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Guégan M, Zouache K, Démichel C, Minard G, Tran Van V, Potier P, Mavingui P, Valiente Moro C. The mosquito holobiont: fresh insight into mosquito-microbiota interactions. MICROBIOME 2018; 6:49. [PMID: 29554951 PMCID: PMC5859429 DOI: 10.1186/s40168-018-0435-2] [Citation(s) in RCA: 135] [Impact Index Per Article: 22.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 03/05/2018] [Indexed: 05/19/2023]
Abstract
The holobiont concept was first developed for coral ecosystems but has been extended to multiple organisms, including plants and other animals. Studies on insect-associated microbial communities have produced strong evidence that symbiotic bacteria play a major role in host biology. However, the understanding of these symbiotic relationships has mainly been limited to phytophagous insects, while the role of host-associated microbiota in haematophagous insect vectors remains largely unexplored. Mosquitoes are a major global public health concern, with a concomitant increase in people at risk of infection. The global emergence and re-emergence of mosquito-borne diseases has led many researchers to study both the mosquito host and its associated microbiota. Although most of these studies have been descriptive, they have led to a broad description of the bacterial communities hosted by mosquito populations. This review describes key advances and progress in the field of the mosquito microbiota research while also encompassing other microbes and the environmental factors driving their composition and diversity. The discussion includes recent findings on the microbiota functional roles and underlines their interactions with the host biology and pathogen transmission. Insight into the ecology of multipartite interactions, we consider that conferring the term holobiont to the mosquito and its microbiota is useful to get a comprehensive understanding of the vector pathosystem functioning so as to be able to develop innovative and efficient novel vector control strategies.
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Affiliation(s)
- Morgane Guégan
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
| | - Karima Zouache
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
| | - Colin Démichel
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
| | - Guillaume Minard
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
| | - Van Tran Van
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
| | - Patrick Potier
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
| | - Patrick Mavingui
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
- Université de La Réunion, CNRS 9192, INSERM U1187, IRD 249, Unité Mixte Processus Infectieux en Milieu Insulaire Tropical (PIMIT), Plateforme Technologique CYROI, Sainte-Clotilde, La Réunion, France
| | - Claire Valiente Moro
- Université de Lyon, Lyon, France
- Université Lyon 1, Villeurbanne, France
- CNRS, UMR 5557, Ecologie Microbienne, Villeurbanne, France
- INRA, UMR1418, Villeurbanne, France
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102
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Romoli O, Gendrin M. The tripartite interactions between the mosquito, its microbiota and Plasmodium. Parasit Vectors 2018; 11:200. [PMID: 29558973 PMCID: PMC5861617 DOI: 10.1186/s13071-018-2784-x] [Citation(s) in RCA: 55] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Accepted: 03/06/2018] [Indexed: 11/24/2022] Open
Abstract
The microbiota of Anopheles mosquitoes interferes with mosquito infection by Plasmodium and influences mosquito fitness, therefore affecting vectorial capacity. This natural barrier to malaria transmission has been regarded with growing interest in the last 20 years, as it may be a source of new transmission-blocking strategies. The last decade has seen tremendous progress in the functional characterisation of the tripartite interactions between the mosquito, its microbiota and Plasmodium parasites. In this review, we provide insights into the effects of the mosquito microbiota on Plasmodium infection and on mosquito physiology, and on how these aspects together influence vectorial capacity. We also discuss three current challenges in the field, namely the need for a more relevant microbiota composition in experimental mosquitoes involved in vector biology studies, for a better characterisation of the non-bacterial microbiota, and for further functional studies of the microbiota present outside the gut.
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Affiliation(s)
- Ottavia Romoli
- Microbiota of Insect Vectors Group, Institut Pasteur de la Guyane, Cayenne, French Guiana, France
| | - Mathilde Gendrin
- Microbiota of Insect Vectors Group, Institut Pasteur de la Guyane, Cayenne, French Guiana, France. .,Parasites and Insect Vectors Department, Institut Pasteur, Paris, France.
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103
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Dong Y, Simões ML, Marois E, Dimopoulos G. CRISPR/Cas9 -mediated gene knockout of Anopheles gambiae FREP1 suppresses malaria parasite infection. PLoS Pathog 2018. [PMID: 29518156 PMCID: PMC5843335 DOI: 10.1371/journal.ppat.1006898] [Citation(s) in RCA: 92] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Plasmodium relies on numerous agonists during its journey through the mosquito vector, and these agonists represent potent targets for transmission-blocking by either inhibiting or interfering with them pre- or post-transcriptionally. The recently developed CRISPR/Cas9-based genome editing tools for Anopheles mosquitoes provide new and promising opportunities for the study of agonist function and for developing malaria control strategies through gene deletion to achieve complete agonist inactivation. Here we have established a modified CRISPR/Cas9 gene editing procedure for the malaria vector Anopheles gambiae, and studied the effect of inactivating the fibrinogen-related protein 1 (FREP1) gene on the mosquito’s susceptibility to Plasmodium and on mosquito fitness. FREP1 knockout mutants developed into adult mosquitoes that showed profound suppression of infection with both human and rodent malaria parasites at the oocyst and sporozoite stages. FREP1 inactivation, however, resulted in fitness costs including a significantly lower blood-feeding propensity, fecundity and egg hatching rate, a retarded pupation time, and reduced longevity after a blood meal. The causative agent of malaria, Plasmodium, has to complete a complex infection cycle in the Anopheles gambiae mosquito vector in order to reach the salivary gland from where it can be transmitted to a human host. The parasite’s development in the mosquito relies on numerous host factors (agonists), and their inhibition or inactivation can thereby result in suppression of infection and consequently malaria transmission. The recently developed CRISPR/Cas9-based genome editing tools for Anopheles mosquitoes provide new and promising opportunities to delete (inactivate) Plasmodium agonists to better understand their function and for blocking malaria transmission. Here we have established a modified CRISPR/Cas9 genome editing technique for malaria vector A. gambiae mosquitoes. Through this approach we have inactivated the fibrinogen-related protein 1 (FREP1) gene, via CRISPR/Cas9 genome editing, and the impact of this manipulation on the mosquito’s susceptibility to Plasmodium and on mosquito fitness. FREP1 knockout mutants showed a profound suppression of infection with both human and rodent malaria parasites, while it also resulted in fitness costs: a significantly lower blood-feeding propensity, fecundity and egg hatching rate, and a retarded larval development and pupation time, and reduced longevity after a blood meal.
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Affiliation(s)
- Yuemei Dong
- W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Malaria Research Institute, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Maria L. Simões
- W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Malaria Research Institute, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Eric Marois
- Inserm, CNRS, Université de Strasbourg, Strasbourg, France
| | - George Dimopoulos
- W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Malaria Research Institute, Johns Hopkins University, Baltimore, Maryland, United States of America
- * E-mail:
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104
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Song X, Wang M, Dong L, Zhu H, Wang J. PGRP-LD mediates A. stephensi vector competency by regulating homeostasis of microbiota-induced peritrophic matrix synthesis. PLoS Pathog 2018; 14:e1006899. [PMID: 29489896 PMCID: PMC5831637 DOI: 10.1371/journal.ppat.1006899] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Accepted: 01/23/2018] [Indexed: 12/02/2022] Open
Abstract
Peptidoglycan recognition proteins (PGRPs) and commensal microbes mediate pathogen infection outcomes in insect disease vectors. Although PGRP-LD is retained in multiple vectors, its role in host defense remains elusive. Here we report that Anopheles stephensi PGRP-LD protects the vector from malaria parasite infection by regulating gut homeostasis. Specifically, knock down of PGRP-LD (dsLD) increased susceptibility to Plasmodium berghei infection, decreased the abundance of gut microbiota and changed their spatial distribution. This outcome resulted from a change in the structural integrity of the peritrophic matrix (PM), which is a chitinous and proteinaceous barrier that lines the midgut lumen. Reduction of microbiota in dsLD mosquitoes due to the upregulation of immune effectors led to dysregulation of PM genes and PM fragmentation. Elimination of gut microbiota in antibiotic treated mosquitoes (Abx) led to PM loss and increased vectorial competence. Recolonization of Abx mosquitoes with indigenous Enterobacter sp. restored PM integrity and decreased mosquito vectorial capacity. Silencing PGRP-LD in mosquitoes without PM didn’t influence their vector competence. Our results indicate that PGPR-LD protects the gut microbiota by preventing hyper-immunity, which in turn promotes PM structurally integrity. The intact PM plays a key role in limiting P. berghei infection. Malaria parasites must overcome several obstacles to complete their development in mosquito. Understanding the interactions between parasites and mosquitoes will provide potential targets to control malaria transmission. PGRP-LD is a peptidoglycan recognition protein, of which limit information is available in insects. Here we show that A. stephensi PGRP-LD mediates malaria parasite infection outcomes by influencing homeostasis of the gut microbiota. Reduction of the gut microbiota density, resulting from upregulation of immune activities in PGRP-LD knock down mosquitoes, changes expression of PM genes and causes PM fragmentation. The compromised PM leads to increasing susceptibility to parasite infection. We also discovered that the PM is lost in mosquitoes in which the gut microbiota is removed by antibiotic treatment. Knock down of PGRP-LD in these mosquitoes doesn’t increase their vector competence. Altogether, these results indicate that capacity of Anopheles mosquito to transmit parasites is determined by a finely tuned balance between host immunity, gut microbiota and peritrophic matrix. PGRP-LD is a key mediator in regulating this balance. Our results expand knowledge on interactions between immune system, gut microbiota and Plasmodium, and will shed light on equivalent processes in other disease transmitting vectors.
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Affiliation(s)
- Xiumei Song
- State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai, P. R. China
- Ministry of Education Key Laboratory of Contemporary Anthropology, School of Life Sciences, Fudan University, Shanghai, P. R. China
| | - Mengfei Wang
- State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai, P. R. China
- Ministry of Education Key Laboratory of Contemporary Anthropology, School of Life Sciences, Fudan University, Shanghai, P. R. China
| | - Li Dong
- State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai, P. R. China
- Ministry of Education Key Laboratory of Contemporary Anthropology, School of Life Sciences, Fudan University, Shanghai, P. R. China
| | - Huaimin Zhu
- The 2nd Military Medical University, Shanghai, P. R. China
| | - Jingwen Wang
- State Key Laboratory of Genetic Engineering, School of Life Sciences, Fudan University, Shanghai, P. R. China
- Ministry of Education Key Laboratory of Contemporary Anthropology, School of Life Sciences, Fudan University, Shanghai, P. R. China
- * E-mail:
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105
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Das De T, Sharma P, Thomas T, Singla D, Tevatiya S, Kumari S, Chauhan C, Rani J, Srivastava V, Kaur R, Pandey KC, Dixit R. Interorgan Molecular Communication Strategies of "Local" and "Systemic" Innate Immune Responses in Mosquito Anopheles stephensi. Front Immunol 2018. [PMID: 29515567 PMCID: PMC5826171 DOI: 10.3389/fimmu.2018.00148] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Mosquitoes that transmit many deadly infectious diseases also need to keep fighting against many microbial infections. Constitutive expression of multiple antimicrobial peptides (AMPs) in almost all body tissues is believed to facilitate the effective management of these local infections. When any infection breaches the local barrier, AMPs are induced rapidly in non-target tissues such as hemocytes (HCs) and establish their co-ordination with systemic immune effectors to clear off the body infection. But how interorgan immune communication is managed during local and systemic infections remain largely unknown. To understand this interorgan molecular relationship, we identified, extensively profiled and compared the expression of AMPs in three important mosquito tissues viz. midgut, fat body (FB), and HCs. dsRNA-mediated AMPs silencing suggests that mosquito tissues are able to manage an optimal expression of AMPs at the physiological level. We also examined the possible contribution of two important immune regulator genes relish (REL) and nitric oxide synthase, controlling AMPs expression in these tissues during local or systemic infections. We show that each tissue has a unique ability to respond to local/systemic challenges, but HCs are more specialized to recognize and discriminate-specific antigens than gut and FB. Our investigation also revealed that both REL and NO participate in the overall management of the interorgan immune responses, but at the same time each tissue also has its own ability to maintain the interorgan flow of signals. In our knowledge, this is the first large-scale study examining the interorgan immune relationship in the mosquito.
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Affiliation(s)
- Tanwee Das De
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India.,Department of Biotechnology, Delhi Technological University, Shahbad Daulatpur, New Delhi, India
| | - Punita Sharma
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Tina Thomas
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Deepak Singla
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Sanjay Tevatiya
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Seena Kumari
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Charu Chauhan
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Jyoti Rani
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Vartika Srivastava
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Ramandeep Kaur
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
| | - Kailash C Pandey
- Department of Biochemistry, National Institute for Research in Environmental Health, Indian Council of Medical Research, Bhopal, India
| | - Rajnikant Dixit
- Host-Parasite Interaction Biology Group, ICMR-National Institute of Malaria Research, New Delhi, India
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106
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Whiten SR, Eggleston H, Adelman ZN. Ironing out the Details: Exploring the Role of Iron and Heme in Blood-Sucking Arthropods. Front Physiol 2018; 8:1134. [PMID: 29387018 PMCID: PMC5776124 DOI: 10.3389/fphys.2017.01134] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 12/22/2017] [Indexed: 12/12/2022] Open
Abstract
Heme and iron are essential molecules for many physiological processes and yet have the ability to cause oxidative damage such as lipid peroxidation, protein degradation, and ultimately cell death if not controlled. Blood-sucking arthropods have evolved diverse methods to protect themselves against iron/heme-related damage, as the act of bloodfeeding itself is high risk, high reward process. Protective mechanisms in medically important arthropods include the midgut peritrophic matrix in mosquitoes, heme aggregation into the crystalline structure hemozoin in kissing bugs and hemosomes in ticks. Once heme and iron pass these protective mechanisms they are presumed to enter the midgut epithelial cells via membrane-bound transporters, though relatively few iron or heme transporters have been identified in bloodsucking arthropods. Upon iron entry into midgut epithelial cells, ferritin serves as the universal storage protein and transport for dietary iron in many organisms including arthropods. In addition to its role as a nutrient, heme is also an important signaling molecule in the midgut epithelial cells for many physiological processes including vitellogenesis. This review article will summarize recent advancements in heme/iron uptake, detoxification and exportation in bloodfeeding arthropods. While initial strides have been made at ironing out the role of dietary iron and heme in arthropods, much still remains to be discovered as these molecules may serve as novel targets for the control of many arthropod pests.
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Affiliation(s)
- Shavonn R Whiten
- Department of Entomology, Texas A&M University, College Station, TX, United States
| | - Heather Eggleston
- Genetics Graduate Program, Texas A&M University, College Station, TX, United States
| | - Zach N Adelman
- Department of Entomology, Texas A&M University, College Station, TX, United States
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107
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Feng X, Zhang S, Huang F, Zhang L, Feng J, Xia Z, Zhou H, Hu W, Zhou S. Biology, Bionomics and Molecular Biology of Anopheles sinensis Wiedemann 1828 (Diptera: Culicidae), Main Malaria Vector in China. Front Microbiol 2017; 8:1473. [PMID: 28848504 PMCID: PMC5552724 DOI: 10.3389/fmicb.2017.01473] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Accepted: 07/20/2017] [Indexed: 01/06/2023] Open
Abstract
China has set a goal to eliminate all malaria in the country by 2020, but it is unclear if current understanding of malaria vectors and transmission is sufficient to achieve this objective. Anopheles sinensis is the most widespread malaria vector specie in China, which is also responsible for vivax malaria outbreak in central China. We reviewed literature from 1954 to 2016 on An. sinensis with emphasis on biology, bionomics, and molecular biology. A total of 538 references were relevant and included. An. sienesis occurs in 29 Chinese provinces. Temperature can affect most life-history parameters. Most An. sinensis are zoophilic, but sometimes they are facultatively anthropophilic. Sporozoite analysis demonstrated An. sinensis efficacy on Plasmodium vivax transmission. An. sinensis was not stringently refractory to P. falciparum under experimental conditions, however, sporozoite was not found in salivary glands of field collected An. sinensis. The literature on An. sienesis biology and bionomics was abundant, but molecular studies, such as gene functions and mechanisms, were limited. Only 12 molecules (genes, proteins or enzymes) have been studied. In addition, there were considerable untapped omics resources for potential vector control tools. Existing information on An. sienesis could serve as a baseline for advanced research on biology, bionomics and genetics relevant to vector control strategies.
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Affiliation(s)
- Xinyu Feng
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
- Joint Research Laboratory of Genetics and Ecology on Parasites-Hosts Interaction, National Institute of Parasitic Diseases – Fudan UniversityShanghai, China
| | - Shaosen Zhang
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
- Université de Montpellier, IES – Institut d’Electronique et des Systèmes, UMR 5214, CNRS-UMMontpellier, France
- Cirad, UMR 17, Intertryp, Campus International de BaillarguetMontpellier, France
- Institut de Recherche pour le Développement (IRD France), LIPMC, UMR-MD3, Faculté de PharmacieMontpellier, France
| | - Fang Huang
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
| | - Li Zhang
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
| | - Jun Feng
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
| | - Zhigui Xia
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
| | - Hejun Zhou
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
| | - Wei Hu
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
- Joint Research Laboratory of Genetics and Ecology on Parasites-Hosts Interaction, National Institute of Parasitic Diseases – Fudan UniversityShanghai, China
- Department of Microbiology and Microbial Engineering, School of Life Sciences, Fudan UniversityShanghai, China
| | - Shuisen Zhou
- National Institute of Parasitic Diseases, Chinese Center for Disease Control and PreventionShanghai, China
- Key Laboratory of Parasite and Vector Biology, National Health and Family Planning CommissionShanghai, China
- WHO Collaborating Center for Tropical DiseasesShanghai, China
- National Center for International Research on Tropical DiseasesShanghai, China
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108
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Ivermectin susceptibility and sporontocidal effect in Greater Mekong Subregion Anopheles. Malar J 2017; 16:280. [PMID: 28687086 PMCID: PMC5501099 DOI: 10.1186/s12936-017-1923-8] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Accepted: 06/28/2017] [Indexed: 12/26/2022] Open
Abstract
Background Novel vector control methods that can directly target outdoor malaria transmission are urgently needed in the Greater Mekong Subregion (GMS) to accelerate malaria elimination and artemisinin resistance containment efforts. Ivermectin mass drug administration (MDA) to humans has been shown to effectively kill wild Anopheles and suppress malaria transmission in West Africa. Preliminary laboratory investigations were performed to determine ivermectin susceptibility and sporontocidal effect in GMS Anopheles malaria vectors coupled with pharmacokinetic models of ivermectin at escalating doses. Methods A population-based pharmacokinetic model of ivermectin was developed using pre-existing data from a clinical trial conducted in Thai volunteers at the 200 µg/kg dose. To assess ivermectin susceptibility, various concentrations of ivermectin compound were mixed in human blood meals and blood-fed to Anopheles dirus, Anopheles minimus, Anopheles sawadwongporni, and Anopheles campestris. Mosquito survival was monitored daily for 7 days and a non-linear mixed effects model with probit analyses was used to calculate concentrations of ivermectin that killed 50% (LC50) of mosquitoes for each species. Blood samples were collected from Plasmodium vivax positive patients and offered to mosquitoes with or without ivermectin at the ivermectin LC25 or LC5 for An. dirus and An. minimus. Results The GMS Anopheles displayed a range of susceptibility to ivermectin with species listed from most to least susceptible being An. minimus (LC50 = 16.3 ng/ml) > An. campestris (LC50 = 26.4 ng/ml) = An. sawadwongporni (LC50 = 26.9 ng/ml) > An. dirus (LC50 = 55.6 ng/ml). Mosquito survivorship results, the pharmacokinetic model, and extensive safety data indicated that ivermectin 400 µg/kg is the ideal minimal dose for MDA in the GMS for malaria parasite transmission control. Ivermectin compound was sporontocidal to P. vivax in both An. dirus and An. minimus at the LC25 and LC5 concentrations. Conclusions Ivermectin is lethal to dominant GMS Anopheles malaria vectors and inhibits sporogony of P. vivax at safe human relevant concentrations. The data suggest that ivermectin MDA has potential in the GMS as a vector and transmission blocking control tool to aid malaria elimination efforts. Electronic supplementary material The online version of this article (doi:10.1186/s12936-017-1923-8) contains supplementary material, which is available to authorized users.
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