, Toxoplasma gondii

Mental health

Higher prevalence of toxoplasmosis in victims of traffic accidents suggest increased risk of traffic accident in Toxoplasma-infected inhabitants of Istanbul and its suburbs.

October 26, 2009
Kocazeybek, B., Oner, Y. A., Turksoy, R., Babur, C., Cakan, H., Sahip, N., Unal, A., Ozaslan, A., Kilic, S., Saribas, S., Asian, M., Taylan, A., Koc, S., Dirican, A., Uner, H. B., Oz, V., Ertekin, C., Kucukbasmaci, O., Torun, M. M.
Forensic Science International 2009; 187: 103-108
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Reflexes of drivers who have toxoplasmosis have been shown to deteriorate from the actions of the parasitic cysts. The cysts can change the level of the neurotransmitters such as dopamine in the brain and by doing so extend the muscle response time and change personality profiles. In this Study, we aimed to determine the frequency of the latent toxoplasmosis (LT) in the driver population who were either injured or died in traffic accidents reported in Istanbul and its suburbs. We compared the results with a control group and discussed the relationship between the LT and the traffic accidents. We included 218 (89.7%) non-fatal, 25 (10.3%) fatal cases in our study as study groups. A total 243 subjects, 234 (96%) male, 9 (4%) female (who were alcohol negative) compared with 191 (95.5%) male and 9 (4.5%) female Subjects (control group) who had a traffic accident before but no history of toxoplasmosis were studied. Serologic tests, enzyme immunoassay (EIA) for IgG and IgM, and microimmunoflorescence (MIF) for IgG were used as the reference test, the Sabin-Feldman Dye test (SFDT) was used. According to serologic test results, LT seroprevalence in the study groups was 130 (53.5%) and in the control group 56 (28%) (p < 0.0001). A LT was present in 126 out of 234 (53.8%) males in the study groups, and 54 out of 191 (28.3%) males in the control group (p < 0.0001). In the 31-44 year age group, there was a significant difference with regard to toxoplasmosis between the study subjects and control groups (p < 0.0001). This difference was statistically very significant in (recent and former) cases with middle-aged men (31 44 years old). The results of this retrospective study Suggest that LT in drivers, especially those who are between 31 and 44 years might increase the risk for getting involved in a car accident. In a prospective study, Toxoplasma positive and negative subjects can be monitored before they are involved in a traffic accident to clarify the cause and result relationship. (C) 2009 Elsevier Ireland Ltd. All rights reserved.

Tagged: antibodies, behavior, decreased level, Dopamine, forensic science, gondii, latent toxoplasmosis, mice, novelty seeking, personality, pregnant women, Schizophrenia, traffic accidents

Behavior

Psychosis may be associated with toxoplasmosis

October 26, 2009
Zhu S.
Medical Hypotheses 2009; 73: 799-801.
Click for abstract
Many parasites induce characteristic changes in their host. The effect of Toxoplasma gondii infection on the cerebrum and neuropsychiatric patients has been increasingly emphasized in recent years. T gondii has a high affinity for brain tissue where tachyzoites may form tissue cysts and persist for a life long time. Some psychiatric symptoms such as schizophrenia and mental retardation may be induced by the infection of T gondii. Furthermore, experiments demonstrated that some antipsychotics and mood stabilizers used to treat psychosis displayed the function of inhibiting T. gondii replication. Investigations from various regions in China in psychotic patients support the hypotheses that psychosis may be linked to T gondii infection. (C) 2009 Elsevier Ltd. All rights reserved.

Tagged: agents, behavior, Dopamine, gondii, host, infection, parasitosis, rats, risk, Schizophrenia

Mental health
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