Evidence map›Paper›PMID 33602170›Full record

ArticleBMC infectious diseases2021

Latent Toxoplasma gondii infections are associated with elevated biomarkers of inflammation and vascular injury.

Andrey I Egorov, Reagan R Converse, Shannon M Griffin, Jennifer N Styles, Elizabeth Sams, Edward Hudgens, Timothy J Wade

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Frontiers in psychiatry · 2026
    Article
  5. Beyond Latency: ChronicBiomedicines · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The Association ofMedical sciences (Basel, Switzerland) · 2023
    Article
  13. Life (Basel, Switzerland) · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Pre-existingFrontiers in molecular neuroscience · 2022
    Article
  18. Behavioral and Neuropathological Changes AfterFrontiers in cellular and infection microbiology · 2022
    Article
  19. The Association ofInternational journal of environmental research and public health · 2021
    Article
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

7 authors at 2 institutions in 1 country.

Andrey I EgorovUnited States Environmental Protection Agency, Office of Research and Development, EPA, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA. egorov.andrey@epa.gov.ORCID http://orcid.org/0000-0003-2870-124X
Reagan R ConverseUnited States Environmental Protection Agency, Office of Research and Development, EPA, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Shannon M GriffinUnited States Environmental Protection Agency, Office of Research and Development, Cincinnati, OH, USA.
Jennifer N StylesUnited States Environmental Protection Agency, Office of Research and Development, EPA, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Elizabeth SamsUnited States Environmental Protection Agency, Office of Research and Development, EPA, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Edward HudgensUnited States Environmental Protection Agency, Office of Research and Development, EPA, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Timothy J WadeUnited States Environmental Protection Agency, Office of Research and Development, EPA, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Environmental Protection Agency · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxoplasma gondii is a protozoan parasite that infects cats as definitive hosts and other warm-blooded animals including humans as intermediate hosts. It forms infectious cysts in the brain, muscle and other tissues establishing life-long latent infection. Approximately 10% of the US population is infected. While latent infections are largely asymptomatic, they are associated with neurological deficits and elevated risks of neuropsychiatric diseases.

methodsThis cross-sectional epidemiological study investigated associations of T. gondii infections with biomarkers of inflammation and vascular injury: soluble intercellular adhesion molecule 1 (ICAM-1), soluble vascular cell adhesion molecule 1 (VCAM-1), C-reactive protein (CRP), and serum amyloid A (SAA). Serum samples from 694 adults in the Raleigh-Durham-Chapel Hill, North Carolina metropolitan area were tested for IgG antibody response to T. gondii, and for the above biomarkers using commercially available assays.

resultsT. gondii seroprevalence rate in this sample was 9.7%. Seropositivity was significantly associated with 11% (95% confidence limits 4, 20%) greater median levels of VCAM-1 (p = 0.003), and marginally significantly with 9% (1, 17%), and 36% (1, 83%) greater median levels of ICAM-1, and CRP, respectively (p = 0.04 for each) after adjusting for sociodemographic and behavioral covariates, while the 23% (- 7, 64%) adjusted effect on SAA was not statistically significant (p = 0.15).

conclusionsLatent infections with T. gondii are associated with elevated biomarkers of chronic inflammation and vascular injury that are also known to be affected by ambient air pollution.

Indexed as

AdolescentAdultAgedAged, 80 and overAntibodies, ProtozoanBiomarkersCross-Sectional StudiesFemaleHumansImmunoglobulin GInflammationMaleMiddle AgedNorth CarolinaSeroepidemiologic StudiesToxoplasmaAntibodies, ProtozoanBiomarkersImmunoglobulin GBiomarkersSeroprevalenceToxoplasma gondiiVascular injury

Identifiers

PMID33602170
PMCPMC7890825
OpenAlexW3131082233

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.