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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

pregnant women

Prevalence and risk factors of Toxoplasma gondii infection among pregnant women in Hormozgan Province, South of Iran

February 4, 2020
Khademi, S. Z., Ghaffarifar, F., Dalimi, A., Davoodian, P., Abdoli, A.
Iranian Journal of Parasitology 2019, 14: 167 - 173
Click for abstract
Background: Toxoplasmosis can cause miscarriage or complications in the fetus. Diagnosis and treatment of this disease by anti-parasitic drugs especially in early pregnancy can help to prevent fetal infection and its complications. This study aimed to determine T. gondii infection in pregnant women, evaluate risk factors in the transmission of the disease and congenital toxoplasmosis. Methods: Overall, 360 sera of pregnant women from 5 cities in the Hormozgan Province in southern Iran with different climate were evaluated from 2015-2016 for T. gondii infection by using ELISA method and positive cases of IgM and IgG were tested again using Avidity IgG ELISA. All cases were evaluated according to climate, acute and chronic of toxoplasmosis, number of pregnancy and abortion, epidemiological factors and food habits. Results: Among 360 specimens T. gondii IgG + IgM antibodies were found positive in 0.8% subjects and also 27% of samples had IgG seropositivity. A significant relationship was observed between age, sampling place, consumption of raw and half cooked meat, history of contact with cats, abortion history, number of children, and parity with IgG positive. In Avidity IgG ELISA test, 13 people with low avidity, 3 people with borderline avidity were reported. Conclusion: 72.2% of the population had no antibody against the disease that this could be a warning to the people and requires education of preventive and prenatal care and routine screening of women at childbearing age.

Tagged: burden, IgG avidity, Iran, pregnant women, prevalence, serological diagnosis, Toxplasma gondii

Reproduction

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
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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

Seroprevalence and risk factors of Toxoplasma gondii among pregnant women in Adwa district, northern northern Ethiopia

February 4, 2020
Teweldemedhin, M., Gebremichael, A., Geberkirstos, G., Hadush, H., Gebrewahid, T., Asgedom, S. W., Gidey, B., Asres, N., Gebreyesus, H.
BMC Infectious Diseases 2019, 19
Click for abstract
Background: Toxoplasma gondii infection is a great health concern to pregnant women and the developing fetus. The aim of this study was to determine the seroprevalence of T. gondii and its associated factors in Adwa district. Methods: A facility based cross-sectional study was conducted from January to June 2018 in Adwa district. Structured, a pre-tested questionnaire was used to collect the demographic and risk factor related data. Serum sample, collected from each of the study subjects was tested for IgG and IgM anti T.godii specific antibodies using Enzyme-Linked Immunosorbent Assay. A bivariable and multivariable logistic regression model was applied to show association between the dependent and independent variables considering P < 0.05 and the 95% confidence interval. Result: Out of the 360, 128 (35.6%) pregnant women were found to be positive for antibodies specific to T. gondii. Furthermore, 117 (32.5%) women were positive only for IgG, and 11 (3.1%) were positive both for IgM and IgG antibodies. Age, educational level, habit of hand washing after contact with garden soil or domestic animals, presence of domestic cat, history of contact with domestic dog and consumption of raw vegetables were significantly associated with T. gondii. Conclusion: The seroprevalence of T. gondii among pregnant women in the study area is low compared to the other regions of Ethiopia, and within the range of the seroprevalences in the central and East Africa region. However, efforts should be done to create awareness on the potential risk factors of the parasite in the community.

Tagged: congential toxoplasmosis, infection, pregnant women, prevention, risk factors, Toxoplasma ondii

Reproduction

Prevalence of Toxoplasma gondii infection in diabetic patients in Makkah AL Mukarramah, Saudi Arabia

September 3, 2018
Khalil, M., Baothman, M., Alserhan, F., Almunyif, A., Alsharbe, G., Samaren, H., Deqnah, N., Al Malki, A., Al Harbi, W.
Tropical Biomedicine 2018; 3: 464-471
Click for abstract
Toxoplasmosis is a parasitic and zoonotic disease caused by Toxoplasma gondii. The disease has worldwide distribution and all people maybe under the risk of getting infected by the parasite. The overall aim of this research was to detect the prevalence rate of anti-Toxoplasma gondii IgM and IgG among diabetic patients in Makkah, Saudi Arabia. Blood samples were collected from diabetic patients. Toxo IgM and IgG combo rapid test cassette were used to screen the samples, and the results were confirmed by using Enzyme-Linked Immunosorbent Assay (ELISA) to detect anti-IgM and anti-IgG antibodies on the plasma of 90 diabetic patients who attended the mobile clinic or AL Noor hospital in Makkah area. The subject was asked to complete a structured questionnaire. The questionnaire data and serological results were analyzed by using SPSS 20. Chi-square was used to compare different variables. Out of 90 samples, 39 (43.3%) were positive to anti-Toxoplasma gondii IgG wherein 33 (36.6%) of them were male and 6 (6.7%) were female. The age ranged between 13-85 years with the mean of 49.9 years. The study found that there were statistical differences between the age groups with higher prevalence in the 50-65 years age group. Detection of IgM against T. gondii gave negative results. The results of the study indicate that latent T. gondii in diabetic patient are relatively high especially among the 50-65 age group. There were significant associated between direct contact with a cat and infection by T. gondii (p<0.05).

Tagged: animals, antibodies, history, mellitus, metaanalysis, pregnant women, seroprevalence

Physical health

The relation of secondary sex ratio and miscarriage history with Toxoplasma gondii infection

August 31, 2018
Shojaee, S.,Teimouri, A., Keshavarz, H., Azami, S. J., Nouri, S.
Bmc Infectious Diseases 2018; 18: 307
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Background: Toxoplasma gondii is a protozoan parasite with worldwide distribution, infecting a broad-range of humans and warm-blooded animals. In the current study, role of this parasite on secondary sex ratio and risk of miscarriage was investigated. Methods: In this cross-sectional study, 850 cord blood samples were collected in Tehran, Iran, 2014-2015. Enzyme-linked immunosorbent assay (ELISA) was used to assess anti-Toxoplasma IgG in samples. Information such as sex of the neonates and age, number of previous pregnancies and history of miscarriage of the mothers were recorded in questionnaires. Logistic regression analysis was used to assess the possible relationship between the latent toxoplasmosis and the highlighted parameters. Results: Logistic regression analysis showed that the odds of having a male neonate in seropositive women is nearly 64% higher than that in seronegative women (OR = 1.64, CI95 = 1.16-2.33, P = 0.005). The odds ratio of having male neonate increased to 2.10 (CI95 = 1.24-3.57, P = 0.006) in high-titer seropositive women, compared to that in seronegative control group. The odds of having a miscarriage history was approximately two and a half times greater in seropositive women than in seronegative ones (OR = 2.45, CI95 = 1.56-3.87, P < 0.001). The odds ratio of having miscarriage increased to 2.76 (CI95 = 1.61-4.73, P < <.001) in low-titer seropositive women, compared to that in seronegative control group. Conclusion: Results of the current study have shown that T. gondii infection affects secondary sex ratio in human offspring and can be addressed as one of the major miscarriage causes in women.

Tagged: abortion, birth, cord blood serum, elisa, humans, latent toxoplasmosis, mice, miscarriage, pregnant women, prevalence, Secondary sex ratio, seroprevalence, Toxoplasma gondii

Reproduction

Lack of association between Toxoplasma gondii exposure and depression in pregnant women: a case-control study

October 3, 2017
Alvarado-Esquivel, C., Martinez-Martinez, A. L., Sanchez-Anguiano, L. F., Hernandez-Tinoco, J., Castillo-Orona, J. M., Salas-Martinez, C., Sifuentes-Alvarez, A., Sandoval-Carrillo, A. A., Salas-Pacheco, J. M., Liesenfeld, O., Antuna-Salcido, E. I.
BMC Infectious Diseases 2017; 17: 190
Click for abstract
Background: Very little is known about the link of T. gondii infection and depression. Through an age-, gender-, and month of pregnancy-matched case-control study, we determined the association of T. gondii infection and depression in pregnant women. Methods: We studied 200 pregnant women with depression and 200 pregnant women without depression attended in a public hospital in Durango City, Mexico. Pregnant women were tested for the presence of antiToxoplasma IgG antibodies using an enzyme-linked immunoassay (EIA), and IgG seropositive women were further tested for the presence of IgM using an EIA. IgM positivity by EIA was further analyzed by enzyme-linked fluorescence assay (ELFA). Results: Anti-T. gondii IgG antibodies were found in 9 (4.5%) of the 200 cases and in 12 (6.0%) of the 200 controls (OR = 0.73; 95% CI: 0.30-1.79; P = 0.50). The frequency of high (> 150 IU/ml) anti-T. gondii IgG levels was similar in cases and in controls (OR = 1.20; 95% CI: 0.36-4.01; P = 0.75). Two women were positive for IgM by EIA but both were negative by ELFA. Conclusions: We did not find serological evidence of an association between T. gondii infection and depression in pregnant women attended in a public hospital in Durango City, Mexico. Since an association of T. gondii and depression in pregnancy has been reported in the U.S. previously, further research to elucidate the role of T. gondii in prenatal depression should be conducted.

Tagged: case-control study, depression, pregnant women, seroprevalence, Toxoplasma gondii

Mental health

Toxoplasma gondii seroprevalence in the Portuguese population: comparison of three cross-sectional studies spanning three decades

May 24, 2016
Gargate, M. J., Ferreira, I., Vilares, A., Martins, S., Cardoso, C., Silva, S., Nunes, B., Gomes, J. P.
Bmj Open 2016; 6: ARTN e011648 10.1136/bmjopen-2016-011648
Click for abstract
Background: Toxoplasma gondii is an obligate intracellular protozoan infecting up to one-third of the world's population, constituting a life threat if transmitted from mother to child during pregnancy. In Portugal, there is a lack of knowledge of the current epidemiological situation, as the unique toxoplasmosis National Serological Survey was performed in 1979/1980. Methods: We studied the seroprevalence trends in the Portuguese general population over the past 3 decades, by assessing chronological spread cross-sectional studies, with special focus on women of childbearing age, by age group, region and gender. Results: The T. gondii overall seroprevalence decreased from 47% in 1979/1980 to 22% (95% CI 20% to 24%) in 2013. Generally, we observed that the prevalence of T. gondii IgG increased significantly with age and it decreased over time, both in the general population and in the childbearing women (18% prevalence in 2013). Conclusions: The scenario observed for the latter indicates that more than 80% of childbearing women are susceptible to primary infection yielding a risk of congenital toxoplasmosis and respective sequelae. Since there is no vaccine to prevent

Tagged: age, infection, pregnant women, prevalence, Schizophrenia

Reproduction

Seroprevalence of Toxoplasma gondii infection among patients in Hospital Universiti Sains Malaysia

May 24, 2016
Mohamed, Z., Hajissa, K.
Tropical Biomedicine 2016; 33: 78-83
Click for abstract
Toxoplasmosis is a worldwide endemic zoonotic infection caused by the obligate coccidian parasite Toxoplasma gondii. To assess the seroprevalence of T. gondii infection among hospital population of Hospital Universiti Sains Malaysia (HUSM), a cross-sectional study was conducted using serum samples of 102 participants. Samples were screened for the presence of anti-Toxoplasma IgG and IgM antibodies by enzyme-linked immunosorbent assay (ELISA). Only one sample recorded as IgM positive (0.98%) (1/102; 95% CI = 0.02-5.34%), whereas 44.12% (45/102; 95% CI = 34.29-54.29%) were IgG positive. The study showed that seroprevalence of toxoplasmosis significantly differs between age groups (p < 0.001), with high prevalence of T. gondii infection (37.8%) among patients aged less than one month. Moreover, the study indicated a significant difference in the prevalence of toxoplasmosis between males and females. Additionally, a significant dependent relationships were observed (p = 0.003), when the reasons of toxoplasma serology request was considered, and the highest prevalence (59.6%) observed in congenital toxoplasmosis. In conclusion, the seroprevalence of toxoplasmosis in our study group was high. The study provides preliminary information about the seroprevalence and epidemiology of T. gondii infection among the hospital population in HUSM.

Tagged: antibodies, antigens, history, peninsular malaysia, pregnant women, risk factors, Schizophrenia

Mental health

Toxoplasma gondii infection in cancer patients: Prevalence, risk factors, genotypes and association with clinical diagnosis

October 9, 2015
Cong, W., Liu, G. H., Meng, Q. F., Dong, W., Qin, S. Y., Zhang, F. K., Zhang, X. Y., Wang, X. Y., Qian, A. D.,
Cancer Letters 2015; 359: 307-313
Click for abstract
Prevalence of human infection with Toxoplasma gondii has been increasing in China due to the increasing number of cats. However, little is known of the epidemiology of T. gondii infection in different cancer patient groups. Thus, a case-control study of 900 cancer patients and 900 controls was conducted to detect anti-T. gondii antibodies by ELISA in China. Genomic DNA was extracted from the diseased tissues of 510 patients and the T. gondii B1 gene was amplified using a semi-nested PCR. DNA samples giving positive B1 amplification were then genetically characterized using multi-locus PCR-RFLP. The prevalence of anti-T. gondii IgG in cancer patients (35.56%) was significantly higher than that in controls (17.44%). The highest T. gondii seroprevalence was detected in lung cancer patients (60.94%), followed by cervical cancer patients (50%), brain cancer patients (42.31%) and endometrial cancer patients (41.67%). Exposure with soil and consumption of raw/undercooked meat were significantly associated with T. gondii infection in cancer patients. Three T. gondii genotypes (ToxoDB#9, ToxoDB#10 and Type I variant) were identified. In conclusion, T gondii infection is a severe problem in cancer patients and it is imperative that improved integrated measures should be conducted to prevent and control T gondii infection in cancer patients.

Tagged: america, antibodies, cancer-patients, china, clonal lineages, comprise, europe, genetic-characterization, genotype, oocysts, pregnant women, prevalence, risk factors, strains, Toxoplasma gondii

Physical health

Seroprevalence and genetic characterization of Toxoplasma gondii in cancer patients in Anhui Province, Eastern China

October 6, 2015
Wang, L., He, L. Y., Meng, D. D., Chen, Z. W., Wen, H., Fang, G. S., Luo, Q. L., Huang, K. Q., Shen, J. L.
Parasites & Vectors 2015; 8.
Click for abstract
Background: Recent studies have indicated the predominance of Toxoplasma gondii genotype Chinese 1 in animals in China. However, little is known of the genetic features of the parasite in humans. This study aims to determine the prevalence of anti-T. gondii antibodies based on which the genetic character of the parasite was identified in cancer patients in China. Methods: A total of 1014 serum samples with malignant neoplasms were collected from six tertiary-care hospitals (HAUCM, APH, HAMU, XAH, FHH and HBMC) from January, 2012 to August, 2013. Antibodies against T. gondii were examined by enzyme-linked immunosorbent assay (ELISA). Blood samples were subsequently used for PCR assay to detect T. gondii DNA (gra6). The DNA positive samples were subjected to genotyping using a multiplex multilocus nested PCR-RFLP at 10 loci, including sag1, sag2, sag3, btub, gra6, l358, c22-8, c29-2, pk1 and apico. Samples from the patients were anonymous and only data with regard to age and gender was available at sample collection. Results: Overall, 8.38% (85/1014) of the examined patients showed positive antibodies against T. gondii. Among them, 61 (6.02%) were seropositive only for IgG, 16 (1.58%) were only for IgM, and 8 (0.79%) were found to be positive for both IgG and IgM. The seroprevalence of antibodies to Toxoplasma ranged from 5.8% to 11.0%, without regional difference (x(2) = 4.764, P = 0.445). No significant differences of the positive rates of T. gondii infection were noted in genders (male, 8.96%; female, 7.45%) (x(2) = 0.707, P = 0.400) and in ages (x(2) = 1.172, P = 0.947). Of 1014 DNA samples, 36 (3.55%) were positive for T. gondii by nested PCR at gra6 locus and nine gave rise to complete genotyping results. All samples with achieved PCR-RFLP genotyping showed a common genetic character of type Chinese 1 (ToxoDB#9). Conclusion: Seroprevalence of toxoplasmosis in immunosuppressed individuals is rarely reported in China and we presented a positive rate of 8.38% in cancer patients. Toxoplasma genomic DNA genotyping demonstrated a common genetic character of Chinese 1, indicating a possible pathogenic origin of animals in human infection.

Tagged: cancer-patients, china, clinical findings, clonal lineages, congenital toxoplasmosis, Epidemiology, genotype, genotyping, infection, population, pregnant women, risk factors, seroprevalence, Toxoplasma gondii, united-states

Physical health

A meta-analysis of the prevalence of Toxoplasma gondii in animals and humans in Ethiopia

May 28, 2015
Gebremedhin, E. Z., Tadesse, G.
Parasites & Vectors 2015; 8: Artn 291 10.1186/S13071-015-0901-7
Click for abstract
Background: Toxoplasmosis is a worldwide zoonosis. The objectives of this study were to estimate the prevalence and assess the potential risk factors of Toxoplasma gondii infections in animals and humans in Ethiopia by using meta-analytical methods. Methods: Published studies on T. gondii in animals and humans in Ethiopia were searched in Medline, Google Scholar and the lists of references of articles. Eligible studies were selected by using inclusion and exclusion criteria. The risks of within and across study biases, and the variations in prevalence estimates attributable to heterogeneities were assessed. Pooled prevalence was estimated by the DerSimonian and Laird random effects model. Results: Thirty two studies were eligible and data from 5689 animals and 5718 humans were used for quantitative syntheses. The pooled IgG seroprevalence in cats, small ruminants and humans were estimated at 87.72 % (95 % CI = 78.63, 93.28), 34.59 % (95 % CI = 21.08, 51.12) and 74.73 % (95 % CI = 61.85, 84.36), respectively. The odds of infections were higher in pregnant than in non pregnant women (OR = 3.96), in individuals that had contact with cats than those with no contact (OR = 2.53), and in urban than in rural inhabitants (OR = 2.06). Conclusions: Toxoplasmosis is highly prevalent and could be a cause of considerable reproductive wastage in small ruminants and multiple diseases in humans in Ethiopia. Public education on preventive measures could help reduce the transmission of the parasite to humans.

Tagged: addis-ababa, animals, antitoxoplasma antibodies, caprine toxoplasmosis, clinical-trials, ethiopia, humans, infection, pregnant women, prevalence, risk factors, Schizophrenia, serological survey, seroprevalence, Toxoplasma gondii

Reproduction

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

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

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

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

Mental health

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

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

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

Cognitive functions

Maternal infection and schizophrenia: Implications for prevention

January 10, 2011
Brown, A. S., Patterson, P. H.
Schizophrenia Bulletin 2011; 37: 284-290
Click for abstract
Accumulating evidence suggests that maternal infection is a risk factor for schizophrenia. Prospective epidemiological studies indicate that maternal influenza, toxoplasmosis, and genital/reproductive infection are associated with this disorder in offspring. Preclinical models of maternal immune activation have supported the neurobiological plausibility of these microbes in schizophrenia. Previous studies suggest that treatment or prophylactic efforts targeting these and other infections could have significant effects on reducing the incidence of schizophrenia, given that they are common in the population and the effect sizes derived from epidemiological studies of these and other microbial pathogens and schizophrenia, to date, are not small. Fortunately, the occurrence of many of these infections can be reduced with relatively practical and inexpensive interventions that are scalable to large populations given adequate resources. Hence, in the present article, we focus on the potential for prevention of schizophrenia by control of infection, using these 3 categories of infection as examples. Lessons learned from previous successful public health efforts targeting these infections, including the relative advantages and disadvantages of these measures, are reviewed

Tagged: adult schizophrenia, birth cohort, environment, Epidemiology, genital reproductive infection, herpes-simplex-virus, influenza, influenza epidemic, neurodevelopment, pregnant women, prenatal exposure, respiratory illness, risk, Toxoplasma gondii, toxoplasmosis, united-states

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

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

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
Click for abstract
A meta-analysis was performed on three case controlled studies which examined the relationship between latent toxoplasmosis gondii infection in the immunocompetent host and cryptogenic epilepsy. Further comparison was also made by examining the seroprevalence of toxoplasmosis rates for 17 various countries, cities or regions against the prevalence rates for epilepsy in those regions. Results: The results for the meta-analysis showed a Log-odds ratio of 4.8 which approximates to a similar relative risk, (Cl 2.6 to 7.8), with Cl for all three studies being above 1. Seroprevalence rates for toxoplasmosis and prevalence rates of epilepsy showed a strong association (p < 0.001). Discussion: The prevalence of toxoplasmosis is an important factor in the prevalence of epilepsy with a probable link in the cryptogenic epilepsies. An area with a reduced burden of toxoplasmosis will also have a reduced burden of epilepsy. Neuropathophysiology findings from various studies show a common physical relationship of microglial nodule formation in Toxoplasma gondii infection and epilepsy. This analysis raises the possibility that one of the many causes of epilepsy may be an infectious agent, or that cryptogenic epilepsy may be a consequence of Latent toxoplasmosis infection. This raises the possibility that public health measures to reduce toxoplasmosis infection may also result in a reduction in epilepsy.

Tagged: brazil, ecological study, encephalitis, Epidemiology, epilepsy, gondii, microglial nodule, microglial nodules, pathophysiology, population, pregnant women, prevalence, seroprevalence, Sweden, Toxoplasma gondii, toxoplasmosis

Mental health

Seroepidemiology of Toxoplasma gondii infection in psychiatric in-patients in a northern Mexican city

October 30, 2006
Alvarado-Esquivel, C., Alanis-Quinones, O. P., Arreola-Valenzuela, M. A., Rodriguez-Briones, A., Piedra-Nevarez, L. J., Duran-Morales, E., Estrada-Martinez, S., Martinez-Garcia, S. A., Liesenfeld, O.
BMC Infectious Diseases 2006; 6: 178
Click for abstract
Background: Patients with psychiatric disorders were found to show a high seroprevalence of Toxoplasma gondii infection. There is scarce information about the epidemiology of T. gondii infection in psychiatric patients in Mexico. Therefore, we sought to determine the prevalence of T. gondii infection and associated socio-demographic, clinical and behavioural characteristics in a population of psychiatric patients in Durango City, Mexico. Seroprevalence in patients was compared with that obtained in a control population. Methods: One hundred and thirty seven inpatients of a public psychiatric hospital and 180 controls were examined for the presence of IgG and IgM antibodies against T. gondii by enzyme-linked immunoassay (Diagnostic Automation Inc., Calabasas, CA, USA). The control population consisted of blood donors of a public blood bank and elderly persons attending a senior center in the same city. Age in controls (42 years +/- 20.2) was comparable with that of the psychiatric patients (43.7 years +/- 13.8) (p = 0.42). Socio-demographic, clinical and behavioral characteristics from the patients were also obtained. Results: Anti-T. gondii IgG antibodies indicating latent infection with T. gondii was found in 25 (18.2%) of 137 psychiatric inpatients and 16 (8.9%) of 180 controls (p = 0.02). Ten (26.3%) of 38 schizophrenic patients had latent infection and this prevalence was also significantly higher than that observed in controls (p = 0.005). Prevalence of anti-T. gondii IgM antibodies was comparable among patients and controls (4.4% vs 2.2%, respectively, p = 0.22). Multivariate analysis showed that T. gondii infection in inpatients was positively associated with sexual promiscuity (adjusted OR = 15.8; 95% CI: 3.8-64.8), unwashed raw fruit consumption (adjusted OR = 5.19; 95% CI: 2.3-11.3), and a history of surgery (adjusted OR = 6.5; 95% CI: 2.6-16), and negatively associated with lamb meat consumption (adjusted OR = 0.26; 95% CI: 0.10-0.63). Conclusion: In the present study, psychiatric inpatients in Durango, Mexico, in general and schizophrenia inpatients in particular had a significantly higher prevalence of T. gondii infection than the control group. Results suggest that unwashed raw fruit consumption might be the most important route of T. gondii transmission in our psychiatric inpatients while lamb meat consumption the less important. Additional studies will have to elucidate the causative relation between infection with T. gondii and psychiatric disorders.

Tagged: behavior, brazil, pregnant women, rattus-norvegicus, risk factors, Schizophrenia

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

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