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Prevalence and Associated Risk Factors of Toxoplasma gondii IgG Antibodies in Patients Diagnosed with Depression from Western Romania: A Case–Control Study

Published online by Cambridge University Press:  26 August 2025

A. G. Mihu
Affiliation:
Department of Biology and Life Sciences “Aurel Ardelean” Institute of Life Sciences, “Vasile Goldis” Western University, Arad
S. Grada*
Affiliation:
Department of Biology and Life Sciences
L. E. Piros
Affiliation:
Department of Biology and Life Sciences
S. A. Sprintar
Affiliation:
“Aurel Ardelean” Institute of Life Sciences, “Vasile Goldis” Western University, Arad
A. M. Lupu
Affiliation:
Discipline of Parasitology, “Victor Babes” University of Medicine and Pharmacy
T. R. Olariu
Affiliation:
Discipline of Parasitology, “Victor Babes” University of Medicine and Pharmacy Clinical Laboratory, Municipal Clinical Emergency Teaching Hospital, Timisoara, Romania
*
*Corresponding author.

Abstract

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Introduction

Chronic toxoplasmosis has been reported to cause neuroinflammation in humans, linking it to neuropsychiatric disorders, including depression.

Objectives

To assess the prevalence of Toxoplasma gondii IgG antibodies in patients diagnosed with depression from Western Romania and compare the findings with a control group of healthy volunteers from the general population without any psychiatric disorders.

Methods

We included 230 participants, consisting of 115 psychiatric patients diagnosed with depression at the Psychiatric Clinic, County Emergency Hospital of Arad, Western Romania. These patients were matched by age and gender with a healthy control group of 115 volunteers. Clinical evaluations, a brief questionnaire to assess the risk factors, and laboratory tests were conducted, including serological testing for the presence of Toxoplasma gondii IgG antibodies.

Results

In both the study group and the control group the mean age was 52.96 ± 10.29 years and 72/115 (62.61 %) were female. A significantly higher seroprevalence of Toxoplasma gondii IgG antibodies was demonstrated in patients with depression when compared to healthy volunteers (p value <0.001). We noted a higher prevalence of Toxoplasma gondii IgG antibodies in depressive patients aged between 50-59 years (p value = 0.008) and 60-69 years (p value = 0.03) when compared to their counterparts from the control group. Females diagnosed with depression presented a significantly higher seroprevalence of Toxoplasma gondii IgG antibodies (p value <0.001) when compared to healthy female volunteers. No difference between the two groups was noted when we assessed the participants educational level, contact with the soil, consumption of undercooked meat and contact with cat feces.

Conclusions

The presence of Toxoplasma gondii IgG antibodies was significantly higher in depressive patients attending the Psychiatric Clinic in Arad County, Western Romania, when compared to healthy controls. Our findings suggest a potential link between chronic Toxoplasma gondii infection and depression.

Disclosure of Interest

None Declared

Information

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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