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Published on: August 17, 2022
Neonatal antibodies to infectious agents and risk of bipolar disorder: a population-based case-control study
Preben Bo Mortensen1, Carsten Bøcker Pedersen, John Joseph McGrath
1National Centre for Register-based Research, Faculty of Social Sciences, University of Aarhus, Aarhus, Denmark. pbm@ncrr.dk
Insights
Prenatal infections like herpes simplex virus (HSV), cytomegalovirus (CMV), and Toxoplasma gondii were not associated with bipolar disorder risk in this study. Further research with larger samples is needed to confirm these findings for maternal infections.
Area of Science:
- Neuroscience
- Epidemiology
- Infectious Diseases
Background:
- Prenatal exposure to infectious agents is a known risk factor for schizophrenia.
- Limited research exists on the link between prenatal infections and bipolar disorder risk.
Purpose of the Study:
- To investigate the association between neonatal markers of prenatal infections and the risk of developing bipolar disorder.
Main Methods:
- Population-based study using Danish registers.
- 127 individuals diagnosed with bipolar disorder and 127 matched controls.
- Neonatal dried blood spots analyzed for antibodies to herpes simplex virus types 1 and 2 (HSV-1, HSV-2), cytomegalovirus (CMV), and Toxoplasma gondii.
Main Results:
- No significant association was found between neonatal markers of prenatal infection and bipolar disorder risk.
Conclusions:
- Maternal infections with HSV-1, HSV-2, CMV, or Toxoplasma gondii are not supported as risk factors for bipolar disorder in this study.
- Larger sample sizes and more detailed data on infection timing and specific pathogen types are warranted for future research.
Objective:
There is a substantial evidence base linking prenatal exposure to infectious agents and an increased risk of schizophrenia. However, there has been less research examining the potential for these exposures to also contribute to risk for bipolar disorder. The aim of this study was to examine the association between neonatal markers of selected prenatal infections and risk for bipolar disorder.
Methods:
Using population-based Danish registers, we examined 127 individuals with a diagnosis of bipolar disorder, and 127 sex and day-of-birth individually matched controls. Based on neonatal dried blood spots, we measured antibodies to herpes simplex virus type 1 (HSV-1) and 2 (HSV-2), cytomegalovirus (CMV), and Toxoplasma gondii. Relative risks were calculated for the matched pairs when examined for optical density units for antibodies to each of the infectious agents.
Results:
There was no association between any of the neonatal markers of prenatal infection and risk of bipolar disorder.
Conclusions:
In contrast with studies of schizophrenia, our analysis does not support maternal infection with HSV-1, HSV-2, CMV, or Toxoplasma gondii as risk factors for bipolar disorder. However, larger study samples are needed, and data on, for example, specific serotypes of Toxoplasma and indicators of the timing of maternal infection are still warranted.
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