| Literature DB >> 29674455 |
John Vontas1,2, Linda Grigoraki1, John Morgan3, Dimitra Tsakireli1, Godwin Fuseini4, Luis Segura4, Julie Niemczura de Carvalho4, Raul Nguema5, David Weetman3, Michel A Slotman6, Janet Hemingway7.
Abstract
Since 2004, indoor residual spraying (IRS) and long-lasting insecticide-impregnated bednets (LLINs) have reduced the malaria parasite prevalence in children on Bioko Island, Equatorial Guinea, from 45% to 12%. After target site-based (knockdown resistance; kdr) pyrethroid resistance was detected in 2004 in Anopheles coluzzii (formerly known as the M form of the Anopheles gambiae complex), the carbamate bendiocarb was introduced. Subsequent analysis showed that kdr alone was not operationally significant, so pyrethroid-based IRS was successfully reintroduced in 2012. In 2007 and 2014-2015, mass distribution of new pyrethroid LLINs was undertaken to increase the net coverage levels. The combined selection pressure of IRS and LLINs resulted in an increase in the frequency of pyrethroid resistance in 2015. In addition to a significant increase in kdr frequency, an additional metabolic pyrethroid resistance mechanism had been selected. Increased metabolism of the pyrethroid deltamethrin was linked with up-regulation of the cytochrome P450 CYP9K1. The increase in resistance prompted a reversion to bendiocarb IRS in 2016 to avoid a resurgence of malaria, in line with the national Malaria Control Program plan.Entities:
Keywords: control; cytochrome P450; malaria; pyrethroid; resistance
Mesh:
Substances:
Year: 2018 PMID: 29674455 PMCID: PMC5939083 DOI: 10.1073/pnas.1719663115
Source DB: PubMed Journal: Proc Natl Acad Sci U S A ISSN: 0027-8424 Impact factor: 11.205
Fig. 1.Timelines for vector-control events and Plasmodium falciparum parasite prevalence data in 2–14-y-old children in 2004–2016. Arrows indicate major vector control events over time in Bioko. Pyr, pyrethroids; R, resistance.
Molecular form composition and frequencies of target-site resistance mutations in field-caught An. gambiae s.l. populations collected in Bioko
| Population | Genotypes | Target-site allele frequency, % | |||||
| No. of specimens | Molecular form, % | No. of specimens | 1014F/F | 1014F/L | 10114L/L | ||
| M/M | S/S | ||||||
| Malabo 2004 | — | 36 | 64 | 4,500 | 14 | 41 | 45 |
| Malabo 2011 | 75 | 100 | 0 | 75 | 28.5 | 57.14 | 14.3 |
| Malabo hospital 2015 | 16 | 100 | 0 | 16 | 100 | 0 | 0 |
| Malabo industrial 2015 | 16 | 100 | 0 | 16 | 100 | 0 | 0 |
M, An. coluzzii (M form); S, An. gambiae s.s. (S form).
Data from Hemingway et al., 2013 (23).
Mutations L1014S and N1575Y on the voltage-gated sodium channel, as well as mutation G119S on acetylcholinesterase, were absent in all alleles (n > 200) genotyped in both 2011 and 2015. F/F, individuals homozygous for mutation L1014F on the voltage-gated sodium channel; F/L, heterozygotes; L/L, homozygous individuals for the WT (i.e., susceptible) allele.
Fig. 2.Frequency of the L1014F kdr mutation in A. coluzzii on Bioko Island, 2009–2015. Data generated from combined routine island-wide annual entomological surveillance data and the more detailed studies undertaken in 2011 and 2014 at two sites in Malabo. Arrows indicate time points at which new pyrethroid-based operational IRS and LLIN control interventions occurred.
Fig. 3.Significantly up-regulated transcripts found in field-caught resistant populations. Transcripts were found to be significantly up-regulated in the hospital 2015 and industrial 2015 populations in all comparisons performed with the two susceptible laboratory colonies N’gusso and Kisumu. The average log(2) FC between resistance and susceptible replicates is shown. Detoxification genes are highlighted in red.
Fig. 4.Expression analysis of selected P450s by qPCR. (A) qPCR comparisons of selected P450 transcripts between hospital 2015 and industrial 2015 An. gambiae field populations from Bioko vs. the two susceptible laboratory colonies (N’gusso, Kisumu). Error bars represent the SE based on four biological replicates. Asterisk indicates a statistically significant difference in expression levels between the tested samples (Mann–Whitney U test, P < 0.05). (B) Comparison of P450 transcript expression levels between field-caught populations in 2015 (hospital and industrial) vs. samples collected in 2011. Error bars represent the SE based on four biological replicates. Asterisk indicates a statistically significant difference in expression levels between the tested samples (Mann–Whitney U test, P < 0.05).
Activity of recombinant CYP9K1 against model substrates and insecticides
| Substrate | Specific activity/depletion of parental compound, % | |
| −NADPH | +NADPH | |
| 7-Ethocycoumarin | No activity | 10.6 ± 1.1 |
| Deltamethrin | No depletion | 32.0 ± 3.24 |
| Bendiocarb | No depletion | No depletion |
| Pyriproxyfen | No depletion | 38.0 ± 1.3 |
Activities are given in picomoles of 7-hydroxycoumarin per minute per picomole of P450 for the substrate 7-ethocycoumarin and as percentage depletion of the parental insecticides under assay conditions.