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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

seroprevalence

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

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

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

BehaviorMental health

The association between Toxoplasma gondii infection and 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

Sero-epidemiological status and risk factors of toxoplasmosis in pregnant women in Northern Vietnam

February 1, 2020
Smit, G. S. A., Vu, B. T. L., Do, D. T., Do, Q. H., Pham, H. Q., Speybroeck, N., Devleesschauwer, B., Padalko, E., Roets, E., Dorny, P.
BMC Infectious Diseases 2019, 19 Toxoplasmosis during pregnancy Congenital toxoplasmosis Seroprevalence Risk factors Prevention Vietnam congenital toxoplasmosis gondii seroprevalence antibodies infection events burden igm
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BackgroundIn Vietnam, few studies have determined the epidemiological status of toxoplasmosis in pregnant women and no routine prenatal screening is in place. This study was conducted to evaluate the seroprevalence of this zoonotic parasitic infection in pregnant women in Northern Vietnam and to assess the association with awareness, risk factors and congenital toxoplasmosis.MethodsApproximately 800 pregnant women were included in the study from two hospitals, one in Hanoi and one in Thai Binh province, which is known to have a dense cat population. Serological immunoglobulin G (IgG) and immunoglobulin M (IgM) detection was performed to estimate the seroprevalence of toxoplasmosis and sero-incidence of maternal and congenital toxoplasmosis. In addition, a survey was conducted about awareness, clinical history, presentation of signs and symptoms relating to toxoplasmosis and to detect biologically plausible and socio-demographic risk factors associated with toxoplasmosis. Associations with seroprevalence were assessed using univariable and multivariable analysis.ResultsThe mean IgG seroprevalence after the full diagnostic process was 4.5% (95% confidence interval(CI): 2.7-7.0) and 5.8% (95% CI: 3.7-8.6) in Hanoi and Thai Binh hospital, respectively, and included one seroconversion diagnosed in Thai Binh hospital. Only 2.0% of the pregnant women in Hanoi hospital and 3.3% in Thai Binh hospital had heard about toxoplasmosis before this study.ConclusionSince the percentage of seronegative, and thus susceptible, pregnant women was high and the awareness was low, we suggest to distribute information about toxoplasmosis and its prevention among women of child bearing age. Furthermore, future studies are recommended to investigate why such a low seroprevalence was seen in pregnant women in Northern Vietnam compared to other countries in South East Asia and globally.

Tagged: antibodies, congenital toxoplasmosis, prevention, risk factors, seroprevalence

Reproduction

Lack of circulating toxoplasma gondii DNA in seropositive patients with bipolar or schizophrenia spectrum disorders

February 1, 2020
Galli, L., Del Grande, C. Rindi, L., Mangia, C., Mangano, V., Schiavi, E., Masci, I., Pinto, B., Kramer, L., Dell'Osso, L., Bruschi, F.
Psychiatry Research :2019, 173: 706 - 711
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Toxoplasmosis has been previously associated with an increased risk of having Schizophrenia or Bipolar disorder in several epidemiological studies. The aim of this observational, cross-sectional study was to examine the seroprevalence of Toxoplasma infection in a cohort of Italian psychiatric inpatients and to verify the presence of circulating Toxoplasma gondii DNA in the seropositive subjects. Sixty-three patients affected by bipolar or schizoaffective disorders according to DSM-5 criteria were enrolled. The presence of Toxoplasma infection was firstly examined using an indirect serological method (ELFA), and three different direct PCR-based methods were performed to detect circulating DNA in the seropositive patients. The seroprevalence of infection was 28.6%, with a significant association between higher age and the infection status. PCR, nested-PCR and Real-Time PCR revealed no positive samples for Toxoplasma gondii This result is in contrast with recent data from case-control studies that detected parasite genome in patients with different neuropsychiatric diagnosis without clinical evidence of acute toxoplasmosis. Our findings are to be interpreted with caution, because of the small sample size, the heterogeneity of enrolled patients and the observational nature of the study. Further studies are needed to better define the clinical features correlated to the seropositive status in neuropsychiatric patients.

Tagged: bipolar disorder, congenital, individuals, molecular diagnosis, nested pcr, pcr, population, risk factors, Rt-PCR, schizoaffective disorder, seroprevalence, Toxoplasma gondii, toxoplasmosis

Mental health

Sero-prevalence of Toxoplasma gondii and associated risk factors among psychiatric outpatients attending University of Gondar Hospital, Northwest Ethiopia

January 31, 2020
Achaw, B., Tesfa, H., Zeleke, A.J., Worku, L., Addisu, A., Yigzaw, N., Tegegne, Y.
BMC Infectious Diseases 2019, 19 Ethiopia
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BackgroundToxoplasmosis is caused by an obligatory intracellular coccidian protozoan organism, Toxoplasma gondii. It has a worldwide distribution, affecting one-third of the world population. Psychiatric patients have a higher risk of exposure to Toxoplasma gondii infection due to lack of good personal hygiene. The burden of toxoplasmosis among psychiatric patients in Ethiopia has not been studied extensively. Thus, the study aimed to determine the seroprevalence of Toxoplasma gondii and associated risk factors among psychiatric outpatients at the University of Gondar Comprehensive and Specialized Hospital Psychiatric clinic.MethodsA cross-sectional study was conducted at the University of Gondar Comprehensive and Specialized Hospital from February to May 2018. Venous blood was collected from 304 study participants (152 psychiatric outpatients and 152 control groups). Anti-toxoplasma antibodies were determined using Onsite Toxo immunoglobulin G (IgG) and immunoglobulin M (IgM) Rapid Test. A Chi-square test was carried out to compare the two groups and a logistic regression analysis was conducted to check the association between variables. P-value less than 0.05 was taken as statistically significant.ResultsThe seroprevalence rate of anti-Toxoplasma gondii IgG antibodies was 33.6, and 16.4% in the psychiatric outpatients and the control samples, respectively. Anti-Toxoplasma gondii IgM sero-prevalence was 1.3% in the former patients and 3.9% in the latter group. Owing cat (AOR=2.862 95% CI=1.445-5.666 P=0.003), cleaning cat excreta (AOR=2.966 95% CI=1.317-2.652 P=0.007), and farming (AOR=2.058 95% CI=1.018-4.163 P=0.045) were found to be significantly associated with the sero-prevalence of anti-Toxoplasma gondii IgG antibody.ConclusionsThis study highlighted that, the prevalence of anti-Toxoplasma gondii IgG antibodies was significantly higher in psychiatric outpatients than the control group (p=0.001). Cat ownership, cleaning of cat excreta, and farming were found to be statistically significantly associated with the seroprevalence of anti-Toxoplasma gondii IgG antibody.

Tagged: antibodies, individuals, prevalence, psychiatria, Schizophrenia, seroprevalence, toxoplasmosis, voluntary blood dnors

Mental health

Toxoplasmosis and mental disorders in the Russian Federation (with special reference to schizophrenia)

January 30, 2020
Stepanova, E. V., Kondrashin, A. V., Sergiev, V. P., Morozova, L. F., Turbabina, N. A., Maksimova, M. S., Romanov, D. V., Kinkulkina, M. A., Lazareva, A. V., Morozov, E. N.
PLoS ONE 2019, 14
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The association of latent toxoplasmosis with mental disorders in general and with schizophrenia in particular was noticed in the mid-1950s. In subsequent years, the role of Toxoplasma gondii was established based on its ability to survive for long periods of time in the nerve cells of the brain. The acute manifestations of the infection include psychopathic symptoms resembling those of schizophrenia. In the former USSR, and in other parts of the world, a number of studies were performed with respect to the association of latent toxoplasmosis and schizophrenia. However, with the dissolution of the USSR at the beginning of the 1990s, studies on the subject were halted due to financial problems and have resumed only recently. The reasons for the resumption of such studies in contemporary Russia are related to the progressively increasing incidence of schizophrenia over the last 25-30 years in the country. According to official data, approximately 550 000 persons reported suffering from the disease in 2014. There are reasons to believe that this is only a fraction of the real burden of the disease. Economically, it cost the state no less than approximately US $10 billion. The purpose of the study was to identify the level of toxoplasmosis seroprevalence in patients with verified diagnoses of schizophrenia in comparison to healthy people in Moscow City and in the Moscow region. A total of 155 persons constituted the patients group and 152 healthy people were in the control group. An integrated approach to the diagnosis and comparison of data from the entire spectrum of serological markers of infection was used, including the detection of specific IgM and the determination of IgG concentrations. It was found that among persons with neuropsychiatric disorders, the incidence of cases with latent toxoplasmosis was higher than in the control group. The effect of toxoplasmosis was significant and similar for men and women. Further statistical analyses revealed that among patients with a diagnosis of schizophrenia, the incidence of latent toxoplasmosis was significantly higher than in the control group. These data are in agreement with the results of similar studies in other countries.

Tagged: dopamin, gondii infection, latent toxoplasmosis, novelty, risk, seeking, seroprevalence

Mental health

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
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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

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
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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

Viral and parasitic pathogen burden and the association with stroke in a population-based cohort

February 12, 2018
Pearce, B. D.,Bracher, A. , Jones, J. L., Kruszon-Moran, D.
International Journal of Stroke 2018; 13_: 481-495
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Background Higher cumulative burden of viral and bacterial pathogens may increase the risk of stroke, but the contribution of parasitic infections in relation to cumulative pathogen burden and risk of stroke has rarely been examined. Aim To estimate the association of multiple persistent viral and parasitic infections with stroke in a representative sample of adults in the United States. Methods Serological evidence of prior infection was categorized as positive for 0-1, 2, 3, or 4-5 infections based on immunoglobulin G seropositivity to cytomegalovirus, hepatitis A virus, hepatitis B virus, Toxoplasma gondii, and Toxocara spp. in 13,904 respondents from the National Health and Nutrition Examination Survey III. Regression analysis was used to estimate the cross-sectional association between serological evidence of prior infection and history of stroke adjusting for demographic risk factors, and potential mediators of stroke. Results Age-adjusted models that included serological evidence of prior infection to cytomegalovirus, hepatitis A virus, hepatitis B virus, Toxoplasma gondii, and Toxocara spp. showed that adults in the highest serological evidence of prior infection category (4-5 infections) had a higher prevalence of stroke (5.50%, 95% confidence interval 2.44-10.46%) than those in the lowest serological evidence of prior infection categories (1.49%, 95% confidence interval 1.01-2.11%), and a trend test suggested a graded association between serological evidence of prior infection and stroke (p=0.02). In multivariable logistic regression models, the positive association of serological evidence of prior infection with stroke prevalence remained significant after adjustment for other significant risk factors (odds ratio=1.4, p=0.01) but was only significant among those aged 20-59 (odds ratio=2.0, p=0.005) and not among those aged 60-69 (p=0.78) or 70 and older (p=0.43). Conclusion We found support for a connection between serological evidence of prior infection to cytomegalovirus, hepatitis A virus, hepatitis B virus, Toxoplasma gondii, and Toxocara spp. and stroke among those aged 20-59. There may be a need to consider common parasitic infections in addition to viral and bacterial pathogens when calculating serological evidence of prior infection in relation to cerebrovascular disease.

Tagged: b-virus infection, cytomegalovirus, disease, Epidemiology, helicobacter-pylori, hepatitis virus, infection, national-health, prevention, risk, seroprevalence, toxocara, Toxoplasma gondii, toxoplasma gondii infection, united-states

Physical health

Toxoplasma gondii infection and behavioral outcomes in humans: a systematic review

February 12, 2018
Martinez, V. O. , Lima, F. W. D., . de Carvalho, C. F, Menezes, J. A.
Parasitology Research 2018; 117: 3059-3065
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Studies suggest that the protozoan Toxoplasma gondii can disturb human behavior. This study aimed to systematically review the scientific literature on the possible associations between Toxoplasma gondii infection and neurobehavioral abnormalities in humans. We reviewed and summarized the studies published since 1990. The descriptors used were related to T. gondii infection and behavioral outcomes in humans; the main databases of the medical literature were accessed. The results of eight original articles published between 1994 and 2016 were evaluated and described. The most common serological method was the enzyme immunoassay. Most of the researchers used validated instruments for behavioral evaluation. Seven studies reported some association between the prevalence of anti-T. gondii antibodies and some altered behavioral aspects in adult humans; these studies focused on adult population in Europe and the USA. The most reported behavioral deviations are related to greater impulsivity and aggressiveness. There are very few studies on this subject, which present some limitations for inference and conclusions: most were cross-sectional studies, with a small sample size and in similar populations. Investigations with a larger sample size of different population groups should be performed to evaluate multiple factors.

Tagged: aggression, behavior, disease, disorders, latent toxoplasmosis, metaanalysis, neurobehavioral manifestations, personality, problems, Schizophrenia, seroprevalence, Toxoplasma, women

BehaviorReviews

Prevalence of toxoplasmosis and its association with dementia in older adults in Central Africa: a result from the EPIDEMCA programme

February 12, 2018
Bouscaren, N., Pilleron,S. , Mbelesso,P. , Ndamba-Bandzouzi,B., Dartigues,J. F. , Clement,J. P. , Preux, P. M., Darde,M. L., Guerchet , M. , Grp, E.
Tropical Medicine and International Health 2018;23: 1304-1313
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Objective We aimed at estimating the seroprevalence of Toxoplasma gondii (T. gondii) infection in older adults living in Central Africa and investigating its association with dementia using data from the Epidemiology of Dementia in Central Africa (EPIDEMCA) programme. Methods A cross-sectional multicentre population-based study was carried out among participants aged 73 (+/- 7) years on average, living in rural and urban areas of the Central African Republic and the Republic of Congo between November 2011 and December 2012. Blood samples were collected from each consenting participant. The detection of anti-T. gondii immunoglobulin G antibodies was performed in 2014 in France using a commercially available ELISA kit. Participants were interviewed using a standardised questionnaire including sociodemographic characteristics. DSM-IV criteria were required for a diagnosis of dementia. Multivariate binary logistic regression models were used to assess the association between toxoplasmosis infection and dementia. Results Among 1662 participants, the seroprevalence of toxoplasmosis was 63.0% (95% confidence interval (CI): 60.7-65.3) overall, 66.6% (95%CI: 63.4-69.8) in Central African Republic and 59.4% (95%CI: 56.1-62.7) in the Republic of Congo. In multivariate analyses, toxoplasmosis status was significantly associated with increasing age (P = 0.006), Republic of Congo (P = 0.002), urban area (P = 0.001) and previous occupation (P = 0.002). No associations between dementia and toxoplasmosis status or anti-T. gondii IgG titres were found. Conclusion Toxoplasma gondii infection was not associated with dementia among older adults in Central Africa. Our findings are consistent with previous studies and add to the knowledge on the relationship between T. gondii infection and neurological disorders.

Tagged: adults, alzheimers-disease, behavior, congo, dementia, genotypes, gondii infection, health, link, memory, older, seroprevalence, sub-saharan africa, Toxoplasma gondii

Cognitive functions

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
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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

Seroprevalence of Bartonella species, Coxiella burnetii and Toxoplasma gondii among patients with hematological malignancies: A pilot study in Romania

December 8, 2017
Messinger, C. J., Gurzau, E. S., Breitschwerdt, E. B., Tomuleasa, C. I., Trufan, S. J., Flonta, M. M., Maggi, R. G., Berindan-Neagoe, I., Rabinowitz, P. M.
Zoonoses and Public Health 2017;64:485-490
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Patients receiving immunosuppressive cancer treatments in settings where there is a high degree of human-animal interaction may be at increased risk for opportunistic zoonotic infections or reactivation of latent infections. We sought to determine the seroprevalence of selected zoonotic pathogens among patients - diagnosed with haematologic malignancies and undergoing chemotherapeutic treatments in Romania, where much of the general population lives and/or works in contact with livestock. A convenience sample of 51 patients with haematologic cancer undergoing chemotherapy at a referral clinic in Cluj-Napoca, Romania, was surveyed regarding animal exposures. Blood samples were obtained and tested for evidence of infection with Bartonella species, Coxiella burnetii and Toxoplasma gondii, which are important opportunistic zoonotic agents in immunocompromised individuals. 58.8% of participants reported living or working on a farm, and living or working on a farm was associated with contact with livestock and other animals. 37.5% of participants were IgG seroreactive against one or more of five Bartonella antigens, and seroreactivity was statistically associated with living on farms. Farm dwellers were 3.6 times more likely to test IgG seroreactive to Bartonella antibodies than non-farm dwellers. 47.1% of the participants tested T. gondii IgG positive and 13.7% tested C. burnetii IgG positive, indicating past or latent infection. C. burnetii IgM antibodies were detected in four participants (7.8%), indicating possible recent infection. These results indicate that a large proportion of patients with haematologic cancer in Romania may be at risk for zoonotic infections or for reactivation of latent zoonotic infections, particularly with respect to Bartonella species. Special attention should be paid to cancer patients' exposure to livestock and companion animals in areas where much of the population lives in rural settings.

Tagged: animals, Bartonella, blood, Coxiella burnetii, disease, humans, immunocompromised patients, infections, livestock, q-fever, seroprevalence, Toxoplasma

Physical health

Seroepidemiological study of Toxoplasma gondii infection among psychiatric patients in Mashhad, Northeast of Iran

October 3, 2017
Abdollahian, E., Shafiei, R., Mokhber, N., Kalantar, K., Fata, A.
Iranian Journal of Parasitology 2017; 12: 117-122
Click for abstract
Background: Psychiatric patients have an increased risk of some infections like toxoplasmosis. Investigations on Toxoplasma gondii infection among psychiatric patients have been limited in Mashhad, Northeast of Iran. In this case-control study, prevalence of T. gondii was investigated by serological method. Methods: This case-control study was performed among psychiatric patients admitted to Avicenna Hospital in Mashhad, Northeast of Iran. Three hundred and fifty inpatients and 350 controls were examined in 2012-2013 for detection of IgG and IgM antibodies against T. gondii in their blood sera by ELISA. Socio-demographic and clinical manifestations of the patients were obtained. Results: Anti-T. gondii IgG antibodies was found in 164 (46.85%) of 350 psychiatric inpatients and 120 (34.28%) of 350 controls. Seventeen (4.85%) of psychiatric individuals and 3 (0.85%) of control group were IgM+/IgG-indicating acute form of toxoplasmosis. There were no statistically significant differences between the case and control groups. In patient group, schizophrenic patients had the highest positive rate (46.28%) and bipolar mood disorder had the second most prevalent rate (20%). Of 162 schizophrenia patients, 65 (40.1%) had latent infection which was higher than that observed in controls. Conclusion: The prevalence of T. gondii infection among psychiatric patients suffering from schizophrenia was more in Mashhad, compared with control group.

Tagged: 1st-episode, antibodies, elisa, individuals, prevalence, psychiatric patients, recent-oneset schizophrenia, seroprevalence, Toxoplasma gondii, women

Mental health

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

Serologic evidence of Toxoplasma gondii infection among cancer patients. A prospective study from Qassim region, Saudi Arabia

October 2, 2017
Imam, A., Al-Anzi, F. G., Al-Ghasham, M. A., Al-Suraikh, M. A., Al-Yahya, A. O., Rasheed, Z.
Saudi Medical Journal 2017; 38: 319-321
Click for abstract
Objectives: To determine the frequency of antibody seropositivity of Toxoplasma gondii infection in a cancer patient population. We also explored on association of Toxoplasma gondii seropositivity with selected variables. Methods: This is a prospective cross-sectional study conducted at Prince Faisal bin Bandar cancer center, Qassim, Saudi Arabia, from November 2014 to March 2015. One hundred thirty seven patients were involved in the study. Demographic data was collected using structured questionnaire, and clinical information was retrieved from the patient's medical reports. Enzyme-linked immunosorbent assay technique was used for antibody assay. Results: The frequency of seropositivity for Toxoplasma gondii infection was 30.6%. The patient's age range from 1.5-84 years with a geometric mean of 42.7 years. The seropositivity was significantly higher (p< 0.05) among the 40-80 years age group (71.4%) as compared to 0-39 years one (28.6%). Conclusion: The prevalence of Toxoplasma gondii increases with increasing age among cancer patients in this region of central Saudi Arabia. More research is advisable for better understanding of ageing in pathogenesis of toxoplasmosis among patients with malignancies.

Tagged: seroprevalence

Physical health

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

October 2, 2017
Lindgren, M., Torniainen-Holm, M., Yolken, R., Suvisaari, J.
Schizophrenia Bulletin 2017; 43: S108-S109
Click for abstract
Background: An increased prevalence of antibodies to Toxoplasma gondii has been found to be associated with psychosis. An association with positive symptom severity in a psychosis risk sample has also been reported. However, the possible association between toxoplasma and positive symptoms in the general population is unknown. Methods: We investigated whether Toxoplasma gondii is associated with psychosis diagnoses and psychotic symptoms in the general population. We used data from Health 2000, a large health survey of the Finnish population aged 30 and older (n = 5906). Levels of IgG antibodies to Toxoplasma gondii were determined and seropositivity defined as a cutoff of 50 IU/ml. Lifetime psychotic symptoms were identified with section G of the Composite International Diagnostic Interview, Munich version (M-CIDI). The CIDI screen was considered positive if the interviewee reported any clinically relevant symptom or at least 3 symptoms regardless of clinical relevance. Lifetime psychotic disorders were screened from the sample and were diagnosed with DSM-IV using case notes and SCID-I interview. The possible diagnoses were: any psychotic disorder, functional psychosis, schizophrenia, other nonaffective psychosis, and affective psychosis. Results: The seroprevalence of Toxoplasma in the population was 13%; 12% of the participants reported at least one psychotic symptom, the most common symptoms being delusions of reference and suspicion, and 4% were considered positive for the CIDI screen. In a logistic regression model, toxoplasma seropositivity was the only significant predictor of the CIDI screen status, when other variables associated with toxoplasma were adjusted for (age, gender, education, region of residence, cat ownership, and C-reactive protein measuring inflammation). Toxoplasma infection was not associated with any psychosis diagnoses. Conclusion: In a large sample representing the whole Finnish population aged 30 and older, we found that toxoplasma infection predicted psychotic symptoms but not psychosis diagnoses. The association between psychotic symptoms and toxoplasma was not explained by inflammation.

Tagged: affective disorders, antibodies, c-reactive protein, delusions, diagnostic and statistical manual, finnish, gender, health surveys, igg antibody, infection, inflammation, ownership, patient interview, psychotic, psychotic disorders, psychotic symptom, Schizophrenia, seroprevalence, severe combined immunodeficiency, Toxoplasma, Toxoplasma gondii

Mental health

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
Click for abstract
Toxoplasma gondii (Nicolle et Manceaux, 1908) is an intracellular parasite that can cause ongoing latent infection persisting for the duration of a non-definitive host's life. Affecting approximately one-third of the world's population, latent toxoplasmosis has been associated with neuropsychological outcomes and a previous report suggested an association between latent toxoplasmosis and adult height. Given the large number of people with latent toxoplasmosis and its potential associations with human height, we sought to better understand the association between latent toxoplasmosis and human morphology by evaluating seropositivity for T. gondii and multiple body measures reported in the National Health and Nutrition Examination Survey III (NHANES III) and in the more recent continuous NHANES data sets from the United States Centers for Disease Control and Prevention for which data on T. gondii are available. In these analyses, latent toxoplasmosis was not associated with any of the body measures assessed in the NHANES datasets even after taking into account interactions between latent toxoplasmosis and testosterone suggesting that in these samples, latent toxoplasmosis is not associated with adult morphology including height.

Tagged: bmi, gondii, height, seroprevalence, testosterone, Toxoplasma gondii, united-states

Morphology

Latent Toxoplasma infection and higher Toxoplasma gondii immunoglobulin G levels are associated with worse neurocognitive functioning in HIV-infected adults

October 6, 2016
Bharti, A. R., McCutchan, A., Deutsch, R., Smith, D. M., Ellis, R. J., Cherner, M., Woods, S. P., Heaton, R. K., Grant, I., Letendre, S. L.
Clinical Infectious Diseases 2016; 63: 1655-1660.
Click for abstract
Background. Human immunodeficiency virus (HIV)-associated neurocognitive disorders persist despite suppressive antiretroviral therapy (ART). Because latent Toxoplasma infection (LTI) may adversely impact brain function, we investigated its impact on neurocognitive impairment (NCI) in people living with HIV disease. Methods. Two hundred sixty-three HIV-infected adults underwent comprehensive neurocognitive assessments and had anti-Toxoplasma gondii immunoglobulin G (anti-Toxo IgG) measured by qualitative and quantitative enzyme-linked immunosorbent assays. Results. Participants were mostly middle-aged white men who were taking ART (70%). LTI was detected in 30 (11.4%) participants and was associated with a significantly greater prevalence of global NCI (LTI positive [ LTI+]=57% and LTI negative [ LTI-]=34%) (odds ratio, 1.67; 95% confidence interval, 1.17-2.40; P=.017). Deficits were more prevalent in the LTI+ vs the LTI -group in 6 of 7 cognitive domains with statistical significance reached for delayed recall (P<.01). The probability of NCI increased with higher CD4(+) T-cell counts among LTI+ individuals but with lower CD4(+) T-cell counts in LTI-persons. A strong correlation (r=.93) between anti-Toxo IgG levels and global deficit score was found in a subgroup of 9 patients. Biomarkers indicative of central nervous system inflammation did not differ between LTI+ and LTI-participants. Conclusions. In this cross-sectional analysis, LTI was associated with NCI, especially in those with higher CD4(+) T-cell counts. Longitudinal studies to investigate the role of neuroinflammation and neuronal injury in LTI patients with NCI and trials of anti-Toxoplasma therapy should be pursued.

Tagged: anti-toxoplasma gondii igg, cohort, combination antiretroviral therapy, encephalitis, hiv-1 infection, individuals, Injury, latent toxoplasma infection, latent toxoplasmosis, mice, neurocognitive impairment, neuropsychological impairment, risk, seroprevalence, united-states

Cognitive functions

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

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

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

Cognitive functions

Seroprevalence of Toxoplasma gondii infection among patients with non-schizophrenic neurodevelopmental disorders in Alexandria, Egypt

October 3, 2016
Shehata AI, Hassanein FI, Abdul-Ghani R
Acta Tropica 2016; 154: 155-159
Click for abstract
Toxoplasma gondii is an opportunistic parasite with neurotropic characteristics that can mediate neurodevelopmental disorders, including mental, behavioral and personality aspects of their hosts. Therefore, the seroprevalence of anti-Toxoplasma antibodies has been studied in patients with different neurological disorders from different localities. On searching online databases, however, we could not find published studies on the seroprevalence of anti-Toxoplasma antibodies among patients with neurodevelopmental disorders in Egypt. Therefore, the present preliminary study was conducted to determine the serological profile of T. gondii infection among patients with non -schizophrenic neurodevelopmental disorders in Alexandria, Egypt. Data and blood samples were collected from 188 patients recruited for the study from four mental rehabilitation centers in the period from July 2014 to March 2015. The overall seropositivity rates of IgM and IgG among patients were 16.5% (31/188) and 50.0% (94/188), respectively. Of the studied patients' characteristics, only age was significantly associated with anti-Toxoplasma IgG seropositivity, with older patients being about twice more likely exposed to infection. However, no statistically significant association was found with IgM. In addition, seropositivity of anti-Toxoplasma IgG, but not IgM, was significantly associated with non-schizophrenic neurodevelopmental disorders; however, neither IgG nor IgM showed a significant association with cognitive impairment as indicated by the intelligence quotient scores.

Tagged: alexandria, antibodies, behavior, cerebral-palsy, children born, deficits, diagnosis, governorate, neurodevelopmental disorder, pregnancy, risk, Schizophrenia, seroprevalence, Toxoplasma gondii

Mental health

Influence of Toxoplasma gondii infection on symptoms and signs of premenstrual syndrome: A cross-sectional study.

September 4, 2016
Alvarado-Esquivel, C., Sanchez-Anguiano, L. F., Hernandez-Tinoco, J., Perez-Alamos, A. R., Rico-Almochantaf, Y. D., Estrada-Martinez, S., Vaquera-Enriquez, R., Diaz-Herrera, A., Ramos-Nevarez, A., Sandoval-Carrillo, A. A., Salas-Pacheco, J. M., Cerrillo-Soto, S. M., Antuna-Salcido, E. I., Liesenfeld, O., Guido-Arreola, C. A.
European Journal of Microbiology and Immunology 2016; 6: 298-305
Click for abstract
Infection with Toxoplasma gondii in brain may cause some symptoms that resemble those in women with premenstrual syndrome. To determine the association of T. gondii infection with symptoms and signs of premenstrual syndrome, we examined 489 women aged 30-40 years old. Sera of participants were analyzed for the presence of anti-Toxoplasma IgG and IgM antibodies using enzyme-linked immunoassays (EIA) and T. gondii DNA by polymerase chain reaction (PCR). Anti-T. gondii IgG antibodies were found in 38 (7.8%) of the women studied. Anti-T. gondii IgM antibodies were found in 13 (34.2%) of the 38 IgG seropositive women. Logistic regression showed two variables associated with seropositivity to T. gondii: presence of diarrhea (odds ratio [OR] = 6.10; 95% confidence interval [CI]: 1.37-27.85; P = 0.01) and weight gain (OR = 2.89; 95% CI: 1.37-6.07; P = 0.005), and two variables associated with high (>150 IU/ml) levels of IgG against T. gondii: presence of diarrhea (OR = 7.40; 95% CI: 1.79-30.46; P = 0.006) and abdominal inflammation (OR = 3.38; 95% CI: 1.13-10.10; P = 0.02). Positivity to EIA IgG and PCR was positively associated with obesity and negatively associated with joint pain by bivariate analysis. Our study for the first time reveals a potential association of T. gondii infection with clinical manifestations of premenstrual syndrome.

Tagged: bowel, cross-sectional study, diagnosis, diarrhea, dysphoric disorder, fatal systemic toxoplasmosis, immunocompromised patients, of-the-literature, patient, premenstrual syndrome, prevalence, seroprevalence, Toxoplasma gondii, women

Mental healthPhysical health

Seroprevalence of Toxoplasma gondii infection among patients with non-schizophrenic neurodevelopmental disorders in Alexandria, Egypt

May 28, 2016
Shehata, A. I., Hassanein, F. I., Abdul-Ghani, R.
Acta Tropica 2016; 154: 155-159
Click for abstract
Toxoplasma gondii is an opportunistic parasite with neurotropic characteristics that can mediate neurodevelopmental disorders, including mental, behavioral and personality aspects of their hosts. Therefore, the seroprevalence of anti-Toxoplasma antibodies has been studied in patients with different neurological disorders from different localities. On searching online databases, however, we could not find published studies on the seroprevalence of anti-Toxoplasma antibodies among patients with neurodevelopmental disorders in Egypt. Therefore, the present preliminary study was conducted to determine the serological profile of T. gondii infection among patients with non -schizophrenic neurodevelopmental disorders in Alexandria, Egypt. Data and blood samples were collected from 188 patients recruited for the study from four mental rehabilitation centers in the period from July 2014 to March 2015. The overall seropositivity rates of IgM and IgG among patients were 16.5% (31/188) and 50.0% (94/188), respectively. Of the studied patients' characteristics, only age was significantly associated with anti-Toxoplasma IgG seropositivity, with older patients being about twice more likely exposed to infection. However, no statistically significant association was found with IgM. In addition, seropositivity of anti-Toxoplasma IgG, but not IgM, was significantly associated with non-schizophrenic neurodevelopmental disorders; however, neither IgG nor IgM showed a significant association with cognitive impairment as indicated by the intelligence quotient scores.

Tagged: alexandria, antibodies, behavior, cerebral-palsy, children born, deficits, diagnosis, governorate, neurodevelopmental disorder, pregnancy, risk, Schizophrenia, seroprevalence, Toxoplasma gondii

Cognitive functionsMental health

Seroprevalence of anti-Toxoplasma IgG and IgM among individuals who were referred to medical laboratories in Mazandaran province, northern Iran

May 25, 2016
Sharif, M., Daryani, A., Ebrahimnejad, Z., Gholami, S., Ahmadpour, E., Borhani, S., Lamsechi, N.
Journal of Infection and Public Health 2016; 9: 75-80
Click for abstract
Toxoplasma gondii (T. gondii) is a protozoan parasite that can cause toxoplasmosis in humans. However, there is no current data regarding Toxoplasma infection among individuals who were referred to medical laboratories in Mazandaran province (northern Iran). Therefore, we performed a population-based study of Toxoplasma seroprevalence in this region. A total of 1832 sera samples (from 654 men and 1178 women) were collected from people who were referred to medical laboratories in different cities throughout Mazandaran province between March and July 2012. The serum titers of anti-T. gondii IgG and IgM were measured using enzyme-linked immunosorbent assays. The seroprevalence of anti-Toxoplasma IgG was 55.5%; and 14.4% of the positive samples were seropositive for anti-Toxoplasma IgM. The highest seroprevalence was observed among people who were >50 years old (90.6%), and the lowest seroprevalence was observed among children who were 0-9 years old (9.4%; P < 0.001). There was no significant difference in the seroprevalences for each sex in the study population. However, a regional sex-specific difference in seroprevalence was observed between men (54.1%) and women (70.6%; P = 0.003) in the western cities of Mazandaran. As the seroprevalence of T. gondii in western and eastern Mazandaran was higher than that in the central cities, there is a need to evaluate the nature of the infection chain in these areas

Tagged: amazonas, antibodies, children, community, laboratory testing, patient referral, people, risk factors, Schizophrenia, schoolchildren, serological survey, seroprevalence, Toxoplasma gondii, toxoplasmosis

Mental health

Toxoplasma gondii infection and depression: a case-control seroprevalence study

May 24, 2016
Alvarado-Esquivel, C., Sanchez-Anguiano, L.F., Hernandez-Tinoco, J., Berumen-Segovia, L.O., Torres-Prieto, Y.E., Estrada-Martinez, S., Perez-Alamos, A.R., Ortiz-Jurado, M.N., Molotla-De-Leon, G., Beristain-Garcia, I., Rabago-Sanchez, E., Liesenfeld, O.
Eur. J. Microbiol. Immunol. 2016; 2: 85-89
Click for abstract
We assessed the association of Toxoplasma gondii infection and depression in a sample of psychiatric patients and control subjects without depression. We performed an age-and gender-matched case-control study of 89 patients suffering from depression attended in a public psychiatric hospital in Durango City, Mexico and 356 control subjects without depression from the general population of the same city. Participants were tested for the presence of anti-Toxoplasma IgG and IgM antibodies using enzymelinked immunoassays. Anti-T. gondii IgG antibodies were found in 11 (12.4%) of the 89 cases and in 22 (6.2%) of the 356 controls (OR = 2.14; 95% CI: 1.00-4.59; P = 0.04). Anti-T. gondii IgM antibodies were found in four (19%) of 21 anti-T. gondii IgG seropositive controls but not in 11 anti-T. gondii IgG seropositive cases (P = 0.27). Patients aged 30 years old and younger had a significantly higher seroprevalence of T. gondii infection than controls of the same age group (P = 0.001). Results of the present study suggest a potential association between T. gondii infection and depression. Furthers studies to confirm our results and to determine the epidemiology of T. gondii in young depressed patients should be conducted.

Tagged: case-control study, depression, psychiatric patients, seroprevalence, Toxoplasma gondii

Mental health

Seroprevalence of Toxoplasma gondii infection in patients with Alzheimer’s disease

January 4, 2016
Rashno, M. M., Fallahi, S., Kheirandish, F., Bagheri, S., Kayedi, M. H., Birjandi, M.
Archives of Clinical Infectious Diseases 2016, 11: ARTN e37205 10.5812/archcid.37205
Click for abstract
Background: Toxoplasmosis is one of the most important diseases in humans and animals. Almost one-third of the human population around the world is infected with toxoplasmosis. The agent of this parasitic disease is a protozoan called Toxoplasma gondii (T. gondii) that causes encephalitis in people with suppressed immune systems and abortion, mental retardation and chorioretinitis in the fetus. Alzheimer's disease (AD) is the most important neurodegenerative disease. Objectives: Due to the high prevalence of toxoplasmosis in Iran and evidence on its impact on neurodegenerative diseases, this study was performed to evaluate the T. gondii infection in patients with AD. Patients and Methods: In this case-control study, after selection of alzheimer's patients (APs) referred to Imam Reza psychiatric hospital of Khorramabad, west of Iran, and healthy controls (each group consisted of 87 individuals), using the convenience sampling method and under the supervision of a neurologist, blood samples were taken during July 2014 and January 2015. The collected samples were transferred to the research laboratory of parasitology under cold chain storage and then, the serum samples were separated by centrifugation and were frozen at -20 degrees C until use. The T. gondii IgM and IgG specific antibodies were assessed in serum samples using commercial Enzyme Linked Immunosorbent Assay (ELISA) kits. Results: The overall prevalence of T. gondii infection in patients with AD and the control group, using ELISA assay, was obtained as 66.6% (58/87) and 56.32% (49/87), respectively (P = 0.99). In this study, there was no significant association between T. gondii infection and AD. On the other hand, no statistically significant difference was observed between the two groups in terms of infection with T. gondii (P = 0.99). Conclusions: Higher prevalence of T. gondii in patients with AD compared to controls showed the possible impact of this parasite in AD, which may exacerbate symptoms, and this requires special attention of specialists and patient families.

Tagged: b1 gene, cancer, children, control group, diagnosis, intestinal parasites, isothermal amplification lamp, lorestan, patients with alzheimer's disease, prevalence, Schizophrenia, seroprevalence, Toxoplasma gondii, western iran

Cognitive functionsMental health

Toxoplasma gondii infection in interstate truck drivers: a case-control seroprevalence study

October 9, 2015
Alvarado-Esquivel, C., Pacheco-Vega, S. J., Hernandez-Tinoco, J., Salcedo-Jaquez, M., Sanchez-Anguiano, L. F., Berumen-Segovia, L. O., Rabago-Sanchez, E., Liesenfeld, O.
Parasites & Vectors 2015; 8
Click for abstract
Background: Infection with Toxoplasma gondii can be acquired via the ingestion of undercooked or raw meat containing tissue cysts, or via ingestion of water contaminated with oocysts. Professional long distance truck driving may have epidemiological importance for food-borne infections since drivers eat out of home and in places where hygiene and cooking practices are uncertain. We aimed to determine whether interstate truck drivers in Durango, Mexico have an increased risk of infection with T. gondii as indicated by seropositivity; and to determine the socio-demographic, work, clinical, and behavioral characteristics associated with T. gondii seropositivity in interstate truck drivers. Methods: Through a case-control study design, 192 truck drivers and 192 controls from the general population of the same region matched by gender and age were examined with enzyme-linked immunoassays for the presence of anti-Toxoplasma IgG and IgM antibodies. Socio-demographic, work, clinical and behavioral characteristics from the truck drivers were obtained. Results: Anti-T. gondii IgG antibodies were found in 23 (12.0%) of 192 truck drivers and in 13 (6.8%) of 192 controls (OR = 21.0; 95% CI: 1.23-358.38; P = 0.002). Anti-T. gondii IgM antibodies were found in 7 (3.6%) cases and in 7 (3.6%) controls (P = 1.00). The seroprevalence of T. gondii infection was higher in drivers with reflex impairment than in those without this impairment (4/13, 30.8% vs 19/179, 10.6%, respectively; P = 0.05), and in drivers with hearing impairment than in those without this impairment (3/7, 42.9% vs 20/185, 10.8%, respectively; P = 0.03). Multivariate analysis of work and behavioral characteristics of truck drives showed positive associations of T. gondii exposure with trips to the south of Mexico (OR = 3.11; 95% CI: 1.02-9.44; P = 0.04) and consumption of horse meat (OR = 5.18; 95% CI: 1.62-16.55; P = 0.005). Conclusions: Results suggest that interstate truck drivers may have an increased risk for T. gondii infection, and that T. gondii exposure may be impacting neurological functions in truck drivers. Contributing factors for T. gondii exposure should be taken into account for the design of optimal prevention measures against T. gondii infection.

Tagged: accidents, case-control study, durango, hosts, Mexico, population, risk factors, Schizophrenia, seroepidemiology, seroprevalence, suicide attempts, tissues, Toxoplasma gondii, truck drivers

BehaviorPhysical 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

Neurobiological studies on the relationship between toxoplasmosis and neuropsychiatric diseases

October 9, 2015
Fabiani, S., Pinto, B., Bonuccelli, U., Bruschi, F.
Journal of the Neurological Sciences 2015; 35:3-8
Click for abstract
Toxoplasma gondii is a widespread protozoan parasite infecting approximately one third of the world population. After proliferation of tachyzoites during the acute stage, the parasite forms tissue cysts in various anatomical sites including the Central Nervous tissue, and establishes a chronic infection. Clinical spectrum normally ranges from a completely asymptomatic infection to severe multi-organ involvement. Many studies have suggested T. gondii infection as a risk factor for the development of some neuropsychiatric disorders, particularly schizophrenia. During the last years, a potential link with other neurobiological diseases such as Parkinson disease and Alzheimer disease has also been suggested. This review will focus on neurobiological and epidemiological data relating infection with T. gondii to neuropsychiatric diseases. (C) 2015 Elsevier B.V. All rights reserved.

Tagged: 1st-episode schizophrenia, brain, encephalitis, expression, gondii infection, immune-response, kynurenic acid, mechanisms, neurobiology, neurological diseases, neurotransmitter pathway, risk behavior, schizophrenia spectrum disorders, seroprevalence, t. gondii

Mental health

Association between latent toxoplasmosis and cognition in adults: a cross-sectional study

October 9, 2015
Gale, S. D., Brown, B. L., Erickson, L. D., Berrett, A., Hedges, D. W.
Parasitology 2015; 142: 557-565
Click for abstract
Latent infection from Toxoplasma gondii (T. gondii) is widespread worldwide and has been associated with cognitive deficits in some but not all animal models and in humans. We tested the hypothesis that latent toxoplasmosis is associated with decreased cognitive function in a large cross-sectional dataset, the National Health and Nutrition Examination Survey (NHANES). There were 4178 participants aged 20-59 years, of whom 191% had IgG antibodies against T. gondii. Two ordinary least squares (OLS) regression models adjusted for the NHANES complex sampling design and weighted to represent the US population were estimated for simple reaction time, processing speed and short-term memory or attention. The first model included only main effects of latent toxoplasmosis and demographic control variables, and the second added interaction terms between latent toxoplasmosis and the poverty-to-income ratio (PIR), educational attainment and race-ethnicity. We also used multivariate models to assess all three cognitive outcomes in the same model. Although the models evaluating main effects only demonstrated no association between latent toxoplasmosis and the cognitive outcomes, significant interactions between latent toxoplasmosis and the PIR, between latent toxoplasmosis and educational attainment, and between latent toxoplasmosis and race-ethnicity indicated that latent toxoplasmosis may adversely affect cognitive function in certain groups.

Tagged: attention, behavior, brain, cognition, deficits, disease, gondii infection, memory, Mexico, performance, processing speed, Schizophrenia, seroprevalence, socioeconomic position, Toxoplasma gondii, toxoplasmosis

Cognitive functions

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

Seroprevalence of Toxoplasma gondii infection among patients with hand, foot and mouth disease in Henan, China: a hospital-based study

October 6, 2015
Wang, S., Lan, C. W., Zhang, L. W., Zhang, H. Z., Yao, Z. J., Wang, D., Ma, J. B., Deng, J. R., Liu, S. G.
Infectious Diseases of Poverty 2015; 4.
Click for abstract
Background: The prevalence of infection with Toxoplasma gondii (T. gondii) in humans has been increasing in China due to the growing number of cats in the country. Hand, foot and mouth disease (HFMD) is a serious public health issue in China and still one of the leading causes of child mortality. However, little is known about the epidemiology of T. gondii infection among HFMD patients. Methods: A case-control study of 281 HFMD patients from the First People's Hospital of Pingdingshan in Pingdingshan city, Henan province, central China, and 222 controls from Pingdingshan city was conducted. Anti-T. gondii antibodies were serologically detected using the enzyme-linked immunosorbent assay. Results: We found that the overall anti-T. gondii immunoglobulin G (IgG) antibody prevalence among HFMD patients was 12.46 %, which was significantly higher than that in clinically healthy children (1.80 %). The highest T. gondii seroprevalence was detected in critical cases (22.58 %), followed by severe cases (11.50 %), and the lowest was detected in mild cases (8.33 %). Conclusion: The present study is the first survey of T. gondii seroprevalence among HFMD patients in China; 12.46 % were defined as seropositive. It is imperative that improved integrated measures are taken to prevent and control T. gondii infection among HFMD patients.

Tagged: adults, cancer-patients, children, china, coxsackievirus a6, enterovirus, enzyme-linked immunosorbent assay, hand foot and mouth disease, mice, province, risk factors, seroprevalence, shandong, strains, Toxoplasma gondii

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

High seroprevalence of Toxoplasma gondii infection in female sex workers: a case-control study

May 25, 2015
Alvarado-Esquivel, C., Sanchez-Anguiano, L. F., Hernandez-Tinoco, J., Arreola-Chaidez, E., Lopez, J., Salcido-Meraz, K. I., Estrada-Martinez, S., Navarrete-Flores, J. A., Perez-Alamos, A. R., Hernandez-Ochoa, M., Rabago-Sanchez, E., Liesenfeld, O.
European Journal of Microbiology and Immunology 2015; 5: 285-292
Click for abstract
Through an age-and sex-matched case-control study, we sought to determine whether female sex workers have an increased risk of Toxoplasma gondii exposure and to determine the sociodemographic, work, clinical, and behavioral characteristics of these workers associated with T. gondii exposure. Female workers (n = 136) and controls (n = 272) were examined with enzyme-linked immunoassays (EIA) for the presence of anti-Toxoplasma IgG and IgM antibodies. IgM positive sera were additionally tested with enzyme linked-fluorescence immunoassay (ELFA). Anti-T. gondii IgG antibodies were found in 21 (15.44%) of 136 cases and in 10 (3.67%) of 272 controls (OR = 4.05; 95% CI: 1.84-8.89; P = 0.0001). Anti-T. gondii IgG levels higher than 150 IU/ml were found in 13 (9.6%) of 136 cases and in 8 (2.9%) of 272 controls (P = 0.007). Anti-T. gondii IgM antibodies were found in two cases and in six controls by EIA, but all were negative by ELFA. T. gondii seropositivity was associated with being born out of Durango State (OR = 10.47; 95% CI: 2.9-36.8; P < 0.01), injuries during sex work (OR = 6.30; 95% CI: 1.1-33.7; P = 0.03), and soil contact (OR = 4.11; 95% CI: 1.2-14.0; P = 0.02). This is the first report of an association of T. gondii infection and female sex workers.

Tagged: case-control study, city, drivers, durango, female sex workers, history, Mexico, risk factors, Schizophrenia, seroepidemiology, seroprevalence, suicide attempts, Toxoplasma gondii, traffic accidents, transmission

BehaviorMental health

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

Seroprevalence of Toxoplasma gondii in spontaneous abortions in pregnant women

January 10, 2015
Anubhuti, Roy, R. R., Mittra, J. P., Begum, S. J.
Journal of Evolution of Medical and Dental Sciences-Jemds 2015; 4: 6763-6768
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INTRODUCTION: Toxoplasmosis is one of the diseases comprising the TORCH [Toxoplasma gondii, Rubella virus, Cytomegalovirus, Herpes simplex virus] infections. It is known to cause perinatal death if the organism is acquired during pregnancy. Toxoplasmosis during pregnancy can cause congenital infection which may result in mental retardation and blindness in the infant. The present study aimed to evaluate the seroprevalence of Toxoplasma gondii and it is associated risk factors among the women with history of spontaneous abortion. MATERIALS & METHODS: A total of 60 women with past or present history of spontaneous abortion and another 60 pregnant women without any bad obstetric history as control attending our hospital were included in the study. All the serum samples were tested for the presence of specific Toxoplasma IgM and IgG antibodies using the On Site Toxo IgG/IgM Rapid Test strip, a lateral flow chromatographic immunoassay. RESULTS: Total seroprevalence of Toxoplasma gondii in the study was 12.5%. Total seropositivity in women with history of spontaneous abortion was 12(20%) and 3(5%) among control group. More number of seropositivity was observed among women between 26 to 30 years (60%). Risk factor of having cat as pet animal had greater association of getting toxoplasmosis. CONCLUSION: This study revealed that the seroprevalence of toxoplasmosis was significantly high in the study population than in control group. There should be routine screening for antenatal women with bad obstetric history.

Tagged: cytomegalovirus, prevalence, Rubella virus, seroprevalence, spontaneous abortion, Toxoplasma gondii

Reproduction

Lack of association between Toxoplasma gondii infection and hypertensive disorders in pregnancy: a case-control study in a Northern Mexican population

October 10, 2014
Alvarado-Esquivel, C., Vazquez-Alaniz, F., Sandoval-Carrillo, A. A., Salas-Pacheco, J. M., Hernandez-Tinoco, J., Sanchez-Anguiano, L. F., Liesenfeld, O.
Parasites & Vectors 2014; 7
Click for abstract
Background: The outcome of pregnancy is often threatened by hypertension disorders, i.e. eclampsia. Rate of infection with the protozoan parasite Toxoplasma gondii can be as high as 80% in pregnant women, and infection acquired during pregnancy can lead to fetal death. Very little is known about a potential association between infections, i.e. those with Toxoplasma gondii, and hypertensive disorders during pregnancy. Methods: Through a case-control study design, we investigated the presence of anti-Toxoplasma IgG and anti-Toxoplasma IgM antibodies in 146 pregnant women suffering from hypertensive disorders (cases) and 146 age-matched normotensive pregnant women (controls) attending a public hospital in Durango City, Mexico. Obstetric and blood pressure characteristics from cases and controls were also obtained. Results: Seroprevalence of anti-Toxoplasma IgG antibodies and IgG titers did not differ significantly in controls (8/146; 5.5%) and cases (9/146; 6.2%). Anti-Toxoplasma IgM antibodies were found in 2 (1.2%) controls and none of the cases. Seroprevalence of T. gondii in controls (5.5%) was similar to seroprevalences found in patients with mild preeclampsia (4/27: 14.8%), severe preeclampsia (5/95: 5.3%), eclampsia (0/16: 0%) and HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count) (0/8: 0%) (P = 0.23). Conclusions: Our results suggest that latent infection with T. gondii is not associated with hypertensive disorders in pregnant women in Northern Mexico. Further studies with larger sample sizes are needed to elucidate the association of infection with T. gondii with hypertensive disorders in pregnancy.

Tagged: disease, eclampsia, Epidemiology, hellp syndrome, infection, preeclampsia, risk, seroepidemiology, seroprevalence, Toxoplasma gondii, women

Physical health

Estimating the population attributable fraction for schizophrenia when Toxoplasma gondii is assumed absent in human populations

October 9, 2014
Smith G.
Preventive Veterinary Medicine 2014; 117: 425-435
Click for abstract
There is increasing evidence that infection with Toxoplasma gondii, a common parasite of people, cats and rodents, is associated with an increased risk of a diagnosis of schizophrenia. Although the claim that infection with T. gondii is one of the component causes of a diagnosis of schizophrenia remains contentious it is worth asking how important a causal association might be if only to inform our attitude to further work on the subject. The appropriate measure of importance is the population attributable fraction (PAF). The PAF is the proportion of diagnoses of schizophrenia that would not occur in a population if T. gondii infections were not present. The assumptions that underlie the derivation of the standard formula for measuring the PAF are violated in the specific instance of T. gondii and schizophrenia and so the conventional estimation method cannot be used. Instead, the PAF was estimated using a deterministic model of Toxoplasma gondii infection and schizophrenia occurrence in a hypothetical cohort of people at risk of both conditions. The incidence of infection with T. gondii in the cohort was assumed to be constant. Under these circumstances, the life-time mean population attributable fraction was estimated to be 21.4%, but it could not be ruled out that it could be as high as 30.6% or as low as 13.7% given the 95% confidence interval pertaining to the point estimate of the OR that was central to the calculation. These estimates (even the lowest) are higher than those obtained using the standard method for the same system and underscore the importance of understanding the limitations of conventional epidemiological formulae.

Tagged: congenital toxoplasmosis, human-behavior, infectious agents, mathematical model, mortality, population attributable fraction, prevalence, protective immunity, risk factors, Schizophrenia, seroprevalence, Toxoplasma, united-states, waterborne toxoplasmosis

Mental health

Association between latent toxoplasmosis and major depression, generalised anxiety disorder and panic disorder in human adults

October 9, 2014
Gale, S. D., Brown, B. L., Berrett, A., Erickson, L. D., Hedges, D. W.
Folia Parasitologica 2014; 61: 285-292.
Click for abstract
Latent infection with the apicomplexan Toxoplasma gondii (Nicolle et Manceaux, 1908) has been associated with schizophrenia, bipolar disorder and self-harm behaviour. However, the potential relationship between T. gondii immunoglobulin G antibody (IgG) seropositivity and generalised-anxiety disorder (GAD) and panic disorder (PD) has not been investigated. The associations between serum reactivity to T. gondii and major depressive disorder (MDD), GAD and PD were evaluated in a total sample of 1846 adult participants between the ages of 20 and 39 years from the United States Center for Disease Control's National Health and Nutrition Examination Survey (NHANES). Approximately 16% of the overall sample was seropositive for T. gondii and 7% of the sample met criteria for MDD, 2% for GAD and 2% for PD. There were no significant associations between T gondii IgG seroprevalence and MDD (OR = 0.484, 95% CI = 0.186-1.258), GAD (OR = 0.737, 95% CI = 0.218-2.490) or PD (OR = 0.683, 95% CI = 0.206-2.270) controlling for sex, ethnicity, poverty-to-income ratio and educational attainment. However, limited evidence suggested a possible association between absolute antibody titres for T. gondii and GAD and PD but not MDD. Toxoplasma gondii seroprevalence was not associated with MDD, GAD or PD within the context of the limitations of this study, although there may be an association of T. gondii serointensity with and GAD and PD, which requires further study.

Tagged: antibodies, behavior, behaviour, bipolar disorder, brain, gondii infection, mood, mood disorders, national health and nutrition examination survey (nhanes), psychiatric, risk factors, Schizophrenia, seroprevalence, Toxoplasma gondii, united-states

Mental health
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  • 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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