The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.

<h4>Background</h4>Toxoplasma gondii (T. gondii) is an opportunistic intracellular parasite and is a big threaten for patients with uremia and solid organ transplantation recipients, especially for kidney transplant recipients. However, Toxoplasma seroprevalence in these patient populati...

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Main Authors: Xingxing Zheng, Junhui Li, Zhuolin Li, Xianshu Liu, Yufei Zhang, Jiang Zhu, Yu Zhang, Jie Jiang, Bo Li, Meng Xia, Yingzi Ming, Xiang Wu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-05-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0013063
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author Xingxing Zheng
Junhui Li
Zhuolin Li
Xianshu Liu
Yufei Zhang
Jiang Zhu
Yu Zhang
Jie Jiang
Bo Li
Meng Xia
Yingzi Ming
Xiang Wu
author_facet Xingxing Zheng
Junhui Li
Zhuolin Li
Xianshu Liu
Yufei Zhang
Jiang Zhu
Yu Zhang
Jie Jiang
Bo Li
Meng Xia
Yingzi Ming
Xiang Wu
author_sort Xingxing Zheng
collection DOAJ
description <h4>Background</h4>Toxoplasma gondii (T. gondii) is an opportunistic intracellular parasite and is a big threaten for patients with uremia and solid organ transplantation recipients, especially for kidney transplant recipients. However, Toxoplasma seroprevalence in these patient populations remain unclear, and the risk factors of post transplantation T. gondii infection were not well-defined in China and globally.<h4>Methods</h4>Post-transplant or uremia patient's serum collected from transplant center of 3rd Xiangya hospital of Central South University were detected by IHA to detect anti-Toxoplasma IgG. A retrospective cross-sectional study was performed with these patient's medical records and a questionnaire was also conducted.<h4>Results</h4>The results indicated that approximately 10.59% of the kidney recipients in central-southern China were seropositive for T. gondii post-transplant. While the prevalence in patients with uremia was about 24.12%. We identified that keeping cats and a lower percentage of CD3+T cells and CD8+T cells were associated with higher prevalence of T. gondii IgG+ in uremia patients when compared with kidney transplant recipients.<h4>Conclusions</h4>This study suggested that kidney recipients and those uremia patients in the waiting list are susceptible to T. gondii infection. Immune status and keeping cats are associated with the seroprevalence in those patients. However, T. gondii infection is a neglected problem, screening and monitoring deserves more attention in the clinic.
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spelling doaj-art-b7fd8ecb303341f98a0dde014f7809f62025-08-20T02:39:44ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352025-05-01195e001306310.1371/journal.pntd.0013063The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.Xingxing ZhengJunhui LiZhuolin LiXianshu LiuYufei ZhangJiang ZhuYu ZhangJie JiangBo LiMeng XiaYingzi MingXiang Wu<h4>Background</h4>Toxoplasma gondii (T. gondii) is an opportunistic intracellular parasite and is a big threaten for patients with uremia and solid organ transplantation recipients, especially for kidney transplant recipients. However, Toxoplasma seroprevalence in these patient populations remain unclear, and the risk factors of post transplantation T. gondii infection were not well-defined in China and globally.<h4>Methods</h4>Post-transplant or uremia patient's serum collected from transplant center of 3rd Xiangya hospital of Central South University were detected by IHA to detect anti-Toxoplasma IgG. A retrospective cross-sectional study was performed with these patient's medical records and a questionnaire was also conducted.<h4>Results</h4>The results indicated that approximately 10.59% of the kidney recipients in central-southern China were seropositive for T. gondii post-transplant. While the prevalence in patients with uremia was about 24.12%. We identified that keeping cats and a lower percentage of CD3+T cells and CD8+T cells were associated with higher prevalence of T. gondii IgG+ in uremia patients when compared with kidney transplant recipients.<h4>Conclusions</h4>This study suggested that kidney recipients and those uremia patients in the waiting list are susceptible to T. gondii infection. Immune status and keeping cats are associated with the seroprevalence in those patients. However, T. gondii infection is a neglected problem, screening and monitoring deserves more attention in the clinic.https://doi.org/10.1371/journal.pntd.0013063
spellingShingle Xingxing Zheng
Junhui Li
Zhuolin Li
Xianshu Liu
Yufei Zhang
Jiang Zhu
Yu Zhang
Jie Jiang
Bo Li
Meng Xia
Yingzi Ming
Xiang Wu
The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.
PLoS Neglected Tropical Diseases
title The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.
title_full The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.
title_fullStr The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.
title_full_unstemmed The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.
title_short The prevalence and associated risk factors of post-transplant Toxoplasma gondii infection among kidney transplant recipients and patients with uremia in Central-southern China.
title_sort prevalence and associated risk factors of post transplant toxoplasma gondii infection among kidney transplant recipients and patients with uremia in central southern china
url https://doi.org/10.1371/journal.pntd.0013063
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