Abstract

BackgroundIvermectin has been proposed as a novel malaria transmission control tool based on its insecticidal properties and unique route of acquisition through human blood. To maximize ivermectin’s effect and identify potential resistance/tolerance mechanisms, it is important to understand its effect on mosquito physiology and potential to shift mosquito population age-structure. We therefore investigated ivermectin susceptibility and gene expression changes in several age groups of female Anopheles gambiae mosquitoes.MethodsThe effect of aging on ivermectin susceptibility was analyzed in three age groups (2, 6, and 14-days) of colonized female Anopheles gambiae mosquitoes using standard survivorship assays. Gene expression patterns were then analyzed by transcriptome sequencing on an Illumina HiSeq 2500 platform. RT-qPCR was used to validate transcriptional changes and also to examine expression in a different, colonized strain and in wild mosquitoes, both of which blood fed naturally on an ivermectin-treated person.ResultsMosquitoes of different ages and blood meal history died at different frequencies after ingesting ivermectin. Mortality was lowest in 2-day old mosquitoes exposed on their first blood meal and highest in 6-day old mosquitoes exposed on their second blood meal. Twenty-four hours following ivermectin ingestion, 101 and 187 genes were differentially-expressed relative to control blood-fed, in 2 and 6-day groups, respectively. Transcription patterns of select genes were similar in membrane-fed, colonized, and naturally-fed wild vectors. Transcripts from several unexpected functional classes were highly up-regulated, including Niemann-Pick Type C (NPC) genes, peritrophic matrix-associated genes, and immune-response genes, and these exhibited different transcription patterns between age groups, which may explain the observed susceptibility differences. Niemann-Pick Type 2 genes were the most highly up-regulated transcripts after ivermectin ingestion (up to 160 fold) and comparing phylogeny to transcriptional patterns revealed that NPCs have rapidly evolved and separate members respond to either blood meals or to ivermectin.ConclusionWe present evidence of increased ivermectin susceptibility in older An. gambiae mosquitoes that had previously bloodfed. Differential expression analysis suggests complex midgut interactions resulting from ivermectin ingestion that likely involve blood meal digestion physiological responses, midgut microflora, and innate immune responses. Thus, the transcription of certain gene families is consistently affected by ivermectin ingestion, and may provide important clues to ivermectin’s broad effects on malaria vectors. These findings contribute to the growing understanding of ivermectin’s potential as a transmission control tool.Electronic supplementary materialThe online version of this article (doi:10.1186/s12864-015-2029-8) contains supplementary material, which is available to authorized users.

Highlights

  • Ivermectin has been proposed as a novel malaria transmission control tool based on its insecticidal properties and unique route of acquisition through human blood

  • Two Culex and Anopheles studies revealed increased insecticide tolerance after either single or multiple blood meals, as well as maintenance of resistant profiles [54, 55]

  • Another study investigating the effect of bloodfeeding on permethtrin tolerance in both a susceptible and resistant strain of An. funestus revealed that a previous blood meal had no effect on tolerance in the susceptible strain but significantly increased tolerance in the resistant strain [56]

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Summary

Introduction

Ivermectin has been proposed as a novel malaria transmission control tool based on its insecticidal properties and unique route of acquisition through human blood. Ivermectin (IVM) is a semi-synthetic member of the avermectin drug family, a series of 16-membered lactone endectocides first isolated from Streptomyces avermetilis in 1975 [3]. It is commonly used in humans, livestock and pets to control endoparasites, including parasitic helminths such as Onchocerca volvulus [4, 5], Haemonchus contortus [6] and Dirofilaria immitus [7], and ectoparasites including scabies mites [8], bot flies and ticks [9, 10]. Clinical trials with repeated IVM MDA are underway to examine the potential to achieve sustained malaria control in communities

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