Abstract

Simple SummaryMalaria control and prevention have traditionally relied on the use of insecticides in the form of treated bed nets or residual spraying in households. However, scaling up of these interventions—based on few available insecticide classes—resulted in the development and spread of insecticide resistance in malaria-transmitting mosquitoes. There is therefore an urgent need for introducing and applying new insecticides that are effective against these mosquitoes. Laboratories tasked with evaluating the efficacy of novel insecticides need to establish a large colony of resistant mosquitoes. In this study, we report the procedures used and challenges faced during the establishment and maintenance of a resistant mosquito strain in the laboratory which reflects the characteristics of the wild-resistant mosquito populations found in East Africa.Background: The emergence and spread of insecticide resistance in malaria vectors to major classes of insecticides call for urgent innovation and application of insecticides with novel modes of action. When evaluating new insecticides for public health, potential candidates need to be screened against both susceptible and resistant mosquitoes to determine efficacy and to identify potential cross-resistance to insecticides currently used for mosquito control. The challenges and lessons learned from establishing, maintaining, and authenticating the pyrethroid-resistant An. gambiae s.s. Muleba-Kis strain at the KCMUCo-PAMVERC Test Facility are described in this paper. Methods: Male mosquitoes from the F1 generation of wild-pyrethroid resistant mosquitoes were cross-bred with susceptible female An. gambiae s.s. Kisumu laboratory strain followed by larval selection using a pyrethroid insecticide solution. Periodic screening for phenotypic and genotypic resistance was done. WHO susceptibility tests and bottle bioassays were used to assess the phenotypic resistance, while Taqman™ assays were used to screen for known target-site resistance alleles (kdr and ace-1). Additionally, the strains were periodically assessed for quality control by monitoring adult weight and wing length. Results: By out-crossing the wild mosquitoes with an established lab strain, a successful resistant insectary colony was established. Intermittent selection pressure using alphacypermethrin has maintained high kdr mutation (leucine-serine) frequencies in the selected colony. There was consistency in the wing length and weight measurements from the year 2016 to 2020, with the exception that one out of four years was significantly different. Mean annual wing length varied between 0.0142–0.0028 mm compared to values obtained in 2016, except in 2019 where it varied by 0.0901 mm. Weight only varied by approximately 0.001 g across four years, except in 2017 where it differed by 0.005 g. Routine phenotypic characterization on Muleba-Kis against pyrethroids using the WHO susceptibility test indicated high susceptibility when type I pyrethroids were used compared to type II pyrethroids. Dynamics on susceptibility status also depended on the lapse time when the selection was last done. Conclusions: This study described the procedure for introducing, colonizing, and maintaining a resistant An. gambiae s.s. strain in the laboratory with leucine to serine substitution kdr allele which reflects the features of the wild-resistant population in East Africa. Challenges in colonizing a wild-resistant mosquito strain were overcome by out-crossing between mosquito strains of desired traits followed by intermittent insecticide selection at the larval stage to select for the resistant phenotype.

Highlights

  • Malaria vector control principally relies on the use of Insecticidal Treated Nets (ITNs) and Indoor Residual Spraying (IRS) as the most effective measures to prevent malaria transmission [1]

  • The same insecticide type and concentration was used for selection, susceptibility increased from the 30th generation to 35th generation

  • Results obtained in this study indicate that progress and status of insecticide resistance are attributed to insecticide selection and are not confounded by weight or wing length

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Summary

Introduction

Malaria vector control principally relies on the use of Insecticidal Treated Nets (ITNs) and Indoor Residual Spraying (IRS) as the most effective measures to prevent malaria transmission [1]. The development and spread of pyrethroid resistance in malaria vector populations [4,9] demanded the development of new classes of insecticides with novel modes of action (MoA) for the control of mosquitoes and other disease vectors [10,11,12,13]. In response to the global escalation of insecticide resistance in mosquito vectors, the WHO recommends the establishment, authentication, and use of resistant mosquito strains during phase I efficacy testing of new non-pyrethroid insecticides [16]. This recommendation ensures that the evaluation will be able to capture efficacy against current resistance in malaria vectors. There was consistency in the wing length and weight measurements from the year 2016 to

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