CanToxoplasma gondiiPave the Road for Dementia?

Author:

El Saftawy Enas A.12,Amin Noha M.1,Sabry Rania M.3,El-Anwar Noha24,Shash Rania Y.5,Elsebaie Eman H.6,Wassef Rita M.7ORCID

Affiliation:

1. Medical Parasitology Department, Faculty of Medicine, Cairo University, Cairo, Egypt

2. Armed Forces College of Medicine, Cairo, Egypt

3. Pathology Department, Faculty of Medicine, Cairo University, Cairo, Egypt

4. Pathology Department, Faculty of Medicine, Tanta University, Egypt

5. Medical Microbiology and Immunology Department, Faculty of Medicine, Cairo University, Cairo, Egypt

6. Public Health and Community Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt

7. Medical Parasitology Department, Faculty of Medicine, Helwan University, Cairo, Egypt

Abstract

Dementia is an ominous neurological disease. Scientists proposed a link between its occurrence and the presence ofToxoplasma gondii(T. gondii). The long-term sequels of anti-Toxoplasmapremunition, chiefly dominated by TNF-α, on the neurons and their receptors as the insulin-like growth factor-1 receptor (IGF-1R), which is tangled in cognition and synaptic plasticity, are still not clear. IGF-1R mediates its action via IGF-1, and its depletion is incorporated in the pathogenesis of dementia. The activated TNF-αsignaling pathway induces NF-κβthat may induce or inhibit neurogenesis. This study speculates the potential impact of anti-Toxoplasmaimmune response on the expression of IGF-1R in chronic cerebral toxoplasmosis. The distributive pattern ofT. gondiicysts was studied in association with TNF-αserum levels, the in situ expression of NF-κβ, and IGF-1R in mice using the low virulent ME-49T. gondiistrain. There was an elevation of the TNF-αserum level (pvalue ≤ 0.004) and significant upsurge in NF-κβwhereas IGF-1R was of low abundance (pvalue < 0.05) compared to the controls. TNF-αhad a strong positive correlation with the intracerebral expression of NF-κβ(rvalue ≈ 0.943,pvalue ≈ 0.005) and a strong negative correlation to IGF-1R (rvalue -0.584 and -0.725 for area% and O.D., respectively). This activated TNF-α/NF-κβkeepsT. gondiiunder control at the expense of IGF-1R expression, depriving neurons of the effect of IGF-1, the receptor’s ligand. We therefore deduce thatT. gondiiimmunopathological reaction may be a road paver for developing dementia.

Publisher

Hindawi Limited

Subject

Infectious Diseases,Parasitology

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