In rodents, T. gondiialters behavior in ways that increase the rodents' chances of being preyed upon by felids.[7][8][9] Support for this "manipulation hypothesis" stems from studies showing that T. gondii-infected rats have a decreased aversion to cat urine while infection in mice lowers general anxiety, increases explorative behaviors and increases a loss of aversion to predators in general.[7][10] Because cats are one of the only hosts within which T. gondii can sexually reproduce, such behavioral manipulations are thought to be evolutionary adaptations that increase the parasite's reproductive success since rodents that do not avoid cat habitations will more likely become cat prey.[7] The primary mechanisms of T. gondii–induced behavioral changes in rodents occur through epigenetic remodeling in neurons that govern the relevant behaviors (e.g. hypomethylation of arginine vasopressin-related genes in the medial amygdala, which greatly decrease predator aversion).[11][12]
In humans, particularly infants and those with weakened immunity, T. gondii infection is generally asymptomatic but may lead to a serious case of toxoplasmosis.[13][4]T. gondii can initially cause mild, flu-like symptoms in the first few weeks following exposure, but otherwise, healthy human adults are asymptomatic.[14][13][4] This asymptomatic state of infection is referred to as a latent infection, and it has been associated with numerous subtle behavioral, psychiatric, and personality alterations in humans.[14][15][16] Behavioral changes observed between infected and non-infected humans include a decreased aversion to cat urine (but with divergent trajectories by gender) and an increased risk of schizophrenia.[17] Preliminary evidence has suggested that T. gondii infection may induce some of the same alterations in the human brain as those observed in rodents.[18][19][9][20][21][22] Many of these associations have been strongly debated and newer studies have found them to be weak, concluding:[23]
On the whole, there was little evidence that T.gondii was related to increased risk of psychiatric disorder, poor impulse control, personality aberrations, or neurocognitive impairment.
However, there is evidence that T. Gondii may cause suicidal ideation and suicide in humans.[24]
T. gondii is one of the most common parasites in developed countries;[25][26]serological studies estimate that up to 50% of the global population has been exposed to, and may be chronically infected with, T. gondii; although infection rates differ significantly from country to country.[14][27] Estimates have shown the highest IgG seroprevalence to be in Ethiopia, at 64.2%, as of 2018.[28]
^Nicolle, C.; Manceaux, L. (1909). "Sur un Protozoaire nouveau du Gondi". Comptes Rendus Hebdomadaires des Séances de l'Académie des Sciences (in French). 148 (1): 369–72.
^ abcDubey, J. P. (2010). "General Biology". Toxoplasmosis of Animals and Humans (2nd ed.). Boca Raton / London / New York: Taylor and Francis Group. pp. 1–20. ISBN9781420092370. Retrieved 1 February 2019.
^ abcFlegr, J.; Prandota, J.; Sovičková, M.; Israili, Z. H. (March 2014). "Toxoplasmosis – a global threat. Correlation of latent toxoplasmosis with specific disease burden in a set of 88 countries". PLOS ONE. 9 (3): e90203. Bibcode:2014PLoSO...990203F. doi:10.1371/journal.pone.0090203. PMC3963851. PMID24662942. Toxoplasmosis is becoming a global health hazard as it infects 30–50% of the world human population. Clinically, the life-long presence of the parasite in tissues of a majority of infected individuals is usually considered asymptomatic. However, a number of studies show that this 'asymptomatic infection' may also lead to development of other human pathologies. ... The seroprevalence of toxoplasmosis correlated with various disease burden. Statistical associations does not necessarily mean causality. The precautionary principle suggests, however, that possible role of toxoplasmosis as a triggering factor responsible for development of several clinical entities deserves much more attention and financial support both in everyday medical practice and future clinical research.
^Cook, T. B.; Brenner, L. A.; Cloninger, C. R.; Langenberg, P.; Igbide, A.; Giegling, I.; Hartmann, A. M.; Konte, B.; Friedl, M.; Brundin, L.; Groer, M. W.; Can, A.; Rujescu, D.; Postolache, T. T. (January 2015). ""Latent" infection with Toxoplasma gondii: association with trait aggression and impulsivity in healthy adults". Journal of Psychiatric Research. 60: 87–94. doi:10.1016/j.jpsychires.2014.09.019. PMID25306262.
^de Barros, J. L.; Barbosa, I. G.; Salem, H.; Rocha, N. P.; Kummer, A.; Okusaga, O. O.; Soares, J. C.; Teixeira; A. L. (February 2017). "Is there any association between Toxoplasma gondii infection and bipolar disorder? A systematic review and meta-analysis". Journal of Affective Disorders. 209: 59–65. doi:10.1016/j.jad.2016.11.016. PMID27889597.
^Pappas, G.; Roussos, N.; Falagas, M. E. (October 2009). "Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis". International Journal for Parasitology. 39 (12): 1385–94. doi:10.1016/j.ijpara.2009.04.003. PMID19433092.