Hostname: page-component-7bb8b95d7b-wpx69 Total loading time: 0 Render date: 2024-09-26T13:21:03.422Z Has data issue: false hasContentIssue false

Infections et troubles bipolaires : l’exemple de la toxoplasmose

Published online by Cambridge University Press:  16 April 2020

N. Hamdani*
Affiliation:
Inserm U955, GH Chenevier-Mondor, AP–HP, 94000Créteil, France

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The implication of infectious events in the development of major psychosis has recently gained increasing attention (see for review [2]). Rubella, herpes simplex virus (HSV), cytomegalovirus (CMV), Toxoplasma gondii (T. gondii), and other infections have been shown to be potent disrupters of fetal neurodevelopment leading to abnormalities of brain and behavior, including psychiatric disorders. In this context, the most studied link between a pathogen and psychiatric disorders concerns the association between T. gondii and schizophrenia [4]. T. gondii is an intracellular protozoan parasite which infects around one-third of the human population and resides encysted in the brain of immunocompetent hosts. However, the relationship between T. gondii infection and bipolar disorders is less documented due to paucity of information. The contextual link between toxoplasma infection and psychiatric disorders can be summarized as follows: (i) proven T. gondii's neurotropism and its impact on dopamine pathway [3], (ii) shared epidemiological characteristics between toxoplasma exposure and psychiatric disorders such as urban living, (iii) anti-parasite effect of antipsychotic drugs, (iv) parallel increase in T. gondii infection and incidence of psychosis in various populations [1], (v) a significantly high levels of antibodies to T. gondii in maternal sera whose offspring(s) subsequently develop psychiatric disorders later in life [5].

Type
Session thématique: Le DSM-5 – les principales nouveautés
Copyright
Copyright © European Psychiatric Association 2013

References

Arias, I.Sorlozano, A.Villegas, E.de Dios Luna, J.McKenney, K.Cervilla, J., et al.Infectious agents associated with schizophrenia: a meta-analysis. Schizophr Res 1361–32012 12813610.1016/j.schres.2011.10.026CrossRefGoogle ScholarPubMed
Brown, A.S.Derkits, E.J.Prenatal infection and schizophrenia: a review of epidemiologic and translational studies. Am J Psychiatry 16732010 26128010.1176/appi.ajp.2009.09030361CrossRefGoogle ScholarPubMed
Prandovszky, E.Gaskell, E.Martin, H.Dubey, J.P.Webster, J.P.McConkey, G.A.The neurotropic parasite Toxoplasma gondii increases dopamine metabolism. PLoS One 692011 e2386610.1371/journal.pone.0023866CrossRefGoogle ScholarPubMed
Torrey, E.F.Yolken, R.H.The schizophrenia-rheumatoid arthritis connection: infectious, immune, or both? Brain Behav Immun 1542001 40141010.1006/brbi.2001.0649CrossRefGoogle ScholarPubMed
Torrey, E.F.Yolken, R.H.Toxoplasma gondii and schizophrenia. Emerg Infect Dis 9112003 1375138010.3201/eid0911.030143CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.