Neurocognitive and neuropsychiatric effects of toxocariasis.

Caused by the neuroinvasive nematodes Toxocara canis and Toxocara cati, human toxocariasis has a worldwide distribution with seroprevalence in humans associated with low socioeconomic status and low educational attainment. Third-stage Toxocara larvae can invade human tissues, including the brain and spine, where they can result in encephalitis, meningitis, and inflammation. Toxocara infection in animal models has been associated with cognitive and behavioural changes. In humans, preliminary cross-sectional research suggests that Toxocara seropositivity is associated with worse cognitive function in children and adults. Additional preliminary cross-sectional findings suggest associations between Toxocara seropositivity and neuropsychiatric function, including schizophrenia and neurologic conditions such as epilepsy. Given the widespread distribution of human toxocariasis and early evidence suggesting that it can be associated with cognitive and neuropsychiatric function in humans, additional research regarding the effects of toxocariasis on the human brain is required.

Prevalence and risk factors for patent Toxocara infections in cats and cat owners' attitude towards deworming.

The prevalence of and risk factors for shedding Toxocara eggs in cats older than 6 months were determined by examining 670 faecal samples collected in 4 cross-sectional studies in the Netherlands. Additionally, cat owners provided information on their attitude towards routine deworming. Samples were examined using the centrifugal sedimentation flotation method. Overall Toxocara prevalence was 7.2 %. Multivariable logistic regression analysis revealed that young age and living in rural areas were significant risk factors for shedding Toxocara eggs. Moreover, the more time a cat was allowed to roam outdoors, the higher was its risk to shed Toxocara as compared to cats with no outdoor access at all. For 199 cats (81.6 % of cats subjected to a deworming regimen) owners provided the reason for treatment. The main reason for routine deworming (80.4 %) concerned the cat's health and only 10.6 % of the cats were treated for public health reasons. Moreover, the generally advocated four-times-a-year deworming advice was applied on only 24.5 % of cats. We concluded that free roaming is a key factor in the acquisition of patent Toxocara infections leading to the environmental contamination with Toxocara eggs. Additionally, the knowledge of cat owners is still insufficient to expect them to make sound decisions on routine deworming.

Toxocara canis in household dogs: prevalence, risk factors and owners' attitude towards deworming.

The prevalence of gastrointestinal parasites and risk factors for shedding of Toxocara eggs were determined for 916 Dutch household dogs older than 6 months. Additionally, the owners answered a questionnaire about their dogs and their attitude towards routine deworming was assessed. Faecal samples were examined using the centrifugal sedimentation flotation method. The overall prevalence of dogs shedding Toxocara eggs was 4.6 %. Multivariable logistic regression analysis revealed that the risk for 1-7-year-old dogs to shed Toxocara eggs was significantly lower (OR 0.38) than that of 6-12-month-old dogs. Compared to dogs walking ≤20 % of the time off-leash, those ranging freely 50-80 % and 80-100 % of the time had a significantly higher risk (OR 10.49 and 13.52, respectively) of shedding Toxocara eggs. Other risk factors were coprophagy (OR 2.44) and recently being kenneled (OR 2.76). Although the applied deworming frequency was not significantly associated with shedding Toxocara eggs, there was a trend towards no shedding in dogs under strict supervision that were dewormed 3-4 times a year. Most dog owners (68 %) recognized 'dog's health' as the main reason for deworming. Only 16 % of dogs were dewormed four times a year. It was concluded that the prevalence of Toxocara egg-shedding household dogs is almost unchanged over recent years and that the knowledge of owners is insufficient to expect sound decisions on routine deworming.

Behavioral and memory changes in Mus musculus coinfected by Toxocara canis and Toxoplasma gondii.

Several researchers have stated that parasites can alter the behavior of their hosts, in order to increase the transmission rate, principally when prey-predator relationships are a reliable way of infection transmission. The aim of this study was to verify the occurrence of changes in anxiety and short-term memory patterns in experimentally infected Mus musculus by Toxocara canis and/or Toxoplasma gondii. Forty male Mus musculus (Balb/c) eight-week-old were divided into four groups of 10 mice each. One group was infected with 300 eggs of Toxocara canis; a second group was submitted to infection with 10 cysts of Toxoplasma gondii; a third group was concomitantly infected with both parasites with the same inoculums and the last group was maintained without infection. The anxiety levels were evaluated using an elevated plus maze and an actometer; the short-term memory was determined by a two-way active avoidance equipment. The determination of anxiety levels were conducted 40 and 70 days after infection and the short-term memory was evaluated 140 days after infection. Mice chronically infected by Toxoplasma gondii showed impaired learning and short-term memory, but no significant differences were found in mice infected by Toxocara canis or concomitantly infected by Toxocara canis and Toxoplasma gondii when compared to non infected mice.

BEHAVIORAL AND MEMORY CHANGES IN Mus musculus COINFECTED BY Toxocara canis AND Toxoplasma gondii / Alterações comportamentais e na memória de Mus musculus coinfectado por Toxocara canis e Toxoplasma gondii

Several researchers have stated that parasites can alter the behavior of their hosts, in order to increase the transmission rate, principally when prey-predator relationships are a reliable way of infection transmission. The aim of this study was to verify the occurrence of changes in anxiety and short-term memory patterns in experimentally infected Mus musculus by Toxocara canis and/or Toxoplasma gondii. Forty male Mus musculus (Balb/c) eight-week-old were divided into four groups of 10 mice each. One group was infected with 300 eggs of Toxocara canis; a second group was submitted to infection with 10 cysts of Toxoplasma gondii; a third group was concomitantly infected with both parasites with the same inoculums and the last group was maintained without infection. The anxiety levels were evaluated using an elevated plus maze and an actometer; the short-term memory was determined by a two-way active avoidance equipment. The determination of anxiety levels were conducted 40 and 70 days after infection and the short-term memory was evaluated 140 days after infection. Mice chronically infected by Toxoplasma gondii showed impaired learning and short-term memory, but no significant differences were found in mice infected by Toxocara canis or concomitantly infected by Toxocara canis and Toxoplasma gondii when compared to non infected mice.

Pesquisadores afirmam que parasitos podem alterar o comportamento de seus hospedeiros a fim de aumentar a sua taxa de transmissão. O objetivo deste estudo foi verificar a ocorrência de alterações na ansiedade e padrões de memória de curta duração em Mus musculus experimentalmente infectados por Toxocara canis e/ou Toxoplasma gondii. Utilizaram-se 40 camundongos da espécie Mus musculus machos (Balb/c) com oito semanas de idade, divididos em quatro grupos de 10 ratos cada. Um grupo foi infectado com 300 ovos de Toxocara canis, um segundo grupo foi submetido à infecção com 10 cistos de T. gondii, um terceiro grupo foi infectado concomitantemente com ambos os parasitas e o último grupo foi mantido sem infecção. Os níveis de ansiedade foram avaliados por meio de labirinto em cruz elevado e actômetro, a memória de curta duração foi determinada por esquiva aversiva. A determinação dos níveis de ansiedade foi realizada 40 e 70 dias após infecção e a memória de curto prazo foi avaliada 140 dias após a infecção. Camundongos cronicamente infectados por Toxoplasma gondii mostraram deficiência de aprendizagem e memória de curto prazo, mas não foram encontradas diferenças significantes em camundongos infectados por Toxocara canis ou concomitantemente infectados por Toxocara canis e Toxoplasma gondii quando comparados com camundongos não infectados.

[Cerebral toxocariasis: a rare cause of cognitive disorders. A contribution to differential dementia diagnosis]. / Zerebrale Toxokariasis: seltene Ursache kognitiver Störungen. Ein Beitrag zur Differenzialdiagnostik der Demenz.

We report on a 65-year-old woman with depressive symptoms and cognitive deficits confirmed by psychometric tests. Routine blood tests, serology, EEG, and cranial computed tomography (CCT) being normal, the CSF revealed an eosinophilic reaction and a positive antibody titre against Toxocara canis. After treatment with two oral courses of albendazole, the eosinophils had disappeared, whereas the antibody titre had increased. One year later, the patient's cognitive symptoms had improved, and new antibodies against toxocara were seen in the peripheral blood. This increase in antibodies represents an expected immunological reaction to the increased exposition to toxocara antigen under effective therapy. The infection might go back to the patient's youth, when she was a shepherd for several years and in close contact to dogs. A review of the literature did not yield other reports of toxocara infections leading to cognitive or other psychiatric symptoms. Taking the toxocara infection as the cause of this patient's cognitive defects, we propose that lumbar punction becomes part of the diagnostic standard in differential diagnosis of dementia.

Influence of mouse strain, infective dose and larval burden in the brain on activity in Toxocara-infected mice.

Outbred LACA mice and inbred NIH mice were administered low (100 ova), medium (1000 ova), high (3000 ova) and trickle (4x250 ova) doses of Toxocara canis ova and the effect of infection on activity was examined with respect to: (i) the dose of ova administered and (ii) the number of larvae recovered from the brain. Larval recovery from the brain was significantly reduced in NIH mice compared to LACA mice for the 1000, 3000 and trickle doses. Mice from each strain were divided into larval intensity groupings based upon the number of larvae recovered from their brain. Activity for each mouse was measured pre- and post-infection by observing its behaviour in the home cage. Activity was assessed by monitoring six different independent categories of murine behaviour - ambulation, grooming, rearing, digging, climbing and immobility. Within each behavioural category, the duration of time spent at each behaviour per mouse within one thousandth of a second, the number of short bouts performed and the number of long bouts of behaviour performed were recorded over a 20 min period. Activity of LACA and NIH mice differed prior to infection. LACA mice spent more time immobile compared to NIH mice, which ambulated and climbed more. Variations in activity were also observed between groups of mice prior to infection. The effect of infection differed by strain, by dose and by larval intensity. Post-infection LACA mice became more immobile and ambulated less. NIH mice showed reduced immobility, but while ambulation decreased digging and climbing increased post-infection. Short bouts of activity remained unchanged among LACA mice post-infection but showed an increase for some behaviours in NIH mice.

Relationship between three intensity levels of Toxocara canis larvae in the brain and effects on exploration, anxiety, learning and memory in the murine host.

Outbred LACA mice were administered low (100 ova), medium (1000 ova), high (3000 ova) and trickle (4x250 ova) doses of Toxocara canis ova and the effect of infection was examined with respect to the number of larvae recovered from the brain and their behaviour. Recovery of larvae from the brain was generally low with the % recovery expressed in terms of the total dose administered being highest for the 3000 dose (6.1%) and 1000 dose (6%), followed by the 100 (4.4%) and trickle (3.5%) doses. The variation in larval recoveries was large between individual mice receiving similar doses. The level of infection in the brain was lower in mice receiving a multiple as opposed to an equivalent single dose of ova. Mice were then divided into three larval intensity groupings based upon the number of larvae recovered from their brain. The ranges for the groups were as follows: low intensity group, 0-15 larvae; moderate intensity group, 27-55 larvae; high intensity group, 66-557 larvae. Three behavioural tests were carried out on control and infected mice. Exploration and response to novelty was examined using a 'T' maze and learning was investigated by means of a water-finding task. Anxiety was measured using an elevated plus maze apparatus. Infected mice were less explorative and less responsive to novelty in the 'T' maze and this was particularly pronounced for the heavily infected mice. In the elevated plus maze, infected mice displayed reduced levels of anxiety to aversive and exposed areas of the maze, particularly in the case of the moderate and high intensity mice. There was evidence for impaired learning ability in the water task apparatus for moderate and high intensity mice. In general, the effects of infection on behaviour were more pronounced in the moderate and high intensity groups compared to the low intensity group.

Variation in the larval recovery of Toxocara canis from the murine brain: implications for behavioural studies.

The migratory pathway of Toxocara canis larvae was determined by infecting mice with a low, medium or high dose of embryonated T. canis eggs and determining numbers of larvae present in the brain, liver, lungs, kidneys and muscle on days 5, 14 and 26 post infection. Variation was seen in the numbers of larvae recorded in the organs of mice which had received the same number of eggs and were at the same stage of infection. This variation was particularly marked in the brain indicating that, for the purposes of behavioural studies, the actual numbers of larvae found in the brain rather than the number assumed from the dose would have to be taken into account when analysing the behaviour of infected mice.

The consequences of parasitic infection for the behavior of the mammalian host.

As many as one billion people may be infected with animal parasites. The behavioral consequences of such infection, or of illness in general, is poorly understood. This issue is discussed using as an example infection of mice with Toxocara canis, the common roundworm of dogs. Current literature suggests that two-thirds of all dogs have been infected with this parasite, and 7% of all humans have antibodies to T. canis. T. canis completes its life cycle in dogs, but when it infects aberrant mammalian hosts (e.g., humans or mice), larvae migrate through various organ systems including the brain, where they can remain viable and mobile for extended periods of time. Changes in motor activity, sensory reactivity, and learning of mice infected with T. canis have been observed. The pattern of behavioral changes is influenced by the infection regime and exposure to other toxicants such as lead.

Toxocara canis and lead alter consummatory behavior in mice.

Ingestion of palatable and unpalatable solutions was measured in adult mice in which had been administered the common parasite of the dog, Toxocara canis alone, or in combination with lead. In addition, response to hot plate and susceptibility to electroconvulsive seizure were also measured. Results from the palatability test indicated that either lead or Toxocara may alter the mouse's mode of interacting with its environment. However, the two agents in combination interacted in their effects on consummatory behavior. Results from the hot plate and ECS measures were less clear with respect to how lead and/or Toxocara influence temperature reactivity and seizure susceptibility. Histological examination of the CNS in parasite infected animals revealed Wallerian Type degeneration of fiber pathways including the corpus callosum, olfactory tract, and cerebellar penduncles.