Abstract

BackgroundMalaria is endemic in most parts of Afghanistan and insecticide-based vector control measures are central in controlling the disease. Insecticide resistance in the main malaria vector Anopheles stephensi from Afghanistan is increasing and attempts should be made to determine the underlying resistance mechanisms for its adequate management.MethodsThe contents of cytochrome P450s, esterases, glutathione S-transferases (GSTs) and acetylcholine esterase (AChE) activities were measured in the Kunar and Nangarhar populations of An. stephensi from Afghanistan and the results were compared with those of the susceptible Beech strain using the World Health Organization approved biochemical assay methods for adult mosquitoes.ResultsThe cytochrome P450s enzyme ratios were 2.23- and 2.54-fold in the Kunar and Nangarhar populations compared with the susceptible Beech strain. The enzyme ratios for esterases with alpha-naphthyl acetate were 1.45 and 2.11 and with beta-naphthyl acetate were 1.62 and 1.85 in the Kunar and Nangarhar populations respectively compared with the susceptible Beech strain. Esterase ratios with para-nitrophenyl acetate (pNPA) were 1.61 and 1.75 in the Kunar and Nangarhar populations compared with the susceptible Beech strain. The GSTs enzyme ratios were 1.33 and 1.8 in the Kunar and Nangarhar populations compared with the susceptible Beech strain. The inhibition of AChE was 70.9 in the susceptible Beech strain, and 56.7 and 51.5 in the Kunar and Nangarhar populations. The differences between all values of the enzymes activities/contents and AChE inhibition rates in the Kunar and Nangarhar populations were statistically significant when compared with those of the susceptible Beech strain.ConclusionsBased on the results, the reported resistance to pyrethroid and organophosphate insecticides, and tolerance to bendiocarb in the Kunar and Nangarhar populations of An. stephensi from Afghanistan are likely to be caused by a range of metabolic mechanisms, including esterases, P450s and GSTs combined with target site insensitivity in AChE.

Highlights

  • Malaria is endemic in most parts of Afghanistan and insecticide-based vector control measures are central in controlling the disease

  • Mosquito samples Two hundred larvae were collected from each sampling area, reared to adults in insectary and morphologically identified An. stephensi specimens were used for biochemical assays

  • Cytochrome P450s contents The contents of cytochrome P450s in the Kunar and Nangarhar populations were 0.000126 and 0.000143 equivalent units of cytochrome (EUC) cytochrome P450s/mg protein respectively, compared with 0.000056 in the susceptible Beech population (Table 2)

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Summary

Introduction

Malaria is endemic in most parts of Afghanistan and insecticide-based vector control measures are central in controlling the disease. Insecticide resistance in the main malaria vector Anopheles stephensi from Afghani‐ stan is increasing and attempts should be made to determine the underlying resistance mechanisms for its adequate management. Major vectors of malaria in Afghanistan are Anopheles stephensi, Anopheles culicifacies, Anopheles superpictus, Anopheles hyrcanus, Anopheles pulcherrimus, and Anopheles fluviatilis [1], the first two being the most important in the country [2,3,4,5,6]. Malaria in Afghanistan is predominantly due to Plasmodium vivax (95% of the cases) and Plasmodium falciparum (5%) in two distinct transmission seasons. The total number of confirmed cases in 2015 was 61362 [1]

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