Samojłowicz Dorota, Borowska-Solonynko Aleksandra, Kruczyk Marcin
Department of Forensic Medicine, Medical University of Warsaw, 02-007 Warsaw, 1 Oczki St., Poland.
Department of Forensic Medicine, Medical University of Warsaw, 02-007 Warsaw, 1 Oczki St., Poland.
Forensic Sci Int. 2017 Nov;280:49-54. doi: 10.1016/j.forsciint.2017.09.009. Epub 2017 Sep 18.
A number of world literature reports indicate that a latent Toxoplasma gondii infection leads to development of central nervous system disorders, which in turn may lead to altered behavior in the affected individuals. T. gondii infection has been observed to play the greatest role in drivers, suicides, and psychiatric patients. Studies conducted for this manuscript involve a different, never before really reported correlation between latent T. gondii infection and ethanol abuse. A total of 538 decedents with a known cause of death were included in the study. These individuals were divided into three groups: the risky behavior group, inconclusively risky behavior group, and control group. The criterion for this division was the likely effect of the individual's behavior on the mechanism and cause of his/her death. The material used for analyses were blood samples collected during routine medico-legal examinations in these cases. The blood samples were used to measure anti-T. gondii IgG antibodies with an enzyme-linked immunosorbent assay (ELISA). Moreover, the following data were recorded for each decedent: sex, age, circumstances of death, cause of death, time from death to autopsy, and (if provided) substance abuse status (alcohol, illicit drugs). In those cases where blood alcohol level or toxicology tests were requested by the Prosecutor's Office, their results were also included in our analysis. Test results demonstrated a strong correlation between latent T. gondii infection and engaging in risky behaviors leading to death. Moreover, analyses demonstrated a positive correlation between the presence of anti-T. gondii IgG antibodies and psychoactive substance (especially ethanol) abuse, however, the causal relationship remains unclear. Due to the fact that alcohol abuse constitutes a significant social problem, searching for eliminable risk factors for addiction is extremely important. Our analyses provided new important information on the possible effects of latent T. gondii infection in humans.
许多世界文献报告表明,潜伏性弓形虫感染会导致中枢神经系统疾病的发生,进而可能导致受感染个体的行为改变。据观察,弓形虫感染在司机、自杀者和精神病患者中所起的作用最大。为本手稿进行的研究涉及潜伏性弓形虫感染与乙醇滥用之间一种不同的、此前从未真正报道过的关联。该研究共纳入了538名已知死因的死者。这些个体被分为三组:危险行为组、不确定危险行为组和对照组。分组的标准是个体行为对其死亡机制和原因的可能影响。用于分析的材料是在这些案件的常规法医检查期间采集的血样。血样用于通过酶联免疫吸附测定(ELISA)检测抗弓形虫IgG抗体。此外,还记录了每位死者的以下数据:性别、年龄、死亡情况、死因、从死亡到尸检的时间,以及(如有提供)药物滥用状况(酒精、非法药物)。在检察官办公室要求进行血酒精水平或毒理学检测的那些案件中,其结果也被纳入我们的分析。检测结果表明,潜伏性弓形虫感染与导致死亡的危险行为之间存在强烈关联。此外,分析表明抗弓形虫IgG抗体的存在与精神活性物质(尤其是乙醇)滥用之间存在正相关,然而,因果关系仍不明确。由于酒精滥用是一个重大的社会问题,寻找可消除的成瘾风险因素极其重要。我们的分析提供了关于潜伏性弓形虫感染对人类可能影响的新的重要信息。