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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

seropositivity

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

Toxoplasma gondii exposure and the risk of attention deficit hyperactivity disorder in children and adolescents

February 12, 2018
Khademvatan, S. , Riahi,F., Izadi-Mazidi,M. , Khajeddin, N., Yousefi, E.
Pediatric Infectious Disease Journal 2018; 37: 1097-1100
Click for abstract
Background: Evidence suggests that Toxoplasma gondii, which causes toxoplasmosis, changes the metabolism of neurotransmitters, especially dopamine, resulting in both neurologic and psychiatric disorders. On the other hand, the dysregulation of catecholamines, especially of both norepinephrine and dopamine, has been proposed in the pathophysiology of attention deficit hyperactivity disorder (ADHD). The aim of the present study was to investigate anti-toxoplasma antibodies in children and adolescents with ADHD and compare it with a control group, to determine whether toxoplasmosis is a risk factor for ADHD. Methods: A total of 200 children and adolescents (117 patients with ADHD and 83 individuals without ADHD) participated in the study. Participants were tested for the presence of anti-T. gondii antibodies by enzyme-linked immunosorbent assay. A Parent ADHD Rating Scale and Clinical Global Impression-severity Scale were also completed. Data were analyzed using a (2) test and Fisher exact test. Results: Anti-toxoplasma antibodies were detected in 18.1% of patients with ADHD disorder and 24% of individuals without ADHD. There was no significant difference in seropositivity between the 2 groups (P > 0.05). The number of patients with T. gondii infection in the 3 subgroups was 0, 9 and 12, respectively. The differences in infection rate among subgroups were not statistically significant (P > 0.05). Conclusion: Although not conclusive, the present study does not support the theory that T. gondii is a risk factor for ADHD.

Tagged: attention deficit hyperactivity disorder (ADHD), deficit/hyperactivity, disorder, elisa, infection seroprevalence, Iran, latent toxoplasmosis, mood disorders, personality changes, primary-school children, Schizophrenia, seropositivity, Toxoplasma gondii, women

Mental health

Seroprevalence of Toxoplasma gondii infection in children with central nervous system disorders in Mansoura, Egypt: a case-control study

February 12, 2018
El-Beshbishi,S. N. , El-Tantawy,N. L, Elzeky, S. M., Abdalaziz , K. F. ,Atia, R. A.
Transactions of the Royal Society of Tropical Medicine and Hygiene 2018;112: 555-560
Click for abstract
Background: Toxoplasma gondii is a global infection with a crucial role in the development of neurological diseases. Data concerning the association between T. gondii and neurological illnesses in Egyptian children is scarce. Methods: A case-control study was conducted on 60 patients divided into children suffering from central nervous system manifestations without apparent chromosomal anomalies (n=30) and children with Down syndrome (n=30) recruited from Mansoura University Children's Hospital, Mansoura, Egypt. A total of 30 healthy children were included as controls. Demographics and clinical data were collected from all cases and Toxoplasma immunoglobulin (Ig) M and G antibodies were assessed by enzyme-linked immunosorbent assay. Results: Anti-T. gondii IgG was the most frequent antibody detected and the highest seropositivity rates were ranked for the neurologically disabled non-syndromic children, followed by Down syndrome, compared with controls (p <= 0.001). Statistically significant (p=0.05) associations were found between Toxoplasma IgG seropositivity and hydrocephalus and between Toxoplasma IgM and a history of contact with farm animals, soil and cats in children with Down syndrome. Conclusions: The association between Toxoplasma infection and neurological disorders in children should be kept in mind by paediatricians and assessment of T. gondii antibodies in early childhood is needed for timely management of afflicted patients.

Tagged: autism, children, cryptogenic epilepsy, down-syndrome, endocrine, Epidemiology, immune, individuals, neurological disorders, seropositivity, Toxoplasma gondii, toxoplasmosis

Mental healthPhysical health

Association of Toxoplasma gondii infection with schizophrenia and its relationship with suicide attempts in these patients

December 8, 2017
Ansari-Lari, M., Farashbandi, H., Mohammadi, F.
Tropical Medicine and International Health 2017; 22: 1322-1327
Click for abstract
OBJECTIVES To investigate the association between schizophrenia and Toxoplasma gondii, and to assess the association of infection with suicide attempts and age of onset of schizophrenia in these patients. METHODS Case-control study Fars Province, southern Iran. Cases were individuals with psychiatric diagnosis of schizophrenia as per Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. Controls were healthy blood donors, frequency-matched with patients according to age and sex. For the detection of IgG antibodies, enzyme-linked immunosorbent assay (ELISA) was used. Data about demographic information in all subjects and duration of illness and history of suicide attempts in patients with schizophrenia were collected using a brief questionnaire and hospital records. Chi-square test and multivariable logistic regression were used for statistical analyses. RESULTS Among 99 cases, 42 individuals (42%) were positive for T. gondii antibody, vs. 41 (27%) among 152 controls (OR = 2, 95% CI: 1.2-3.4, P = 0.012). We compared the suicide attempts in patients with schizophrenia based on their T. gondii serologic status. There was a lower rate of suicide attempts in seropositive male patients than seronegative ones (OR = 0.3, 95% CI: 0.1-0.97, P = 0.04). Age of onset of schizophrenia did not differ between T. gondii-infected and non-infected patients. CONCLUSIONS These findings may have implications for schizophrenia and suicide prevention programmes. However, clearly further studies are required to confirm them.

Tagged: antibody-titers, Iran, latent toxoplasmosis, metaanalysis, Schizophrenia, seropositivity, suicide, Toxoplasma gondii

Mental health

Bipolar disorder with psychotic features and ocular toxoplasmosis

January 3, 2017
Del Grande, C., Contini, C., Schiavi, E., Rutigliano, G., Maritati, M., Seraceni, S., Pinto, B., Dell'Osso, L., Bruschi, F.
Journal of Nervous and Mental Disease 2017; 205: 192-195
Click for abstract
Recent evidence suggests the involvement of Toxoplasma gondii infection in the emergence of psychotic and affective disorders. In this report, we describe the case of a young Brazilian woman affected by recurrent ocular toxoplasmosis and presenting with a manic episode with psychotic features in the context of a diagnosis of Bipolar Disorder (BD), type I. We observed a relationship between ocular manifestations and the clinical course of bipolar illness, confirmed by molecular analyses (nested-PCR), as well as by the high level of T. gondii specific IgG. This case report is the first showing the presence of circulating parasite DNA at the time of occurrence of psychiatric symptoms, thus providing further support for a possible role of the parasite in the pathogenesis of some cases of BD.

Tagged: antibodies, bipolar disorder, gondii infection, individuals, metaanalysis, mood disorders, nested pcr, ocular toxoplasmosis, psychosis, rating-scale, retinochoroiditis, Schizophrenia, seropositivity, suicide attempts, toxoplasma gondii infection

Mental health

Latent toxoplasmosis is associated with neurocognitive impairment in young adults with and without chronic HIV infection

October 6, 2016
Ene, L., Marcotte, T. D., Umlauf, A., Grancea, C., Temereanca, A., Bharti, A., Achim, C. L., Letendre, S., Ruta, S. M.,
Journal of Neuroimmunology 2016; 299: 1-7.
Click for abstract
We evaluated the impact of latent toxoplasmosis (LT) on neurocognitive (NC) and neurobehavioural functioning in young adults with and without chronic HIV infection, using a standardised NC test battery, self-reported Beck Depression Inventory, Frontal System Behavior Scale, MINI-International Neuropsychiatric Interview and risk-assessment battery. 194 young adults (median age 24 years, 48.2% males) with chronic HIV infection (HIV +) since childhood and 51 HIV seronegative (HIV) participants were included. HIV + individuals had good current immunological status (median CD4: 479 cells/mu l) despite a low CD4 nadir (median: 93 cells/mu l). LT (positive anti-Toxoplasma IgG antibodies) was present in one third of participants. The impairment rates in the HIV with and without Toxo were not significantly different (p = 0.17). However, we observed an increasing trend (p < 0.001) in impairment rates with HIV and LT status: HIV -/LT- (6.1%); HIV -/LT+ (22%), HIV +/LT- (31%), HIV +/LT+ (49%). In a multi variable analysis using the entire study group there were main effects on cognition for HIV and also for LT. Within the HIV+ group LT was associated with worse performance globally (p = 0.006), in memory (p = 0.009), speed of information processing (p = 0.01), verbal (p = 0.02) and learning (p = 0.02) domains. LT was not associated with depressive symptoms, frontal systems dysfunction or risk behaviors in any of the groups. HIV participants with lower Toxoplasma antibody concentration had worse NC performance, with higher GDS values (p = 0.03) and worse learning (p = 0.002), memory (p = 0.006), speed of information processing (p = 0.01) T scores. Latent Toxoplasmosis may contribute to NC impairment in young adults, including those with and without chronic HIV infection.

Tagged: disorders, gondii antibody-titers, hiv, immune-response, individuals, latent toxoplasmosis, neurocognitive impairment, older-adults, risk, Schizophrenia, seropositivity, seroprevalence, suicide attempts, young adults

Cognitive functions

Seropositivity of Toxoplasma gondii and Toxocara spp. in children with cryptogenic epilepsy, Benha, Egypt

October 6, 2016
Eraky, M.A., Abdel-Hady, S., Abdallah, K.F.
Korean Journal of Parasitology 2016; 54: 335-338.
Click for abstract
The present study aimed to investigate the possible association of Toxoplasma gondii and Toxocara spp. infections with cryptogenic epilepsy in children. The study was carried out between June 2014 and March 2015. Total 90 children (40 with cryptogenic epilepsy, 30 with non-cryptogenic epilepsy, and 20 healthy control children) were evaluated to determine the anti-Toxocara and anti-T. gondii IgG seropositivity using ELISA kits. Epileptic cases were selected from those attending the pediatrics outpatient clinic of Benha University Hospital, Pediatrics Neurology Unit, and from Benha Specialized Hospital of children. The results showed that the level of anti-T. gondii IgG seropositivity was significantly higher among children with cryptogenic epilepsy (20%) than among children with non-cryptogenic children (0%). In healthy controls (10%), there was no association between toxocariasis seropositivity and cryptogenic epilepsy (only 5.7%; 4 out of 70 cases) among cases and 10% (2 out of 20) among controls. Among toxocariasis IgG positive cases, 3 (7.5%) were cryptogenic, and only 1 (3.3%) was non-cryptogenic. These statistically significant results support the association between T. gondii infection and cryptogenic epilepsy while deny this association with toxocariasis.

Tagged: child, cryptogenic epilepsy, egypt, Epidemiology, ilae, infection, prevalence, seropositivity, toxocara, Toxoplasma

Mental healthPhysical health

Reciprocal moderation by Toxoplasma gondii seropositivity and blood phenylalanine – tyrosine ratio of their associations with trait aggression

October 6, 2016
Mathai, A. J., Lowry, C. A., Cook, T. B., Brenner, L. A., Brundin, L., Groer, M. W., Peng, X. Q., Giegling, I., Hartmann, A. M., Konte, B., Friedl, M. Fuchs, D. Rujescu, D. Postolache, T. T.
Pteridines 2016; 27: 77-85.
Click for abstract
We previously reported that trait aggression, proposed as an endophenotype for suicidal behavior, is positively associated with Toxoplasma gondii (T. gondii) seropositivity in females, but not in males. Additionally, older males seropositive for T. gondii had lower scores on measures of trait aggression, including self-aggression. Trait aggression may be influenced by dopaminergic signaling, which is known to be moderated by gender and age, and potentially enhanced in T. gondii positives through the intrinsic production of dopamine by the microorganism. Therefore, we investigated associations between trait aggression and interactions between T. gondii enzyme-linked immunoabsorbant assay (ELISA) IgG titer-determined seropositivity and high-performance liquid chromatography-(HPLC-) measured blood levels of dopamine precursors phenylalanine (Phe), tyrosine (Tyr), and their ratio in a sample of 1000 psychiatrically healthy participants. Aggressive traits were assessed using the questionnaire for measuring factors of aggression (FAF), the German version of the Buss-Durkee hostility questionnaire. We found that 1) the decrease in trait aggression scores in T. gondii-positive older males was only present in individuals with a low Phe:Tyr ratio, and 2) that there was a positive correlation between Phe: Tyr ratio and total aggression and selected subscales of aggression in T. gondii-positive males, but not in T. gondii-negative males. These findings point toward a gender-specific reciprocal moderation by Phe: Tyr ratio and T. gondii seropositivity of their associations with aggression scores, and lead to experimental interventions geared to manipulating levels of dopamine precursors in selected T. gondii positive individuals with increased propensity for aggression.

Tagged: aggressive personality traits, amino-acids, bipolar disorder, cytokine alterations, depressive symptoms, Dopamine, electroconvulsive-therapy, personality changes, phenylalanine, release, self-directed violence, seropositivity, serum, suicidal-behavior, Toxoplasma gondii, tyrosine

BehaviorPersonality

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

The correlation between Toxoplasma gondii infection and prenatal depression in pregnant women

January 4, 2016
Shiadeh, M. N., Rostami, A., Pearce, B. D., Gholipourmalekabadi, M., Newport, D. J., Danesh, M., Mehravar, S., Seyyedtabaei, S. J.
European Journal of Clinical Microbiology & Infectious Diseases 2016; 35: 1829-1835
Click for abstract
Previous studies have demonstrated that latent toxoplasmosis is associated with neuropsychiatric disorders. We evaluated the correlation between Toxoplasma gondii infection and prenatal depression. In this case-control study, we enrolled 116 depressed pregnant women and 244 healthy controls. The Edinburgh Postpartum Depression Scale (EPDS) was used to evaluate the depression symptom severity in study participants. All participants were screened for the anti-Toxoplasma IgG by enzyme-linked immunosorbent assay. Seroprevalence of T. gondii did not significantly differ between the depressed pregnant women and healthy controls (OR = 1.4; 95 % CI = 0.9-2.19; P = 0.142). T. gondii IgG titer was significantly higher in depressed women (18.6 +/- 10.9 IUs) than those in the control group (13.6 +/- 8.1 IUs) (z = -5.36, P < 0.001). The T. gondii-positive depressed women showed a positive correlation of T. gondii IgG titer with the EPDS scores (r = 0.52; P < 0.01). The mean EPDS score was also significantly higher in the T. gondii-positive depressed women (20.7 +/- 2.7) compared with the controls (18.36 +/- 2.7) (P < 0.001). The results obtained from the current study revealed that T. gondii infection might affect susceptibility to depression and severity of depressive symptoms in pregnant women, particularly in those patients who have high antibody titers. Further study is required to fully elucidate the characteristics and mechanisms of this association.

Tagged: bipolar disorder, individuals, metaanalysis, mood disorders, personality, postnatal depression, risk factors, sample, Schizophrenia, seropositivity

Mental health

The relationship between pediatric obsessive compulsive disorder and Toxoplasma gondii

October 6, 2015
Memik, N. C., Tamer, G. S., Unver, H., Gundogdu, O. Y.
Journal of Obsessive-Compulsive and Related Disorders 2015; 7: 24-28
Tagged: antibodies, children, compulsion, diagnosis, Epidemiology, infection, mental-disorders, obsession, obsessive-compulsive disorder, reliability, Schizophrenia, seropositivity, Toxoplasma gondii, united-states

Mental health

Toxoplasma gondii: A review of the relationship between seropositivity and psychiatric morbidity

January 10, 2014
Adams, D. P., Guerin, C.
Biological Psychiatry 2014; 75: 68
Tagged: Epidemiology, mood disorders, personality-disorders, seropositivity, Toxoplasma gondii

Mental health

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

Relationship between Toxoplasma gondii infection and bipolar disorder in a French sample

October 11, 2013
Hamdani, N., Daban-Huard, C., Lajnef, M., Richard, J. R., Delavest, M., Godin, O., Le Guen, E., Vederine, F. E., Lepine, J. P., Jamain, S., Houenou, J., Le Corvoisier, P., Aoki, M., Moins-Teisserenc, H., Charron, D., Krishnamoorthy, R., Yolken, R., Dickerson, F., Tamouza, R., Leboyer, M.
Journal of Affective Disorders 2013; 148: 444-448
Click for abstract
Background: Prenatal exposure to viruses or parasites with tropism for the central nervous system is one of the risk factors for psychotic disorders. However, the relationship between past exposure to Toxoplasma gondii (T. gondii) and incidence of bipolar disorders (BD) is poorly documented across populations. Methods: We explored the potential association between T. gondii exposure and BD in France, a country of high prevalence of Toxoplasmosis, comparing the prevalence of serological markers (IgG/IgM class antibodies) for T. gondii infection in 110 BD patients and 106 healthy controls all living in France. In a subgroup of 42 patients and 42 controls we also evaluated the levels of interleukin 6 (IL-6) transcripts, an adjunct marker of inflammation. Results: We found that the sero-positive group for IgG antibodies to T. gondii had a 2.7 fold odds of having BD as compared to the sero-negative group (OR = 2.17 CI 95% = 1.09-4.36, p = 0.028). Despite the fact that BD patients had significantly higher levels of IL-6 than the non-patient controls, no notable association between T. gondii status and IL-6 transcript levels was found. We did not find any clinical or demographic correlates of Toxoplasma exposure in the study population. Limitations: Our results are to be interpreted with caution because of our small sample size. Results: We confirm the association between seropositive status to T. gondii and bipolar disorders reported in other populations and extend it to French patients. Our data strengthen the importance of early detection of T. gondii infected patients in order to propose specific and adequate treatments.

Tagged: antibodies, bipolar disorder, Epidemiology, health, il-6, neuro-immunology, pathophysiology, pregnant women, prevalence, Schizophrenia, seropositivity, Toxoplasma gondii

Mental health

Association between seropositivity for Toxoplasma gondii, scholastic development of children and risk factors for T-gondii infection.

October 10, 2013
Ferreira, E. C., Marchioro, A. A., Guedes, T. A., Mota, D. C. G. A., Guilherme, A. L. F., de Araujo, S. M.
Transactions of the Royal Society of Tropical Medicine and Hygiene 2013; 107: 390-396.
Click for abstract
We evaluated the possible association of seropositivity for Toxoplasma gondii and certain risk factors for T. gondii infection with the scholastic development of children. One hundred children aged 613 years attending the Hospital Municipal de Maring Parana, Brazil, participated in the study. Serologic tests for IgG and IgM anti-T. gondii (indirect immunofluorescence (capture ELISA) were performed. The Scholastic Performance Test (SPT) for writing, mathematics and reading was applied to each child, and the result was classified as high, average or poor. The guardian of each child responded to a questionnaire about certain aspects of the childs living situation and diet. The prevalence of seropositivity for T. gondii was 8. An association between seropositivity for T. gondii and scholastic development in the mathematics subtest and also consumption of fresh cheese were observed. Children with exposed soil, sand or grass lawn in their peridomicile were 9.116 times more likely to be infected by T. gondii. The findings showed the need to test school-age children for this parasite, educate families with T. gondii-positive children, provide training to educators, monitor recreation areas, and raise awareness of the need for care in handling food.

Tagged: brazil, impact, latent toxoplasmosis, mice, multicenter, novelty, parasites, pregnant women, Risk factor, Schizophrenia, scholastic development, seropositivity, Toxoplasma gondii, toxoplasmosis, venezuela

Cognitive functions

Topics

  • Behavior 105
  • Cognitive functions 64
  • Mental health 439
  • Morphology 6
  • Motor functions 10
  • Personality 36
  • Physical health 134
  • Reproduction 36
  • Reviews 40
  • Sensory functions 3
  • Uncategorized 2

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Recent articles

  • Mortality Patterns of Toxoplasmosis and Its Comorbidities in Tanzania: A 10-Year Retrospective Hospital-Based Survey February 6, 2020
  • The role of latent toxoplasmosis in the aetiopathogenesis of schizophrenia–the risk factor or an indication of a contact with cat? February 6, 2020
  • The Association between Toxoplasma gondii Infection and Risk of Parkinson’s Disease: A Systematic Review and Meta-Analysis February 6, 2020

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