| Tachyzoite to bradyzoite conversion | 
        Bradyzoite to tachyzoite conversion | 
       
      
        | High pHa | 
        Lack    of NO | 
       
      
        | Low pHa | 
        Lack of IFN-γ  | 
       
      
        | Heat shockb | 
        Lack of TNF-α  | 
       
      
        | Mitochondrial inhibitionc | 
        Lack of IL-12 | 
       
      
        | Presence of NOc | 
        Lack    of T cells | 
       
      
        | Elevation of both    cAMP and cGMPd | 
        Induction of a    variety of HSPs,including HSP70, is associated with bradyzoite transitione  | 
       
     
    
    aOne cannot exclude that the differences in therapeutic efficacy between valproic
    acid and sodium valproate used in several neuropsychiatric diseases were
    related to acidic or alkaline target local tissue conditions induced by these two
    pharmaceutical forms of a drug (low doses vs. high doses, respectively) [577,578].
    bPhysiologically relevant circumstances that could play a role in stage conversion
    in vivo include heat shock through a fever [576]. cNO overproduction in ASD
    individuals [579] is an inhibitor of mitochondrial function [106]. dStress-induced
    elevation of cAMP could play a role in bradyzoite induction because addition of
    cAMP or cGMP to tachyzoites can stimulate stage conversion [580]. PLK, a T.
    gondii ME49 clonal strain able to differentiate in vitro, exhibited a rise in cAMP in
    response to bradyzoite inducing conditions, but elevation of cAMP under the same
    conditions was not evident in RH, a strain that does not differentiate well [580]. It
    must be emphasized that inducers of oxidative stress (nb. a state characteristic
    for autistic patients) also have been demonstrated to cause parasite encystment
    in vitro [581,582] |