:: Volume 7, Issue 3 (Military Caring Sciences 2020) ::
MCS 2020, 7(3): 252-260 Back to browse issues page
The Seroprevalence of Toxoplasma Gondii in Patients with Type 2 Diabetes Mellitus: A Case-Control Study in Southwest Iran
Shahrzad Soltani1 , Sanaz Tavakoli2 , Mohammad Barati3 , Marzieh Pashmforosh4 , Masoud Foroutan *2
1- Ph.D. in Medical Parasitology, Assistant Professor, Abadan Faculty of Medical Sciences, Abadan, Iran.
2- Ph.D. Student of Medical Parasitology, Parasitology and Mycology Department, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
3- Ph.D. in Medical Parasitology, Assistant Professor, Infectious Diseases Research Center, Aja University of Medical Sciences, Tehran, Iran.
4- Ph.D. in Pharmacology, Assistant Professor, Behbahan Faculty of Medical Sciences, Behbahan, Iran.
Abstract:   (5511 Views)
Introduction: Toxoplasma gondii is an obligate intracellular parasite, which causes toxoplasmosis in humans and many warm-blooded vertebrates.
Objective: The present study aimed to determine the prevalence of T. gondii in patients with type 2 diabetes mellitus (T2DM) and control individuals in the southwest of Iran.
Materials and Methods: In this case-control study, 80 patients with T2DM and 100 healthy individuals referred to Taleghani hospital in Abadan city during the winter season. Anti-T. gondii IgG antibody was measured in sera of participants using enzyme-linked immunosorbent assay (ELISA). A questionnaire containing some demographic information and risk factors related to T. gondii infection was completed by each participant. Results were analyzed using SPSS software 20. P <0.05 were considered as statistically significant.
Results: About 72.5% of patients with T2DM and 29% of healthy subjects were found to be positive for IgG antibody. The difference was statistically significant (P<0.001). Among the risk factors, contact with cats in both cases (P<0.001) and control groups (P=0.045) and source of drinking water in the control group (P=0.048) were significantly associated with T. gondii infection. No significant association was observed between age, gender, place of residence, educational level and consuming raw or undercooked meat with T. gondii (P>0.05).
Discussion and Conclusion: Considering the high prevalence of T. gondii in patients with T2DM compared to healthy individuals, more attention should be paid to this high-risk group. It is suggested that these patients routinely be tested for this parasite.
 
Keywords: Abadan, Diabetes, ELISA, Iran, Prevalence, Toxoplasma gondii.
Full-Text [PDF 377 kb]   (1406 Downloads)    
Type of Study: Research | Subject: Special
Received: 2020/07/5 | Revised: 2021/06/1 | Accepted: 2020/08/23 | Published: 2020/12/30
References
1. Dubey JP. The history of Toxoplasma gondii--the first 100 years. J Eukaryot Microbiol. 2008;55(6):467-75. [DOI]
2. Foroutan M, Fakhri Y, Riahi SM, Ebrahimpour S, Namroodi S, Taghipour A, et al. The global seroprevalence of Toxoplasma gondii in pigs: A systematic review and meta-analysis. Vet Parasitol. 2019;269:42-52. [DOI] [PubMed]
3. Foroutan M, Dalvand S, Daryani A, Ahmadpour E, Majidiani H, Khademvatan S, et al. Rolling up the pieces of a puzzle: A systematic review and meta-analysis of the prevalence of toxoplasmosis in Iran. Alexandria J Med. 2019;54(3):189-96. [DOI]
4. Rostami A, Riahi SM, Contopoulos-Ioannidis DG, Gamble HR, Fakhri Y, Shiadeh MN, et al. Acute Toxoplasma infection in pregnant women worldwide: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2019;13(10):e0007807. DOI: 10.1371/journal.pntd.0007807 PMID: 31609966 [DOI]
5. Foroutan-Rad M, Majidiani H, Dalvand S, Daryani A, Kooti W, Saki J, et al. Toxoplasmosis in Blood Donors: A Systematic Review and Meta-Analysis. Transfus Med Rev. 2016;30(3):116-22. DOI: 10.1016/j.tmrv.2016.03.002 PMID: 27145927
6. Rostami A, Riahi SM, Gamble HR, Fakhri Y, Nourollahpour Shiadeh M, Danesh M, et al. Global prevalence of latent toxoplasmosis in pregnant women: a systematic review and meta-analysis. Clin Microbiol Infect. 2020;26(6):673-83. DOI: 10.1016/j.cmi.2020.01.008 PMID: 31972316
7. Wang Z, Liu H, Ma Z, Ma H, Li Z, Yang Z, et al. Toxoplasma gondii Infection in Immunocompromised Patients: A Systematic Review and Meta-Analysis. Frontiers in Microb. 2017;8. DOI: 10.3389/fmicb.2017.00389
8. Daryani A, Sarvi S, Aarabi M, Mizani A, Ahmadpour E, Shokri A, et al. Seroprevalence of Toxoplasma gondii in the Iranian general population: a systematic review and meta-analysis. Acta Trop. 2014;137:185-94. DOI: 10.1016/j.actatropica.2014.05.015 PMID: 24887263
9. Saki J, Tavakoli S, Pedram M. Seroprevalence and molecular evaluation of toxoplasmosis in children with cancer in Khuzestan province, Southwest of Iran. J Parasit Dis. 2017;41(4):947-51. DOI: 10.1007/s12639-017-0916-4 PMID: 29114124
10. Abdoli A, Barati M, Pirestani M, Dalimi A. Screening of toxoplasmosis in cancer patients: a concern. Trop Doct. 2019;49(1):31-4. DOI: 10.1177/0049475518801618 PMID: 30270766
11. Abdoli A, Barati M, Dalimi A, Pirestani M, Hoseini Shokouh S. Toxoplasmosis Among Patients with Immunocompromising Conditions: A Snapshot. J Archives in Military Med. 2016;4(4). DOI: 10.5812/jamm.41832
12. Saki J, Shafieenia S, Foroutan-Rad M. Seroprevalence of toxoplasmosis in diabetic pregnant women in southwestern of Iran. J Parasit Dis. 2016;40(4):1586-9. DOI: 10.1007/s12639-015-0735-4 PMID: 27876989
13. Majidiani H, Dalvand S, Daryani A, Galvan-Ramirez ML, Foroutan-Rad M. Is chronic toxoplasmosis a risk factor for diabetes mellitus? A systematic review and meta-analysis of case-control studies. Braz J Infect Dis. 2016;20(6):605-9. DOI: 10.1016/j.bjid.2016.09.002 PMID: 27768900
14. Sullivan WJ, Jr., Jeffers V. Mechanisms of Toxoplasma gondii persistence and latency. FEMS Microbiol Rev. 2012;36(3):717-33. DOI: 10.1111/j.1574-6976.2011.00305.x PMID: 22091606
15. Prandota J. T. gondii Infection Acquired during Pregnancy and/or after Birth may be Responsible for Development of both Type 1 and 2 Diabetes Mellitus. J Diabetes & Metabolism. 2013;04(02). DOI: 10.4172/2155-6156.1000241
16. Shapira Y, Agmon-Levin N, Selmi C, Petrikova J, Barzilai O, Ram M, et al. Prevalence of anti-Toxoplasma antibodies in patients with autoimmune diseases. J Autoimmun. 2012;39(1-2):112-6. DOI: 10.1016/j.jaut.2012.01.001 PMID: 22297145
17. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047-53. DOI: 10.2337/diacare.27.5.1047 PMID: 15111519
18. Molan A, Nosaka K, Hunter M, Zhang J, Meng X, Song M, et al. First Age- and Gender-Matched Case-Control Study in Australia Examining the Possible Association between Toxoplasma gondii Infection and Type 2 Diabetes Mellitus: The Busselton Health Study. J Parasitol Res. 2020;2020:3142918. DOI: 10.1155/2020/3142918 PMID: 32257421
19. Jafari Modrek M, Saravani R, Mousavi M, Salimi Khorashad A, Piri M. Investigation of IgG and IgM Antibodies Against Toxoplasma gondii Among Diabetic Patients. International J Infec. 2015;2(3). DOI: 10.17795/iji27595
20. Canivell S, Gomis R. Diagnosis and classification of autoimmune diabetes mellitus. Autoimmun Rev. 2014;13(4-5):403-7. DOI: 10.1016/j.autrev.2014.01.020 PMID: 24424179
21. Pickup JC. Inflammation and activated innate immunity in the pathogenesis of type 2 diabetes. Diabetes Care. 2004;27(3):813-23. DOI: 10.2337/diacare.27.3.813 PMID: 14988310
22. Li YX, Xin H, Zhang XY, Wei CY, Duan YH, Wang HF, et al. Toxoplasma gondii Infection in Diabetes Mellitus Patients in China: Seroprevalence, Risk Factors, and Case-Control Studies. Biomed Res Int. 2018;2018:4723739. DOI: 10.1155/2018/4723739 PMID: 30662909
23. Khalili M, Mahami-Oskouei M, Shahbazi A, Safaiyan A, Mohammadzadeh-Gheshlaghi N, Mahami-Oskouei L. The Correlation between Serum Levels of Anti-Toxoplasma gondii Antibodies and the Risk of Diabetes. Iran J Parasitol. 2018;13(4):637-42. PMID: 30697319
24. Han Y, Nie L, Ye X, Zhou Z, Huang S, Zeng C, et al. The association between Toxoplasma gondii infection and hypertensive disorders in T2DM patients: a case-control study in the Han Chinese population. Parasitol Res. 2018;117(3):689-95. DOI: 10.1007/s00436-017-5737-y PMID: 29349623
25. Alvarado-Esquivel C, Loera-Moncivais N, Hernandez-Tinoco J, Sanchez-Anguiano LF, Hernandez-Madrid G, Rabago-Sanchez E, et al. Lack of Association Between Toxoplasma gondii Infection and Diabetes Mellitus: A Matched Case-Control Study in a Mexican Population. J Clin Med Res. 2017;9(6):508-11. DOI: 10.14740/jocmr3029w PMID: 28496551
26. Shirbazou S, Delpisheh A, Mokhetari R, Tavakoli G. Serologic Detection of Anti Toxoplasma gondii Infection in Diabetic Patients. Iran Red Crescent Med J. 2013;15(8):701-3. DOI: 10.5812/ircmj.5303 PMID: 24578838
27. Soltani S, Foroutan M, Hezarian M, Afshari H, Kahvaz MS. Cutaneous leishmaniasis: an epidemiological study in southwest of Iran. J Parasit Dis. 2019;43(2):190-7. DOI: 10.1007/s12639-018-1073-0 PMID: 31263323
28. Ozcelik S, Alim M, Ozpinar N. Detection of Toxoplasma gondii infection among diabetic patients in Turkey. Clinical Epidemiology & Global Health. 2020;8(3):899-902. DOI: 10.1016/j.cegh.2020.02.020
29. Shamsinia S, Dalimi A, Pirestani M. Is Toxoplasmosis a risk factor in diabetic patients in Tehran? . Infect Epidemiol Microbiol. 2019;5(3):49-59.
30. Khalil M, Baothman M, Alserhan F, Almunyif A, Alsharbe G, Samaren H, et al. Prevalence of Toxoplasma gondii infection in diabeticpatients in makkah AL mukarramah, Saudi arabia. Trop Biomed. 2018;35(2):464-71.
31. Gokce C, Yazar S, Bayram F, Gundogan K, Yaman O, Sahin I. Anti-Toxoplasma gondii antibodies in type 2 diabetes. Natl Med J India. 2008;21(1):51. PMID: 18472707
32. Siyadatpanah A, Tabatabaie F, Oormazdi H, Meamar A, Razmjou E, Hadighi R, et al. Comparison of anti-Toxoplasma IgG and IgM antibodies determined by ELISA method in diabetic and non-diabetic individuals in west Mazandaran province, Iran, 2011-2012. Ann Biol Res. 2013;4(6):281-5.
33. Rahimi MT, Daryani A, Sarvi S, Shokri A, Ahmadpour E, Teshnizi SH, et al. Cats and Toxoplasma gondii: A systematic review and meta-analysis in Iran. Onderstepoort J Vet Res. 2015;82(1):e1-e10. DOI: 10.4102/ojvr.v82i1.823 PMID: 26017063
34. Soltani S, Foroutan M, Afshari H, Hezarian M, Kahvaz MS. Seroepidemiological evaluation of Toxoplasma gondii immunity among the general population in southwest of Iran. J Parasit Dis. 2018;42(4):636-42. DOI: 10.1007/s12639-018-1047-2 PMID: 30538365
35. Foroutan-Rad M, Khademvatan S, Majidiani H, Aryamand S, Rahim F, Malehi AS. Seroprevalence of Toxoplasma gondii in the Iranian pregnant women: A systematic review and meta-analysis. Acta Trop. 2016;158:160-9. DOI: 10.1016/j.actatropica.2016.03.003 PMID: 26952970
36. Belluco S, Mancin M, Conficoni D, Simonato G, Pietrobelli M, Ricci A. Investigating the Determinants of Toxoplasma gondii Prevalence in Meat: A Systematic Review and Meta-Regression. PLoS One. 2016;11(4):e0153856. DOI: 10.1371/journal.pone.0153856 PMID: 27082633

Research code: 98114
Ethics code: IR.BHN.REC.1399.008



XML   Persian Abstract   Print



Rights and permissions

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 7, Issue 3 (Military Caring Sciences 2020) Back to browse issues page