Your cat has toxoplasmosis and you’re worried? Join the club

Your cat has toxoplasmosis and you’re worried? Join the club


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I should admit straight up that I’m no fan of cats. Like any zoologist I treasure the rare glimpses I have had of lions, leopards, serval and even ocelot. But I have never understood the


devotion of so many seemingly-rational people to a domestic animal that oozes disdain, dispenses allergy and destroys wildlife with such abandon. Which is one of the many reasons I relish


each new scientific finding regarding the protozoan parasite _Toxoplasma gondii_ and its intriguing effects on humans. Cats are essential to the life-cycle of this insidious parasite. As the


evidence mounts of the havoc _Toxoplasma_ wreaks when it infects humans, I naively imagine people will grow less enthusiastic about keeping cats. But despite recent studies linking


_Toxoplasma_ to schizophrenia and brain cancer, cat ownership is not a huge risk factor. So cat-lovers don’t look likely to get rid of their pets. MEET _TOXOPLASMA GONDII_ As with its close


relative, the malaria-causing parasite _Plasmodium_, _Toxoplasma_ undergoes the sexual part of its life cycle in one host and a period of asexual reproduction in another. The all-important


sexual stage happens inside the gut of a cat, whereas the asexual stage can happen in any mammal or bird. Most often this intermediate host is a rodent that has eaten food contaminated by


cat feces. But humans commonly become infected, usually due to poor hygiene and food preparation. Infection can be catastrophic for patients with compromised immune function and for foetuses


whose mothers suffer a new _Toxoplasma_ infection during pregnancy. But most infections involve a brief, mild flu-like illness. Around one in three people worldwide, and as many as 80% of


people in some countries have antibodies to _T. gondii_, indicating they have previously been infected. After infection, the parasite doesn’t go away. It forms cysts inside muscle cells and


neurons, where it avoids the host’s immune system. These cysts don’t seem to cause any immediate trouble and, until recently, nobody paid them much attention. RAT, MEET CAT The interesting


thing about so many parasites is the way they manipulate a host’s behaviour to their own advantage. People with colds, for example, emit impressive volumes of snot, often sharing it in


aerosol form. That virus-sodden liquid isn’t merely an unhappy side-effect of the infection. It is an adaptation – on the part of the virus rather than the human. Viruses that cause runny


noses and sneezing make the leap from host to host, whereas more considerate viruses might never propagate themselves. As a result, natural selection leaves us with the inconvenient kind of


virus. So how would a protozoan find a cat to infect and thus complete it’s life-cycle? How about by turning the normally cat-averse rodents that act as the intermediate hosts into


cat-seeking soon-to-be-ex rodents? That, it seems, is exactly what _T. gondii_ does to rats. Normally, rats are furtive, neophobic (afraid of new things) and desperately keen to avoid places


that smell of cat urine. But infected rats become more active, more interested in novel objects, and they lose their aversion to cat urine. Detailed studies show that the fear, anxiety and


arousal responses in rats and mice are affected by _Toxoplasma_ infection. But not so generally as to raise the infected animal’s chance of being eaten by a dog, snake or bird (which would


be the end of the line for the _Toxoplasma_ cysts in the rodent’s brain). In fact, rats and mice tend to be attracted (rather than merely indifferent) to urine from bobcats and domestic


cats. THIS IS YOUR BRAIN ON TOXO People who have been infected with _Toxoplasma gondii_ show a number of behavioural changes, including a tendency to take risks, trust strangers and be more


outgoing than people who don’t have the antibodies. The idea that human behaviour can be manipulated by a mere protozoan parasite might sound implausible, but the rate at which new findings


accumulate suggests the strangest findings are yet to come. For now Kathleen McAuliffe’s wonderful article in February’s The Atlantic gives a well-rounded introduction to these effects and


an entertaining profile of Jaroslav Flegr, the remarkable Czech evolutionary parasitologist who has done more than anybody to expose the many consequences of _Toxoplasma_ infection.


Curiously, many of the consequences of _Toxoplasma_ infection seem to be sex-specific. Men are more likely to become introverted and suspicious, and to care less what others think of them.


Infected women, however, tend to become more trusting, outgoing, and concerned with their appearances. Interestingly, Flegr later showed _Toxomplasma_ infection raises testosterone levels in


men but lowers them in women. According to McAuliffe’s article, Flegr suspects that these sex-specific responses might be due to sex differences in how women and men respond to heightened


anxiety and emotional stress. Women are more likely than men to respond to emotional strain by becoming more pro-social, whereas men are more likely to become withdrawn, individualistic and


anti-social (not to dismiss the many nuances in sex-specific responses to stress). The links between _Toxoplasma_, testosterone, stress and behaviour will take some delicate teasing out.


Nobody is suggesting the effects on humans are a scaled-up equivalent of the cat-rat relationships, making humans more prone to being eaten by lions or tigers. Instead, the idea is that due


to similarities shared by all mammalian brains, the program of manipulation that evolved to make _Toxoplasma_-riddled rats more susceptible to cat predation also incidentally targets similar


pathways in the brain of humans unlucky enough to become infected. And Flegr’s research suggests these effects can mean bad news for infected people. Infected subjects tend to be less


vigilant and have slower reactions. That makes them worse drivers, prone to lapses in concentration and to mistakes. In one large study of military drivers, _Toxoplasma_ infection was


associated with up to six times the accident rate of _Toxoplasma_-free subjects. Infected people are also two to three times as likely to suffer from mental illness, notably schizophrenia.


While schizophrenia is known to run in families, genomic searches for the genes involved haven’t been particularly fruitful. But the field is now progressing by discarding the anachronistic


nature-nurture dichotomy and looking at interactions between infections such as _Toxoplasma_, immune system genes and genes involved in the maintenance of brain tissues. Evidence is also


emerging that _Toxoplasma_ infection can almost double the risk of several brain cancers. Perhaps we shouldn’t be surprised that an organism that encysts in brain cells might trigger tumour


growth. In fact, a cross-national study in Biology Letters shows that about one fifth of the variation among 37 countries in brain cancer incidence can be explained by national _Toxoplasma_


infection rates. TIME FOR KITTY TO STAY INSIDE? The Biology Letters study set the cat among the pigeons, with global media coverage suggesting the beloved family feline was as likely to


bring brain cancer into the home as a dead bird. What better excuse could exist for world-wide domestic feline house arrest? Unfortunately, it seems that cat ownership isn’t a useful


predictor of brain cancer incidence. Studies suggest it is either a weak or non-significant predictor of _Toxoplasma_ infection. While the link between cats and _Toxoplasma_ infection is


beyond dispute, it seems cat owners are not much more likely to become infected, especially if they follow good hygiene practices in the kitchen and when cleaning their cats’ litterboxes. It


seems under-cooking meat or failing to wash vegetables presents the biggest risk of infection. Cats aren’t off the hook, though. While they might not elevate the chances of their owners


contracting _Toxoplasma_ and all its unfortunate symptoms, those costs might well be spread among cat owners and non-owners alike. _Toxoplasma_ infection might be an externality of cat


ownership, and societies that choose to forego cat ownership may yet find themselves much better off.