Abstract

Parasite drug resistance presents a major obstacle to controlling and eliminating vector-borne diseases affecting humans and animals. While vector-borne disease dynamics are affected by factors related to parasite, vertebrate host and vector, research on drug resistance in filarial parasites has primarily focused on the parasite and vertebrate host, rather than the mosquito. However, we expect that the physiological costs associated with drug resistance would reduce the fitness of drug-resistant vs. drug-susceptible parasites in the mosquito wherein parasites are not exposed to drugs. Here we test this hypothesis using four isolates of the dog heartworm (Dirofilaria immitis)—two drug susceptible and two drug resistant—and two vectors—the yellow fever mosquito (Aedes aegypti) and the Asian tiger mosquito (Ae. albopictus)—as our model system. Our data indicated that while vector species had a significant effect on vectorial capacity, there was no significant difference in the vectorial capacity of mosquitoes infected with drug-resistant vs. drug-susceptible parasites. Consequently, contrary to expectations, our data indicate that drug resistance in D. immitis does not appear to reduce the transmission efficiency of these parasites, and thus the spread of drug-resistant parasites in the vertebrate population is unlikely to be mitigated by reduced fitness in the mosquito vector.

Highlights

  • Vector-borne diseases remain an important challenge for public health globally, and contribute to over 17% of the global estimated burden of all infectious diseases [1]

  • We focused on elucidating the effects of drug resistance on the vectorial capacity of mosquitoes infected with dog heartworm (Dirofilaria immitis)

  • Investigating biological differences between drug-susceptible and drug-resistant parasites and their vectors should provide a better understanding of transmission dynamics and the evolutionary processes involved in the maintenance and spread [11,28] of drug resistance

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Summary

Introduction

Vector-borne diseases remain an important challenge for public health globally, and contribute to over 17% of the global estimated burden of all infectious diseases [1]. Continued success in controlling these diseases faces numerous challenges, with the evolution of resistance against anti-parasitic drugs being one of the most important [5,6,7]. Given that the evolutionary dynamics of parasites are critically affected by the host environment (e.g., immune response [8]), vector-transmitted parasites are subjected to very different selection pressures in the different hosts (vertebrate and invertebrate) used to complete the life cycles. The differential pressures that parasites face in the vertebrate host vs the arthropod vector could act to enhance or reduce parasite transmission, and impact the spread of drug-resistant parasite isolates. The development of drug resistance in vector-transmitted parasites could have high fitness advantages for life history stages in the vertebrate hosts wherein they are likely to be exposed to chemoprophylaxis

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