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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

Behavior

Mortality Patterns of Toxoplasmosis and Its Comorbidities in Tanzania: A 10-Year Retrospective Hospital-Based Survey

February 6, 2020
Mboera, L. E. G., Kishamawe, C., Kimario, E., Rumisha, S. F.
Frontiers in Public Health 2019, 7
Click for abstract
Introduction: Toxoplasmosis is a parasitic zoonosis and an important cause of abortions, mental retardation, encephalitis, blindness, and death worldwide. Few studies have quantified toxoplasmosis mortality and associated medical conditions in Sub-Saharan Africa. This retrospective hospital-based study aimed to determine the mortality patterns of toxoplasmosis and its comorbidities among in-patients in Tanzania. Methods: Data on causes of death were collected using customized paper-based collection tools. Sources of data included death registers, inpatient registers, and International Classification of Diseases report forms. All death events from January 2006 to December 2015 were collected. Data used in this study is a subset of deaths where the underlying cause of death was toxoplasmosis. Data was analyzed by STATA programme version 13. Results: Thirty-seven public hospitals were involved in the study. A total of 188 deaths due to toxoplasmosis were reported during the 10-years period. Toxoplasmosis deaths accounted for 0.08% (188/247,976) of the total deaths recorded. The age-standardized mortality rate per 100,000 population increased from 0.11 in 2006 to 0.79 in 2015. Most deaths due to toxoplasmosis affected the adult age category. Of the 188 deaths, males accounted for 51.1% while females for 48.9% of the deaths. Dar es Salaam, Mbeya, Pwani, Tanga, and Mwanza contributed to over half (59.05%) of all deaths due to Toxoplasmosis. Of the total deaths due to toxoplasmosis, 70.7% were associated with other medical conditions; which included HIV/AIDS (52.6%), HIV/AIDS+Cryptococcal meningitis (18.8%) and HIV+Pneumocystis pneumonia (6.8%). Conclusion: The age-standardized mortality rate due to toxoplasmosis has been increasing substantially between 2006 and 2015. Most deaths due to toxoplasmosis affected the adult age category and were highly associated with HIV/AIDS. Appropriate interventions are needed to

Tagged: co-morbidity, gondii infection, hospital, mortality, prevalence, risk factors, seroprevalence, Tanzania, toxoplasmosis, united-states

BehaviorMental health

The Association between Toxoplasma gondii Infection and Risk of Parkinson’s Disease: A Systematic Review and Meta-Analysis

February 6, 2020
Zhou, Z. L.,Zhou, R. Z., Li, K. P., Wei, W., Zhang, Z. Q., Zhu, Y., Luan, R. S.
Biomed Research International 2019
Click for abstract
Background. Several studies have investigated the association between Toxoplasma gondii (T. gondii) infection and risk of Parkinson's disease (PD) with inconsistent results. Clarifying this relation might be useful for better understanding of the risk factors and the relevant mechanisms of PD, thus a meta-analysis was conducted to explore whether exposure to T. gondii is associated with an increased risk of PD. Methods. We conducted this meta-analysis according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A rigorous literature selection was performed by using the databases of PubMed, Embase, Web of Science, Cochrane Library, and ScienceDirect. Odds ratio (OR) and corresponding 95% confidential interval (CI) were pooled by using fixed-effects models. Sensitivity analysis, publication bias test, and methodological quality assessment of studies were also performed. Results. Seven studies involving 1086 subjects were included in this meta-analysis. Pooled data by using fixed-effects models suggested both latent infection (OR, 1.17; 95% CI, 0.86 to 1.58; P=0.314) and acute infection (OR, 1.13; 95% CI, 0.30 to 4.35; P=0.855) were not associated with PD risk. Stable and robust estimates were confirmed by sensitivity analysis. No publication bias was found by visual inspection of the funnel plot, Begg's, and Egger's test. Conclusions. This meta-analysis does not support any possible association between T. gondii infection and risk of PD. Researches are still warranted to further explore the underlying mechanisms of T. gondii in the pathogenesis of PD and their causal relationship

Tagged: quality, sucide attempts

BehaviorMental health

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

The association between Toxoplasma gondii infection and postpartum blues

February 4, 2020
Gao, J. M., He, Z. H., Xie, Y. T., Hide, G., Lai, D. H., Lun, Z. R.
Journal of Affective Disorder 2019, 250: 404 - 409 schizophrenia prevalence
Click for abstract
Introduction and Aim: Toxoplasma gondii is an intracellular protozoan parasite infecting approximately 30% of the global human population. It has often been suggested that chronic infection with T. gondii is related to personality changes and various mental disorders including depression. It is not known whether this includes post-partum blues or depression. In this study, we test the hypothesis that there is a relationship between T. gondii infection and post-partum blues by measuring the association between infection and postpartum blues. Methods: A total of 475 Chinese women who have just given birth were detected serology for Toxoplasma IgG and IgM antibodies, and evaluated the degree of depression by Hamilton Depression Scale (HAMD) score. Data were analyzed by Chi-square or Fisher's Exact tests using SPSS software. Results: We found an overall Toxoplasma seroprevalence of 5.68% (27/475; 95% CI: 3.59-7.77) which was broken down into a prevalence of 6.60% (7/106; 95% CI: 1.80-11.41) in mothers with post-partum blues and 5.42% (20/369; 95% CI: 3.10-7.74) in non-affected mothers. There was no significant association between infection and post-partum blues (p= 0.64). Conclusion: The results suggest that there is no relationship between T. gondii infection and postpartum blues, at least in this sample of patients from China

Tagged: antibody-titers, attempts, comon mental-disorders, Hamilton depression scale, Major depression, maternal depression, newborn, postpartum blues, pregnant women, puerpera, seroprevalence, social support, suicide, Toxoplasma gondii

BehaviorMental healthPersonality

Toxoplasma gondii IgG associations with sleep-wake problems, sleep duration and timing

February 1, 2020
Corona, C. C. ,Zhang, M. Wadhawan, A., Daue, M. L., Groer, M. W., Dagdag, A., Lowry, C. A., Hoisington, A. J., Ryan, K. A., Stiller, J. W., Fuchs, D., Mitchell, B. D., Postolache, T. T.
Pteridines 2019, 30: 1 - 9
Click for abstract
Background: Evidence links Toxoplasma gondii (T. gondii), a neurotropic parasite, with schizophrenia, mood disorders and suicidal behavior, all of which are associated and exacerbated by disrupted sleep. Moreover, low-grade immune activation and dopaminergic overstimulation, which are consequences of T. gondii infection, could alter sleep patterns and duration. Methods: Sleep data on 833 Amish participants [mean age (SD) = 44.28 (16.99) years; 59.06% women] were obtained via self-reported questionnaires that assessed sleep problems, duration and timing. T. gondii IgG was measured with ELISA. Data were analyzed using multivariable logistic regressions and linear mixed models, with adjustment for age, sex and family structure. Results: T gondii seropositives reported less sleep problems (p < 0.005) and less daytime problems due to poor sleep (p < 0.005). Higher T. gondii titers were associated with longer sleep duration (p < 0.05), earlier bedtime (p < 0.005) and earlier mid-sleep time (p < 0.05). Conclusions: It seems unlikely that sleep mediates the previously reported associations between gondii and mental illness. Future longitudinal studies with objective measures are necessary to replicate our findings.

Tagged: bipolar disorder, gene-expression, igg, latent toxoplasmosis, mid sleep time, nitric oxide, Parkinson disease, risk factors, sleep duration, sleep timing, suicideattempts, Toxoplasma godnii, traffic accidents, tyrosine- hydroxylase

BehaviorMental health

Presence of Toxoplasma gondii infection in brain as a potential cause of risky behavior: a report of 102 autopsy cases

February 1, 2020
Samojlowicz, D. Twarowska-Malczynska, J. Borowska-Solonynko, A. Poniatowski, L. A. Sharma, N. Olczak, M.
European Journal of Clinical Microbiology and Infectious Diseases 2019, 38: 305 - 317 Toxoplasma gondii Toxoplasmosis Brain Risky behavior Alcohol Mental health Drivers cerebral toxoplasmosis decreased level novelty seeking dopamine parasite host schizophrenia personality depression strategies
Click for abstract
Toxoplasmosis was linked to impairment in brain function, encompassing a wide range of behavioral and neuropsychiatric changes. Currently, the precise localization of Toxoplasma gondii in the human brain is limited and the parasite DNA was not found in population-based screening of autopsy cases. The aim of proposed study was to identify the presence of parasite DNA within the brain and its association with risky behavior and alcohol consumption in postmortem examination. Preliminarily, 102 cases with certain circumstances of death at time of forensic autopsy was included. Due to high risk of bias, the females were excluded from the analysis and final study group consists 97 cases divided into three groups: risky behavior, inconclusively risky behavior, and control group. The obtained tissue samples for Nested PCR covered four regions of the brain: symmetric left/right and anterior/posterior horns of lateral ventricles comprising lining ependyma and hippocampus. The second type of material comprised blood evaluated for antibodies prevalence using ELISA and alcohol concentration using HS-GC-FID. Analysis demonstrated 16.5% prevalence concerning the parasite DNA presence in examined brain tissue samples without specific distribution and association with age at death or days after death until an autopsy was performed. Results have shown correlation between occurrence of risky behavior leading to death and higher proportions of positive parasite DNA presence within the brain. Correlation was not observed between parasite DNA presence and excessive alcohol consumption. Conducted screening demonstrated correlation between parasite DNA presence in the brain with risky behavior and provided new information on possible effects of latent toxoplasmosis.

Tagged: alcohol, brain, Cerebral toxoplasmosis, decreased level, depression, health, host, mental, novelty seeking, Parasite, personality, risky behavior, Schizophrenia, Toxoplasma gondii, toxoplasmosis

BehaviorMental healthPersonality

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

Can offspring sex ratios help to explain the endocrine effects of toxoplasmosis infection on human behaviour?

February 1, 2020
James, W. H., Grech, V.
Early Human Development 2018, 122: 42 - 44
Click for abstract
Humans infected with the parasite Toxoplasma gondii display a wide variety of abnormal behaviours, from suicide and depression to stuttering. These behaviours have been seen as so serious as to constitute a public health problem. It is not clear to what extent the parasite is a cause of, or merely a marker for, these behaviours, but there is evidence for both. Some of these behaviours are associated with changes in steroid hormones, that is, estrogen in women and testosterone in men. It is suggested here that these endocrine-related states of infected people may be better understood by studying their offspring sex ratios.

Tagged: birth, conception, hypothesis, infant, latent toxoplasmosis, newborn, predator aversion, rats, risk, time, Toxolasma

BehaviorMental health

The relationship between Toxoplasma gondii IgG antibodies and generalized anxiety disorder and obsessive-compulsive disorder in children and adolescents: a new approach

February 1, 2020
Akaltun, I., Kara, S. S., Kara, T.,
Nordic Journal of Psychiatry 2019, 72: 57 - 62
Click for abstract
Aim:Toxoplasma gondii may play a role in the development of psychiatric diseases by affecting the brain. The purpose of this study was to examine the relation between serum toxoplasma IgG positivity and obsessive-compulsive disorder (OCD) and generalized anxiety disorder (GAD) in children and adolescents.Method: Sixty patients diagnosed with OCD and 60 patients with GAD presenting to the pediatric psychiatry clinic, together with 60 control group subjects with no psychiatric diagnosis, were included in the study. The patients were administered the State-Trait Anxiety Inventory for Children and the Children's Yale-Brown Obsessive Compulsive Scale. Serum toxoplasma IgG levels were determined from blood specimens collected from the study and control groups. The results were then compared using statistical methods.Results: State and trait anxiety levels were significantly higher in the OCD and GAD patients than in the control group (p=.0001/.0001). Serum toxoplasma IgG levels were positive in 21 (35%) of the OCD patients, 19 (31.7%) of the GAD patients and 6 (10%) of the control group. A significant relation was determined between IgG positivity and GAD (p=.003). IgG-positive individuals were determined to have a 4.171-fold greater risk of GAD compared to those without positivity (4.171[1.529-11.378]) (p=.005). A significant relation was also determined between IgG positivity and OCD (p=.001). IgG-positive individuals were determined to have a 4.846-fold greater risk of OCD compared to those without positivity (4.846[1.789-13.126]) (p=.002).Conclusion: This study shows that serum toxoplasma IgG positivity indicating previous toxoplasma infection increased the risk of GAD 4.171-fold and the risk of OCD 4.846-fold in children and adolescents. Further studies are now needed to investigate the relation between T. gondii infection and GAD/OCD and to determine the pathophysiology involved

Tagged: depression, generalized anxiety, infections, mental disorder, neurobiology, obsessive-compulsive disorder, parastic infection, prevalence, reliability, risk, schuzophrenia, Toxoplasma gondii

BehaviorMental health

Large-scale study of Toxoplasma and Cytomegalovirus shows an association between infection and serious psychiatric disorders

January 31, 2020
Burgdorf, K. S., Trabjerg, B. B., Pedersen, M. G., Nissen, J., Banasik, K., Pedersen, O. B., Sorensen, E., Nielsen, K. R., Larsen, M. H., Erikstrup, C., Bruun-Rasmussen, P., Westergaard, D., Thorner, L. W., Hjalgrim, H., Paarup, H. M., Brunak, S., Pedersen, C. B., Torrey, E. F., Werge, T., Mortensen, P. B., Yolken, R. H., Ullum, H.
Brain Behavior and Immunity 2019, 79: 152 - 158
Click for abstract
Background: Common infectious pathogens have been associated with psychiatric disorders, self-violence and risk-taking behavior. Methods: This case-control study reviews register data on 81,912 individuals from the Danish Blood Donor Study to identify individuals who have a psychiatric diagnosis (N = 2591), have attempted or committed suicide (N = 655), or have had traffic accidents (N = 2724). For all cases, controls were frequency matched by age and sex, resulting in 11,546 participants. Plasma samples were analyzed for immunoglobulin G (IgG) antibodies against Toxoplasma gondii and cytomegalovirus (CMV). Results: T. gondii was detected in 25.9% of the population and was associated with schizophrenia (odds ratio [OR], 1.47; 95% confidence interval [CI], 1-03-2.09). Accounting for temporality, with pathogen exposure preceding outcome, the association was even stronger (IRR, 2.78; 95% CI, 1-27-6-09). A very weak association between traffic accident and toxoplasmosis (OR, 141; 95% CI, 1-00-1.23, p = 0.054) was found. CMV was detected in 60.8% of the studied population and was associated with any psychiatric disorder (OR, 147; 95% CI, 1.06-1-29), but also with a smaller group of neurotic, stress-related, and somatoform disorders (OR, 1.27; 95% CI, 1.12-1-44), and with attempting or committing suicide (OR, 1.31; 95% CI, 1.10-1-56). Accounting for temporality, any psychiatric disorder (IRR, 1.37; 95% CI, 1.08-174) and mood disorders (IRR, 1.43; 95% CI, 1.01-2-04) were associated with exposure to CMV. No association between traffic accident and CMV (OR, 1.06; 95% CI, 0.97-1-17) was found. Conclusions: This large-scale serological study is the first study to examine temporality of pathogen exposure and to provide evidence of a causal relationship between T. gondii and schizophrenia, and between CMV and any psychiatric disorder.

Tagged: cytomegalovirus, infection, parasitepsychiatric diseases, Toxoplasma gondii, toxoplasmosis

BehaviorMental health

Driving us mad: the association of Toxoplasma gondii with suicide attempts and traffic accidents – a systematic review and meta-analysis

January 31, 2020
Sutterland, A. L., Kuin, A., Kuiper, B., van Gool, T., Leboyer, M., Fond, G., de Haan, L.
Psychological Medicine 2019, 49: 1608 - 1623
Click for abstract
Unnatural causes of death due to traffic accidents (TA) and suicide attempts (SA) constitute a major burden on global health, which remained stable in the last decade despite widespread efforts of prevention. Recently, latent infection with Toxoplasma gondii (T. gondii) has been suggested to be a biological risk factor for both TA and SA. Therefore, a systematic search concerning the relationship of T. gondii infection with TA and/or SA according to PRISMA guidelines in Medline, Pubmed and PsychInfo was conducted collecting papers up to 11 February 2019 (PROSPERO #CRD42018090206). The random-effect model was applied and sensitivity analyses were subsequently performed. Lastly, the population attributable fraction (PAF) was calculated. We found a significant association for antibodies against T. gondii with TA [odds ratio (OR) = 1.69; 95% confidence interval (CI) 1.20-2.38, p = 0.003] and SA (OR = 1.39; 95% CI 1.10-1.76, p = 0006). Indication of publication bias was found for TA, but statistical adjustment for this bias did not change the OR. Heterogeneity between studies on SA was partly explained by type of control population used (ORhealthy controls = 1.9, p < 0.001 v. ORpsychiatric controls = 1.06, p = 0.87) and whether subjects with schizophrenia only were analysed (ORschizophrenia = 0.87, p = 0.62 v. ORvarious = 1.8, p < 0.001). The association was significantly stronger with higher antibody titres in TA and in studies that did not focus on schizophrenia subjects concerning SA. PAF of a T. gondii infection was 17% for TA and 10% for SA. This indicates that preventing T. gondii infection may play a role in the prevention of TA or SA, although uncertainty remains whether infection and outcome are truly causally related.

Tagged: mortality, suicide, Toxoplasma, traffic accidents

BehaviorMental health

Relationship between Toxoplasma gondii seropositivity and depression in children and adolescents

January 31, 2020
Sapmaz, S. Y., Sen, S., Ozkan, Y., Kandemir, H.
Psychiatry Research 2019, 278: 263 - 267
Click for abstract
Identification of the structural causes of depression is important for the treatment process, and toxoplasmosis may be related to psychiatric disorders. The aim of this study was to evaluate the relationship between Toxoplasma gondii (T. gondii) seropositivity and depression in children and adolescents. This case-control study included 37 children and adolescents aged 11-18 years diagnosed with depression who were followed by the Manisa Celal Bayar University Child and Adolescent Mental Health Service and 36 children and adolescents aged 11-18 years with no history of depressive episodes or psychiatric disorder treated by the Pediatric Outpatient Department. The T. gondii serology of these two groups was evaluated and compared. There were no statistically significant age or sex differences between the 37 participants with depression and the 36 healthy controls. Eight patients and two controls were seropositive for T. gondii, a statistically significant difference (p = 0.046). Seropositivity was significantly higher in patients with suicidal ideation (p = 0.005) than in those without suicidal ideation. The seropositivity of seven of the nine participants who attempted suicide was significantly higher (p < 0.001) than that of participants who did not. Thus, T. gondii infection may affect the predisposition for and severity of depression

Tagged: depression, generalized anxiety disorder, obses mpulsive disorder, suicide, Toxoplasma

BehaviorMental health

The relation between serum Toxoplasma gondii IgG antibody in children and ADHD and its severity

January 30, 2020
Akaltun, I., Kara, T., Ayaydin, H., Alyanak, B., Beka, H., Agacfidan, A.
Psychiatry and Clinical Psychopharmacology 2019, 29: 326 - 331
Click for abstract
AIM: The purpose of our study was to investigate the relation between serum Toxoplasma gondii IgG antibodies in children and attention deficit hyperactivity disorder (ADHD) and its severity. METHOD: 214 subjects, consisting of 107 children aged 6-18 and diagnosed with ADHD and 107 children with no ADHD or psychiatric pathology were included. Subjects underwent a detailed psychiatric examination based on DSM-V-TR diagnostic criteria, using a data form, the Kiddie Schedule for Affective Disorders and Schizophrenia Present and Lifetime Version (K-SADS-PL) for School-Aged Children (6-18), the DuPaul ADHD Rating Scale, Parent Rating Scale, the Conners Teacher Rating Scale (CTRS), and the Conners Parent Rating Scale (CPRS). Blood anti-Toxoplasma IgG antibody levels were investigated. The data obtained were then subjected to statistical analysis. RESULTS: T. gondii IgG antibodies were positive in 8 (7.47%) of the case group and positive in 3 (2.8%) of the control group. No statistically significant difference was determined between the case and control groups in terms of T. gondii IgG positivity (p = .215). Higher levels of severe ADHD were determined in Toxoplasma IgG positive patients in the ADHD group compared to Toxoplasma IgG negative subjects, the difference being statistically significant (p = .005). CONCLUSION: No significant differences were determined between the case and control groups in terms of T. gondii IgG positivity and ADHD. However, correlation was determined between ADHD severity and T. gondii IgG positivity. Toxoplasma,

Tagged: ADHD, behavioral-changes, dopamin, infection, risk, Toxoplasma godnii, traffic accidents

BehaviorMental 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

Latent Toxoplasmosis and Human

January 29, 2020
Dalimi, A., Abdoli, A.
Iranian Journal of Parasitology 2012, 7: 1 - 17
Click for abstract
Toxoplasmosis is one of the most common parasitic diseases worldwide. Although estimated that one third of the world's population are infected with Toxoplasma gondii, but the most common form of the disease is latent (asymptomatic). On the other hand, recent findings indicated that latent toxoplasmosis is not only unsafe for human, but also may play various roles in the etiology of different mental disorders. This paper reviews new findings about importance of latent toxoplasmosis (except in immunocompromised patients) in alterations of behavioral parameters and also its role in the etiology of schizophrenia and depressive disorders, obsessive compulsive disorder, Alzheimer's diseases and Parkinson's disease, epilepsy, headache and or migraine, mental retardation and intelligence quotients, suicide attempt, risk of traffic accidents, sex ratio and some possible mechanisms of T gondii that could contribute in the etiology of these alterations.

Tagged: alzheimer disease, behavioral parametr, mental disorder, personality changes, Schizophrenia, toxoplasmosis

BehaviorMental health

Economic holobiont: Influence of parasites, microbiota and chemosignals on economic behavior

September 3, 2018
Houdek, P.
Frontiers in Behavioral Neuroscience 2018; 12
Click for abstract
The article is a perspective on utilization of microorganisms and chemosignals in studying human economic behavior. Research in biological roots of economic development has already confirmed that parasitic pressure influenced the creation and development of cultural norms and institutions. However, other effects of microorganisms on human groups and individual decision-making and behavior are heavily understudied. The perspective discusses how parasitic infections, sexually transmitted organisms and microbiota (i.e., "human holobiont") could causally influence risk-seeking behavior, impulsivity, social dominance, empathy, political views and gender differences. As a case study, the parasite Toxoplasma gondii and its influence on economic preferences, personal characteristics and human appearance are examined. I also briefly review how chemosignals influence decision-making, particularly in the social preferences domain. I mention some predictions that arise from the paradigm of economic holobiont for the economic science. The conclusion summarizes limitations of the discussed findings and the stated speculations.

Tagged: chemosignaling, decreased level, economics, family ties, fatal attraction, gender differences, gut-brain axis, latent toxoplasmosis, master possible influence, microbiota, novelty seeking, parasites, personality-traits, risk preferences, social preferences, time preferences, Toxoplasma gondii, toxoplasma gondii infection

Behavior

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

Risky business: linking Toxoplasma gondii infection and entrepreneurship behaviours across individuals and countries

August 31, 2018
Johnson, S. K., Fitza, M. A. , Lerner, D. A., Calhoun, D. M., Beldon, M. A. , Chan, E. T., Johnson, P. T. J.
Proceedings of the Royal Society B-Biological Sciences, 2018; 285
Click for abstract
Disciplines such as business and economics often rely on the assumption of rationality when explaining complex human behaviours. However, growing evidence suggests that behaviour may concurrently be influenced by infectious microorganisms. The protozoan Toxoplasma gondii infects an estimated 2 billion people worldwide and has been linked to behavioural alterations in humans and other vertebrates. Here we integrate primary data from college students and business professionals with national-level information on cultural attitudes towards business to test the hypothesis that T. gondii infection influences individual- as well as societal-scale entrepreneurship activities. Using a saliva-based assay, we found that students (n = 1495) who tested IgG positive for T. gondii exposure were 1.4 x more likely to major in business and 1.7x more likely to have an emphasis in 'management and entrepreneurship' over other business-related emphases. Among professionals attending entrepreneurship events, T. gondii-positive individuals were 1.8x more likely to have started their own business compared with other attendees (n = 197). Finally, after synthesizing and combining country-level databases on T. gondii infection from the past 25 years with the Global Entrepreneurship Monitor of entrepreneurial activity, we found that infection prevalence was a consistent, positive predictor of entrepreneurial activity and intentions at the national scale, regardless of whether previously identified economic covariati.ss were included. Nations with higher infection also had a lower fraction of respondents citing 'fear of failure' in inhibiting new business ventures. While correlational, these results highlight the linkage between parasitic infection and complex human behaviours, including those relevant to business, entrepreneurship and economic productivity.

Tagged: animal behavior, attraction, disease, ecology, emerging infectious disease, entrepreneurship, gondii infection, growth, human behaviour, humans, microbiome, parasite manipulation, Schizophrenia, society, strategic entrepreneurship, testosterone, Toxoplasma gondii

Behavior

The association between suicide attempts and Toxoplasma gondii infection

May 3, 2018
Bak, J. Shim, S.H., Kwon, Y.J., Lee, H.Y., Kim, J.S., Yoon, H., Lee, Y.J.
Clinical Psychopharmacology Neuroscience 2018; 16: 95-102
Click for abstract
Objective: Chronic 'latent' infection by Toxoplasma gondii is common and most of the hosts have minimal symptoms or they are even asymptomatic. However, there are possible mechanisms by which T. gondii may affect human behavior and it may also cause humans to attempt suicide. This article aimed to investigate the potential pathophysiological relationship between suicide attempts and T. gondii infection in Korea. Methods: One hundred fifty-five psychiatric patients with a history of suicide attempt and 135 healthy control individuals were examined with enzyme-linked immunoassays and fluorescent antibody technique for T. gondii seropositivity and antibody titers. The group of suicide attempters was interviewed regarding the history of suicide attempt during lifetime and evaluated using 17-item Korean version of Hamilton Depression Scale (HAMD), Columbia Suicide Severity Rating Scale (C-SSRS), State-Trait Anxiety Inventory (STAI) and Korean-Barratt Impulsiveness Scale (BIS). Results: Immunoglobulin G antibodies were found in 21 of the 155 suicide attempters and in 8 of the 135 controls (p=0.011). The Toxoplasma-seropositive suicide attempters had a higher HAMD score on the depressed mood and feeling of guilt subscales and a higher total score than the seronegative suicide attempters. T. gondii seropositive status was associated with higher C-SSRS in the severity and lethality subscales. T. gondii IgG seropositivity was significantly associated with higher STAI-X1 scores in the suicide attempters group. Conclusion: Suicide attempters showed higher seroprevalence of T. gondii than healthy controls. Among the suicide attempters, the T. gondii seropositive and seronegative groups showed several differences in the aspects of suicide. These results suggested a significant association between T. gondii infection and psychiatric problems in suicidality.

Tagged: anxiety, depression, impulsive behavior, infection, suicide, Toxoplasma

BehaviorMental health

Clinical and serological predictors of suicide in schizophrenia and major mood disorders

May 3, 2018
Dickerson, F., Origoni, A., Schweinfurth, L.A.B., Stallings, C., Savage, C.L.G., Sweeney, K., Katsafanas, E., Wilcox, H.C., Khushalani, S., Yolken, R.
Journal of Nervous and Mental Disease 2018; 206: 173-178
Click for abstract
Persons with serious mental illness are at high risk for suicide, but this outcome is difficult to predict. Serological markers may help to identify suicide risk. We prospectively assessed 733 persons with a schizophrenia spectrum disorder, 483 with bipolar disorder, and 76 with major depressive disorder for an average of 8.15 years. The initial evaluation consisted of clinical and demographic data as well as a blood samples from which immunoglobulin G antibodies to herpes viruses and Toxoplasma gondii were measured. Suicide was determined using data from the National Death Index. Cox proportional hazard regression models examined the role of baseline variables on suicide outcomes. Suicide was associated with male sex, divorced/separated status, Caucasian race, and elevated levels of antibodies to Cytomegalovirus (CMV). Increasing levels of CMV antibodies were associated with increasing hazard ratios for suicide. The identification of serological variables associated with suicide might provide more personalized methods for suicide prevention.

Tagged: biomarkers, mood disorders, Schizophrenia, suicide, viruses

BehaviorMental health

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

Chronic Toxoplasma gondii infection induces anti-N-methyl-D-aspartate receptor autoantibodies and associated behavioral changes and neuropathology

February 12, 2018
Li, Y, Viscidi, R. P., Kannan, G., McFarland,R., Pletnikov, M. V., Severance,E. G., Yolken, R. H., Xiao, J. C.
Infection and Immunity 2018; 86: DOI: 10.1128/iai.00398-18
Click for abstract
Anti-NMDA receptor (NMDAR) autoantibodies have been postulated to play a role in the pathogenesis of NMDAR hypofunction, which contributes to the etiology of psychotic symptoms. Toxoplasma gondii is a pathogen implicated in psychiatric disorders and associated with elevation of NMDAR autoantibodies. However, it remains unclear whether parasite infection is the cause of NMDAR autoantibodies. By using mouse models, we found that NMDAR autoantibody generation had a strong temporal association with tissue cyst formation, as determined by MAGI antibody seroreactivity (r = 0.96; P < 0.0001), which is a serologic marker for the cyst burden. The presence of MAGI antibody response, but not T. gondii IgG response, was required for NMDAR autoantibody production. The pathogenic relevance of NMDAR autoantibodies to behavioral abnormalities (blunted response to amphetamine-triggered activity and decreased locomotor activity and exploration) and reduced expression of synaptic proteins (the GLUN2B subtype of NMDAR and PSD-95) has been demonstrated in infected mice. Our study suggests that NMDAR autoantibodies are specifically induced by persistent T. gondii infection and are most likely triggered by tissue cysts. NMDAR autoantibody seroreactivity may be a novel pathological hallmark of chronic toxoplasmosis, which raises questions about NMDAR hypofunction and neurodegeneration in the infected brain.

Tagged: Amphetamine, antibodies, autoantibody, behavioral abnormalities, chronic infection, Dopamine, encephalitis, expression, gondii, hos, immune-response, MAGI antibody, mice, neuropathology, nmda receptor, tissue cyst, Toxoplasma gondii

BehaviorMental health

The missing link in parasite manipulation of host behaviour

February 12, 2018
Herbison, R. , Lagrue, C. , Poulin, R.
Parasites Vectors 2018; 10.1186/s13071-018-2805-9
Click for abstract
The observation that certain species of parasite my adaptively manipulate its host behaviour is a fascinating phenomenon. As a result, the recently established field of 'host manipulation' has seen rapid expansion over the past few decades with public and scientific interest steadily increasing. However, progress appears to falter when researchers ask how parasites manipulate behaviour, rather than why. A vast majority of the published literature investigating the mechanistic basis underlying behavioural manipulation fails to connect the establishment of the parasite with the reported physiological changes in its host. This has left researchers unable to empirically distinguish/identify adaptive physiological changes enforced by the parasites from pathological side effects of infection, resulting in scientists relying on narratives to explain results, rather than empirical evidence. By contrasting correlative mechanistic evidence for host manipulation against rare cases of causative evidence and drawing from the advanced understanding of physiological systems from other disciplines it is clear we are often skipping over a crucial step in host-manipulation: the production, potential storage, and release of molecules (manipulation factors) that must create the observed physiological changes in hosts if they are adaptive. Identifying these manipulation factors, via associating gene expression shifts in the parasite with behavioural changes in the host and following their effects will provide researchers with a bottom-up approach to unraveling the mechanisms of behavioural manipulation and by extension behaviour itself.

Tagged: behaviour, manipulation factor, manipulation., mechanism, Parasite, toxoplasma gondii infection, us

Behavior

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

Toxoplasma gondii seropositivity and substance use in US adults

February 12, 2018
Berrett, A. N., Gale, S. D., Erickson,L. D., Thacker, E. L., Brown, B. L., Hedges, D. W.
Folia Parasitologica 2018; 65: 011
Click for abstract
The intracellular parasite Toxoplasma gondii (Nicolle et Manceaux, 1908) infects humans resulting in acute toxoplasmosis, an infection that in immunocompetent people is typically mild but results in persistent latent toxoplasmosis. In that T. gondii appears to affect dopamine synthesis and because addicting drugs affect midbrain dopamine transmission, latent toxoplasmosis could influence substance use. Using both the third and continuous National Health and Nutrition Examination Surveys from the US Centers for Disease Control and Prevention, we used logistic regression to test for associations between T. gondii seropositivity and subject self-report of having ever used tobacco, alcohol, marijuana, cocaine, heroin, or methamphetamine. In the third NHANES dataset, which included data for tobacco, alcohol, marijuana and cocaine, T. gondii seropositivity was associated with a reduced likelihood of self-reported marijuana (OR = 0.71 [95% CI: 0.58; 0.87]; p = 0.001) and cocaine use (OR = 0.72 [95% CI: 0.56; 0.91]; p = 0.006). In the continuous National Health and Nutrition Examination Surveys dataset, which included data for all six substances, T. gondii seropositivity was associated with a reduced likelihood of self-reported tobacco (OR = 0.87 [95% CI: 0.76; 1.00]; p = 0.044), marijuana (OR = 0.60 [95% CI: 0.50; 0.72]; p < 0.001), heroin (OR = 0.60 [95% CI: 0.42; 0.85]; p = 0.005) and methamphetamine use (OR = 0.54 [95% CI: 0.38; 0.77]; p = 0.001). We observed interactions between sex and T. gondii seropositivity in the prediction of self-reported use of tobacco and alcohol. Further, T. gondii seropositivity appeared to remove the protective effect of education and economic status against self-reported cigarette smoking. These findings suggest that T. gondii seropositivity may be inversely associated with some but not all types of substance use in US adults.

Tagged: addiction, alcohol, Cocaine, decreased level, Dopamine, drug use, heroin, hypothesis, impulsivity, infection, marijuana, methamphetamine, novelty seeking, receptor, Schizophrenia, seroprevalence, tobacco, toxoplasmosis

Behavior

Neurophysiological changes induced by chronic Toxoplasma gondii infection

December 8, 2017
Tedford, E., McConkey, G.
Pathogens 2017; 6: Artn 19 10.3390/Pathogens6020019
Click for abstract
Although the parasite Toxoplasma gondii is one of the most pervasive neurotropic pathogens in the world, the host-parasite interactions during CNS infection and the consequences of neurological infection are just beginning to be unraveled. The chronic stages of infection have been considered dormant, although several studies have found correlations of infection with an array of host behavioral changes. These may facilitate parasite transmission and impact neurological diseases. During infection, in addition to the presence of the parasites within neurons, host-mediated neuroimmune and hormonal responses to infection are also present. T. gondii induces numerous changes to host neurons during infection and globally alters host neurological signaling pathways, as discussed in this review. Understanding the neurophysiological changes in the host brain is imperative to understanding the parasitic mechanisms and to delineate the effects of this single-celled parasite on health and its contribution to neurological disease

Tagged: alzheimers-disease, bipolar disorder, central-nervous-system, gene-expression, host-parasite interaction, immune system, infection, Neurophysiology, Toxoplasma gondii

BehaviorMental health

Humans with latent toxoplasmosis display altered reward modulation of cognitive control

December 8, 2017
Stock, A. K., Dajkic, D., Kohling, H. L., von Heinegg, E. H., Fiedler, M., Beste, C.
Scientific Reports 2017;7: 10.1038/s41598-017-10926-6
Click for abstract
Latent infection with Toxoplasma gondii has repeatedly been shown to be associated with behavioral changes that are commonly attributed to a presumed increase in dopaminergic signaling. Yet, virtually nothing is known about its effects on dopamine-driven reward processing. We therefore assessed behavior and event-related potentials in individuals with vs. without latent toxoplasmosis performing a rewarded control task. The data show that otherwise healthy young adults with latent toxoplasmosis show a greatly diminished response to monetary rewards as compared to their noninfected counterparts. While this selective effect eliminated a toxoplasmosis-induced speed advantage previously observed for non-rewarded behavior, Toxo-positive subjects could still be demonstrated to be superior to Toxo-negative subjects with respect to response accuracy. Event-related potential (ERP) and source localization analyses revealed that this advantage during rewarded behavior was based on increased allocation of processing resources reflected by larger visual late positive component (LPC) amplitudes and associated activity changes in the right temporo-parietal junction (BA40) and left auditory cortex (BA41). Taken together, individuals with latent toxoplasmosis show superior behavioral performance in challenging cognitive control situations but may at the same time have a reduced sensitivity towards motivational effects of rewards, which might be explained by the presumed increase in dopamine.

Tagged: cortex, dual-task performance, goal activation, gondii infection leads, human brain, multicomponent behavior, neural

BehaviorCognitive functions

Toxoplasmosis, the insidious parasitic infection: dangers of asymptomatic carrier state

December 8, 2017
Bognar, L., Izso, T., Szakos, D., Kasza, G.
Magyar Allatorvosok Lapja 2017;139:479-487
Click for abstract
Background: The highly prevalent parasitic infection of humans, toxoplasmosis, can have serious consequences even during an asymptomatic course of the disease. The causative agente of infection is Toxoplasma gondii, which proliferates in the intestine of cats. Risk of infection by direct contact with cats is low, but the infection can occur due to contaminated soil, water, unwashed vegetables and fruits, as well as insufficiently heat-treated meat. Objectives: The aim of this study was to synthesize the current knowledge about infection caused by Toxoplasma gondii in a brief review focusing on latent toxoplasmosis in humans. Materials and Methods: More than hundred articles, studies and reports from scientific journals were considered to summarize the infection's characteristics such as prevalence and symptoms in humans. Results and Discussion: The symptoms of acute toxoplasmosis are either featureless, or non-existent, although, for people with immunosuppression it can be fatal, and for expectants it can result in foetal harm. The detection of the infection is conducted with serology methods, however, only in a few European countries are general screenings present. The asymptomatic carrier state is dangerous as well, because the cysts subsist in the brain of the host, which affects behaviour, the regulation of emotions, and also the level of several hormones. The latent toxoplasmosis can be connected to aggression, anxiety, schizophrenia, bipolar personality disorder, suicidal inclination, depression, and the reduction in intelligence quotient. For the reason of the deterioration of reaction time, the disease increases the risk of traffic accidents. The latent toxoplasmosis also influences personality traits; for women and men the alteration of the personality change differs. There is no data on the current epidemiological situation in Hungary, and not even in Europe. A research regarding the extent of asymptomatic carrier state and about the psychological changes in the Hungarian population has not been conducted so far.

Tagged: cats, congenital toxoplasmosis, gondii antibody-titers, latent toxoplasmosis, mood disorders, personality, risk factors, Schizophrenia, suicide attempts, united-states

BehaviorMental healthReviews

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

Toxoplasma-induced changes in host risk behaviour are independent of parasite-derived AaaH2 tyrosine hydroxylase

December 6, 2017
Afonso, C., Paixao, V. B., Klaus, A., Lunghi, M., Piro, F., Emiliani, C., di Cristina, M., Costa, R. M.
Scientific Reports 2017; 7
Click for abstract
Toxoplasma gondii infects a broad range of hosts and can establish chronic infections with the formation of brain cysts. Infected animals show altered risk behaviour which has been suggested to increase capture probability of hosts, and thus enhance parasite transmission. It has been proposed that the ability of Toxoplasma cysts to secrete tyrosine hydroxylase could mediate these behavioural alterations. We tested the involvement of secreted tyrosine hydroxylase, coded by the parasite AaaH2 gene, in the development of alterations in mouse behaviour, by generating an AaaH2 deletion mutant parasite strain and testing its influence on behaviour. We found that both mice infected with wild type or AaaH2 mutant strains showed changes in risk behaviour. We confirmed these findings using factor analysis of the behaviour, which revealed that behavioural changes happened along a single dimension, and were observed in both infected groups. Furthermore, we developed a new behavioural paradigm in which animals are unpredictably trapped, and observed that both groups of infected animals perceive trapping but fail to adjust their behaviour to avoid further trapping. These results demonstrate that parasite-secreted AaaH2 TH is neither necessary for the generation of risky behaviour nor for the increased trappability observed during chronic Toxoplasma infection.

Tagged: gondii infected mice plus-maze rats differentiation bradyzoites mechanism dopamine anxiety

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

Puppet master: possible influence of the parasite Toxoplasma gondii on managers and employees

October 2, 2017
Houdek, P.
Academy of Management Perspectives 2017; 31: 63-81
Click for abstract
The article reviews recent literature on the effects of host manipulation by the parasite Toxoplasma gondii (prevalent in about a third of the world's population) on perception, cognition, and behavior of humans, and on the changes in their physical appearance and personality characteristics. I argue that the mind-affecting parasite paradigm offers many research opportunities for management sciences, especially for organizational psychology and neuroscience. The article summarizes the parasite's physiological mechanisms of affecting the host; highlights important behavioral effects of the infection in humans; and speculates on the possible impacts on skills and careers of employees and managers, organizational dynamics, intercultural management, and gender work roles. The conclusion shows limitations of the presented speculations and possible directions for future research on Toxoplasma's effect on organizational dynamics.

Tagged: cognitive function, dynamic capabilities, facial structure predicts, gender differences, general mental-ability, job-performance, latent toxoplasmosis, personality changes, positive organizational-behavior, risk factors

BehaviorPersonality

Do Toxoplasma – infected subjects have better leadership skills? Comment on paper “Puppet 1 master: possible influence of the parasite Toxoplasma gondii on managers and employees“

September 27, 2017
Flegr, J.
Academy of Management Perspectives, in press
Click for abstract
none

Tagged: leadership skills, toxoplasmosis

BehaviorPersonality

Does Toxoplasma infection increase sexual masochism and submissiveness? Yes and no

September 27, 2017
Flegr, J.
Communicative & Integrative Biology 2017; http://dx.doi.org/10.1080/19420889.2017.1303590
Click for abstract
The parasite Toxoplasma needs to get from its intermediate hosts, e.g. rodents, to its definitive hosts, cats, by predation. To increase the probability of this occurrence, Toxoplasma m anipulates the behavior of its hosts, for example, by the demethylation of promoters of certain genes in the host’s amygdala. After this modification, the stimuli that normally activate fear - related circuits, e.g. the smell of a cat, or smell of leopards in chimpanzee, start to additionally co - activate se xual arousal - related circuits in the infected rodents. In humans, the increased attraction to masochistic sexual practices was recently observed in a study performed on 36,564 subjects. Here I show that lower rather than higher attraction to sexual masochi sm and submissiveness among infected subjects is detected if simple univariate tests instead of multivariate tests are applied to the same data. I show and discuss that when analyzing multiple effects of complex stimuli on complex biological systems we n ee d to use multivariate techniques and very large data sets. We must also accept the fact that any single factor usually explains only a small fraction of variability in the focal variable

Tagged: sexual masochism, submissivness, Toxoplasma gondii

BehaviorMental healthPersonality

Pathogen-mediated NMDA receptor autoimmunity and cellular barrier dysfunction in schizophrenia

May 9, 2017
Kannan, G., Gressitt, K.L., Yang, S., Stallings, C.R., Katsafanas, E., Schweinfurth, L.A., Savage, C.L.G., Adamos, M.B., Sweeney, K.M., Origoni, A.E., Khushalani, S., Bahn, S., Leweke, F.M., Dickerson, F.B., Yolken, R.H., Pletnikov, M.V., Severance, E.G.
Translational Psychiatry 2017; 7: 10.1038/tp.2017.162
Click for abstract
Autoantibodies that bind the N-methyl-D-aspartate receptor (NMDAR) may underlie glutamate receptor hypofunction and related cognitive impairment found in schizophrenia. Exposure to neurotropic pathogens can foster an autoimmune-prone environment and drive systemic inflammation leading to endothelial barrier defects. In mouse model cohorts, we demonstrate that infection with the protozoan parasite, Toxoplasma gondii, caused sustained elevations of IgG class antibodies to the NMDAR in conjunction with compromised blood-gut and blood-brain barriers. In human cohorts, NMDAR IgG and markers of barrier permeability were significantly associated with T. gondii exposure in schizophrenia compared with controls and independently of antipsychotic medication. Combined T. gondii and NMDAR antibody seropositivity in schizophrenia resulted in higher degrees of cognitive impairment as measured by tests of delayed memory. These data underscore the necessity of disentangling the heterogeneous pathophysiology of schizophrenia so that relevant subsets eligible for NMDAR-related treatment can be identified. Our data aid to reconcile conflicting reports regarding a role of pathological NMDAR autoantibodies in this disorder.

Tagged: bipolar disorder, celiac-disease, glutamate-receptor, human-behavior, immune activation, increased prevalence, latent toxoplasmosis, lupus autoantibodies, S100B protein, Toxoplasma gondii

BehaviorMental health

A reply to: Do toxoplasma-infected subjects have better leadership skills? Comment on paper “puppet master: possible influence of the parasite toxoplasma gondii on managers and employees”

February 12, 2017
Houdek, P.
Academy of Management Perspectives 2017; 31: 339-343
Tagged: association, ceos, executives, health, overconfidence, seeking, time

Behavior

Moderation of the relationship between T. gondii seropositivity and impulsivity in younger men by the phenylalanine-tyrosine ratio

January 3, 2017
Peng, X. Q.
Biological Psychiatry 2017; 81:124-125
Tagged: impulsivity, phenylalanine, serotonin precursors, Toxoplasma gondii, tyrosine

Behavior

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

Combined Toxoplasma gondii seropositivity and high blood kynurenine – Linked with nonfatal suicidal self-directed violence in patients with schizophrenia

October 3, 2016
Okusaga, O., Duncan, E., Langenberg, P., Brundin, L., Fuchs, D., Groer, M. W., Giegling, I., Stearns-Yoder, K. A., Hartmann, A. M., Konte, B., Friedl, M., Brenner, L. A., Lowry, C. A., Rujescu, D., Postolache, T. T.
Journal of Psychiatric Research 2016; 72: 74-81
Click for abstract
Toxoplasma gondii (T. gondii) chronic infection and elevated kynurenine (KYN) levels have been individually associated with non-fatal suicidal self-directed violence (NF-SSDV). We aimed to test the hypothesis that the association between T gondii seropositivity and history of NF-SSDV would be stronger in schizophrenia patients with high plasma KYN levels than in those with lower KYN levels. We measured anti-T gondii IgG antibodies and plasma KYN in 950 patients with schizophrenia, and used logistic regression to evaluate the relationship between NF-SSDV and KYN in patients who were either seropositive or seronegative for T. gondii. For those with KYN levels in the upper 25th percentile, the unadjusted odds ratio for the association between NF-SSDV history and KYN in T gondii seropositive patients was 1.63 (95% CI 1.01 to 2.66), p = 0.048; the adjusted odds ratio was 1.95 (95% CI 1.15 to 3.30), p = 0.014. Plasma KYN was not associated with a history of NF-SSDV in T gondii seronegative patients. The results suggest that T. gondii and KYN may have a nonlinear cumulative effect on the risk of NF-SSDV among those with schizophrenia. If confirmed by future longitudinal studies, this result is expected to have both theoretical and clinical implications for the prevention and treatment of suicidal behavior

Tagged: 3-dioxygenase, antibody-titers, aryl-hydrocarbon, gamma-interferon, human-fibroblasts, in-vivo, indoleamine 2, kynurenine, lifetime risk, major depressive disorder, nitric-oxide synthase, non-fatal suicidal self-directed violence, receptor, Schizophrenia, t-cell proliferation, Toxoplasma gondii

BehaviorMental health

The relation of Toxoplasma infection and sexual attraction to fear, danger, pain and submissiveness

September 27, 2016
Flegr, J., Kuba, R.
Evolutionary Psychology 2016; 1-10, DOI: 10.1177/1474704916659746
Click for abstract
Behavioral patterns, including sexual behavioral patterns, are usually understood as biological adaptations increasing the fitness of their carriers. Many parasites, so-called manipulators, are known to induce changes in the behavior of their hosts to increase their own fitness. Such changes are also induced by a parasite of cats, Toxoplasma gondii. The most remarkable change is the fatal attraction phenomenon, the switch of infected mice’s and rat’s native fear of the smell of cats toward an attraction to this smell. The stimuli that activate fear-related circuits in healthy rodents start to also activate sex-related circuits in the infected animals. An analogy of the fatal attraction phenomenon has also been observed in infected humans. Therefore, we tried to test a hypothesis that sexual arousal by fear-, violence-, and danger-related stimuli occurs more frequently in Toxoplasma -infected subjects. A cross-sectional cohort study performed on 36,564 subjects (5,087 Toxoplasma free and 741 Toxoplasma infected) showed that infected and noninfected subjects differ in their sexual behavior, fantasies, and preferences when age, health, and the size of the place where they spent childhood were controlled ( F (24, 3719) ¼ 2.800, p < .0001). In agreement with our a priori hypothesis, infected subjects are more often aroused by their own fear, danger, and sexual submission although they practice more conventional sexual activities than Toxoplasma -free subjects. We suggest that the later changes can be related to a decrease in the personality trait of novelty seeking in infected subjects, which is potentially a side effect of increased concentration of dopamine in their brain.

Tagged: sadism, sexual behavior, sexual domination, sexuality, Toxoplasma gondii

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