Others that are not so well documented, some on the cutting edge--exposure to T. gondii, even in a mother who is immune to T. gondii can increase risk (remember immunitiy doesn't mean total immunity, just means that antibodies exist & can allow for quicker response by the immune system)
There is an interesting article in the
American Journal of Psychiatry (2008;165:99-106) about
Toxoplasma gondii for those interested. Here is the abstract:
Selected Infectious Agents and Risk of Schizophrenia Among U.S. Military Personnel
David W. Niebuhr, M.D., M.P.H., M.Sc., Amy M. Millikan, M.D., M.P.H., David N. Cowan, Ph.D., M.P.H., Robert Yolken, M.D., Yuanzhang Li, Ph.D., and Natalya S. Weber, M.D., M.P.H.
OBJECTIVE: A number of studies have reported associations between
Toxoplasma gondii (
T. gondii) infection and the risk of schizophrenia. Most existing studies have used small populations and postdiagnosis specimens. As part of a larger research program, the authors conducted a hypothesis-generating case control study of
T. gondii antibodies among individuals discharged from the U.S. military with a diagnosis of schizophrenia and serum specimens available from both before and after diagnosis.
METHOD: The patients (N=180) were military members who had been hospitalized and discharged from military service with a diagnosis of schizophrenia. Healthy comparison subjects (3:1 matched on several factors) were members of the military who were not discharged. The U.S. military routinely collects and stores serum specimens of military service members. The authors used microplate-enzyme immunoassay to measure immunoglobulin G (IgG) antibody levels to
T. gondii, six herpes viruses, and influenza A and B viruses and immunoglobulin M (IgM) antibody levels to
T. gondii in pre- and postdiagnosis serum specimens.
RESULTS: A significant positive association between the
T. gondii IgG antibody and schizophrenia was found; the overall hazard ratio was 1.24. The association between IgG and schizophrenia varied by the time between the serum specimen collection and onset of illness.
CONCLUSION: The authors found significant associations between increased levels of scaled
T. gondii IgG antibodies and schizophrenia for antibodies measured both prior to and after diagnosis.