Toxoplasma Infection and Later Development of Schizophrenia in Mothers

Objective:Several studies based on clinical samples have found an association between Toxoplasma gondii infection and schizophrenia, and a case-control study among U.S. military personnel with specimens available from both before and after diagnosis found a positive association between T. gondii imm...

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Veröffentlicht in:The American journal of psychiatry 2011-08, Vol.168 (8), p.814-821
Hauptverfasser: Pedersen, Marianne Giørtz, Stevens, Hanne, Pedersen, Carsten Bøcker, Nørgaard-Pedersen, Bent, Mortensen, Preben Bo
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container_end_page 821
container_issue 8
container_start_page 814
container_title The American journal of psychiatry
container_volume 168
creator Pedersen, Marianne Giørtz
Stevens, Hanne
Pedersen, Carsten Bøcker
Nørgaard-Pedersen, Bent
Mortensen, Preben Bo
description Objective:Several studies based on clinical samples have found an association between Toxoplasma gondii infection and schizophrenia, and a case-control study among U.S. military personnel with specimens available from both before and after diagnosis found a positive association between T. gondii immunoglobulin G (IgG) antibody level and schizophrenia. These findings have never been replicated in a prospective cohort study. The purpose of this study was to determine whether mothers infected with T. gondii have an elevated risk of schizophrenia or related disorders and whether the risk depends on IgG antibody level. Method:In a register-based prospective cohort study of 45,609 women born in Denmark, the level of T. gondii-specific IgG antibodies was measured in connection with childbirth between 1992 and 1995. Women were followed up from the date of delivery until 2008. Results:A significant positive association between T. gondii IgG antibody level and schizophrenia spectrum disorders was found. Mothers with the highest IgG level had a relative risk of 1.73 (95% confidence interval [CI]=1.12–2.62) compared with mothers with the lowest IgG level. For schizophrenia, the relative risk was 1.68 (95% CI=0.77–3.46). When the mothers were classified according to IgG level, only those with the highest IgG levels had a significantly higher risk of schizophrenia spectrum disorders. Conclusions:Women with high levels of T. gondii-specific IgG antibodies have a significantly elevated risk of developing schizophrenia spectrum disorders.
doi_str_mv 10.1176/appi.ajp.2011.10091351
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These findings have never been replicated in a prospective cohort study. The purpose of this study was to determine whether mothers infected with T. gondii have an elevated risk of schizophrenia or related disorders and whether the risk depends on IgG antibody level. Method:In a register-based prospective cohort study of 45,609 women born in Denmark, the level of T. gondii-specific IgG antibodies was measured in connection with childbirth between 1992 and 1995. Women were followed up from the date of delivery until 2008. Results:A significant positive association between T. gondii IgG antibody level and schizophrenia spectrum disorders was found. Mothers with the highest IgG level had a relative risk of 1.73 (95% confidence interval [CI]=1.12–2.62) compared with mothers with the lowest IgG level. For schizophrenia, the relative risk was 1.68 (95% CI=0.77–3.46). When the mothers were classified according to IgG level, only those with the highest IgG levels had a significantly higher risk of schizophrenia spectrum disorders. Conclusions:Women with high levels of T. gondii-specific IgG antibodies have a significantly elevated risk of developing schizophrenia spectrum disorders.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/appi.ajp.2011.10091351</identifier><identifier>PMID: 21536690</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Arlington, VA: American Psychiatric Publishing</publisher><subject>Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Cohort Studies ; Cross-Sectional Studies ; Denmark ; Female ; Follow-Up Studies ; Health risk assessment ; Humans ; Immunoglobulin G ; Immunoglobulin G - blood ; Infant, Newborn ; Infection ; Infections ; Male ; Medical sciences ; Mental disorders ; Military ; Military personnel ; Mothers ; Neonatal Screening ; Parasites ; Pregnancy ; Pregnancy Complications, Parasitic - diagnosis ; Pregnancy Complications, Parasitic - epidemiology ; Pregnancy Complications, Parasitic - immunology ; Pregnancy Complications, Parasitic - psychology ; Prospective Studies ; Psychology. 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Psychiatry ; Psychoses ; Risk ; Risk assessment ; Risk factors ; Schizophrenia ; Schizophrenia - diagnosis ; Schizophrenia - epidemiology ; Schizophrenia - immunology ; Toxoplasma - immunology ; Toxoplasma gondii ; Toxoplasmosis - diagnosis ; Toxoplasmosis - epidemiology ; Toxoplasmosis - immunology ; Toxoplasmosis - psychology ; Toxoplasmosis, Congenital - diagnosis ; Toxoplasmosis, Congenital - epidemiology ; Toxoplasmosis, Congenital - immunology ; Toxoplasmosis, Congenital - psychology ; Young Adult</subject><ispartof>The American journal of psychiatry, 2011-08, Vol.168 (8), p.814-821</ispartof><rights>Copyright © American Psychiatric Association 2011</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © American Psychiatric Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a443t-82708b9d780fd517e2f62e2349c5cd8cf8334c84c13f3ef713a17d6298adb0133</citedby><cites>FETCH-LOGICAL-a443t-82708b9d780fd517e2f62e2349c5cd8cf8334c84c13f3ef713a17d6298adb0133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ajp.2011.10091351$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ajp.2011.10091351$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,780,784,2855,21626,21627,21628,27924,27925,77794,77799</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24393521$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21536690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pedersen, Marianne Giørtz</creatorcontrib><creatorcontrib>Stevens, Hanne</creatorcontrib><creatorcontrib>Pedersen, Carsten Bøcker</creatorcontrib><creatorcontrib>Nørgaard-Pedersen, Bent</creatorcontrib><creatorcontrib>Mortensen, Preben Bo</creatorcontrib><title>Toxoplasma Infection and Later Development of Schizophrenia in Mothers</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>Objective:Several studies based on clinical samples have found an association between Toxoplasma gondii infection and schizophrenia, and a case-control study among U.S. military personnel with specimens available from both before and after diagnosis found a positive association between T. gondii immunoglobulin G (IgG) antibody level and schizophrenia. These findings have never been replicated in a prospective cohort study. The purpose of this study was to determine whether mothers infected with T. gondii have an elevated risk of schizophrenia or related disorders and whether the risk depends on IgG antibody level. Method:In a register-based prospective cohort study of 45,609 women born in Denmark, the level of T. gondii-specific IgG antibodies was measured in connection with childbirth between 1992 and 1995. Women were followed up from the date of delivery until 2008. Results:A significant positive association between T. gondii IgG antibody level and schizophrenia spectrum disorders was found. Mothers with the highest IgG level had a relative risk of 1.73 (95% confidence interval [CI]=1.12–2.62) compared with mothers with the lowest IgG level. For schizophrenia, the relative risk was 1.68 (95% CI=0.77–3.46). When the mothers were classified according to IgG level, only those with the highest IgG levels had a significantly higher risk of schizophrenia spectrum disorders. Conclusions:Women with high levels of T. gondii-specific IgG antibodies have a significantly elevated risk of developing schizophrenia spectrum disorders.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Denmark</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin G - blood</subject><subject>Infant, Newborn</subject><subject>Infection</subject><subject>Infections</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Military</subject><subject>Military personnel</subject><subject>Mothers</subject><subject>Neonatal Screening</subject><subject>Parasites</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Parasitic - diagnosis</subject><subject>Pregnancy Complications, Parasitic - epidemiology</subject><subject>Pregnancy Complications, Parasitic - immunology</subject><subject>Pregnancy Complications, Parasitic - psychology</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychoses</subject><subject>Risk</subject><subject>Risk assessment</subject><subject>Risk factors</subject><subject>Schizophrenia</subject><subject>Schizophrenia - diagnosis</subject><subject>Schizophrenia - epidemiology</subject><subject>Schizophrenia - immunology</subject><subject>Toxoplasma - immunology</subject><subject>Toxoplasma gondii</subject><subject>Toxoplasmosis - diagnosis</subject><subject>Toxoplasmosis - epidemiology</subject><subject>Toxoplasmosis - immunology</subject><subject>Toxoplasmosis - psychology</subject><subject>Toxoplasmosis, Congenital - diagnosis</subject><subject>Toxoplasmosis, Congenital - epidemiology</subject><subject>Toxoplasmosis, Congenital - immunology</subject><subject>Toxoplasmosis, Congenital - psychology</subject><subject>Young Adult</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0U9r2zAYBnAxWta021coZlB2cqpXsizpWLr1D6T00BR2E4osEQdb8iRntP30VZo0g13WkxD83ueVeBA6BTwF4PW5HoZ2qlfDlGCAKWAsgTL4hCbAKCs5IeIATTDGpJSM_jpCxymt8hVTTj6jI5JVXUs8QVfz8BSGTqdeF7feWTO2wRfaN8VMjzYWP-wf24Wht34sgisezLJ9CcMyWt_qovXFXRiXNqYv6NDpLtmvu_MEPV79nF_elLP769vLi1mpq4qOpSAci4VsuMCuYcAtcTWxhFbSMNMI4wSllRGVAeqodRyoBt7URArdLDBQeoK-b3OHGH6vbRpV3yZju057G9ZJCSkh849IAVhwyUSW3_6Rq7COPn8jI0Y4iApnVG-RiSGlaJ0aYtvr-KwAq00jatOIyo2oTSPqvZE8eLpLXy962-zH3ivI4GwHdDK6c1F706a_rqKSMrIJolv3tmj_xP-sfwUi8qSB</recordid><startdate>20110801</startdate><enddate>20110801</enddate><creator>Pedersen, Marianne Giørtz</creator><creator>Stevens, Hanne</creator><creator>Pedersen, Carsten Bøcker</creator><creator>Nørgaard-Pedersen, Bent</creator><creator>Mortensen, Preben Bo</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7TK</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>M7N</scope></search><sort><creationdate>20110801</creationdate><title>Toxoplasma Infection and Later Development of Schizophrenia in Mothers</title><author>Pedersen, Marianne Giørtz ; Stevens, Hanne ; Pedersen, Carsten Bøcker ; Nørgaard-Pedersen, Bent ; Mortensen, Preben Bo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a443t-82708b9d780fd517e2f62e2349c5cd8cf8334c84c13f3ef713a17d6298adb0133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Denmark</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Immunoglobulin G</topic><topic>Immunoglobulin G - blood</topic><topic>Infant, Newborn</topic><topic>Infection</topic><topic>Infections</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental disorders</topic><topic>Military</topic><topic>Military personnel</topic><topic>Mothers</topic><topic>Neonatal Screening</topic><topic>Parasites</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Parasitic - diagnosis</topic><topic>Pregnancy Complications, Parasitic - epidemiology</topic><topic>Pregnancy Complications, Parasitic - immunology</topic><topic>Pregnancy Complications, Parasitic - psychology</topic><topic>Prospective Studies</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Risk</topic><topic>Risk assessment</topic><topic>Risk factors</topic><topic>Schizophrenia</topic><topic>Schizophrenia - diagnosis</topic><topic>Schizophrenia - epidemiology</topic><topic>Schizophrenia - immunology</topic><topic>Toxoplasma - immunology</topic><topic>Toxoplasma gondii</topic><topic>Toxoplasmosis - diagnosis</topic><topic>Toxoplasmosis - epidemiology</topic><topic>Toxoplasmosis - immunology</topic><topic>Toxoplasmosis - psychology</topic><topic>Toxoplasmosis, Congenital - diagnosis</topic><topic>Toxoplasmosis, Congenital - epidemiology</topic><topic>Toxoplasmosis, Congenital - immunology</topic><topic>Toxoplasmosis, Congenital - psychology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pedersen, Marianne Giørtz</creatorcontrib><creatorcontrib>Stevens, Hanne</creatorcontrib><creatorcontrib>Pedersen, Carsten Bøcker</creatorcontrib><creatorcontrib>Nørgaard-Pedersen, Bent</creatorcontrib><creatorcontrib>Mortensen, Preben Bo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pedersen, Marianne Giørtz</au><au>Stevens, Hanne</au><au>Pedersen, Carsten Bøcker</au><au>Nørgaard-Pedersen, Bent</au><au>Mortensen, Preben Bo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Toxoplasma Infection and Later Development of Schizophrenia in Mothers</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>2011-08-01</date><risdate>2011</risdate><volume>168</volume><issue>8</issue><spage>814</spage><epage>821</epage><pages>814-821</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><coden>AJPSAO</coden><abstract>Objective:Several studies based on clinical samples have found an association between Toxoplasma gondii infection and schizophrenia, and a case-control study among U.S. military personnel with specimens available from both before and after diagnosis found a positive association between T. gondii immunoglobulin G (IgG) antibody level and schizophrenia. These findings have never been replicated in a prospective cohort study. The purpose of this study was to determine whether mothers infected with T. gondii have an elevated risk of schizophrenia or related disorders and whether the risk depends on IgG antibody level. Method:In a register-based prospective cohort study of 45,609 women born in Denmark, the level of T. gondii-specific IgG antibodies was measured in connection with childbirth between 1992 and 1995. Women were followed up from the date of delivery until 2008. Results:A significant positive association between T. gondii IgG antibody level and schizophrenia spectrum disorders was found. Mothers with the highest IgG level had a relative risk of 1.73 (95% confidence interval [CI]=1.12–2.62) compared with mothers with the lowest IgG level. For schizophrenia, the relative risk was 1.68 (95% CI=0.77–3.46). When the mothers were classified according to IgG level, only those with the highest IgG levels had a significantly higher risk of schizophrenia spectrum disorders. Conclusions:Women with high levels of T. gondii-specific IgG antibodies have a significantly elevated risk of developing schizophrenia spectrum disorders.</abstract><cop>Arlington, VA</cop><pub>American Psychiatric Publishing</pub><pmid>21536690</pmid><doi>10.1176/appi.ajp.2011.10091351</doi><tpages>8</tpages></addata></record>
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subjects Adult
Adult and adolescent clinical studies
Biological and medical sciences
Cohort Studies
Cross-Sectional Studies
Denmark
Female
Follow-Up Studies
Health risk assessment
Humans
Immunoglobulin G
Immunoglobulin G - blood
Infant, Newborn
Infection
Infections
Male
Medical sciences
Mental disorders
Military
Military personnel
Mothers
Neonatal Screening
Parasites
Pregnancy
Pregnancy Complications, Parasitic - diagnosis
Pregnancy Complications, Parasitic - epidemiology
Pregnancy Complications, Parasitic - immunology
Pregnancy Complications, Parasitic - psychology
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Psychoses
Risk
Risk assessment
Risk factors
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - epidemiology
Schizophrenia - immunology
Toxoplasma - immunology
Toxoplasma gondii
Toxoplasmosis - diagnosis
Toxoplasmosis - epidemiology
Toxoplasmosis - immunology
Toxoplasmosis - psychology
Toxoplasmosis, Congenital - diagnosis
Toxoplasmosis, Congenital - epidemiology
Toxoplasmosis, Congenital - immunology
Toxoplasmosis, Congenital - psychology
Young Adult
title Toxoplasma Infection and Later Development of Schizophrenia in Mothers
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