gondii – Toxoplasma gondii & Human Phenotype

The association between Toxoplasma and the psychosis continuum in a general population setting

September 4, 2018
Lindgren, M., Torniainen-Holm, M., Harkanen, T., Dickerson, F., Yolken, R. H., Suvisaari, J.
Schizophrenia Research 2018; 193: 329-335

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Toxoplasmosis, but not borreliosis, is associated with psychiatric disorders and symptoms

August 31, 2018

Schizophrenia Research 2018; 197: 603-604

Immunoglobulin sub-class distribution in bipolar disorder and schizophrenia: potential relationship with latent Toxoplasma Gondii infection

August 31, 2018
Bengoufa, H. D., Godin, O., Doukhan, R., Guen, E. L.,Daban-Huard, C. , Bennabi, M., Delavest, M., Lepine, J. P., Boukouaci, W., Laouamri,H., Houenou, J., Jamain, S., Richard, J. R. , Lecorvosier, P. , Yolken, R., Rajagopal, K., Leboyer, M., Tamouza, R.
Bmc Psychiatry 2018; 18

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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

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Immunoglobulin sub-class distribution in bipolar disorder and schizophrenia: potential relationship with latent Toxoplasma Gondii infection

February 12, 2018
Hamdani,N. ,Bengoufa, D. , Godin, O., Doukhan, R.., Le Guen,E., Daban-Huard, C. , Bennabi, M. ,Delavest, M., Lepine, J. P., Boukouaci, W. , Laouamri, H. , Houenou,J., Jamain, S., Richard,J. R. , Lecorvosier, P. , Yolken,R. , Rajagopal, K. , Leboyer, M. , Tamouza, R.
BMC Psychiatry,10.1186/s12888-018-1821-9, Article Number 239

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Toxoplasmosis, but not borreliosis, is associated with psychiatric disorders and symptoms MENTAL

February 12, 2018
Flegr, J., Horáček, J.
Schizophrenia Research 2018; 197: 603-604

Impact of ApoE genotypes variations on Toxoplasma patients with dementia

December 8, 2017
Yahya, R. S., Awad, S. I., El-Baz, H. A., Saudy,N., Abdelsalam, O. A., Al-Din, M. S. S.
Journal of Clinical Neuroscience 2017;39:184-188

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A critical assessment of the association between postnatal toxoplasmosis and epilepsy in immune-competent patients

December 8, 2017
Uzorka, J. W., Arend, S. M.
European Journal of Clinical Microbiology and Infectious Diseases 2017; 7:1111-1117

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

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Prenatal toxoplasmosis antibody and childhood autism

October 2, 2017
Spann, M. N., Sourander, A., Surcel, H. M., Hinkka-Yli-Salomaki, S., Brown, A. S.
Autism Research 2017; 10: 769-777

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Toxoplasmosis, leptospirosis, and brucellosis seroepidemiology in veterinary medical students and their relation with unique health

January 4, 2017
Clazer, M., Rodrigues, G. V., Ferreira, B. P. M., Zaniolo, M. M., Correa, N. A. B., Fortes, M. S., Navarro, I. T., Chiderolli, R. T., de Freitas, J. C., Goncalves, D. D.
Semina-Ciencias Agrarias, 2017, 38: 1347-1359

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Toxoplasmosis, leptospirosis, and brucellosis are global zoonoses, with humans as accidental participants in their transmission cycles. The can also be considered occupational diseases, because certain professionals are at greater risk of contact and infection by such zoonoses. These three diseases have different epidemiological characteristics because of the distinct environmental, social, cultural, and economic conditions where these pathogens circulate. Because of the importance of these diseases and their associations with specific occupations, we performed a seroepidemiological survey of Toxoplasma, Leptospira, and Brucella antibodies, with an analysis of the association between positive serum and certain occupational and environmental variables, in students of a veterinary medicine course (1st, 2nd, 3rd, 4th, and 5th year) in a university in the northwestern region in the state of Parana, Brazil. From May to November 2014, blood samples were collected from 157 volunteers by professionals trained in nursing and biomedicine from the same university as the veterinary students. At the time of blood collection, the students did not present any clinical signs of the three diseases of interest. To detect anti-Toxoplasma gondii, anti-Leptospira spp., and anti-Brucella antibodies, indirect immunofluorescence test (IIF), microscopic agglutination test (MAT), fast agglutination test (a screening test), and enzyme-linked immunosorbent assay (ELISA) were performed. To determine variables associated with these infections, the students were interviewed to complete an epidemiological questionnaire with environmental, behavioral, and occupational information. The associations between these variables and infections were assess by chi-square or Fischer's exact tests, with a 5% significance level (a). Of the 157 serum samples analyzed, 29.29% reacted to Toxoplasma antigens, with titers ranging from 16 to 4096 by IIF, 1.27% to Leptospira antigens, with titers ranging from 100 to 800 by MAT using Hardjo and Wolffi serovars, and 0.63% to Brucella antigens by ELISA; however, no variables were found to be associated with infection with any of these pathogens. The results of this study show that one-third of the students in the veterinary medicine course were exposed to Toxoplasma gondii, Leptospira spp., and Brucella spp. at some stage in their lives; however, it is not possible to determine whether these infections were acquired at the university, because no associations between occupational risk variables and these infections were found. An understanding of the transmission of each etiological agent and methods to prevent infection is important to maintain low prevalence levels of these zoonotic diseases during the veterinary medicine course and extra-curricular internships, when there is increased exposure to these pathogens.

Schizophrenia and infections: The eyes have it

January 3, 2017
Torrey, E. F. ,Yolken, R. H.
Schizophrenia Bulletin 2017; 43: 247-252

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No association between latent toxoplasmosis and multiple body measures in US adults

October 6, 2016
Berrett, A. N., Gale, S. D., Erickson, L. D., Brown, B. L., Hedges, D. W.
Folia Parasitologica 2016; 63: 034, 10.14411/Fp.2016.034

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No association between current depression and latent toxoplasmosis in adults

October 6, 2016
Gale, S. D., Berrett, A. N., Brown, B., Erickson, L. D., Hedges, D. W.
Folia Parasitologica 2016; 63: DOI 10.14411/fp.2016.032

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Changes in behaviour and cognition have been associated with latent infection from the apicomplexan protozoan Toxoplasma gondii (Nicolle et Manceaux, 1908) in both animal and human studies. Further, neuropsychiatric disorders such as schizophrenia have also been associated with latent toxoplasmosis. Previously, we found no association between T. gondii immunoglobulin G antibody (IgG) seropositivity and depression in human adults between the ages of 20 and 39 years (n = 1 846) in a sample representative of the United States collected by the Centers for Disease Control as part of a National Health and Nutrition Examination Survey (NHANES) from three datasets collected between 1999-2004. In the present study, we used NHANES data collected between 2009 and 2012 that included subjects aged 20 to 80 years (n = 5 487) and used the Patient Health Questionnaire 9 (PHQ-9) to assess depression with the overall aim of testing the stability of the results of the prior study. In the current study, the seroprevalence of T. gondii was 13%. The percentage of subjects reporting clinical levels of depression assessed with the PHQ-9 was 8%. As before, we found no association between T. gondii IgG seroprevalence and depression (OR = 1.01, 95% CI = 0.81-1.25; p = 0.944) while controlling for sex, educational attainment, race-ethnicity, age, poverty-to-income ratio and cigarette smoking. We also found no positive associations between anti-T. gondii antibody titre and depression (OR = 1.00, 95% CI = 0.96-1.06; p = 0.868). Moreover, we found no association between T. gondii seroprevalence or antibody titre and suicidal ideation (seroprevalence: OR = 1.22, 95% CI =.85-1.75; p = 0.277, titre: OR = 1.05, 95% CI = 0.98-1.14; p = 0.177). Defining depression to also include subjects currently taking antidepressant medication even with non-elevated questionnaires did not find evidence of a positive association between latent toxoplasmosis and depression. In the present study, neither T. gondii seroprevalence nor anti-T. gondii antibody titre was positively associated with depression or suicidal ideation among subjects aged 20 to 80 years.

Assessment of Toxoplasma sweropositivity in children suffering from attention deficit hyperactivity disorder

January 4, 2016
Afsharpaiman, S., Khosravi, M. H., Faridchehr, M., Komijani, M., Radfar, S., Amirsalari, S., Torkaman, M., Shirbazoo, S.
Galen Medical Journal 2016; 5: 188-193

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Is there any role of latent toxoplasmosis in schizophrenia disease?

October 6, 2015
Karabulut, N., Bilgic, S., Gurok, M. G., Karaboga, F.
Journal of the Chinese Medical Association 2015; 78: 533-537

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Toxoplasmosis: A threat to mothers and babies, but one that is preventable

May 28, 2015
Moore, S. C.
International Journal of Childbirth Education 2015; 30: 35-38

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The influence of latent toxoplasmosis on women’s reproductive function: four cross-sectional studies

January 8, 2015
Kankova, S., Flegr, J., Calda, P.
Folia Parasitologica 2015; 62:

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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

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

January 9, 2012
Flegr, J., Geryk, J., Volny, J., Klose, J., Cernochova, D.
Plos One 2012; 7: ARTN e49478 10.1371/journal.pone.0049478

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Potential immunomodulatory effects of latent toxoplasmosis in humans

January 9, 2011
Flegr, J., Striz, I.
Bmc Infectious Diseases 2011; 11: Artn 274 10.1186/1471-2334-11-274

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Autism spectrum disorders may be due to cerebral toxoplasmosis associated with chronic neuroinflammation causing persistent hypercytokinemia that resulted in an increased lipid peroxidation, oxidative stress, and depressed metabolism of endogenous and exogenous substances

October 19, 2010
Prandota J.
Research in Autism Spectrum Disorders 2010; 4: 119-155

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Worldwide, approximately 2 billion people are chronically infected with Toxoplasma gondii with largely yet unknown consequences. Patients with autism spectrum disorders (ASD) similarly as mice with chronic toxoplasmosis have persistent neuroinflammation, hypercytokinemia with hypermetabolism associated with enhanced lipid peroxidation, and extreme changes in the weight resulting in obesity or wasting. Data presented in this review suggest that environmental triggering factors such as pregnancy, viral/bacterial infections, vaccinations, medications, and other substances caused reactivation of latent cerebral toxoplasmosis because of changes in intensity of latent central nervous system T. gondii infection/inflammation and finally resulted in development of ASD. Examples of such environmental factors together with their respective biomarker abnormalities are: pregnancy (increased NO, IL-1 beta, TNF-alpha, IL-6, IL-10, prolactin: decreased IFN-gamma, IL-12), neuroborreliosis (increased IL-1 beta, sIL-1R2, TNF-alpha, IFN-gamma, IL-6, IL-10, IL-12, IL-18, transforming growth factor-beta 1 (TGF-beta 1)), vital infections (increased IL-1 beta, IL-6, IL-8, TNF-alpha, IFN-gamma/alpha/beta,TGF-beta 1), thimerosal (increased IL-5, IL-13; decreased IFN-gamma,TNF-alpha,IL-6, IL-12p70, NOS), and valproic acid (increased NO, reactive oxygen species; decreased TNF-alpha, IL-6, IFN-gamma). The imbalances in pro- and antiinflammatory processes could markedly hinder [lost defense mechanisms important for immune control of the parasite, such as the production of NO, cytokines, and reactive oxygen/nitrogen species, tryptophan degradation by indoleamine 2,3-dioxygenase and/or tryptophan 2,3-dioxygenase, limitation of the availability of intracellular iron to T gondii, and the mechanisms mediated by an IFN-gamma responsive gene family. These fluctuations could result in a recurrent profuse multiplication of T. gondii in the brain associated with persistent neuroinflammation, chronic overproduction of pro- and antiinflammatory cytokines, and NO causing increased oxidative stress, and significantly depressed activity of several enzymes including cytochrome P450 monooxygenase family responsible for metabolism of physiological substrates and xenobiotics, such as steroids, fatty acids, prostaglandins, drugs, pollutants, and carcinogens, finally leading to development of ASD. This reasoning may be supported by such abnormal metabolic events as: (1) patients with ASD have significantly decreased melatonin levels caused by marked deficit in acetylserotonin methyltransferase activity, possibly resulting from maternal and/or fetal/postnatal overproduction of NO, characteristic for this clinical entity; (2) thimerosal inhibited both insulin-like growth factor-1- and dopamine-stimulated methylation reactions, and depressed methionine synthase activity, the metabolic events important for promoting normal neurodevelopment; (3) valproic acid, a strong histone deacetylase inhibitor, have potent anti-T. gondii activity. Thus, patients with ASD should be tested for T. gondii infection. (C) 2009 Elsevier Ltd. All rights reserved

Possible role of toxoplasmosis in patients with first-episode schizophrenia

October 19, 2010
Tanyuksel, M., Uzun, O., Araz, E., Koru, O., Babur, C.
Turkish Journal of Medical Sciences 2010; 40: 399-404

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Modulation of immunity in mice with latent toxoplasmosis-the experimental support for the immunosuppression hypothesis of Toxoplasma-induced changes in reproduction of mice and humans

January 8, 2010
Kankova, S., Holan, V., Zajicova, A., Kodym, P., Flegr, J.
Parasitology Research 2010; 107: 1421-1427

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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.

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

October 26, 2009
Kocazeybek, B., Oner, Y. A., Turksoy, R., Babur, C., Cakan, H., Sahip, N., Unal, A., Ozaslan, A., Kilic, S., Saribas, S., Asian, M., Taylan, A., Koc, S., Dirican, A., Uner, H. B., Oz, V., Ertekin, C., Kucukbasmaci, O., Torun, M. M.
Forensic Science International 2009; 187: 103-108

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

Psychosis may be associated with toxoplasmosis

October 26, 2009
Zhu S.
Medical Hypotheses 2009; 73: 799-801.

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Increased incidence of traffic accidents in Toxoplasma-infected military drivers and protective effect RhD molecule revealed by a large-scale prospective cohort study

January 9, 2009
Flegr, J., Klose, J., Novotná, M., Berenreitterová, M., Havlíček, J.
Bmc Infectious Diseases 2009; 9: Artn 72 10.1186/1471-2334-9-72

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Background: Latent toxoplasmosis, protozoan parasitosis with prevalence rates from 20 to 60% in most populations, is known to impair reaction times in infected subjects, which results, for example, in a higher risk of traffic accidents in subjects with this life-long infection. Two recent studies have reported that RhD-positive subjects, especially RhD heterozygotes, are protected against latent toxoplasmosis-induced impairment of reaction times. In the present study we searched for increased incidence of traffic accidents and for protective effect of RhD positivity in 3890 military drivers. Methods: Male draftees who attended the Central Military Hospital in Prague for regular entrance psychological examinations between 2000 and 2003 were tested for Toxoplasma infection and RhD phenotype at the beginning of their 1 to 1.5-year compulsory military service. Subsequently, the data on Toxoplasma infection and RhD phenotype were matched with those on traffic accidents from military police records and the effects of RhD phenotype and Toxoplasma infection on probability of traffic accident was estimated with logistic regression. Results: We confirmed, using for the first time a prospective cohort study design, increased risk of traffic accidents in Toxoplasma-infected subjects and demonstrated a strong protective effect of RhD positivity against the risk of traffic accidents posed by latent toxoplasmosis. Our results show that RhD-negative subjects with high titers of anti-Toxoplasma antibodies had a probability of a traffic accident of about 16.7%, i.e. a more than six times higher rate than Toxoplasma-free or RhD-positive subjects. Conclusion: Our results showed that a common infection by Toxoplasma gondii could have strong impact on the probability of traffic accident in RhD negative subjects. The observed effects could provide not only a clue to the long-standing evolutionary enigma of the origin of RhD polymorphism in humans (the effect of balancing selection), but might also be the missing piece in the puzzle of the physiological function of the RhD molecule.

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

January 9, 2008
Flegr, J., Lindová, J., Kodym, P.
Parasitology 2008; 135: 427-431

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Neurophysiological effect of the Rh factor. Protective role of the RhD molecule against Toxoplasma-induced impairment of reaction times in women

January 9, 2008
Flegr, J., Novotná, M., Lindová, J., Havlíček, J.
Neuroendocrinology Letters 2008; 29: 475-481

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Meta-analysis of three case controlled studies and an ecological study into the link between cryptogenic epilepsy and chronic toxoplasmosis

October 29, 2007
Palmer, B. S.
Seizure-European Journal of Epilepsy 2007;16: 657-663

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Rats, cats, people and parasites: the impact of latent toxoplasmosis on behaviour

November 7, 2001
Webster, J. P.
Microbes and Infection 2001; 3: 1037-1045

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