Latent toxoplasmosis reduces gray matter density in schizophrenia but not in controls: voxel-based-morphometry (VBM) study

World J Biol Psychiatry. 2012 Oct;13(7):501-9. doi: 10.3109/15622975.2011.573809. Epub 2011 May 23.

Abstract

Objectives: To address the role of latent T. gondii infection in schizophrenia we studied the influence of latent toxoplasmosis on brain morphology.

Methods: An optimized voxel-based morphometry of magnetic resonance imaging was analyzed by analysis of variance with diagnosis and seropositivity as factors in 44 schizophrenic patients (12 T. gondii positive) and 56 controls (13 T. gondii positive).

Results: Grey matter (GM) volume was reduced in schizophrenia patients compared with controls in the cortical regions, hippocampus and in the caudate. In the schizophrenia sample we found a significant reduction of GM volume in T. gondii positive comparing with T. gondii-negative patients bilaterally in the caudate, median cingulate, thalamus and occipital cortex and in the left cerebellar hemispheres. T. gondii-positive and -negative controls did not differ in any cluster. Among participants seropositive to T. gondii the reduction of GM in the schizophrenia subjects was located in the same regions when comparing the entire sample (11,660 over-threshold voxels (P ≤ 0.05, FWR corrected). The differences between T. gondii-negative patients and controls consisted only of 289 voxels in temporal regions.

Conclusions: Our study is the first to document that latent toxoplasmosis reduces GM in schizophrenia but not in controls.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Brain / microbiology*
  • Brain / pathology*
  • Brain Mapping / methods
  • Cerebral Cortex / microbiology
  • Cerebral Cortex / pathology
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Hippocampus / microbiology
  • Hippocampus / pathology
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Magnetic Resonance Imaging / methods
  • Male
  • Schizophrenia / complications
  • Schizophrenia / microbiology*
  • Schizophrenia / pathology*
  • Temporal Lobe / microbiology
  • Temporal Lobe / pathology
  • Thalamus / microbiology
  • Thalamus / pathology
  • Toxoplasmosis, Cerebral / complications
  • Toxoplasmosis, Cerebral / microbiology*
  • Toxoplasmosis, Cerebral / pathology*