Association between toxoplasmosis and autoimmune rheumatic diseases in Egyptian patients

Copyright © 2023. Published by Elsevier España, S.L.U..

PURPOSE: To explore the association between T. gondii and autoimmune rheumatic diseases (ARDs).

METHODS: This study involved 82 patients with ARDs: 44 rheumatoid arthritis (RA), 28 systemic lupus erythematosus (SLE), and 10 systemic sclerosis (SSc) and 61 age- and sex-matched controls. Sociodemographic, clinical, and laboratory data were collected, and disease activity was assessed. Exposure to toxoplasmosis risk factors was investigated. Serological tests for anti-Toxoplasma IgM and IgG antibodies were assessed using ELISA.

RESULTS: In SLE patients, a significant difference of T. gondii IgM versus controls was detected (P=.03). In RA and SLE patients, T. gondii IgG showed a significant difference versus controls (34 (77.3%) P=.001 and 18 (64.3%) P=.03, respectively). There was no significant difference in SSc versus controls. Fetal congenital anomalies displayed a significant difference in IgM seropositive compared to seronegative patients (P=.04). Cat exposure showed a significant difference between IgM and IgG seropositive versus seronegative patients (12 (80.0%) P=.02 and 34 (59.6) P=.04, respectively). There was no significant difference in seropositive patients regarding history of abortion, neuro-psychiatric manifestations, disease activity parameters (ESR, CRP), or different regimens of medications.

CONCLUSION: Toxoplasma IgM seropositivity is associated with SLE patients. T. gondii IgG seropositivity is associated with both RA and SLE patients. However, Toxoplasma seropositivity had no association with SSc patients. An association between fetal congenital anomalies and IgM seropositivity was demonstrated. A linkage between cat exposure as a risk factor and toxoplasmosis was suggested among ARD patiants. Exploration of impact of toxoplasmosis on ARDs is a necessity through randomized controlled trials.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Reumatologia clinica - 19(2023), 9 vom: 09. Nov., Seite 488-494

Sprache:

Englisch

Beteiligte Personen:

Aboukamar, Wafaa A [VerfasserIn]
Habib, Samar [VerfasserIn]
Tharwat, Samar [VerfasserIn]
Nassar, Mohamed Kamal [VerfasserIn]
Elzoheiry, Manal A [VerfasserIn]
Atef, Rania [VerfasserIn]
Elmehankar, Manar S [VerfasserIn]

Links:

Volltext

Themen:

Antibodies, Protozoan
Anticuerpo IgG
Anticuerpo IgM
Autoimmune rheumatic diseases
ELISA
Enfermedades reumáticas autoinmunes
IgG antibody
IgM antibody
Immunoglobulin G
Immunoglobulin M
Journal Article
Seroprevalence
Seroprevalencia
Toxoplasma gondii

Anmerkungen:

Date Completed 13.11.2023

Date Revised 13.11.2023

published: Print

Citation Status MEDLINE

doi:

10.1016/j.reumae.2023.03.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364368934