Abstract

Malaria parasites can adjust the proportion of parasites that develop into gametocytes, and thus the probability for human-to-vector transmission, through changes in the gametocyte conversion rate. Understanding the factors that impact the commitment of malaria parasites to transmission is required to design better control interventions. Plasmodium spp. persist across countries with vast differences in transmission intensities, and in sites where transmission is highly seasonal. Mounting evidence shows that Plasmodium spp. adjusts the investment in transmission according to seasonality of vector abundance, and transmission intensity. Various techniques to determine the investment in transmission are available, i.e., short-term culture, where the conversion rate can be measured most directly, genome and transcriptome studies, quantification of mature gametocytes, and mosquito feeding assays. In sites with seasonal transmission, the proportion of gametocytes, their densities and infectivity are higher during the wet season, when vectors are plentiful. When countries with pronounced differences in transmission intensity were compared, the investment in transmission was higher when transmission was low, thus maximizing the parasite’s chances to be transmitted to mosquitoes. Increased transmissibility of residual infections after a successful reduction of malaria transmission levels need to be considered when designing intervention measures.

Highlights

  • Transmission of malaria parasites from the human to the mosquito host is a crucial bottleneck in the lifecycle of the parasite

  • The proportion of parasites that develop into gametocytes, i.e., the gametocyte conversion rate, differs substantially between isolates collected from patients in the field (Smalley et al, 1981; Usui et al, 2019)

  • We summarize the methodology to measure the commitment to transmission in natural infections, and review recent field studies assessing the impact of changes in transmission intensity across seasons or long-term on the commitment to transmission and infectivity of P. falciparum and P. vivax

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Summary

Frontiers in Cellular and Infection Microbiology

Received: 30 September 2021 Accepted: 19 November 2021 Published: 08 December 2021. Plasmodium falciparum and Plasmodium vivax Adjust Investment in Transmission in Response to Change in Transmission Intensity: A Review of the Current State of Research. Malaria parasites can adjust the proportion of parasites that develop into gametocytes, and the probability for human-to-vector transmission, through changes in the gametocyte conversion rate. Plasmodium spp. persist across countries with vast differences in transmission intensities, and in sites where transmission is highly seasonal. Mounting evidence shows that Plasmodium spp. adjusts the investment in transmission according to seasonality of vector abundance, and transmission intensity. Various techniques to determine the investment in transmission are available, i.e., short-term culture, where the conversion rate can be measured most directly, genome and transcriptome studies, quantification of mature gametocytes, and mosquito feeding assays. In sites with seasonal transmission, the proportion of gametocytes, their densities and infectivity are higher during the wet season, when vectors are plentiful. Increased transmissibility of residual infections after a successful reduction of malaria transmission levels need to be considered when designing intervention measures

INTRODUCTION
Plasmodium Adjusts Investment in Transmission
DIRECT AND INDIRECT MEASURES OF COMMITMENT TO TRANSMISSION
IMPACT OF TRANSMISSION INTENSITY ON TRANSMISSION POTENTIAL
IMPACT OF SEASONALITY ON TRANSMISSION POTENTIAL
Findings
CONCLUDING REMARKS
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