Literature DB >> 24534811

Infection of laboratory-colonized Anopheles darlingi mosquitoes by Plasmodium vivax.

Marta Moreno, Carlos Tong, Mitchel Guzmán, Raul Chuquiyauri, Alejandro Llanos-Cuentas, Hugo Rodriguez, Dionicia Gamboa, Stephan Meister, Elizabeth A Winzeler, Paula Maguina, Jan E Conn, Joseph M Vinetz.   

Abstract

Anopheles darlingi Root is the most important malaria vector in the Amazonia region of South America. However, continuous propagation of An. darlingi in the laboratory has been elusive, limiting entomological, genetic/genomic, and vector-pathogen interaction studies of this mosquito species. Here, we report the establishment of an An. darlingi colony derived from wild-caught mosquitoes obtained in the northeastern Peruvian Amazon region of Iquitos in the Loreto Department. We show that the numbers of eggs, larvae, pupae, and adults continue to rise at least to the F6 generation. Comparison of feeding Plasmodium vivax ex vivo of F4 and F5 to F1 generation mosquitoes showed the comparable presence of oocysts and sporozoites, with numbers that corresponded to blood-stage asexual parasitemia and gametocytemia, confirming P. vivax vectorial capacity in the colonized mosquitoes. These results provide new avenues for research on An. darlingi biology and study of An. darlingi-Plasmodium interactions.

Entities:  

Mesh:

Year:  2014        PMID: 24534811      PMCID: PMC3973502          DOI: 10.4269/ajtmh.13-0708

Source DB:  PubMed          Journal:  Am J Trop Med Hyg        ISSN: 0002-9637            Impact factor:   2.345


Introduction

Anopheles darlingi Root is the most important malaria vector in the Amazonia region of South America (reviewed in ref. 1). Numerous observational studies have detailed this mosquito species' role in epidemic and endemic malaria transmission in this region. Previous studies have shown that laboratory-reared F1 generation An. darlingi derived from wild-caught mosquitoes are suitable for laboratory-based studies of Plasmodium–mosquito interactions by both membrane feeding assays and direct feeds.2–7 An important limitation of such studies is the availability of An. darlingi mosquitoes. Hitherto, there has been an inability to propagate An. darlingi continuously in the laboratory, hence requiring human landing catches or alternative sampling methods8 to obtain sufficient mosquitoes for laboratory-based experimental study. Despite a report from the 1940s indicating that An. darlingi could be continuously propagated,9 establishment of a laboratory colony of An. darlingi, coupled with experimental infection by human-infecting malaria parasites such as P. vivax, has not been reported. Malaria transmission in the Peruvian Amazon is seasonal, with a peak from January to June, which is coincident with the rainy season.10,11 Similarly, anopheline densities are seasonal, typically peaking from March to May in the Iquitos region. Reported human biting rates (HBRs) are as high as 750 bites/night for An. darlingi, but a lower HBR (∼10) has been detected from August to December (Moreno M and Conn JE, unpublished data). Recent observations indicate that some areas of the Peruvian Amazon have infected biting rates by An. darlingi as high as reported from some parts of sub-Saharan Africa.12 Therefore, mosquito collections during the low malaria season limit various research activities, and the logical approach would be to colonize and maintain An. darlingi in the laboratory. In 1947, in British Guiana, the first effective effort to colonize An. darlingi was reported, with success in 35 generations and natural mating under laboratory conditions.9 Later, some Brazilian populations of An. darlingi were reported to be colonized in the laboratory up to 10 years13 as well as for a shorter period of time.14 Both studies underscored the importance of cage size and density of specimens per experiment to obtain fertilized females and avoid the forced mating technique. Some researchers have suspected that the challenge in colonizing some mosquito species that might mate in swarms (eurygamy) is to find the right conditions for successful mating obtained by non-artificial methods and generation by generation, select the population for ability to mate in a restricted space (stenogamy),15 although capture–recapture evidence has indirectly suggested that An. darlingi is not obligately eurygamous.16 To date, no An. darlingi colony strain has been permanently established or is available for research purposes. Detailed study of An. darlingi biology, genomics (using inbred, genetically homogenous mosquitoes),17 and mechanistic studies of PlasmodiumAn. darlingi interactions, therefore, have been limited by the hitherto inability to establish the continued propagation of this key mosquito species in the laboratory. Here, we describe the establishment of an An. darlingi colony and show the experimental infection of these colonized mosquitoes by P. vivax through artificial membrane feeding using parasitized blood obtained ex vivo from infected humans in the Peruvian Amazon. The importance of this work is furthered by the lack of known transovarially transferred pathogens in this mosquito species; hence, the possible future use of direct mosquito feeding on infected patients18,19 would be considered ethical and safe.

Materials and Methods

Obtaining field-caught An. darling.

In total, 135 adult females were collected in July of 2013 by human landing catch in Cahuide (04°13.785′ S/073°276′ W), a village located along the Iquitos–Nauta road 60 km from Iquitos city in the Peruvian Amazon. This village is on the banks of the Itaya River, a tributary of the Amazon River, with suitable habitat for An. darlingi breeding. Mosquitoes were maintained in cups with 10% sugar solution and transferred to the laboratory; then, they were morphologically identified using established entomological keys.20

Mosquito husbandry.

Eggs from each female were placed into independent round oviposition containers (9-cm diameter, 7-cm deep) lined with wet filter paper. Two days after hatching, larvae were transferred into a pan (33 × 22 × 5 cm) containing 200 larvae per tray for larvae stages I and II and 100 larvae per tray for stages III and IV. Larval food was a mixture (by weight) of fishmeal (24%), wheat flour (13%), corn flour (13%), maca powder (Lepidium meyenii; 13%), soybean meal (24%), and cornstarch (13%; ∼30% protein). Food was provided one time daily for larvae in stages I and II and three to four times daily for larvae in stages III and IV. Pupae were removed daily and placed into plastic containers in a screened cage (46 × 46 × 46 cm) for adult emergence. Adults were given 10% sugar solution and maintained in controlled conditions at 27°C, 80% relative humidity, and a 12/12-hour day/night photoperiod.

Standard membrane feeding assay.

Subjects presenting with acute symptomatic malaria caused by microscopically determined P. vivax infection were the source of parasitized blood for feeding to mosquitoes as previously described.3 No P. falciparum asexual or gametocyte forms were seen by light microscopy. Blood was obtained in citrate and centrifuged; then, plasma was removed and replaced with an equivalent volume of plasma pooled from 10 donors with no history of malaria. This study was approved by the Human Subjects Protection Program of the University of California at San Diego (La Jolla, California) and the Comité de Ética of the Universidad Peruana Cayetano Heredia (Lima, Peru). Oocysts were enumerated using light microscopic examination of unstained dissected midguts. Sporozoites were obtained by first removing the mosquito head and then cutting and triturating the region of the upper thorax where the salivary glands are found. This material was pooled and centrifuged, and sporozoites were enumerated using a Petroff–Hausser counting chamber under 400× magnification.

Induction of natural mating.

Previously published protocols for establishing natural mating of An. pseudopunctipennis were adapted to induce natural mating of An. darlingi.21,22 Equal numbers of freshly emerged male and female (total of ∼1,000) adults were placed into a cage of 46 × 46 × 46 cm, and the ambient temperature was lowered to 24°C. Either a blue stroboscopic light source (Opaluz strobe warming light [30 W])22 or an automated 40 lumens white light flashlight (Opalux Flash 40 LED)21 was used to shine into the mosquito cages to induce mating. Each light treatment was carried out for two cycles of 20 minutes of light on alternated with 10 minutes of light off, which was carried out for 7 consecutive evenings, just after dusk, between 6:30 and 7:00 PM. On days 6 and 7, commercially purchased warmed chicken blood was provided through membrane feeders to female mosquitoes; sugar solution had been withheld for days 4 and 5. After blood fed, mosquitoes were restarted on sugar water 3 days later. On day 9 post-emergence, an additional blood meal was provided. Unfed mosquitoes were discarded. Forty-eight hours after blood feeding, oviposition was induced by cutting one wing (with a 21-gauge needle) of ethyl acetate-anesthetized mosquitoes. Recovering mosquitoes were placed individually into plastic vials containing a humidified, filter paper-covered cotton ball.

Results

Establishment of continuous laboratory-based production of An. darling.

Previous work from Iquitos, Peru has described infecting F1 An. darlingi mosquitoes with P. vivax obtained ex vivo from infected humans in the Peruvian Amazon.3,4 To start the present colony, F1 generation mosquitoes were obtained by feeding wild-caught mosquitoes purchased fresh chicken blood to induce egg laying (Table 1). Alterations in the light and temperature laboratory conditions as reported previously for An. pseudopunctipennis21 produced stable and increasing numbers of An. darlingi eggs, larvae, pupae, and adults (with expected male to female ratios) through six generations as of the time of this writing.
Table 1

Laboratory-based An. darlingi oviposition and hatching efficiency by generation

GenerationTotal number of mosquitoesTotal number of oviposition (%)Number of eggs laidNumber of hatched larvae (%)Number of pupae (%)Number of adults* (% emerged)
F212622 (17)1,9721,542 (78)1,307 (85)557/484 (80)
F319532 (16)2,4161,756 (73)1,585 (90)792/722 (96)
F411149 (44)4,1923,027 (72)2,680 (89)1,275/1,161 (91)
F518551 (28)3,2032,258 (71)1,718 (76)789/761 (90)
F619642 (21)2,5641,869 (73)1,719 (92)1,548 (90)

Male/female adults.

Generation F1 arose from wild-caught An. darlingi after blood feeding (chicken blood). Generation F2 was the first entirely laboratory-based generation.

Comparison of type of light stimulation with outcome of An. darlingi mating.

Previous experiments with An. pseudopunctipennis in Bolivia and Mexico have used both stroboscopic blue light and pulses of white light from a standard flashlight to attempt to induce this species to mate.21,22 In two experiments with F2 generation mosquitoes, we compared these two types of light on the efficiency of oviposition, number of eggs laid, and larval hatching. Head to head comparisons showed no difference in the total number of ovipositions (N = 159 and N = 110 for white flashlight; N = 121 and N = 231 for blue stroboscopic light). The proportion of ovipositions with the two conditions was similar: 20% and 26%, respectively, with the white flashlight compared with 21% and 22%, respectively, with the blue stroboscopic light. The egg and larval yields did not differ between the two conditions.

Experimental infection of colonized An. darlingi with P. vivax obtained ex vivo from humans.

Because it is possible that laboratory adaptation of An. darlingi might lead to a founder effect-related line of mosquitoes refractory to P. vivax infection—at the level of either oocysts or sporozoites—we compared experimental infection of F1 with F4, F5, and F6 generations of mosquitoes (Table 2). The key observation is that both oocysts and sporozoites developed as well in all three of these generations as in F1 mosquitoes. The number of oocysts and sporozoites was associated with parasitemia levels of the donor patients (Table 2).
Table 2

Infection of colonized An. darlingi by P. vivax

Infection numberGeneration numberDate of infection (month/year)Donor gametocytemiaDonor asexual parasitemia number (/μL)Number of midguts dissected/with oocysts (%)Oocyst number (geometric mean)Number of sporozoite/ mosquito*
1F19/20133,6063,06025/36 (69)57Not done
F327/31 (87)54Not done
2F19/20132,07814,81022/35 (63)34933
F325/34 (74)391,200
3F110/201311818613/38 (34)1.4170
F412/36 (33)1.1150
4F110/20133302,28011/20 (55)1.2720
F59/20 (45)1.1540
5F111/20133002,91017/18 (94)14.11,436
F512/14 (86)10.81,260
6F111/20133603,75015/15 (100)25.27,380
F616/16 (100)28.56,300

Sporozoite counts averaged from pooled mosquitoes.

Only examined for oocysts.

Discussion

This study adapted two protocols for the successful colonization of An. darlingi by natural mating under laboratory conditions, although previously, the stroboscopic light approach was unsuccessfully tested with An. darlingi from Bolivia.21,22 Among the different issues encountered in the establishment of an anopheline colony, mating is the most problematic.23 In our case, forced mating techniques with this species were unsuccessful, with visual forced mating confirmed but spermathecae found to be negative for insemination when visualized under dark-field microscope (data not shown). Environmental modification to simulate field conditions, such as light changes to simulate natural lighting, temperature, and humidity, have been described.15,24 However, the evolution of stenogamy of the Cahuide An. darling-colonized population needs to be addressed for maintenance and the goal of obtaining a self-free mating colony. Laboratory adaptation of An. darlingi will presumably lead to changes in genetic composition because of selecting progenies, leading to a homogeneous population structure affected by inbreeding, such as reported for An. gambiae.25,26 Therefore, future analysis will be focus on signatures of population bottlenecks, potential founder effects, and genetic drift in the colony. In addition, different lineages within An. darlingi have been detected by microsatellites and nuclear markers across its geographic range.27,28 Thus, an essential question about differences in transmission arises: is the genetic variation of the mosquito associated with vector refractoriness, or are there lineages more susceptible to Plasmodium, for example, such as detected in the neotropical malaria vector complex An. albitarsis (reviewed in ref. 29)? In malaria-endemic regions of the Amazon in South America, the limiting factor for carrying out laboratory-based studies of An. darlingi is mosquito availability. Experimental limitations to studying the biology of P. vivaxAnopheles interactions include access to the non-cultivatable gametocytes of P. vivax in the same place and time with competent vector mosquitoes. Although several studies are focused on the refractoriness of different anophelines (Cellia or Anopheles subgenus) to P. falciparum or rodent malaria species, there are very few reports of the neotropical subgenus Nyssorhynchus, particularly An. darlingi and P. vivax transmission. One of the main unsolved questions in malaria epidemiology in the Amazon Basin is the role of the P. vivax asymptomatic parasite carriers in the transmission of disease. An experiment carried out in the Brazilian Amazon showed a 1.2% infection rate of An. darlingi from asymptomatic carriers compared with 22% from symptomatic carriers.30 A study in the Peruvian Amazon revealed differences in mosquito infection depending on gametocytemia from P. vivax-parasitemic patients using F1 mosquitoes obtained from an outbred An. darlingi population.3 Here, we report that An. darlingi mosquitoes obtained from a colony after five generations were successfully infected with P. vivax by artificial membrane feeding. Additional experiments with subsequent mosquito generations will continue to be performed to ascertain the progress of Plasmodium susceptibility of this colony. The appearance of refractory mosquitoes would provide the opportunity to carry out crosses to identify potential refractoriness genes in this species. The recent publication of the An. darlingi genome17 coupled with the availability of a colony could help to study critical aspects related to malaria transmission, such as behavior,1 host–parasite coevolution,3,4 susceptibility to Plasmodium parasites,2 testing new drugs against different parasite stages in the mosquito,31 or genetic determinants of insecticide resistance.32
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1.  Laboratory colony of Anopheles darlingi.

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Journal:  J Natl Malar Soc       Date:  1947-09

2.  Asymptomatic carriers of Plasmodium spp. as infection source for malaria vector mosquitoes in the Brazilian Amazon.

Authors:  Fabiana Piovesan Alves; Luiz Herman S Gil; Mauro T Marrelli; Paulo E M Ribolla; Erney P Camargo; Luiz Hildebrando Pereira Da Silva
Journal:  J Med Entomol       Date:  2005-09       Impact factor: 2.278

3.  [Maintenance of Anopheles darlingi Root, 1926 colony, in the laboratory].

Authors:  G M Buralli; E S Bergo
Journal:  Rev Inst Med Trop Sao Paulo       Date:  1988 May-Jun       Impact factor: 1.846

4.  Stable chromosomal inversion polymorphisms and insecticide resistance in the malaria vector mosquito Anopheles gambiae (Diptera: Culicidae).

Authors:  B D Brooke; R H Hunt; F Chandre; P Carnevale; M Coetzee
Journal:  J Med Entomol       Date:  2002-07       Impact factor: 2.278

5.  Comparative susceptibility of anopheline mosquitoes in Rondonia, Brazil to infection by Plasmodium vivax.

Authors:  T A Klein; J B Lima; M S Tada; R Miller
Journal:  Am J Trop Med Hyg       Date:  1991-10       Impact factor: 2.345

6.  The genome of Anopheles darlingi, the main neotropical malaria vector.

Authors:  Osvaldo Marinotti; Gustavo C Cerqueira; Luiz Gonzaga Paula de Almeida; Maria Inês Tiraboschi Ferro; Elgion Lucio da Silva Loreto; Arnaldo Zaha; Santuza M R Teixeira; Adam R Wespiser; Alexandre Almeida E Silva; Aline Daiane Schlindwein; Ana Carolina Landim Pacheco; Artur Luiz da Costa da Silva; Brenton R Graveley; Brian P Walenz; Bruna de Araujo Lima; Carlos Alexandre Gomes Ribeiro; Carlos Gustavo Nunes-Silva; Carlos Roberto de Carvalho; Célia Maria de Almeida Soares; Claudia Beatriz Afonso de Menezes; Cleverson Matiolli; Daniel Caffrey; Demetrius Antonio M Araújo; Diana Magalhães de Oliveira; Douglas Golenbock; Edmundo Carlos Grisard; Fabiana Fantinatti-Garboggini; Fabíola Marques de Carvalho; Fernando Gomes Barcellos; Francisco Prosdocimi; Gemma May; Gilson Martins de Azevedo Junior; Giselle Moura Guimarães; Gustavo Henrique Goldman; Itácio Q M Padilha; Jacqueline da Silva Batista; Jesus Aparecido Ferro; José M C Ribeiro; Juliana Lopes Rangel Fietto; Karina Maia Dabbas; Louise Cerdeira; Lucymara Fassarella Agnez-Lima; Marcelo Brocchi; Marcos Oliveira de Carvalho; Marcus de Melo Teixeira; Maria de Mascena Diniz Maia; Maria Helena S Goldman; Maria Paula Cruz Schneider; Maria Sueli Soares Felipe; Mariangela Hungria; Marisa Fabiana Nicolás; Maristela Pereira; Martín Alejandro Montes; Maurício E Cantão; Michel Vincentz; Miriam Silva Rafael; Neal Silverman; Patrícia Hermes Stoco; Rangel Celso Souza; Renato Vicentini; Ricardo Tostes Gazzinelli; Rogério de Oliveira Neves; Rosane Silva; Spartaco Astolfi-Filho; Talles Eduardo Ferreira Maciel; Turán P Urményi; Wanderli Pedro Tadei; Erney Plessmann Camargo; Ana Tereza Ribeiro de Vasconcelos
Journal:  Nucleic Acids Res       Date:  2013-06-12       Impact factor: 16.971

7.  Laboratory colonization of Anopheles pseudopunctipennis (Diptera: Culicidae) without forced mating.

Authors:  Frédéric Lardeux; Vicente Quispe; Rosenka Tejerina; Roberto Rodríguez; Libia Torrez; Bernard Bouchité; Tamara Chávez
Journal:  C R Biol       Date:  2007-05-09       Impact factor: 1.583

Review 8.  Ecology of Anopheles darlingi Root with respect to vector importance: a review.

Authors:  Hélène Hiwat; Gustavo Bretas
Journal:  Parasit Vectors       Date:  2011-09-16       Impact factor: 3.876

9.  Malaria reemergence in the Peruvian Amazon region.

Authors:  J Aramburú Guarda; C Ramal Asayag; R Witzig
Journal:  Emerg Infect Dis       Date:  1999 Mar-Apr       Impact factor: 6.883

10.  Hyperendemic malaria transmission in areas of occupation-related travel in the Peruvian Amazon.

Authors:  Benjamin S Parker; Maribel Paredes Olortegui; Pablo Peñataro Yori; Karin Escobedo; David Florin; Silvia Rengifo Pinedo; Roldan Cardenas Greffa; Luis Capcha Vega; Hugo Rodriguez Ferrucci; William K Pan; Cesar Banda Chavez; Joseph M Vinetz; Margaret Kosek
Journal:  Malar J       Date:  2013-05-31       Impact factor: 2.979

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  25 in total

Review 1.  Killing the hypnozoite--drug discovery approaches to prevent relapse in Plasmodium vivax.

Authors:  Brice Campo; Omar Vandal; David L Wesche; Jeremy N Burrows
Journal:  Pathog Glob Health       Date:  2015-04-18       Impact factor: 2.894

2.  Relative contribution of low-density and asymptomatic infections to Plasmodium vivax transmission in the Amazon: pooled analysis of individual participant data from population-based cross-sectional surveys.

Authors:  Marcelo U Ferreira; Rodrigo M Corder; Igor C Johansen; Johanna H Kattenberg; Marta Moreno; Angel Rosas-Aguirre; Simone Ladeia-Andrade; Jan E Conn; Alejandro Llanos-Cuentas; Dionicia Gamboa; Anna Rosanas-Urgell; Joseph M Vinetz
Journal:  Lancet Reg Health Am       Date:  2022-01-05

3.  Changes in Genetic Diversity from Field to Laboratory During Colonization of Anopheles darlingi Root (Diptera: Culicidae).

Authors:  William Lainhart; Sara A Bickersmith; Marta Moreno; Carlos Tong Rios; Joseph M Vinetz; Jan E Conn
Journal:  Am J Trop Med Hyg       Date:  2015-08-17       Impact factor: 2.345

4.  Infection of laboratory colonies of Anopheles mosquitoes with Plasmodium vivax from cryopreserved clinical isolates.

Authors:  Kathryn Shaw-Saliba; David Clarke; Jorge M Santos; Maria José Menezes; Caeul Lim; Anjali Mascarenhas; Laura Chery; Edwin Gomes; Sandra March; Sangeeta N Bhatia; Pradipsinh K Rathod; Marcelo U Ferreira; Flaminia Catteruccia; Manoj T Duraisingh
Journal:  Int J Parasitol       Date:  2016-07-25       Impact factor: 3.981

5.  Purification Methodology for Viable and Infective Plasmodium vivax Gametocytes That Is Compatible with Transmission-Blocking Assays.

Authors:  Omaira Vera; Paula Brelas de Brito; Letusa Albrecht; Keillen Monick Martins-Campos; Paulo F P Pimenta; Wuelton M Monteiro; Marcus V G Lacerda; Stefanie C P Lopes; Fabio T M Costa
Journal:  Antimicrob Agents Chemother       Date:  2015-08-03       Impact factor: 5.191

6.  Comparison of infectivity of Plasmodium vivax to wild-caught and laboratory-adapted (colonized) Anopheles arabiensis mosquitoes in Ethiopia.

Authors:  Wakweya Chali; Temesgen Ashine; Elifaged Hailemeskel; Abrham Gashaw; Temesgen Tafesse; Kjerstin Lanke; Endashaw Esayas; Soriya Kedir; Girma Shumie; Sinknesh Wolde Behaksra; John Bradley; Delenasaw Yewhalaw; Hassen Mamo; Beyene Petros; Chris Drakeley; Endalamaw Gadisa; Teun Bousema; Fitsum G Tadesse
Journal:  Parasit Vectors       Date:  2020-03-06       Impact factor: 3.876

7.  Establishment of a free-mating, long-standing and highly productive laboratory colony of Anopheles darlingi from the Peruvian Amazon.

Authors:  Cuauhtémoc Villarreal-Treviño; Gissella M Vásquez; Victor M López-Sifuentes; Karin Escobedo-Vargas; Anibal Huayanay-Repetto; Yvonne-Marie Linton; Carmen Flores-Mendoza; Andrés G Lescano; Frederick M Stell
Journal:  Malar J       Date:  2015-05-30       Impact factor: 2.979

8.  A sensitive, specific and reproducible real-time polymerase chain reaction method for detection of Plasmodium vivax and Plasmodium falciparum infection in field-collected anophelines.

Authors:  Sara A Bickersmith; William Lainhart; Marta Moreno; Virginia M Chu; Joseph M Vinetz; Jan E Conn
Journal:  Mem Inst Oswaldo Cruz       Date:  2015-05-29       Impact factor: 2.743

Review 9.  An overview of malaria transmission from the perspective of Amazon Anopheles vectors.

Authors:  Paulo F P Pimenta; Alessandra S Orfano; Ana C Bahia; Ana P M Duarte; Claudia M Ríos-Velásquez; Fabrício F Melo; Felipe A C Pessoa; Giselle A Oliveira; Keillen M M Campos; Luis Martínez Villegas; Nilton Barnabé Rodrigues; Rafael Nacif-Pimenta; Rejane C Simões; Wuelton M Monteiro; Rogerio Amino; Yara M Traub-Cseko; José B P Lima; Maria G V Barbosa; Marcus V G Lacerda
Journal:  Mem Inst Oswaldo Cruz       Date:  2015-02-13       Impact factor: 2.743

10.  The suitability of laboratory-bred Anopheles cracens for the production of Plasmodium vivax sporozoites.

Authors:  Chiara Andolina; Jordi Landier; Verena Carrara; Cindy S Chu; Jean-François Franetich; Alison Roth; Laurent Rénia; Clémentine Roucher; Nick J White; Georges Snounou; François Nosten
Journal:  Malar J       Date:  2015-08-12       Impact factor: 2.979

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