2008
DOI: 10.2147/opth.s1629
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Molecular markers of susceptibility to ocular toxoplasmosis, host and guest behaving badly

Abstract: Infection with Toxoplasma gondii results in retinochoroiditis in 6% to 20% of immunocompetent individuals. The outcome of infection is the result of a set of interactions involving host genetic background, environmental, and social factors, and the genetic background of the parasite, all of which can be further modified by additional infections or even reinfection. Genes that encode several components of the immune system exhibit polymorphisms in their regulatory and coding regions that affect level and type o… Show more

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Cited by 28 publications
(18 citation statements)
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References 145 publications
(152 reference statements)
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“…In France, most cases were due to Type II strains indicating that ocular toxoplasmosis are not caused exclusively by Type I strains (Fekkar, Ajzenberg et al 2011). Local epidemiological factors and host genetic background also plays a role in the development of ocular disease (Holland, Crespi et al 2008; Vallochi, Goldberg et al 2008). …”
Section: Toxoplasmosis: Clinical Aspectsmentioning
confidence: 99%
“…In France, most cases were due to Type II strains indicating that ocular toxoplasmosis are not caused exclusively by Type I strains (Fekkar, Ajzenberg et al 2011). Local epidemiological factors and host genetic background also plays a role in the development of ocular disease (Holland, Crespi et al 2008; Vallochi, Goldberg et al 2008). …”
Section: Toxoplasmosis: Clinical Aspectsmentioning
confidence: 99%
“…In immunocompromised patients, such as AIDS patients with very low CD4 counts, patients under immunosuppression to prevent or treat transplant rejection and fetuses, a reactivation of an earlier infection, rather than a newly acquired one, is common. In these individuals the parasite can induce besides encephalitis and retinochoroiditis, carditis, pneumonia, and meningitis, among other manifestations [31]. Ocular toxoplasmosis is produced in most cases by breaking tissue cysts that are congenitally acquired; however, it can occur in acquired infections too.…”
Section: Toxoplasmosis In Humansmentioning
confidence: 99%
“…While parasite genotype plays a major role mediating toxoplasmic infection of the eye, it certainly comes as no surprise that the host immune response is important as well. Work in Brazil has evaluated the role of polymorphisms in CCR5, TLR2, TLR4; identified a key role for IL-12 production in the development of protective responses 21 ; and provided new perspectives on the causes of ocular disease by establishing that T. gondii parasites circulate in the blood of immunocompetent toxoplasmosis patients, regardless of whether they have retinal lesions or not. 22 Hence, circulating parasites in the blood of chronically infected people may exist as a source of Toxoplasma capable of causing retinal disease, rather than the classically held thought that it is attributable to cyst rupture in the retina.…”
Section: Five Significant Lessons Learned From Brazilian Studiesmentioning
confidence: 99%