Is Toxoplasma gondii IgG seropositivity a predisposing factor for infertility?

Authors

  • Haytham Ahmed Zakai Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, P.O. Box-80324, Jeddah-21589, Kingdom of Saudi Arabia.
  • Mazen Abid Bisharah Department of Obstetrics and Gynecology, King Faisal Specialist Hospital & Research Center, Jeddah, Saudi Arabia.

Keywords:

Toxoplasma gondii, Infertility, anti-Toxoplasma, IgG

Abstract

Toxoplasmosis is a disease caused by an obligate intracellular protozoan parasite Toxoplasma gondii. Approximately one-third of the world population is infected with this parasite. Several studies have examined the causes of human infertility in the Middle East. A high proportion of secondary infertility and a great contribution of the female factor was the major finding in most of these studies. In this study, we aim to explore the relationship between Toxoplasma gondii seropositivity and female infertile patients. Serum samples from 83 female patients visiting the infertility clinic and 57 normal prim gravid females attending the ANC clinic were collected during the year 2014. Serum samples were analyzed for anti-Toxoplasma IgG by chemiluminescent microparticle immunoassay (CMIA) technology. Patients visiting the infertility clinic, aged from 18-40 years (x=29.7) while normal prim gravid females attending the ANC clinic aged from 18-38 (x=26.1). Of the 83 samples collected from patients visiting the infertility clinic, 15 samples were positive for anti-Toxoplasma IgG while only 2 samples (out of 57) collected from normal prim gravid females attending the ANC clinic were positive. There was a statistically significant correlation between positive anti-Toxoplasma IgG and infertility (p<0.01). We suggest considering the presence of anti-Toxoplasma antibodies in serum of young females as an indicator for possible future infertility.

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References

Dubey, J.P. (2008). The history of Toxoplasma gondii-the first 100 years. J. Eukaryot. Microbiol., 55(6): 467–475. https://doi.org/10.1111/j.1550-7408.2008.00345.x.

Tenter, A.M., Heckeroth, A.R. & Weiss, L.M. (2000). Toxoplasma gondii: from animals to humans. Int. J. Parasitol., 30(12-13): 1217–1258. https://doi.org/10.1016/s0020-7519(00)00124-7.

Pappas, G., Roussos, N. & Falagas, M.E. (2009). Toxoplasmosis snapshots: Global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis. Int. J. Parasitol., 39(12): 1385–1394. https://doi.org/10.1016/j.ijpara.2009.04.003.

Tonkal, A.M. (2008). PCR versus ELISA in diagnosis of human toxoplasmosis in Jeddah, Saudi Arabia. J. Egypt. Soc. Parasitol., 38(3): 707–714.

Al-Mohammad, H.I., Amin, T.T., Balaha, M.H. & Al-Moghannum, M.S. (2010). Toxoplasmosis among the pregnant women attending a Saudi maternity hospital: seroprevalence and possible risk factors. Ann. Trop. Med. Parasitol., 104(6): 493–504. https://doi.org/10.1179/136485910X12786389891443.

Al-Qurashi, A.R., Ghandour, A.M., Obeid, O.E., Al-Mulhim, A. & Makki, S.M. (2001). Seroepidemiological study of Toxoplasma gondii infection in the human population in the Eastern Region. Saudi Med. J., 22(1): 13–18.

Bin Dajem, S.M. & Almushait, M.A. (2012). Detection of Toxoplasma gondii DNA by PCR in blood samples collected from pregnant Saudi women from the Aseer region, Saudi Arabia. Ann. Saudi Med., 32(5): 507–512. https://doi.org/10.5144/0256-4947.2012.14.7.1200.

Almogren, A. (2011). Antenatal screening for Toxoplasma gondii infection at a tertiary care hospital in Riyadh, Saudi Arabia. Ann. Saudi Med., 31(6): 569–572. https://doi.org/10.4103/0256-4947.87090.

Al-Harthi, S.A., Jamjoom, M.B. & Ghazi, H.O. (2006). Seroprevalence of Toxoplasma gondii among pregnant women in Makkah, Saudi Arabia. Umm Al-Qura Univ. J. Sci. Med. Eng., 18(2): 217-227.

Li, S., Cui, L., Zhao, J., Dai, P., Zong, S., Zuo, W., Chen, C., Jin, H., Gao, H. & Liu, Q. (2011). Seroprevalence of Toxoplasma gondii infection in female sterility patients in China. J. Parasitol., 97(3): 529–530. https://doi.org/10.1645/GE-2680.1.

Noorbakhsh, S., Farhadi, M., Tabatabaei, A., Mohamadi, S. & Jomeh, E. (2008). Infection in childhood sensory hearing loss. Saudi Med. J., 29(10): 1470–1474.

Alvarado-Esquivel, C., Liesenfeld, O., Torres-Castorena, A., Estrada-Martínez, S., Urbina-Alvarez, J.D., Ramos-de la Rocha, M., Márquez-Conde, J.A. & Dubey, J.P. (2010). Seroepidemiology of Toxoplasma gondii infection in patients with vision and hearing impairments, cancer, HIV, or undergoing hemodialysis in Durango, Mexico. J. Parasitol., 96(3): 505–508. https://doi.org/10.1645/GE-2378.1.

Dvorakova-Hortova, K., Sidlova, A., Ded, L., Hladovcova, D., Vieweg, M., Weidner, W., Steger, K., Stopka, P. & Paradowska-Dogan, A. (2014). Toxoplasma gondii decreases the reproductive fitness in mice. PloS One, 9(6): e96770. https://doi.org/10.1371/journal.pone.0096770.

Shin, D.W., Cha, D.Y., Hua, Q.J., Cha, G.H. & Lee, Y.H. (2009). Seroprevalence of Toxoplasma gondii infection and characteristics of seropositive patients in general hospitals in Daejeon, Korea. Korean J. Parasitol., 47(2): 125–130. https://doi.org/10.3347/kjp.2009.47.2.125.

Elussein, E.A., Magid, Y.M., Omer, M.M. & Adam, I. (2008). Clinical patterns and major causes of infertility among Sudanese couples. Trop. Doct., 38(4): 243–244. https://doi.org/10.1258/td.2007.070125.

Igietseme, J.U., Omosun, Y., Partin, J., Goldstein, J., He, Q., Joseph, K., Ellerson, D., Ansari, U., Eko, F.O., Bandea, C., Zhong, G. & Black, C.M. (2013). Prevention of Chlamydia-induced infertility by inhibition of local caspase activity. J. Infect. Dis., 207(7): 1095–1104. https://doi.org/10.1093/infdis/jit009.

Zayed, A., Nabil, H., State, O. & Badawy, A. (2012). Subfertility in women with familial Mediterranean fever. J. Obstet. Gynaecol. Res., 38(10): 1240–1244. https://doi.org/10.1111/j.1447-0756.2012.01857.x.

Caserta, D., Bordi, G., Ciardo, F., Marci, R., La Rocca, C., Tait, S., Bergamasco, B., Stecca, L., Mantovani, A., Guerranti, C., Fanello, E.L., Perra, G., Borghini, F., Focardi, S.E. & Moscarini, M. (2013). The influence of endocrine disruptors in a selected population of infertile women. Gynecol. Endocrinol., 29(5): 444–447. https://doi.org/10.3109/09513590.2012.758702.

van Oostrum, N., De Sutter, P., Meys, J. & Verstraelen, H. (2013). Risks associated with bacterial vaginosis in infertility patients: a systematic review and meta-analysis. Hum. Reprod., 28(7): 1809–1815. https://doi.org/10.1093/humrep/det096.

Ebadi, P., Solhjoo, K., Bagheri, K. & Eftekhar, F. (2011). Seroprevalence of Toxoplasmosis in women with recurrent spontaneous abortion in comparison with normal delivery. Journal of Jahrom University of Medical Sciences, 9(1): 33–37. http://dx.doi.org/10.29252/jmj.9.1.33.

Fernandes, M.A., Batista, G.I., Carlos, J., Gomes, I.M., Azevedo, K.M., Setúbal, S., Oliveira, S.A., Velarde, L.G. & Cardoso, C.A. (2012). Toxoplasma gondii antibody profile in HIV-1-infected and uninfected pregnant women and the impact on congenital toxoplasmosis diagnosis in Rio de Janeiro, Brazil. Braz. J. Infect. Dis., 16(2): 170–174. https://doi.org/10.1016/S1413-8670(12)70300-8.

Flegr, J., Kodym, P. & Tolarová, V. (2000). Correlation of duration of latent Toxoplasma gondii infection with personality changes in women. Biol. Psychol., 53(1): 57–68. https://doi.org/10.1016/s0301-0511(00)00034-x.

Yolken, R.H. & Torrey, E.F. (2008). Are some cases of psychosis caused by microbial agents? A review of the evidence. Mol. Psychiatry, 13(5): 470–479. https://doi.org/10.1038/mp.2008.5.

Khademvatan, S., Khajeddin, N., Saki, J. & Izadi-Mazidi, S. (2013). Effect of toxoplasmosis on personality profiles of Iranian men and women. S. Afr. J. Sci., 109(1-2): 1–4.

Evardone, M., Alexander, G.M. & Morey, L.C. (2008). Hormones and borderline personality features. Pers. Individ. Differ., 44(1): 278–287. https://doi.org/10.1016/j.paid.2007.08.007.

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Published

2015-04-01

How to Cite

Zakai, H. A., & Bisharah, M. A. (2015). Is Toxoplasma gondii IgG seropositivity a predisposing factor for infertility?. Advances in BioScience, 6(2), 43–45. Retrieved from https://journals.sospublication.co.in/ab/article/view/184

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