Abstract

BackgroundIn South Asia, the epidemiology of malaria is complex, and transmission mainly occurs in remote areas near international borders. Vector control has been implemented as a key strategy in malaria prevention for decades. A rising threat to the efficacy of vector control efforts is the development of insecticide resistance, thus it is important to monitor the type and frequency of insecticide resistant alleles in the disease vectors such as An. sinensis along the China-Vietnam border. Such information is needed to synthesize effective malaria vector control strategies.MethodsA total of 208 adults of An. sinensis, collected from seven sites in southwest Guangxi along the China-Vietnam border, were inspected for the resistance-conferring G119S mutation in acetylcholinesterase (AChE) by PCR-RFLP (polymerase chain reaction restriction fragment length polymorphism) and kdr mutations in the voltage-gated sodium channel (VGSC) by sequencing. In addition, the evolutionary origin of An. sinensis vgsc gene haplotypes was analyzed using Network 5.0.ResultsThe frequencies of mutant 119S of AChE were between 0.61–0.85 in the seven An. sinensis populations. No susceptible homozygote (119GG) was detected in three of the seven sites (DXEC, LZSK and FCGDX). Very low frequencies of kdr (0.00–0.01) were detected in the seven populations, with most individuals being susceptible homozygote (1014LL). The 1014F mutation was detected only in the southeast part (FCGDX) at a low frequency of 0.03. The 1014S mutation was distributed in six of the seven populations with frequencies ranging from 0.04 to 0.08, but absent in JXXW. Diverse haplotypes of 1014L and 1014S were found in An. sinensis along the China-Vietnam border, while only one 1014F haplotype was detected in this study. Consistent with a previous report, resistant 1014S haplotypes did not have a single origin.ConclusionsThe G119S mutation of AChE was present at high frequencies (0.61–0.85) in the An. sinensis populations along the China-Vietnam border, suggesting that the vector control authorities should be cautious when considering carbamates and organophosphates as chemicals for vector control. The low frequencies (0.00–0.11) of kdr in these populations suggest that pyrethroids remain suitable for use against An. sinensis in these regions.

Highlights

  • In South Asia, the epidemiology of malaria is complex, and transmission mainly occurs in remote areas near international borders

  • The G119S mutation of AChE was present at high frequencies (0.61–0.85) in the An. sinensis populations along the China-Vietnam border, suggesting that the vector control authorities should be cautious when considering carbamates and organophosphates as chemicals for vector control

  • Considering that vector control remains a key strategy in malaria prevention and that its efficacy is threatened by the increasing resistance of vectors to available insecticides, there is a need to assess the actual occurrence of insecticide resistance-associated genetic mutations in Guangxi Zhuang Autonomous Region (Guangxi) An. sinensis along the China-Vietnam border

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Summary

Introduction

In South Asia, the epidemiology of malaria is complex, and transmission mainly occurs in remote areas near international borders. A rising threat to the efficacy of vector control efforts is the development of insecticide resistance, it is important to monitor the type and frequency of insecticide resistant alleles in the disease vectors such as An. sinensis along the China-Vietnam border. Such information is needed to synthesize effective malaria vector control strategies. Considering that vector control remains a key strategy in malaria prevention and that its efficacy is threatened by the increasing resistance of vectors to available insecticides, there is a need to assess the actual occurrence of insecticide resistance-associated genetic mutations in Guangxi An. sinensis along the China-Vietnam border. Recent surveys have revealed that the G119S occurs at high frequencies in many field populations of An. sinensis in Asia [12, 13]

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