Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran

Objective. Reactivation of latent toxoplasmosis is the main cause of severe infection among immunocompromised patients, including patients with cancer. Hence, this study is aimed at screening the status of Toxoplasma gondii infection among breast cancer patients by serological and molecular methods...

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Main Authors: Marzeieh Haghbin, Salar Maani, Mohammad Aref Bagherzadeh, Ahmadreza Bazmjoo, Heshmatollah Shakeri, Ali Taghipour, Shahab Falahi, Azra Kenarkoohi, Milad Badri, Amir Abdoli
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.1155/2023/4792260
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author Marzeieh Haghbin
Salar Maani
Mohammad Aref Bagherzadeh
Ahmadreza Bazmjoo
Heshmatollah Shakeri
Ali Taghipour
Shahab Falahi
Azra Kenarkoohi
Milad Badri
Amir Abdoli
author_facet Marzeieh Haghbin
Salar Maani
Mohammad Aref Bagherzadeh
Ahmadreza Bazmjoo
Heshmatollah Shakeri
Ali Taghipour
Shahab Falahi
Azra Kenarkoohi
Milad Badri
Amir Abdoli
author_sort Marzeieh Haghbin
collection DOAJ
description Objective. Reactivation of latent toxoplasmosis is the main cause of severe infection among immunocompromised patients, including patients with cancer. Hence, this study is aimed at screening the status of Toxoplasma gondii infection among breast cancer patients by serological and molecular methods and determining their associated risk factors in Jahrom County, Fars Province, south of Iran. Methods. One hundred and seven women with breast cancer (aged 34 to 80 years) were screened for anti-T. gondii antibodies (IgG and IgM) during 2019–2020. A questionnaire regarding demographic factors was filled out by participants. Molecular detection was performed by polymerase chain reaction (PCR) using the primer pair targeting the repetitive element (RE) gene of T. gondii. The risk factors and demographic data were analyzed by SPSS software (ver. 20, Chicago, IL, USA) using the Chi-squared test. Results. Anti-T. gondii IgG was detected in 45.8% (49/107) of the patients, which indicates latent infection, but anti-T. gondii IgM and PCR were negative in all samples. Demographic factors revealed a statistically significant increased T. gondii seropositivity among nonmenopause cancer patients (P<0.0005), patients without previous breast cancer (P=0.0001), and human epidermal growth factor receptor 2- (HER2-) negative patients (P=0.00002). As such, patients with a history of previous abortions and who were at stages II, III, and IIII of cancer had higher seropositivity rates than patients without a history of previous abortions or who were at stage I cancer, but the statistical analysis was not significant. We did not find a statistically significant association between T. gondii seropositivity and other risk factors of toxoplasmosis (e.g., education level, type of water source, washing raw fruits and vegetables, consumption of raw or undercooked meat, and contact with soil, cats, and domestic animal). Conclusion. A high seroprevalence rate of latent T. gondii infection was detected among patients with breast cancer; hence, these patients may be at high risk for reactivation of latent infection. Screening of T. gondii infection is recommended to detect active infection among patients with malignancies.
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spelling doaj-art-a8d09df4866c4363a913c67144300fb92025-02-03T01:29:28ZengWileyInternational Journal of Breast Cancer2090-31892023-01-01202310.1155/2023/4792260Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of IranMarzeieh Haghbin0Salar Maani1Mohammad Aref Bagherzadeh2Ahmadreza Bazmjoo3Heshmatollah Shakeri4Ali Taghipour5Shahab Falahi6Azra Kenarkoohi7Milad Badri8Amir Abdoli9Research Center for Noncommunicable DiseasesStudent Research CommitteeStudent Research CommitteeStudent Research CommitteeZoonoses Research CenterZoonoses Research CenterZoonotic Diseases Research CenterDepartment of MicrobiologyMetabolic Diseases Research CenterZoonoses Research CenterObjective. Reactivation of latent toxoplasmosis is the main cause of severe infection among immunocompromised patients, including patients with cancer. Hence, this study is aimed at screening the status of Toxoplasma gondii infection among breast cancer patients by serological and molecular methods and determining their associated risk factors in Jahrom County, Fars Province, south of Iran. Methods. One hundred and seven women with breast cancer (aged 34 to 80 years) were screened for anti-T. gondii antibodies (IgG and IgM) during 2019–2020. A questionnaire regarding demographic factors was filled out by participants. Molecular detection was performed by polymerase chain reaction (PCR) using the primer pair targeting the repetitive element (RE) gene of T. gondii. The risk factors and demographic data were analyzed by SPSS software (ver. 20, Chicago, IL, USA) using the Chi-squared test. Results. Anti-T. gondii IgG was detected in 45.8% (49/107) of the patients, which indicates latent infection, but anti-T. gondii IgM and PCR were negative in all samples. Demographic factors revealed a statistically significant increased T. gondii seropositivity among nonmenopause cancer patients (P<0.0005), patients without previous breast cancer (P=0.0001), and human epidermal growth factor receptor 2- (HER2-) negative patients (P=0.00002). As such, patients with a history of previous abortions and who were at stages II, III, and IIII of cancer had higher seropositivity rates than patients without a history of previous abortions or who were at stage I cancer, but the statistical analysis was not significant. We did not find a statistically significant association between T. gondii seropositivity and other risk factors of toxoplasmosis (e.g., education level, type of water source, washing raw fruits and vegetables, consumption of raw or undercooked meat, and contact with soil, cats, and domestic animal). Conclusion. A high seroprevalence rate of latent T. gondii infection was detected among patients with breast cancer; hence, these patients may be at high risk for reactivation of latent infection. Screening of T. gondii infection is recommended to detect active infection among patients with malignancies.http://dx.doi.org/10.1155/2023/4792260
spellingShingle Marzeieh Haghbin
Salar Maani
Mohammad Aref Bagherzadeh
Ahmadreza Bazmjoo
Heshmatollah Shakeri
Ali Taghipour
Shahab Falahi
Azra Kenarkoohi
Milad Badri
Amir Abdoli
Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran
International Journal of Breast Cancer
title Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran
title_full Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran
title_fullStr Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran
title_full_unstemmed Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran
title_short Latent Toxoplasmosis among Breast Cancer Patients in Jahrom, South of Iran
title_sort latent toxoplasmosis among breast cancer patients in jahrom south of iran
url http://dx.doi.org/10.1155/2023/4792260
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