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弓形虫感染与多发性硬化症:一项年龄和性别匹配的病例对照血清流行率研究。

Toxoplasma gondii infection and multiple sclerosis: An age- and a gender-matched case-control seroprevalence study.

作者信息

Méndez-Hernández Edna Madai, Hernández-Tinoco Jesús, Salas-Pacheco José Manuel, Sánchez-Anguiano Luis Francisco, Arias-Carrión Oscar, Sandoval-Carrillo Ada Agustina, Castellanos-Juárez Francisco Xavier, Ruano-Calderón Luis Ángel, Alvarado-Esquivel Cosme

机构信息

1Hospital Regional de Alta Especialidad de Ixtapaluca, Carretera Federal México Puebla Km 35, Ixtapaluca, 56530, Mexico.

2Biomedical Research Laboratory. Faculty of Medicine and Nutrition, Juárez University of Durango State, Avenida Universidad S/N, Durango, 34000, Mexico.

出版信息

Eur J Microbiol Immunol (Bp). 2020 Jul 2;10(2):76-79. doi: 10.1556/1886.2019.00020.

Abstract

The link between Toxoplasma gondii infection and multiple sclerosis remains controversial. In the present study, we aimed to determine the association between T. gondii seropositivity and multiple sclerosis. Using an age- and gender-matched case-control study, we studied 45 patients who had multiple sclerosis attended in two public hospitals and 225 control subjects without this disease and other neurological disorders in Durango City, Mexico. Serum samples of cases and controls were analyzed for detection of anti-Toxoplasma IgG using a commercially available enzyme-linked immunoassay. One (2.22%) of the 45 patients with multiple sclerosis, and 15 (6.67%) of the 225 control subjects without this disease were seropositive for anti-T. gondii IgG antibodies. No statistically significant difference (OR = 0.31; 95% CI: 0.04-2.47; P = 0.48) in seroprevalence of anti-T. gondii IgG antibodies between cases and controls was found. The frequency of T. gondii seropositivity did not vary among cases and controls about sex or age groups. Results of this study do not support an association between seropositivity to T. gondii and multiple sclerosis. However, additional research with larger sample sizes to confirm this lack of association should be conducted.

摘要

弓形虫感染与多发性硬化症之间的联系仍存在争议。在本研究中,我们旨在确定弓形虫血清阳性与多发性硬化症之间的关联。我们采用年龄和性别匹配的病例对照研究,对墨西哥杜兰戈市两家公立医院收治的45例多发性硬化症患者以及225名无此病和其他神经系统疾病的对照者进行了研究。使用市售的酶联免疫吸附测定法分析病例组和对照组的血清样本,以检测抗弓形虫IgG。45例多发性硬化症患者中有1例(2.22%)抗弓形虫IgG抗体呈血清阳性,225名无此病的对照者中有15例(6.67%)呈血清阳性。病例组和对照组之间抗弓形虫IgG抗体的血清阳性率无统计学显著差异(OR = 0.31;95% CI:0.04-2.47;P = 0.48)。弓形虫血清阳性的频率在病例组和对照组的性别或年龄组之间没有差异。本研究结果不支持弓形虫血清阳性与多发性硬化症之间存在关联。然而,应进行更大样本量的进一步研究以证实这种缺乏关联的情况。

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