Evidence map›Paper›PMID 37939652›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2024

Toxoplasma gondii IgG Serointensity Is Positively Associated With Frailty.

Hira Mohyuddin, Blanca Laffon, João P Teixeira, Solange Costa, Armanda Teixeira-Gomes, Eduardo Pásaro, Niel Constantine, Aline Dagdag, Heidi K Ortmeyer, Boris Tizenberg and 17 more

Open access · hybridAbstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Associations of common infections with frailty and mortality in two UK cohort studies.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  3. Article
  4. Article
  5. Beyond Latency: ChronicBiomedicines · 2025
    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

27 authors at 7 institutions in 4 countries.

Hira MohyuddinDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Blanca LaffonUniversidade da Coruña, Grupo DICOMOSA, CICA-Centro Interdisciplinar de Química e Bioloxía, Departamento de Psicología, Facultad de Ciencias de la Educación, Campus Elviña s/n, A Coruña, Spain.ORCID 0000-0001-7649-2599
João P TeixeiraEnvironment Health Department, National Institute of Health Dr Ricardo Jorge, Porto, Portugal.
Solange CostaEnvironment Health Department, National Institute of Health Dr Ricardo Jorge, Porto, Portugal.
Armanda Teixeira-GomesEPIUnit - Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
Eduardo PásaroUniversidade da Coruña, Grupo DICOMOSA, CICA-Centro Interdisciplinar de Química e Bioloxía, Departamento de Psicología, Facultad de Ciencias de la Educación, Campus Elviña s/n, A Coruña, Spain.
Niel ConstantineInstitute of Human Virology and Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Aline DagdagDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Heidi K OrtmeyerBaltimore VA Medical Center, Baltimore, Maryland, USA.
Boris TizenbergDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Liubov AframDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Poyu YenDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Christopher MaranoDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Christopher A LowryDepartment of Integrative Physiology, Department of Psychology and Neuroscience, Center for Neuroscience, and Center for Microbial Exploration, University of Colorado Boulder, Boulder, Colorado, USA.
Andrew J HoisingtonVA Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC), Aurora, Colorado, USA.
Jill A RachBeiselDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Vanessa ValdiglesiasInstituto de Investigación Biomédica de A Coruña (INIBIC), Oza, A Coruña, Spain.ORCID 0000-0002-5572-1089
Carlota Lema-ArranzUniversidade da Coruña, Grupo DICOMOSA, CICA-Centro Interdisciplinar de Química e Bioloxía, Departamento de Psicología, Facultad de Ciencias de la Educación, Campus Elviña s/n, A Coruña, Spain.
Natalia Fernández-BertólezInstituto de Investigación Biomédica de A Coruña (INIBIC), Oza, A Coruña, Spain.
Ana MasedaUniversidade da Coruña, Gerontology and Geriatrics Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Servizo Galego de Saúde (SERGAS), A Coruña, Spain.ORCID 0000-0002-6693-539X
José C Millán-CalentiUniversidade da Coruña, Gerontology and Geriatrics Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Servizo Galego de Saúde (SERGAS), A Coruña, Spain.
Elizabeth J KovacsVA Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC), Aurora, Colorado, USA.
Johanna M GostnerInstitute of Medical Biochemistry, Biocenter, Innsbruck Medical University, Innsbruck, Austria.
Dietmar FuchsInstitute of Biological Chemistry, Biocenter, Innsbruck Medical University, Innsbruck, Austria.ORCID 0000-0003-1627-9563
Lisa A BrennerVA Rocky Mountain Mental Illness Research Education and Clinical Center (MIRECC), Aurora, Colorado, USA.
Laura Lorenzo-LópezUniversidade da Coruña, Gerontology and Geriatrics Research Group, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Servizo Galego de Saúde (SERGAS), A Coruña, Spain.ORCID 0000-0003-4870-6515
Teodor T PostolacheDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
University of Maryland, Baltimore · USUniversidade da Coruña · ESMental Illness Research, Education and Clinical Centers · USInnsbruck Medical University · ATNational Institute of Health Dr. Ricardo Jorge · PTUniversidade do Porto · PTUniversity of Colorado Boulder · US

Funding

Aging, macrophage mediators, and burn trauma: SupplementR01AG018859 · NIA · UNIVERSITY OF COLORADO DENVER · PI KOVACS, ELIZABETH J. · 2001 to 2024
$7.6M
Toxoplasma gondi, the kynurenine pathway, and suicidal behavior in veteransI01CX001310 · VA · BALTIMORE VA MEDICAL CENTER · PI POSTOLACHE, TEODOR T · 2016 to 2020
–
CSRD VA I01 CX001310NIA NIH HHS NIA R01 AG018859NIA NIH HHS R01 AG018859NIH HHS
6 · The paper itself

Abstract

backgroundPersistent inflammation related to aging ("inflammaging") is exacerbated by chronic infections and contributes to frailty in older adults. We hypothesized associations between Toxoplasma gondii (T. gondii), a common parasite causing an oligosymptomatic unremitting infection, and frailty, and secondarily between T. gondii and previously reported markers of immune activation in frailty.

methodsWe analyzed available demographic, social, and clinical data in Spanish and Portuguese older adults [N = 601; age: mean (SD) 77.3 (8.0); 61% women]. Plasma T. gondii immunoglobulin G (IgG) serointensity was measured with an enzyme-linked immunosorbent assay. The Fried criteria were used to define frailty status. Validated translations of Mini-Mental State Examination, Geriatric Depression Scale, and the Charlson Comorbidity Index were used to evaluate confounders. Previously analyzed biomarkers that were significantly associated with frailty in both prior reports and the current study, and also related to T. gondii serointensity, were further accounted for in multivariable logistic models with frailty as outcome.

resultsIn T. gondii-seropositives, there was a significant positive association between T. gondii IgG serointensity and frailty, accounting for age (p = .0002), and resisting adjustment for multiple successive confounders. Among biomarkers linked with frailty, kynurenine/tryptophan and soluble tumor necrosis factor receptor II were positively associated with T. gondii serointensity in seropositives (p < .05). Associations with other biomarkers were not significant.

conclusionsThis first reported association between T. gondii and frailty is limited by a cross-sectional design and warrants replication. While certain biomarkers of inflammaging were associated with both T. gondii IgG serointensity and frailty, they did not fully mediate the T. gondii-frailty association.

Indexed as

FrailtyToxoplasmaToxoplasmosisAgedAntibodies, ProtozoanBiomarkersCross-Sectional StudiesFemaleHumansImmunoglobulin GImmunoglobulin MMaleRisk FactorsAntibodies, ProtozoanBiomarkersImmunoglobulin GImmunoglobulin MChronic toxoplasmosisInflammagingKynurenine to tryptophan ratiosTNF-RII

Identifiers

PMID37939652
PMCPMC10851338
OpenAlexW4388482781

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.