Evidence map›Paper›PMID 31194852›Full record

SynthesisPloS one2019

Is there any association between Toxoplasma gondii infection and depression? A systematic review and meta-analysis.

Tooran Nayeri Chegeni, Mehdi Sharif, Shahabeddin Sarvi, Mahmood Moosazadeh, Mahbobeh Montazeri, Sargis A Aghayan, Nader Jafari Balalami, Shirzad Gholami, Zahra Hosseininejad, Reza Saberi and 3 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 6 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 6 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Pathogens and global health · 2020
    Pooled it
  6. Pooled it
  7. A review onParasite epidemiology and control · 2026
    Review
  8. From cats to cortex:Frontiers in psychiatry · 2026
    Review
  9. Review
  10. Life (Basel, Switzerland) · 2025
    Article
  11. Article
  12. Article
  13. Diseases Caused by and Behaviors Associated withPathogens (Basel, Switzerland) · 2024
    Review
  14. Review
  15. Review
  16. Association BetweenJournal of parasitology research · 2024
    Article
  17. Article
  18. Chronic infection by atypicalBrain, behavior, & immunity - health · 2023
    Article
  19. From the immune system to mood disorders especially induced byFrontiers in cellular and infection microbiology · 2023
    Review
  20. Therapeutic Implications of the Microbial Hypothesis of Mental Illness.Current topics in behavioral neurosciences · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Tooran Nayeri ChegeniToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Mehdi SharifToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Shahabeddin SarviToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Mahmood MoosazadehHealth Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran.
Mahbobeh MontazeriToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Sargis A AghayanLaboratory of Zoology, Research Institute of Biology, Yerevan State University, Yerevan, Armenia.
Nader Jafari BalalamiDepartment of Humanity and Social Science, Mazandaran University, Babolsar, Iran.
Shirzad GholamiToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.ORCID 0000-0003-2429-7702
Zahra HosseininejadToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Reza SaberiToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Davood AnvariToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Shaban GohardehiToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
Ahmad DaryaniToxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran.ORCID 0000-0001-8571-5803
Mazandaran University of Medical Sciences · IRUniversity of Mazandaran · IRYerevan State University · AM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxoplasma gondii (T. gondii) is an obligate intracellular opportunistic parasite that is the causative agent of toxoplasmosis. This parasite accounts for mental disorders; however, the relationship between T. gondii infection and depressive disorder is unclear. Regarding this, the present systematic review and meta-analysis was conducted to investigate the scientific evidence regarding the potential association between major depression disorder (MDD) and Toxoplasma infection.

methodsFor the purpose of the study, the articles related to the subject of interest were systematically searched in seven electronic databases. Special attention was given to the studies examining T. gondii seropositivity level in depressed patients and controls.

resultsThe search process resulted in the identification of a total of 30 publications meeting the inclusion criteria and published up to April 2018 for the systematic review. Furthermore, 29 studies met the inclusion criteria to be entered into meta-analysis. Our meta-analysis involved the review of cross-sectional studies including 1657 depressed patients and 19565 individuals as controls and case-control studies entailing 1311 depressed cases and 6015 controls without depression. 1582 depressed people participated in cross-sectional studies whose results were reported as odds ratio (OR). In addition, the total number of participants was 15068 in this type of studies. Statistical analysis indicated that the pooled OR of the risk of anti-T. gondii IgG antibody in depressed individuals in case-control and cross-sectional studies was 1.15 (95% confidence interval (CI): 0.95-1.39).

conclusionsAs the findings of the reviewed articles indicated, toxoplasmosis is not a risk factor for MDD. However, it is necessary to perform further research to clarify the detailed association between T. gondii and dysthymia or mild and moderate depression. Furthermore, it is recommended to better investigate the effect of antibody titers on the relationship between depression and T. gondii infection.

Indexed as

Antibodies, ProtozoanCase-Control StudiesCross-Sectional StudiesDepressive DisorderFemaleHumansMaleOdds RatioToxoplasmaToxoplasmosisAntibodies, Protozoan

Identifiers

PMID31194852
PMCPMC6564815
OpenAlexW2949224014

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.