<b><span style="font-family:Verdana;">Background:</span></b></span><span><span><span style="font-family:""><span style="font-family:Verd...<b><span style="font-family:Verdana;">Background:</span></b></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> Understanding the biology of </span><i><span style="font-family:Verdana;">Anopheles</span></i><span style="font-family:Verdana;"> malaria vector species is essential to planning effective and sustainable malaria control strategies in endemic countries. This study reported the implication of </span><i><span style="font-family:Verdana;">Anopheles leesoni </span></i><span style="font-family:Verdana;">in malaria transmission in Cameroon, Central Africa. </span><b><span style="font-family:Verdana;">Methods:</span></b><i> </i><span style="font-family:Verdana;">Mosquitoes were collected in three localities from May 2015 to March 2018 using electric aspirators and Centers for Disease Control light traps (CDC-LT). </span><i><span style="font-family:Verdana;">Anopheles funestus</span></i> <i><span style="font-family:Verdana;">sensu lato</span></i><span style="font-family:Verdana;"> (</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">.) mosquitoes were identified as species using polymerase chain reaction assay (PCR). Furthermore, </span><i><span style="font-family:Verdana;">Plasmodium falciparum</span></i><span style="font-family:Verdana;"> infection status was determined using the enzyme-linked</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">immunosorbent assay (ELISA) method. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 12,744 </span><i><span style="font-family:Verdana;">Anopheles</span></i><span style="font-family:Verdana;"> mosquitoes were collected by electric aspirator (N = 4844) and CDC-LT (N = 7900). </span><i><span style="font-family:Verdana;">Anopheles funestus</span></i><span> <i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">. (86.95%)</span><i> </i></span><span style="font-family:Verdana;">was the major species and the main malaria vector in rural savannah and rural forest sites followed by </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">. </span><i><span style="font-family:Verdana;">gambiae</span></i><span> <i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">. (13.05%)</span></span><span style="font-family:Verdana;"> whereas</span><span><span style="font-family:Verdana;"> in urban areas, </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> gambiae</span></i> <i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">. was</span></span><span style="font-family:Verdana;"> by far the most abundant representing 91.45% of </span><i><span style="font-family:Verdana;">Anopheles</span></i><span style="font-family:Verdana;"> mosquitoes collected. Two members of the </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus</span></i><span style="font-family:Verdana;"> group were identified among 1389 analysed by PCR: 1307 </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus sensu stricto</span></i><span style="font-family:Verdana;"> (</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.)</span><i> </i><span style="font-family:Verdana;">(94.10%) and 82 </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> leesoni</span></i><span style="font-family:Verdana;"> (5.9%). </span><i><span style="font-family:Verdana;">Plasmodium falciparum </span></i><span style="font-family:Verdana;">infection rate was 21.04% in </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus </span></i></span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">. For the first time, </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> leesoni</span></i> </span><span style="font-family:Verdana;">was found positive for </span><i><span style="font-family:Verdana;">P</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> falciparum</span></i><span style="font-family:Verdana;"> (infection rate: 10.98%)</span></span><span style="font-family:Verdana;"> in Cameroon. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">A very high </span><i><span style="font-family:Verdana;">P</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> falciparum</span></i></span><span style="font-family:Verdana;"> infection rate was observed in this study in </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">s</span></i></span><span style="font-family:Verdana;">., highlighting its high implication in malaria transmission in Cameroon. Furthermore, the detection of </span><i><span style="font-family:Verdana;">P</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> falciparum</span></i></span><span style="font-family:Verdana;"> infection in </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> leesoni</span></i></span><span style="font-family:Verdana;"> calls for more attention towards this neglected vector species.展开更多
Background The increasing reports of resistance to pyrethroid insecticides associated with reduced efficacy of pyrethroid-only interventions highlight the urgency of introducing new non-pyrethroid-only control tools.H...Background The increasing reports of resistance to pyrethroid insecticides associated with reduced efficacy of pyrethroid-only interventions highlight the urgency of introducing new non-pyrethroid-only control tools.Here,we investigated the performance of piperonyl-butoxide(PBO)-pyrethroid[Permanet 3.0(P3.0)]and dual active ingredients(AI)nets[Interceptor G2(IG2):containing pyrethroids and chlorfenapyr and Royal Guard(RG):containing pyrethroids and pyriproxyfen]compared to pyrethroid-only net Royal Sentry(RS)against pyrethroid-resistant malaria vectors in Cameroon.Methods The efficacy of these tools was firstly evaluated onAnopheles gambiae s.l.andAnopheles funestus s.l.from Gounougou,Mibellon,Mangoum,Nkolondom,and Elende using cone/tunnel assays.In addition,experimental hut trials(EHT)were performed to evaluate the performance of unwashed and 20 times washed nets in semi-field conditions.Furthermore,pyrethroid-resistant markers were genotyped in dead vs alive,blood-fed vs unfed mosquitoes after exposure to the nets to evaluate the impact of these markers on net performance.The XLSTAT software was used to calculate the various entomological outcomes and the Chi-square test was used to compare the efficacy of various nets.The odds ratio and Fisher exact test were then used to establish the statistical significance of any association between insecticide resistance markers and bed net efficacy.Results Interceptor G2 was the most effective net against wild pyrethroid-resistantAn.funestus followed by Permanet 3.0.In EHT,this net induced up to 87.8%mortality[95%confidence interval(CI):83.5-92.1%)and 55.6%(95%CI:48.5-62.7%)after 20 washes whilst unwashed pyrethroid-only net(Royal Sentry)killed just 18.2%(95%CI:13.4-22.9%)of host-seekingAn.funestus.The unwashed Permanet 3.0 killed up to 53.8%(95%CI:44.3-63.4%)of field-resistant mosquitoes and 47.2%(95%CI:37.7-56.7%)when washed 20 times,and the Royal Guard 13.2%(95%CI:9.0-17.3%)for unwashed net and 8.5%(95%CI:5.7-11.4%)for the 20 washed net.Interceptor G2,Permanet 3.0,and Royal Guard provided better personal protection(blood-feeding inhibition 66.2%,77.8%,and 92.8%,respectively)compared to pyrethroid-only net Royal Sentry(8.4%).Interestingly,a negative association was found betweenkdrw and the chlorfenapyr-based net Interceptor G2(χ^(2)=138;P<0.0001)with homozygote-resistant mosquitoes predominantly found in the dead ones.Conclusions The high mortality recorded with Interceptor G2 against pyrethroid-resistant malaria vectors in this study provides first semi-field evidence of high efficacy against these major malaria vectors in Cameroon encouraging the implementation of this novel net for malaria control in the country.However,the performance of this net should be established in other locations and on other major malaria vectors before implementation at a large scale.展开更多
文摘<b><span style="font-family:Verdana;">Background:</span></b></span><span><span><span style="font-family:""><span style="font-family:Verdana;"> Understanding the biology of </span><i><span style="font-family:Verdana;">Anopheles</span></i><span style="font-family:Verdana;"> malaria vector species is essential to planning effective and sustainable malaria control strategies in endemic countries. This study reported the implication of </span><i><span style="font-family:Verdana;">Anopheles leesoni </span></i><span style="font-family:Verdana;">in malaria transmission in Cameroon, Central Africa. </span><b><span style="font-family:Verdana;">Methods:</span></b><i> </i><span style="font-family:Verdana;">Mosquitoes were collected in three localities from May 2015 to March 2018 using electric aspirators and Centers for Disease Control light traps (CDC-LT). </span><i><span style="font-family:Verdana;">Anopheles funestus</span></i> <i><span style="font-family:Verdana;">sensu lato</span></i><span style="font-family:Verdana;"> (</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">.) mosquitoes were identified as species using polymerase chain reaction assay (PCR). Furthermore, </span><i><span style="font-family:Verdana;">Plasmodium falciparum</span></i><span style="font-family:Verdana;"> infection status was determined using the enzyme-linked</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">immunosorbent assay (ELISA) method. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">A total of 12,744 </span><i><span style="font-family:Verdana;">Anopheles</span></i><span style="font-family:Verdana;"> mosquitoes were collected by electric aspirator (N = 4844) and CDC-LT (N = 7900). </span><i><span style="font-family:Verdana;">Anopheles funestus</span></i><span> <i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">. (86.95%)</span><i> </i></span><span style="font-family:Verdana;">was the major species and the main malaria vector in rural savannah and rural forest sites followed by </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">. </span><i><span style="font-family:Verdana;">gambiae</span></i><span> <i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">. (13.05%)</span></span><span style="font-family:Verdana;"> whereas</span><span><span style="font-family:Verdana;"> in urban areas, </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> gambiae</span></i> <i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">l</span></i><span style="font-family:Verdana;">. was</span></span><span style="font-family:Verdana;"> by far the most abundant representing 91.45% of </span><i><span style="font-family:Verdana;">Anopheles</span></i><span style="font-family:Verdana;"> mosquitoes collected. Two members of the </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus</span></i><span style="font-family:Verdana;"> group were identified among 1389 analysed by PCR: 1307 </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus sensu stricto</span></i><span style="font-family:Verdana;"> (</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.)</span><i> </i><span style="font-family:Verdana;">(94.10%) and 82 </span><i><span style="font-family:Verdana;">A</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> leesoni</span></i><span style="font-family:Verdana;"> (5.9%). </span><i><span style="font-family:Verdana;">Plasmodium falciparum </span></i><span style="font-family:Verdana;">infection rate was 21.04% in </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus </span></i></span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">s</span></i><span style="font-family:Verdana;">. For the first time, </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> leesoni</span></i> </span><span style="font-family:Verdana;">was found positive for </span><i><span style="font-family:Verdana;">P</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> falciparum</span></i><span style="font-family:Verdana;"> (infection rate: 10.98%)</span></span><span style="font-family:Verdana;"> in Cameroon. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">A very high </span><i><span style="font-family:Verdana;">P</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> falciparum</span></i></span><span style="font-family:Verdana;"> infection rate was observed in this study in </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> funestus s</span></i><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;">s</span></i></span><span style="font-family:Verdana;">., highlighting its high implication in malaria transmission in Cameroon. Furthermore, the detection of </span><i><span style="font-family:Verdana;">P</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> falciparum</span></i></span><span style="font-family:Verdana;"> infection in </span><i><span style="font-family:Verdana;">A</span></i><span><span style="font-family:Verdana;">.</span><i><span style="font-family:Verdana;"> leesoni</span></i></span><span style="font-family:Verdana;"> calls for more attention towards this neglected vector species.
基金This work was supported by the PIIVEC operational research project(PV/OP2-03/TW to MT under the MRC grant MR/PO27873/1),the Renewal Wellcome Trust Senior Research Fellowship in Biomedical Sciences(217188/Z/19/Z),and the BMGF Grant(INV-006003)awarded to CSW.
文摘Background The increasing reports of resistance to pyrethroid insecticides associated with reduced efficacy of pyrethroid-only interventions highlight the urgency of introducing new non-pyrethroid-only control tools.Here,we investigated the performance of piperonyl-butoxide(PBO)-pyrethroid[Permanet 3.0(P3.0)]and dual active ingredients(AI)nets[Interceptor G2(IG2):containing pyrethroids and chlorfenapyr and Royal Guard(RG):containing pyrethroids and pyriproxyfen]compared to pyrethroid-only net Royal Sentry(RS)against pyrethroid-resistant malaria vectors in Cameroon.Methods The efficacy of these tools was firstly evaluated onAnopheles gambiae s.l.andAnopheles funestus s.l.from Gounougou,Mibellon,Mangoum,Nkolondom,and Elende using cone/tunnel assays.In addition,experimental hut trials(EHT)were performed to evaluate the performance of unwashed and 20 times washed nets in semi-field conditions.Furthermore,pyrethroid-resistant markers were genotyped in dead vs alive,blood-fed vs unfed mosquitoes after exposure to the nets to evaluate the impact of these markers on net performance.The XLSTAT software was used to calculate the various entomological outcomes and the Chi-square test was used to compare the efficacy of various nets.The odds ratio and Fisher exact test were then used to establish the statistical significance of any association between insecticide resistance markers and bed net efficacy.Results Interceptor G2 was the most effective net against wild pyrethroid-resistantAn.funestus followed by Permanet 3.0.In EHT,this net induced up to 87.8%mortality[95%confidence interval(CI):83.5-92.1%)and 55.6%(95%CI:48.5-62.7%)after 20 washes whilst unwashed pyrethroid-only net(Royal Sentry)killed just 18.2%(95%CI:13.4-22.9%)of host-seekingAn.funestus.The unwashed Permanet 3.0 killed up to 53.8%(95%CI:44.3-63.4%)of field-resistant mosquitoes and 47.2%(95%CI:37.7-56.7%)when washed 20 times,and the Royal Guard 13.2%(95%CI:9.0-17.3%)for unwashed net and 8.5%(95%CI:5.7-11.4%)for the 20 washed net.Interceptor G2,Permanet 3.0,and Royal Guard provided better personal protection(blood-feeding inhibition 66.2%,77.8%,and 92.8%,respectively)compared to pyrethroid-only net Royal Sentry(8.4%).Interestingly,a negative association was found betweenkdrw and the chlorfenapyr-based net Interceptor G2(χ^(2)=138;P<0.0001)with homozygote-resistant mosquitoes predominantly found in the dead ones.Conclusions The high mortality recorded with Interceptor G2 against pyrethroid-resistant malaria vectors in this study provides first semi-field evidence of high efficacy against these major malaria vectors in Cameroon encouraging the implementation of this novel net for malaria control in the country.However,the performance of this net should be established in other locations and on other major malaria vectors before implementation at a large scale.