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Toxoplasmosis: Targeting neurotransmitter systems in psychiatric disorders

  • Review Article
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Metabolic Brain Disease Aims and scope Submit manuscript

Abstract

The most common form of the disease caused by Toxoplasma gondii (T. gondii) is latent toxoplasmosis due to the formation of tissue cysts in various organs, such as the brain. Latent toxoplasmosis is probably a risk factor in the development of some neuropsychiatric disorders. Behavioral changes after infection are caused by the host immune response, manipulation by the parasite, central nervous system (CNS) inflammation, as well as changes in hormonal and neuromodulator relationships. The present review focused on the exact mechanisms of T. gondii effect on the alteration of behavior and neurotransmitter levels, their catabolites and metabolites, as well as the interaction between immune responses and this parasite in the etiopathogenesis of psychiatric disorders. The dysfunction of neurotransmitters in the neural transmission is associated with several neuropsychiatric disorders. However, further intensive studies are required to determine the effect of this parasite on altering the level of neurotransmitters and the role of neurotransmitters in the etiology of host behavioral changes.

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Abbreviations

CNS:

Central nervous system

DALYs:

Disability-adjusted life years

HIV:

Human immunodeficiency virus

T. gondii :

Toxoplasma gondii

IgG:

Immunoglobulin G

MDD:

Major depression disorder

SZ:

Schizophrenia

BD:

Bipolar disorder

OCD:

Obsessive–compulsive disorder

AD:

Alzheimer's disease

PD:

Parkinson’s disease

ADHD:

Attention-deficit hyperactivity disorder

TH:

Tyrosine hydroxylase

D2R:

Dopamine receptor D2

TNF:

Tumor necrosis factor

NF-κB:

Nuclear factor kappa light-chain enhancer of activated B cells

IL-1β:

Interleukin 1 beta

GABA:

Gamma-aminobutyric acid

NO:

Nitric oxide

DR:

Dopamine receptors

AAH:

Aromatic acid hydroxylase genes

IFN-γ:

Interferon-gamma

NK:

Natural killer

GTP-CH1:

Guanosine triphosphate cyclohydrolase 1

BH4:

Tetrahydrobiopterin

DCs:

Dendritic cells

TLR:

Toll-like receptor

IDO:

Indoleamine 2,3-dioxygenase

KA:

Kynurenic acid

QA:

Quinolinic acid

NMDA:

N-methyl-D-aspartate

MAPK:

Mitogen-activated protein kinases

MAOA:

Monoamine oxidase A

MeHg:

Methylmercury

Th:

T helper

EAATs:

Excitatory amino acid transporters

GAD67:

Glutamic acid decarboxylase 67

CCL5:

CC chemokine ligand 5

CXCL9:

CXC chemokine ligand 9

CXCL10:

CXC chemokine ligand 10

WFS1:

Wolfram syndrome 1

MePD:

Poster-dorsal medial amygdala

AVP:

Arginine vasopressin

eNOS:

endothelial nitric oxide synthase

nNOS:

Neuronal nitric oxide synthase

iNOS:

Inducible nitric oxide synthase

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Acknowledgements

This work is the approved plan (No. 7378) from the Student Research Committee of Mazandaran University of Medical Sciences, Sari, Iran.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Correspondence to Ahmad Daryani.

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Ethical approval

The code of ethics of this plan is (IR. MAZUMS.REC.1399.386).

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The authors declare that they have no conflict of interest.

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Nayeri, T., Sarvi, S. & Daryani, A. Toxoplasmosis: Targeting neurotransmitter systems in psychiatric disorders. Metab Brain Dis 37, 123–146 (2022). https://doi.org/10.1007/s11011-021-00824-2

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  • DOI: https://doi.org/10.1007/s11011-021-00824-2

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