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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

Dopamine

Toxoplasma antibody titers in mania: A cross sectional study

August 31, 2018
Mangot, A. G., Shivakumar, V., Saini, V., Subbanna, M., Kalmady, S. V., Venkatasubramanian, G.
Journal of Krishna Institute of Medical Sciences University 2018; 7: 13-20
Click for abstract
Background: Recent studies have found a role of infectious agents, especially Toxoplasma gondii, in pathology of bipolar disorder - mania. Aim and Objectives: This study was conducted with the aim to find the prevalence of toxoplasma antibody titers in Indian patients with mania and to assess its specificity towards the clinical profile. Material and Methods: Thirty-four patients having mania were recruited who were psychotropic naive/free, along with 74 healthy controls. Psychopathology was assessed using structured assessment scales. Serum concentration of Toxoplasma IgG was measured using Diesse Enzywell Toxoplasma IgG immunoassay kit. Results: Mann-Whitney U test revealed that the toxoplasma antibody levels were significantly higher in the mania group than healthy controls (U = 766.5, z = 3.25, p = 0.001). Spearman correlation analyses did not reveal any significant correlation between toxoplasma antibody levels and age at onset (n = 0.19, p = 0.26) or YMRS scores (n = 0.15, p = 0.39). Discussion: The herein reported association could have potential implications in better understanding the pathophysiology of mania and its treatment. This is the first study to evaluate the association between toxoplasma titers and mania in India with only a few studies done elsewhere in the world.

Tagged: bipolar, bipolar disorder, depression, disease, Dopamine, fatal attraction, gondii infection, individuals, mania, psychosis, risk factors, Schizophrenia, seroprevalence, Toxoplasma

Mental health

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

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

Toxoplasma gondii exposure and Parkinson’s disease: a case-control study

October 3, 2017
Alvarado-Esquivel, C., Mendez-Hernandez, E. M., Salas-Pacheco, J. M., Ruano-Calderon, L. A., Hernandez-Tinoco, J., Arias-Carrion, O., Sanchez-Anguiano, L. F., Castellanos-Juarez, F. X., Sandoval-Carrillo, A. A., Liesenfeld, O., Ramos-Nevarez, A.
Bmj Open 2017; 7
Click for abstract
Objectives: To determine the association between Toxoplasma gondii infection and Parkinson's disease and to investigate whether T. gondii seropositivity is associated with the general characteristics of patients with Parkinson's disease. Design: Case-control study. Setting: Cases and controls were enrolled in Durango City, Mexico. Participants: 65 patients with Parkinson's disease and 195 age-and gender-matched control subjects without Parkinson's disease. Primary and secondary outcome measures: Serum samples of participants were analysed for anti-T. gondii IgG and IgM antibodies by commercially available enzyme-linked immunoassays. Prevalence of T. gondii DNA was determined in seropositive subjects using PCR. The association between clinical data and infection was examined by bivariate analysis. Results: Anti-T. gondii IgG antibodies were found in 6/65 cases (9.2%) and in 21/195 controls (10.8%) (OR 0.84; 95% CI 0.32 to 2.18; p=0.81). The frequency of high (>150 IU/mL) antibody levels was similar among cases and controls (p=0.34). None of the anti-T. gondii IgG positive cases and four of the anti-T. gondii IgG positive controls had anti-T. gondii IgM antibodies (p=0.54). The prevalence of T. gondii DNA was comparable in seropositive cases and controls (16.7% and 25%, respectively; p=1.0). Seroprevalence of T. gondii infection was associated with a young age onset of disease (p=0.03), high Unified Parkinson Disease Rating Scale scores (p=0.04) and depression (p=0.02). Seropositivity to T. gondii infection was lower in patients treated with pramipexole than in patients without this treatment (p=0.01). However, none of the associations remained significant after Bonferroni correction. Conclusions: The results do not support an association between T. gondii infection and Parkinson's disease. However, T. gondii infection might have an influence on certain symptoms of Parkinson's disease. Further research to elucidate the role of T. gondii exposure on Parkinson's disease is warranted.

Tagged: acquired-immunodeficiency-syndrome, aids, disorders, Dopamine, infection, onset, parasites, patient, seroepidemiology, workers

Mental health

Parkinson’s disease and Toxoplasma gondii infection: Sero-molecular assess the possible link among patients

October 2, 2017
Fallahi, S., Rostami, A., Birjandi, M., Zebardast, N., Kheirandish, F., Spotin, A.
Acta Tropica 2017; 173: 97-101
Click for abstract
We investigated the possible association between Parkinson's disease (PD), the second most common neurode-generative disorder and Toxoplasma gondii infection, the most common neurotropic protozoan parasitic infection, using serological and molecular techniques. One hundred and fifteen patients with confirmed PD and 115 healthy subjects in the same age and sex distribution were enrolled in this study. Blood samples were taken from each participant and the sera was screened for anti-Toxoplasma antibodies (IgG and IgM). PCR assay was performed in duplicate using the primer pair targeting the B1 gene of Toxoplasma. Amplicons were directly sequenced to conduct the phylogenetic analysis. The prevalence of Toxoplasma infection based on IgG titer was 53% in case and 55.6% in the control groups, revealing no statistically significant association between Toxoplasma seropositivity and PD (OR = 0.90; 95% CI = 0.54-1.51; P = 0.691). According to PCR assay, the prevalence of Toxoplasma infections was 19.3% in the case and 10.4% in control groups which the difference was statistically significant (OR = 3.02; 95% CI = 1.46-6.27; P = 0.002). Multiple sequence alignment of Toxoplasma gondii isolates manifested a common haplotype by the identity: 93.6-100% and divergence: 0-6.7%. We concluded that T. gondii infection not only could not be a risk factor to PD, but even it could be concluded that patients with PD are in more risk to acquisition of infection. These results provide fresh insights into the ambiguous association between T. gondii infection and PD.

Tagged: Dopamine, metaanalysis, parkinson's disease, prevalence, Schizophrenia, sero-molecular assessment, toxoplasma gondii infection

Mental health

Neurophysiological changes induced by chronic Toxoplasma gondii Infection.

March 13, 2017
Tedford, E., McConkey, G.
Pathogens. 2017; 6: 19-31
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, catecholamine, central-nervous-system, dendritic cells, dependent manner, DNA, Dopamine, gamma-interferon, gene-expression, glutamatergic, host-parasite interaction, immune system, infection, methylation, neuroimmune, Neurophysiology, parasitic, testosterone, Toxoplasma gondii

Mental health

Association between anti-Toxoplasma gondii antibodies and schizophrenia and psychotic bipolar in patients hospitalized in the psychiatric ward

October 6, 2016
Dalimiasl, A., Mosayebi, M., Ghorbanzadeh, B., Ghasemi, M., Hajihossein, R.
Australasian Medical Journal 2016; 9: 313-318
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Background Toxoplasmosis is caused by an intracellular parasite and is a worldwide disease. In laboratory, the parasites that cause the disease increases levels of dopamine in the brain tissue of treated mice. The evidence showed that dopamine releasing in the nucleus accumbens by activating the retro hippocampal region can disrupt the fornix section of brain as evolve to develop a psychosis in human. Methods This retrospective case-control study was conducted in patients with schizophrenia and psychotic bipolar referred to psychiatric clinic in Amir Kabir hospital, Arak. After psychiatric diagnosis of patients with schizophrenia and bipolar disorder, 2ml of blood samples were acquired from 76 patients and 75 controls without any psychotic illness or bipolar disorder and other mental illnesses with safety issues. The serum of samples was separated in laboratory and was kept until the time of testing at -20 degrees C. After collecting all the samples; Anti-Toxoplasma IgG on the case and control samples were analysed by ELISA. Results were analysed by SPSS software version 16 and were calculated by chi 2 tests. Results 55.26 per cent of patients (42 persons) were infected with Toxoplasma gondii and in the control group 36 per cent (27 patients) were infected, that the different between them was significant (p<0/05). Toxoplasmosis in psychotic men was more than psychotic women significantly (p<0/05). Toxoplasma gondii infection in patients with schizophrenia with psychotic bipolar patients showed no significant difference. Conclusion Patients with schizophrenia and bipolar disorder showed significantly higher rate than healthy people against Toxoplasma gondii infection. Whether prevention of infection with these parasites is effective in reducing the risk of psychosis requires further investigation.

Tagged: bipolar, brain, Dopamine, infection, latent toxoplasmosis, psychotic, risk, Schizophrenia, Toxoplasma gondii, traffic accidents

Mental health

The known and missing links between Toxoplasma gondii and schizophrenia

October 6, 2016
Elsheikha, H.M., Busselberg, D., Zhu, X.Q.
Metabolic Brain Disease 2016; 31: 749-759.
Click for abstract
Toxoplasma gondii, an intracellular protozoan parasite, has a striking predilection for infecting the Central Nervous System and has been linked to an increased incidence of a number of psychiatric diseases. Several in vitro and in vivo studies have shown that T. gondii infection can affect the structure, bioenergetics and function of brain cells, and alters several host cell processes, including dopaminergic, tryptophan-kynurenine, GABAergic, AKT1, Jak/STAT, and vasopressinergic pathways. These mechanisms underlying the neuropathology of latent toxoplasmosis seem to operate also in schizophrenia, supporting the link between the two disorders. Better understanding of the intricate parasite-neuroglial communications holds the key to unlocking the mystery of T. gondii-mediated schizophrenia and offers substantial prospects for the development of disease-modifying therapies.

Tagged: bipolar disorder, c-reactive protein, cell-cultures, central-nervous-system, Dopamine, host-pathogen, infected mice, interaction, interferon-gamma, long-term potentiation, mental illness, obsessive-compulsive disorder, oxidative stress, psychosis, Schizophrenia, Toxoplasma gondii

Mental health

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

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

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

Cognitive functions

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

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

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

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

Mental health

The prevalence of anti-Toxoplasma gondii antibodies in stutterers is higher than in the control group

October 9, 2015
Celik, T., Gokcen, C., Aytas, O., Ozcelik, A., Celik, M., Coban, N.
Folia Parasitologica 2015; 62
Click for abstract
The purpose of this study was to investigate the possible relationship between Toxoplasma gondii (Nicolle et Manceaux, 1908) and stuttering. We investigated the seropositivity rate for anti-T. gondii IgG and antibodies by enzyme-linked immunosorbent assay (ELISA) in stuttering children to ascertain a possible relationship between T. gondii infection and stuttering. We selected 65 stuttering children and 65 control children (non-stutterers) to investigate the seropositivity rate of anti-T. gondii antibodies by ELISA. Cranial magnetic resonance imaging (MRI) and scalp electroencephalography (EEG) were also performed in stuttering children. The seropositivity rate of anti-T. gondii IgG antibodies among stuttering children (28%) was significantly higher than in control group (5%; p = 0.001). No abnormality was detected in cranial MRI's of stutttering children and their EEG recordings were also normal. There was no significant difference in seropositivity rate regarding age, genders and residence area. The association between seroprevalence of infection with T. gondii and stuttering may be due to hyperdopaminergic state in brains of patients who are T. gondii-seropositive. Thus, there might be a causal relationship between toxoplasmosis and stuttering.

Tagged: disorder, Dopamine, electroencephalography (eeg), enzyme-linked immunosorbent assay (elisa), infection, latent toxoplasmosis, magnetic resonance imaging (mri), mice, risk factors, Schizophrenia, seroprevalence, stuttering, Toxoplasma gondii, toxoplasmosis, traffic accidents

Mental healthPhysical health

Association between latent toxoplasmosis and clinical course of schizophrenia – continuous course of the disease is characteristic for Toxoplasma gondii-infected patients

October 9, 2015
Celik, T., Kartalci, S., Aytas, O., Akarsu, G. A., Gozukara, H., Unal, S.
Folia Parasitologica 2015; 62
Click for abstract
The aim of the present study was to investigate the association between various clinical aspects of schizophrenia and seropositivity against Toxoplasma gondii (Nicolle et Manceaux, 1908). We selected 94 patients with schizophrenia and investigated the seropositivity rate for anti-T. gondii IgG antibodies by ELISA. Clinical parameters of schizophrenic patients such as illness type and status, clinical course, awareness of the illness and need for electroconvulsive therapy (ECT) were compared with their serological status. Anti-T. gondii IgG antibodies were detected in 43 (46%) of schizophrenic patients. Chronic patients had a rate of 34 (72%) seropositivity, whereas 9 (22%) of the patients with partial remission showed evidence of latent toxoplasmosis. Of continuous patients, 35 (81%) were found to be seropositive and this rate was significantly more than in the other groups. The rate of latent toxoplasmosis was detected significantly higher in patients who lack awareness of schizophrenia (36, i.e. 72%) than the patients who were aware of their illnesses (7, i.e. 16%). Anti-T. gondii IgG antibodies were detected in 38 (70%) of ECT performed patients while this percentage was 13% in the ones who had never been treated with ECT. This difference was also statistically significant. We showed that Toxoplasma-infected subjects had 15x higher probability of having continuous course of disease than Toxoplasma-free subjects. Our results put forth the possibility of latent toxoplasmosis to have a negative impact on the course of schizophrenia and treatment response of schizophrenic patients.

Tagged: agents, antibodies, cell-cultures, CMV, Dopamine, individuals, mechanism, mice, prognosis, risk factors, schizophrenia patients, serology, toxoplasmosis

Mental health

Toxoplasma gondii seropositivity and cognitive functions in school-aged children

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

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

Cognitive functions

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

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

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

Mental health

Schizophrenia and Toxoplasma gondii: an undervalued association?

September 27, 2015
Flegr, J.
Expert Review of Anti-infective Therapy 2015; 13: 817-820
Click for abstract
The existence of an association between schizophrenia and an infection by the protozoan parasite Toxoplasma gondii has been suspected since the 1950s. Two significant phenomena first garnered the attention of the psychiatric community toward toxoplasmosis, the illness precipitated by an infection of the parasite. Transient symptoms of acute toxoplasmosis sometimes resemble the clinical picture of paranoid schizophrenia. Many studies have also found an increased seroprevalence of toxoplasmosis in clients of mental health institutions in comparison with members of control populations. We have had to wait until the first decade of our millennium for several independent research teams to make discoveries that would shed light on he possible mechanisms that link the Toxoplasma parasite to schizophrenia.

Tagged: Dopamine, manipulation hypothesis, mental disorder, Schizophrenia, toxoplasmosis

Mental healthReviews

Extraordinary tales parasites hijacking the minds of hosts

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

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

Behavior

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

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

BehaviorMental health

Toxoplasma gondii impairs memory in infected seniors

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

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

Cognitive functions

Latent Toxoplasma gondii infection leads to deficits in goal-directed behavior in healthy elderly

October 10, 2014
Beste, C., Getzmann, S., Gajewski, P. D., Golka, K., Falkenstein, M
Neurobiology of Aging 2014; 35: 1037-1044.
Click for abstract
The parasite Toxoplasma gondii has been found to manipulate the behavior of its secondary hosts to increase its own dissemination which is commonly believed to be to the detriment of the host (manipulation hypothesis). The manipulation correlates with an up-regulation of dopaminergic neurotransmission. In humans, different pathologies have been associated with T. gondii infections but most latently infected humans do not seem to display overt impairments. Since a dopamine plus does not necessarily bear exclusively negative consequences in humans, we investigated potential positive consequences of latent toxoplasmosis (and the presumed boosting of dopaminergic neurotransmission) on human cognition and behavior. For this purpose, we focused on action cascading which has been shown to be modulated by dopamine. Based on behavioral and neurophysiological (EEG) data obtained by means of a stop-change paradigm, we were able to demonstrate that healthy young humans can actually benefit from latent T. gondii infection as regards their performance in this task (as indicated by faster response times and a smaller P3 component). The data shows that a latent infection which is assumed to affect the dopaminergic system can lead to paradoxical improvements of cognitive control processes in humans.

Tagged: action cascading, animal behavior, attention, basal ganglia, cognitive flexibility, Dopamine, eeg, error, event-related potentials, executive function, executive functions, Human, latent toxoplasmosis, manipulation hypothesis, modulation, Parasite, parkinson's disease, stop-change paradigm, toxoplama gondii

Mental health

Latent Toxoplasma gondii infection leads to improved action control

October 10, 2014
Stock, A. K., von Heinegg, E. H., Kohling, H. L., Beste, C.
Brain Behavior and Immunity 2014; 37: 103-108
Click for abstract
The parasite Toxoplasma gondii has been found to manipulate the behavior of its secondary hosts to increase its own dissemination which is commonly believed to be to the detriment of the host (manipulation hypothesis). The manipulation correlates with an up-regulation of dopaminergic neurotransmission. In humans, different pathologies have been associated with T. gondii infections but most latently infected humans do not seem to display overt impairments. Since a dopamine plus does not necessarily bear exclusively negative consequences in humans, we investigated potential positive consequences of latent toxoplasmosis (and the presumed boosting of dopaminergic neurotransmission) on human cognition and behavior. For this purpose, we focused on action cascading which has been shown to be modulated by dopamine. Based on behavioral and neurophysiological (EEG) data obtained by means of a stop-change paradigm, we were able to demonstrate that healthy young humans can actually benefit from latent T. gondii infection as regards their performance in this task (as indicated by faster response times and a smaller P3 component). The data shows that a latent infection which is assumed to affect the dopaminergic system can lead to paradoxical improvements of cognitive control processes in humans. (C) 2013 Elsevier Inc. All rights reserved.

Tagged: action cascading, animal behavior, attention, basal ganglia, cognitive flexibility, Dopamine, eeg, error, event-related potentials, executive function, executive functions, Human, latent toxoplasmosis, manipulation hypothesis, modulation, Parasite, parkinson's disease, stop-change paradigm, toxoplama gondii

Cognitive functionsMental healthMotor functions

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

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

Behavior

Psychiatric disorders in Toxoplasma seropositive patients – CD8 connection

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

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

Mental health

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

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

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

BehaviorMental health

The role of parasites and pathogens in influencing generalised anxiety and predation-related fear in the mammalian central nervous system

October 12, 2012
Kaushik, M., Lamberton, P.H.L., Webster, J.P.
Hormones and Behavior 2012; 62: 191-201
Click for abstract
This article is part of a Special Issue "Neuroendocrine-Immune Axis in Health and Disease." Behavioural and neurophysiological traits and responses associated with anxiety and predation-related fear have been well documented in rodent models. Certain parasites and pathogens which rely on predation for transmission appear able to manipulate these, often innate, traits to increase the likelihood of their life-cycle being completed. This can occur through a range of mechanisms, such as alteration of hormonal and neurotransmitter communication and/or direct interference with the neurons and brain regions that mediate behavioural expression. Whilst some post-infection behavioural changes may reflect 'general sickness' or a pathological by-product of infection, others may have a specific adaptive advantage to the parasite and be indicative of active manipulation of host behaviour. Here we review the key mechanisms by which anxiety and predation-related fears are controlled in mammals, before exploring evidence for how some infectious agents may manipulate these mechanisms. The protozoan Toxoplasma gondii, the causative agent of toxoplasmosis, is focused on as a prime example. Selective pressures appear to have allowed this parasite to evolve strategies to alter the behaviour in its natural intermediate rodent host. Latent infection has also been associated with a range of altered behavioural profiles, from subtle to severe, in other secondary host species including humans. In addition to enhancing our knowledge of the evolution of parasite manipulation in general, to further our understanding of how and when these potential changes to human host behaviour occur, and how we may prevent or manage them, it is imperative to elucidate the associated mechanisms involved

Tagged: altered host behavior, anxiety, bacillus-calmette-guerin, c-reactive protein, central-nervous-system, depressive-like behavior, Dopamine, elevated plus-maze, endogenous kynurenic acid, helminth, male norway rats, mammal, obsessive-compulsive disorder, predation, protozoa, rodent, serotonin, toxocara-canis larvae, Toxoplasma gondii, toxoplasma gondii infection

Mental health

The role of latent toxoplasmosis in the aetiopathogenesis of schizophrenia – the risk factor or an indication of a contact with cat?

October 19, 2010
Yuksel, P., Alpay, N., Babur, C., Bayar, R., Saribas, S., Karakose, A. R., Aksoy, C., Aslan, M., Mehmetali, S., Kilic, S., Balcioglu, I., Hamanca, O., Dirican, A., Kucukbasmaci, O., Oner, A., Torun, M. M., Kocazeybek, B.
Folia Parasitologica 2010; 57: 121-128
Click for abstract
We assessed IgG antibody to Toxoplasma gondii in 300 inpatients with schizophrenia (SG), 150 outpatients with anxiety and depressive disorders (PCG), and 150 healthy blood donors (HCG). Seropositivity rates were 60.7% for SG, 36.7% for PCG, and 45.3% for HCG (p<0.001). The seropositivity rate for anti-Toxoplasma IgG antibodies in SG was significantly higher that in PCG (X(2) = 23.11, OR = 2.66, p = 0.001) and HCG (X(2) = 9.52, OR = 1.86, p = 0.002). Among SG, 85% of those who reported close cat contact had IgG antibodies to T gondii. Close cat contacts were reported by 59% of SG, 6% of PCG, and 9% of HCG (p<0.001). There was a nonsignificant positive association between toxoplasmosis and schizophrenia for people with a contact with a cat (OR = 2.221, p = 0.127, CI(95) = 0.796-6.192), and significant negative association between toxoplasmosis and schizophrenia for people without contact with a cat (OR = 0.532, p = 0.009, CI(95) = 0.332-0.854). Close cat contact (OR = 2.679, p<0.001), 51-65-year age group (OR = 1.703, p<0.001) and education [illiterate+primary (OR = 6.146, p<0.001) and high school (OR = 1.974, p = 0.023)] were detected as independent risk factors in multivariate logistic regression. The effect of toxoplasmosis on risk of schizophrenia disappeared in the complex model analyzed with multivariate logistic regression. In conclusion, our data suggest that the toxoplasmosis has no direct effect on the risk of schizophrenia in Turkey but is just an indication of previous contacts with a cat

Tagged: antibodies, behavioral-changes, brain, Dopamine, gondii infection, individuals, latent toxoplasmosis, mice, pregnant women, Schizophrenia, seroprevalence, Toxoplasma gondii, turkey, viral encephalitis

Mental health

Schizophrenia and toxoplasmosis

October 26, 2009
Dion, S., Barbe, P. G., Leman, S., Camus, V., Dimier-Poisson, I.
M S-Medecine Sciences 2009; 25: 687-691.
Click for abstract
Schizophrenia and toxoplasmosis Schizophrenia is one of the most severe and disabling psychiatric disease that affects about 1% of the adult worldwide population. Aetiology of schizophrenia is still unknown but genetic and environmental factors are suspected to play a major role in its onset. Recent epidemiologic studies indicate that infectious agents may contribute to some cases of schizophrenia. In particular, several epidemiological, behavioural and neurochemical studies suggested the existence of an association between schizophrenia and post history of primo-infection by the Toxoplasma gondii. However, they are some limitations for this hypothesis among which the lack of correlation between the geographic distribution of both diseases and of direct evidence for the presence of the parasite in schizophrenic patients. Nevertheless the identification of physiopathological mechanisms related to the parasite could provide a better comprehension to the outcome of schizophrenia. Studies on the link between toxoplasmosis and schizophrenic may provide interesting data for the diagnosis and the development of new treatments for this disorder.

Tagged: 1st-episode, antibodies, Dopamine, Epidemiology, gondii, high-risk, infection, mental-disorders, metaanalysis, psychosis

Mental health

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

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

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

Behavior

Psychosis may be associated with toxoplasmosis

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

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

Mental health

Sex-dependent toxoplasmosis-associated differences in testosterone concentration in humans

January 9, 2008
Flegr, J., Lindová, J., Kodym, P.
Parasitology 2008; 135: 427-431
Click for abstract
Several lines of indirect evidence suggest that subjects with latent infection of the coccidian parasite Toxoplasma gondii have a higher concentration of testosterone than uninfected controls. Here, we searched for direct evidence of latent toxoplasmosis-associated differences in testosterone concentration among a Population of 174 female and 91 male students screened for Toxoplasma infection. We have found Toxoplasma-infected men to have a higher concentration of testosterone and Toxoplasma -infected women to have a lower concentration of testosterone than Toxoplasma -free controls. The opposite direction of the testosterone shift in men compared to women can explain the observed gender specificity of behavioural shifts in Toxoplasma- infected subjects.

Tagged: 2nd, 4th digit ratio, androgens, behaviour, complement-fixation, Dopamine, gender, gondii, hormones, human-behavior, infection, latent toxoplasmosis, manipulation., parasites, Toxoplasma

BehaviorPhysical health

Parasitosis, dopaminergic modulation and metabolic disturbances in schizophrenia: evolution of a hypothesis

October 26, 2007
Treuer T, Martenyi F, Karagianis J.
Neuroendocrinology Letters 2007; 28: 535-540.
Click for abstract
Recent meta-analyses have provided a comprehensive overview of studies investigating Toxoplasma gondii antibodies in schizophrenic patients, thus attempting to clarify the potential role these infections might play in causing schizophrenia. Issues for further research have been suggested. Associations and theories that may enrich the current level of knowledge with regard to this significant subject deserve attention. Anti-parasitic agents as well as antipsychotics are effective in treating parasitosis. Both classes of drugs have been shown to exert dopaminergic activity. Parasites and human organisms have a long history of mutual contact. The effect of parasitosis on the host and the host's response to infection are undoubtedly the product of a long evolutionary process. The neurochemical background of delusions of parasitosis is potentially similar to ancient evolutionary traces of altered neurotransmission and neuropeptide gene expression caused by parasites; these include fungal and viral infections. This is very unique in medicine if a class of drugs is effective in the treatment of an illness but also cures the delusion of the same disorder as well. Furthermore, metabolic disturbances such as hyperglycemia and insulin resistance were reported several decades before the antipsychotic era. Toxoplasmosis may also be linked to insulin resistance. Schizophrenia research can benefit from understanding this evolutionary link. New chemical entities that are liable to alter neurochemical changes related to the brain's perception of the risk of predation secondary to parasites may result in new approaches for the treatment of psychosis. These findings suggest that further research is needed to clarify this evolutionary link between parasite infection and delusions of parasitosis. We believe this model may well open up new avenues of research in the discovery of drugs to counteract schizophrenia.

Tagged: affective disorders, delusional-parasitosis, Dopamine, drugs, human-behavior, insulin, interleukin-6, metabolic disturbances, necrosis-factor-alpha, parasitosis, plasma-levels, replication, Schizophrenia, Toxoplasma gondii

Mental health

Effects of Toxoplasma on human behavior

September 26, 2007
Flegr, J.
Schizophrenia Bulletin 2007; 33: 757-760
Click for abstract
Although latent infection with Toxoplasma gondii is among the most prevalent of human infections, it has been gener- ally assumed that, except for congenital transmission, it is asymptomatic. The demonstration that latent Toxoplasma infections can alter behavior in rodents has led to a recon- sideration of this assumption. When infected human adults were compared with uninfected adults on personality ques- tionnaires or on a panel of behavioral tests, several differ- ences were found. Other studies have demonstrated reduced psychomotor performance in affected individuals. Possible mechanisms by which T. gondii may affect human behavior include its effect on dopamine and on testosterone.

Tagged: Dopamine, personality test, reaction time, testosterone

BehaviorMotor functionsPersonality

Schizophrenia susceptibility genes directly implicated in the life cycles of pathogens: Cytomegalovirus, influenza, herpes simplex, rubella, and Toxoplasma gondii.

October 30, 2006
Carter CJ.
Schizophrenia Bulletin 2006; 35: 1163-1182
Click for abstract
Over 130 genes have been associated with schizophrenia in genetic studies. None of these has reached a sufficient level of confidence to be accepted as a universal susceptibility gene and problems of replicability suggest that many may be false positives. Nevertheless, these genes can be grouped into distinct families related to glutamate transmission (in particular related to NMDA receptor function), the control of synaptic plasticity, dopaminergic transmission, oxidative stress, glutathione and quinone metabolism and oligodendrocyte viability. These families mirror the processes disrupted in the schizophrenic brain and certain gene families can be linked together to form a clearly defined signalling cascade involved in the phenomenon of NMDA receptor-dependent long-term potentiation and synaptic plasticity, that may be interconnected with oligodendrocyte and oxidative stress-related pathways. Many of the protein products of these genes interact with each other, forming complex integrated networks. Certain high-interest genes (for example DISC1, NRG1, COMT) may exert multiple effects on different areas of these pathways, while others exert more specific effects on certain branches. The convergence of a large number of genes on a definable signaling network raises the possibility of numerous interactions between gene candidates, and suggests that a targeted multigenic pathway approach would be useful in gene association studies. (c) 2006 Elsevier B.V. All rights reserved.

Tagged: association, catechol-o-methyltransferase, cell-death, cortical pyramidal neurons, dendritic spine density, DNA microarray, Dopamine, gene, glutathione, influenza hemagglutinin peptide, multigenic, nitric-oxide synthase, nmda, nmda receptor, oligodendrocyte, oxidative stress, polymorphism, prefrontal cortex, quinone, Schizophrenia, synaptic plasticity

Mental health

Can the common brain parasite, Toxoplasma gondii, influence human culture?

October 30, 2006
Lafferty, K.D.
Proceedings of the Royal Society B-Biological Sciences 2006; 273: 2749-2755.
Click for abstract
The latent prevalence of a long-lived and common brain parasite, Toxoplasma gondii, explains a statistically significant portion of the variance in aggregate neuroticisin among populations, as well as in the 'neurotic' cultural dimensions of sex roles and uncertainty avoidance. Spurious or non-causal correlations between aggregate personality and aspects of climate and culture that influence T gondii transmission could also drive these patterns. A link between culture and T gondii hypothetically results from a behavioural manipulation that the parasite uses to increase its transmission to the next host in the life cycle: a cat. While latent toxoplasmosis is usually benign, the parasite's subtle effect on individual personality appears to alter the aggregate personality at the population level. Drivers of the geographical variation in the prevalence of this parasite include the effects of climate on the persistence of infectious stages in soil, the cultural practices of food preparation and cats as pets. Some variation in culture, therefore, may ultimately be related to how climate affects the distribution of T gondii, though the results only explain a fraction of the variation in two of the four cultural dimensions, suggesting that if T gondii does influence human culture, it is only one among many factors.

Tagged: antibodies, decreased level, Dopamine, infection, masculinity, nations, neuroticism, novelty seeking, personality, personality changes, population, pregnant women, prevalence, risk factors, uncertainty avoidance

BehaviorPersonality

Parasites as causative agents of human affective disorders? The impact of anti-psychotic, mood-stabilizer and anti-parasite medication on Toxoplasma gondii ‘s ability to alter host behaviour

October 30, 2006
Webster, J.P., Lamberton, P.H.L., Donnelly, C.A., Torrey, E.F.
Proceedings of the Royal Society B-Biological Sciences 2006; 273: 1023-1030
Click for abstract
With increasing pressure to understand transmissible agents, renewed recognition of infectious causation of both acute and chronic diseases is occurring. Epidemiological and neuropathological studies indicate that some cases of schizophrenia may be associated with environmental factors, such as exposure to the ubiquitous protozoan Toxoplasma gondii. Reasons for this include T gondii's ability to establish persistent infection within the central nervous system, its ability to manipulate intermediate host behaviour, the occurrence of neurological and psychiatric symptoms in some infected individuals, and an association between infection with increased incidence of schizophrenia. Moreover, several of the medications used to treat schizophrenia and other psychiatric disease have recently been demonstrated in vitro to possess antiparasitic, and in particular anti-T gondii, properties. Our aim here was thus to test the hypothesis that the anti-psychotic and mood stabilizing activity of some medications may be achieved, or at least augmented, through their in vivo inhibition of T gondii replication and invasion in infected individuals. In particular we predicted, using the epidemiologically and clinically applicable rat-T gondii model system, and following a previously described and neurologically characterized 'feline attraction' protocol that haloperidol (an antipsychotic used in the treatment of mental illnesses including schizophrenia) and/or valproic acid (a mood stabilizer used in the treatment of mental illnesses including schizophrenia), would be, at least, as effective in preventing the development of T gondii-associated behavioural and cognitive alterations as the standard anti-T gondii chemotherapeutics pyrimethamine with Dapsone. We demonstrate that, while T gondii appears to alter the rats' perception of predation risk turning their innate aversion into a 'suicidal' feline attraction, anti-psychotic drugs prove as efficient as anti-T gondii drugs in preventing such behavioural alterations. Our results have important implications regarding the aetiology and treatment of such disorders.

Tagged: acquired toxoplasmosis, antibodies, brain, cat odor, dapsone, Dopamine, infection, medication, parasite-altered behaviour, pyrimethamine, rattus-norvegicus, Schizophrenia, Toxoplasma gondii

BehaviorMental health

Decreased level of novelty seeking in blood donors infected with Toxoplasma

September 26, 2005
Skallová, A., Novotná, M., Kolbeková, P., Gasová, Z., Veselý,V., Sechovská, M., Flegr, J.
Neuroendocrinology Letters 2005; 26: 480-486
Click for abstract
OBJECTIVES : Toxoplasma gondii , a parasitic protozoan, infects about 30–60% of people worldwide. Toxoplasma is known to induce behavioral changes and an increase of dopamine in mice. The presence of anti- Toxoplasma antibodies (latent toxoplasmosis) is also a risk factor for schizophrenia. Latent toxoplasmosis in men (male soldiers) is associated with lower novelty seeking. As the novelty seek - ing is supposed to negatively correlate with level of dopamine, the observed effect was interpreted as indirect evidence of increased dopamine levels in subjects with toxoplasmosis. However, it is also possible that the observed effect was caused by association of both novelty seeking and Toxoplasma infection with a third factor, e.g. size of place of residence. METHODS : Personality profile of 290 blood donors (205 men and 85 women) were measured by Cloninger’s TCI (Temperament and Character Inventory) and their blood samples were assayed for the presence of anti- Toxoplasma antibodies. Dif - ference between Toxoplasma -infected and Toxoplasma -free subjects was tested with ANCOVA method with gender, size of place of residence, and age as covari - ates. RESULTS : The present analysis revealed that lower novelty seeking was associ - ated with latent toxoplasmosis both in men and women. The effect of infection on novelty seeking remained significant even after adjustment for size of place of residence (p<0.0). CONCLUSION : Decreased novelty seeking in Toxoplasma -infected subjects have been already confirmed in three independent populations (male soldiers and male and female blood donors). These findings suggest that the local inflamma - tion-induced increase in dopamine in the brain of infected subjects can represent a missing link between toxoplasmosis and schizophrenia

Tagged: behavior, Dopamine, manipulation hypothesis, Parasite, Schizophrenia, TCI

Personality

Decreased level of psychobiological factor novelty seeking and lower intelligence in men latently infected with the protozoan parasite Toxoplasma gondii. Dopamine, a missing link between schizophrenia and toxoplasmosis?

September 26, 2003
Flegr, J., Preiss, M., Klose, J., Havlíček, J., Vitáková, M, Kodym, P.
Biological Psychology 2003; 63: 253-268
Click for abstract
Toxoplasma gondii , a parasitic protozoan, infects about 30  / 60% of people worldwide. The latent toxoplasmosis, i.e. life-long presence of cysts in the brain and muscular tissues, has no effect on human health. Howe v er, infected subjects score worse in psychomotor performance tests and ha v e different personality profiles than Toxoplasma -negati v e subjects. The mechanism of this effect is unknown; howe v er, it is supposed that presence of parasites’ cysts in the brain induces an increase of the concentration of dopamine. Here we search for the existence of differences in personality profile between Toxoplasma -positi v e and Toxoplasma - negati v e subjects by testing 857 military conscripts using a modern psychobiological questionnaire, namely with Cloninger’s Temperament and Character In v entory (TCI). ANCOVA showed that Toxoplasma -positi v e subjects had lower No v elty seeking (NS) scores( P  / 0.035) and lower scores for three of its four subscales, namely Impulsi v eness ( P  / 0.049), Extra v agance ( P  / 0.056) and Disorderliness ( P  / 0.006) than the Toxoplasma -negati v e subjects. Differences between Toxoplasma -negati v e and positi v e subjects in NS was in v ersely correlated with duration of toxoplasmosis estimated on the basis of concentration anti- Toxoplasma antibodies ( P  / 0.031). Unexpectedly, the infected subjects had also lower IQ ( P 2  / 0.003) and lower probability of achie v ing a higher education ( P 2 B / 0.0000). Decrease of NS suggests that the increase of dopamine in brain of infected subjects can represent a missing link between toxoplasmosis and schizophrenia

Tagged: behavior, Dopamine, IQ, manipulation hypothesis, Parasite, Schizophrenia, TCI, toxoplasmosis

Mental healthPersonality

Topics

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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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