Contrasting vector competence of three main East African Anopheles malaria vector mosquitoes for Plasmodium falciparum

doi:10.21203/rs.3.rs-5038559/v1

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Contrasting vector competence of three main East African Anopheles malaria vector mosquitoes for Plasmodium falciparum

https://doi.org/10.21203/rs.3.rs-5038559/v1

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There are three Anopheles mosquito species in East Africa that are responsible for the majority of malaria transmission, posing a significant public health concern. Understanding the vector competence of different mosquito species is crucial for targeted and cost-effective malaria control strategies. This study investigated the vector competence of laboratory reared strains of East African An. gambiae sensu stricto, An. funestus s.s., and An. arabiensis mosquitoes towards local isolates of Plasmodium falciparum infection. Mosquito feeding assays using gametocytaemic blood from local donors revealed significant differences in both prevalence and intensity of oocyst and sporozoite infections among the three vectors. An. funestus mosquitoes presented the highest sporozoite prevalence 23.5% (95% confidence interval (CI): 17.5–29.6) and intensity of infection 6-58138 sporozoites. Relative to An. funestus, the odds ratio for sporozoites prevalence were 0.46 (95% CI: 0.25–0.85) in An. gambiae and 0.19 (95% CI: 0.07–0.51) in An. arabiensis, while the incidence rate ratio for sporozoite intensity was 0.31 (95% CI: 0.14–0.69) in An. gambiae and 0.66 (95% CI: 0.16–2.60) in An. arabiensis. Our findings indicate that all three malaria species contribute to malaria transmission in East Africa with An. funestus demonstrating superior vector competence. In conclusion, there is a need for comprehensive malaria control strategies targeting major malaria vector species, an update of malaria transmission models to consider vectoral competence and evaluation of malaria transmission blocking interventions in assays that include An. funestus mosquitoes.

Biological sciences/Molecular biology

Earth and environmental sciences/Ecology

Anopheles mosquitoes are the only arthropod vectors that transmit Plasmodium parasites that cause malaria in humans. The disease imposes a significant burden of mortality and morbidity, particularly in Sub-Saharan Africa (SSA) ¹ where the most efficient mosquito vectors of malaria are found ². Human malaria is mediated only by female Anopheles, and of the estimated 460 species, only 40 species or species complexes are considered to be important vectors in the wild ³, notably the Anopheles gambiae and Anopheles funestus species complexes that dominate malaria transmission throughout SSA⁴. In this paper, we focus on the three major East African vectors of human malaria: An. funestus sensu stricto, An. gambiae sensu stricto and An. arabiensis.

The successful transmission of Plasmodium parasites between humans requires intricate transformations within the mosquito vector ⁵, highlighting the key role of both vectorial capacity ⁶ and vector competence ⁷ in determining the local intensity of malaria transmission ⁷.

Vector competence refers to the ability of an arthropod vector to acquire, maintain and transmit a pathogen. This concept encompasses the inherent ability of a pathogen to effectively enter and reproduce within the vector and be released from the vector's salivary glands to initiate infection in another vertebrate host ^7,8. Vectorial capacity describes the potential intensity of transmission by mosquitoes. It is defined as the total number of infectious mosquito bites on humans that will arise from a single infected person on a single day ⁹. This is influenced by a number of factors ^6,10, most notably the probability of mosquitoes to feed on humans ¹¹, daily vector survival ¹², environmental factors that affect the time it takes for parasites to develop in the mosquito host ¹³, the availability of larval breeding sites ¹⁴, presence of vector control tools¹⁰ and vector competence¹⁵.

The vectoral capacity of a particular vector is strongly influenced by its ecology. The larval stage of mosquitoes takes place in water where biological factors greatly influence the habitat suitability and carrying capacity. These factors influence vector presence ³, fitness ¹⁶, longevity ¹⁷, which in turn affects the probability that a mosquito can acquire and maintain a parasite for long enough to become infectious ¹⁸. In East Africa, the three major vectors have different regional distribution due to ecology ¹⁹ and hydrology ¹⁴ and varying contributions to malaria transmission across different seasons ^20–23. An. funestus mosquitoes have permanent breeding sites abundant with vegetation, making them likely to transmit malaria all year round ^24,25. An. arabiensis and An. gambiae s.s. typically dominate in temporary sunlit pools and their presence is strongly dependent on rainfall or irrigation ^26,27. An. gambiae s.s. requires high humidity to survive and occurs almost exclusively during humid and rainy periods ²⁸. An. arabiensis and An. funestus, are more resistant to desiccation, are commonly found in abundance during the peak of the wet season and continue into the dry season; sustaining malaria transmission for several months after the end of the rains^23,29.

Anopheles mosquitoes are dependent on vertebrate blood to provide proteins needed for egg development and undergo multiple cycles of feeding and egg development in their lifetime. Therefore, the preference of a vector for human blood has a direct impact on its efficiency as a vector by increasing its probability of acquiring and transmitting onward infection³⁰. An. arabiensis have an opportunistic feeding behavior, targeting both human and animal hosts for its blood meals, so it may be a more or less important vector dependent on the relative proportion of cattle in an area ³¹. An. gambiae ³²and An. funestus ³³are more specialized blood feeders, feeding almost entirely on humans, although this does depend on host availability. In addition, there is evidence that multiple blood meals increase the likelihood of Plasmodium developing in the mosquito ^34,35.

As well as environmental factors that affect vectors' susceptibility to infection and the interactions between the vector, pathogen, and host that impact probabilities of onward transmission, vector competence is influenced by a variety of internal factors, including the genetics of both the vector and the pathogen ^5,36. Plasmodium takes resources from its definitive host that results in reduced fitness and reproductive output ³⁷. Therefore, the mosquito innate immune system either modulates or resists infection ³⁸, while the parasite counteracts mosquito defenses through host manipulation ³⁹ and polyclonality⁴⁰. Mosquito species show different levels of susceptibility to Plasmodium from refractory in the case of Anopheles quadriannulatus ^41,42 to high susceptibility in Anopheles coluzzi ^43,44.

In East Africa, there is evidence of higher proportions of infected An. funestus ^45,46 relative to An. arabiensis and An. gambiae. This can be to an extent explained by the fact that An. funestus generally feeds almost exclusively on humans and has been shown to live longer than An. arabiensis ⁴⁷. However, any differences in degree of vector competence among the three primary malaria vectors has not been evaluated. Understanding vector competence is crucial in understanding the risk of malaria transmission, informing effective malaria control strategies ^36,48,49 and parameterizing mathematical models, where mosquito-parasite interactions are rarely considered ^15,50.

Therefore, this study investigated whether vector competence towards Plasmodium falciparum differs between local East African strains of An. gambiae s.s., An. funestus and An. arabiensis mosquitoes. By experimentally infecting mosquitoes with field gametocytes using Direct Membrane Feeding Assays (DMFAs), we aim to compare the prevalence and intensity of P. falciparum infection between these Anopheles mosquito species.

Prevalence and intensity of P. falciparum infection among local strains of An. gambiae s.s., An. funestus and An. arabiensis mosquitoes

Oocysts

The prevalence of oocyst-infected mosquitoes varied among the three Anopheles mosquito species, with An. funestus presenting the highest oocyst infection rate of 13.5% (95% CI: 9.2–17.6), followed by An. gambiae s.s. at 10.7% (95% CI: 6.9–14.4), and An. arabiensis at 5.6% (95% CI: 2.5–8.7) (Table 1). The proportion of oocyst-infected An. arabiensis mosquitoes was significantly lower than An. funestus mosquitoes (OR = 0.40, 95% CI: 0.20–0.80, p = 0.010), but there was no difference between An. funestus and An. gambiae (Fig. 1A). Additionally, there was no significant difference in the proportion of oocyst-infected mosquitoes between An. gambiae s.s. and An. arabiensis mosquitoes (OR = 0.52, 95% CI: 0.25–1.06, p = 0.072). There was no significant difference in oocyst intensity between the three species, although as with prevalence, oocyst intensity was similar between An. funestus, which ranged from 1–12 and An. gambiae s.s., ranging from 1–14; and lower among An. arabiensis, which presented the lowest intensity of oocysts ranging from 1–3 (Fig. 1C).

Sporozoites

The burden of sporozoite-infected mosquitoes varied among the three Anopheles mosquito species with An. funestus presenting the highest sporozoite infection rate of 23.5% (95% CI: 17.5–29.6), followed by An. gambiae s.s. at 11.4% (95% CI: 6.5–16.3), and An. arabiensis at 4.9% (95% CI: 0.6–9.1) (Table 1). An. funestus had a higher probability of being sporozoite-infected than An. gambiae s.s. (OR = 0.46, 95% CI: 0.25–0.85, p = 0.013) or An. arabiensis (OR = 0.19, 95% CI: 0.07–0.51, p = 0.001), (Fig. 1B). Moreover, there was no statistically significant difference observed in the proportion of sporozoite infection between An. gambiae s.s. and An. arabiensis mosquitoes (OR = 0.41, 95% CI: 0.14–1.17 P = 0.098), although there were few infected An. arabiensis. Additionally, there were similar trends observed in sporozoite intensity among the three species, with highest intensity observed in An. funestus, ranging from 6–58,138 followed by An. gambiae s.s., ranging from 21 − 7,976 and An. arabiensis ranging from 20–27,877. A significant difference was observed in sporozoite intensity between An. funestus and An. gambiae s.s. (IRR = 0.31, 95% CI: 0.14–0.69, p = 0.004) (Fig. 1D), although not between An. funestus and An. arabiensis likely due to low sporozoite prevalence (5%) in An. arabiensis leading to uncertainty in the estimates.

Table 1

Proportion and intensity of oocyst and sporozoite infected laboratory reared mosquitoes with gametocytaemic blood from participants in Bagamoyo, Tanzania
	Proportion infected			Intensity
	Number infected (n/N)	Prevalence (95%CI)	OR (95%CI)	Median (Min-Max)	IRR (95%CI)
Oocysts
An. funestus s.s.	35/260	13.5 (9.2–17.6)	2 (1–12)	1
An.gambiae s.s. An. arabiensis	29/271 12/214	10.7 (6.9–14.4) 5.6 (2.5–8.7)	0.76 (0.44–1.31) * 0.40 (0.20–0.80) *	1 (1–14) 2 (1–3)	1.31 (0.83–2.06) 1.04 (0.55–1.95)
Sporozoites
An. funestus s.s.	46/195	23.5 (17.5–29.6)	1	3,983 (6–58,138)	1
An.gambiae s.s. An. arabiensis	19/166 05/102	11.4 (6.5–16.3) 4.9 (0.6–9.1)	0.46 (0.25–0.85) 0.19 (0.07–0.51)	2,447 (21 − 7,976) 714 (20–27,877)	0.31 (0.14–0.69) 0.66 (0.16–2.60)
Note: OR were derived from mixed-effect logistic regression while IRR were derived from mixed effect negative binomial regression using study participant as a random effect
p-value < 0.05, *p-value < 0.01

This study represents the first attempt to measure whether the degree of vector competence towards P. falciparum infection varies between East African An. funestus s.s., An. arabiensis, and An. gambiae s.s. mosquitoes. Through experimental feeding of mosquitoes with gametocytaemic blood from donors in Tanzania, we observed significant differences in both prevalence and intensity of oocyst and sporozoite infections among the three major vector species. An. funestus s.s. mosquitoes presented with the highest burden and intensity of infection indicating that they are more competent than either An. gambiae s.s. or An. arabiensis. This is the first time, to our knowledge that the vectoral competence of An. funestus s.s. has been evaluated. The findings of this study largely agreed with the findings of a study in Burkina Faso, that found no difference in genetic susceptibility to P. falciparum measured by oocyst infection between three sympatric population groups of the An. gambiae s.l. complex including An. coluzzi, An. gambiae s.s. and An. arabiensis that had been reared from wild-caught larvae ⁴⁴.

Anopheles mosquitoes are reported to have varying levels of vector competence, influenced by genetic factors, as well as environmental conditions, and host-parasite interactions ^5,36,51. An. gambiae s.s. has long been recognized as a highly polymorphic and efficient malaria vector, possibly due to the strong co-adaptation of P. falciparum to this specific mosquito species ⁵². However, our study reveals that An. funestus were more competent. This finding is consistent with reports of increasing malaria cases caused by An. funestus in Tanzania and other parts of SSA^53–57. The high prevalence and intensity of infection observed in An. funestus mosquitoes suggest its potential as a predominant malaria vector, particularly in areas with suitable breeding sites abundant in vegetation. Our results are consistent with the observation that the massive introgression event that lead to the evolution of Anopheles funestus 13,000 years ago that facilitated its adaptation to new environments resulting in its subsequent dramatic geographic range expansion across most of tropical Africa also enhanced vectorial capacity in Anopheles funestus mosquitoes ⁵⁸.

Although An. arabiensis mosquitoes play a crucial role in malaria transmission, particularly in arid regions in the Horn of Africa ⁴⁵, our findings show lower prevalence and intensity of oocyst and sporozoite infections when compared to An. funestus and An. gambiae s.s. mosquito infections. While An. arabiensis is often abundant, and is widely discussed as a vector of residual and outdoor malaria, the more competent and endophilic malaria vectors An. funestus s.s. and An. gambiae s.s. should be targeted for control.

While several studies have shown that insecticide resistant vectors are more competent to Plasmodium ^59,60, our study also found that An. funestus mosquitoes which are resistant to pyrethroids showed increased susceptibility to Plasmodium infection. The susceptibility of mosquitoes to Plasmodium infection may result from either their increased survival and longevity⁶¹ compared to susceptible mosquitoes, which are killed by insecticide⁶², or could be due to reduced immunity to parasites⁶³. Therefore, we cannot rule out that the difference in insecticide susceptibility affected the results through a change in mosquito immunity to parasites. There is strong evidence suggesting that insecticide resistance mutations increase the vector competence of An. gambiae for Plasmodium, potentially sustaining malaria transmission⁶⁰. However, the An. arabiensis used in the study were also pyrethroid resistant and were still relatively less susceptible to infection.

An additional study has shown that insecticide resistance mechanisms have an effect on the activation of the mosquito immune system and its physiology, resulting in differences in parasite development and survival ⁶⁴. Variations in parasite burden may not significantly affect parasite transmission, however, the intensity of infection does influence the activation of the vector immune system ⁶⁵. Nonetheless, in our study, all three species showed susceptibility to Plasmodium infection, with An. funestus presenting a higher susceptibility compared to An. gambiae s.s. and An. arabiensis. It was suggested that the susceptibility of An. gambiae to Plasmodium infection is due to persistent immune suppression to prevent excessive activation of the immune response following blood meal ingestion⁶⁶. Moreover, research has shown that genetic diversity within mosquito populations can also significantly influence their susceptibility to Plasmodium infection⁶⁷.

This study highlighted that, while An. gambiae mosquitoes are commonly used in DMFAs to assess different malaria transmission-blocking interventions^68–70, the observed shift towards An. funestus as a major contributor to transmission in SSA⁵⁶, with the highest infection burden, suggests the importance of incorporating An. funestus mosquitoes into assays for testing malaria transmission-blocking activity. A limitation of our study is the exclusive use of laboratory reared mosquito strains rather than actual field mosquitoes.

In conclusion, we confirmed that between the three mosquito species, An. funestus was the most permissive to P. falciparum infection, which is coherent with consistently high sporozoite rates observed in this species across SSA, whereas An. arabiensis shows the greatest resistance coherent with its lower observed sporozoites rates. Nonetheless, our findings suggest that all the three vector species play an active role in malaria transmission. The observed differences in vector competence among the three Anopheles species highlight the complexity of malaria transmission dynamics and the need for comprehensive malaria control strategies that target key malaria vector species. Furthermore, malaria transmission models should be revised to account for vectoral competence, and efforts to support malaria transmission blocking interventions tested on multiple malaria vectors are essential for making sustainable progress towards malaria elimination.

Mosquito rearing

An. gambiae s.s. mosquitoes were originally collected from the southern region of Tanzania (Njage-Mngeta villages, Ifakara district, Morogoro region) in 1996 and have been maintained at the Ifakara Health Institute (IHI) insectaries, Tanzania. This strain of Anopheles gambiae s.s. is susceptible to all classes of insecticides. Field-collected An. arabiensis mosquitoes were obtained from the southern region of Tanzania (Sakamaganga village, Ifakara district) in 2005 and have been maintained in IHI insectaries. This strain is resistant to pyrethroids at a 1x discriminating concentration and is susceptible to other classes. The An. funestus colony was established at IHI insectaries in 2018 and was originally derived from founder colony established in 2000 at the National Institute for Communicable Diseases (NICD) South Africa. This strain is resistant to pyrethroids at a 1x discriminating concentration and is susceptible to other classes. Mosquito larvae were maintained at a density of 200 larvae per litre of water and fed 0.3 g per larva on Tetramin fish food (Tetra Ltd., UK). For colony maintenance, the adult mosquitoes are provided with cow blood between 3 and 6 days after emergence for egg development using a Hemotek® membrane feeder (SP-6 System, Hemotek Ltd., Blackburn BB6 7FD, UK). Mosquitoes were provided with autoclaved 10% sucrose solution ad libitum. Temperature and humidity within the insectary are maintained between 27 ± 2^oC and 60%-85% relative humidity following the MR4 guidance⁷¹.

Recruitment of asymptomatic gametocytaemic carriers

Gametocytaemic carriers were selected by screening thick blood smears from participants aged 6–40 years located in the village of Wami-Mkoko, in Bagamoyo district located in the coastal region of Tanzania, between June 2023 and August 2023. Participants meeting the inclusion criteria (asymptomatic individuals aged 6–40 who consented and had microscopically detectable gametocytes) were enrolled for blood collection at IHI transmission facilities in Bagamoyo, Tanzania.

Gametocytes were quantified by counting against 500 white blood cells in thick smears, and their density was calculated based on an estimated leukocyte density of 8000/ µL of whole blood. Five milliliters of blood were obtained from microscopically confirmed gametocyte carriers with gametocytes density exceeding three gametocytes/500 red blood cells, equivalent to 48 gametocytes/ µL of whole blood. Seven gametocytaemic individuals were recruited to donate blood for DMFAs. Autologous serum was replaced with pre-warmed malaria-naïve AB serum European donors.

Experimental infection of P. falciparum in Anopheles mosquitoes through DMFAs

Infectious gametocytaemic blood was administered to mosquitoes through water-jacketed glass feeders (14mm Ø, Chemglass, New Jersey, USA) covered with parafilm®, connected to a circulating water bath (39^oC, ELMI, Switzerland) via plastic tubing. On average, 200 mosquitoes from each mosquito strain were fed a blood meal from each participant for a duration of 15 minutes. After blood feeding, the cups containing mosquitoes were then transferred to Bugdorm plastic cages (30 cm x 30 cm x 30 cm, Megaview Science Co., LTD, Taiwan) and placed in a climatic chamber (S600PLH, AraLab, Lisbon, Portugal) maintained at 75 ± 2% humidity and 27 ± 1°C at 12:12 hours dark: light cycle. Mosquitoes were deprived of sugar for 48 hours to allow unfed mosquitoes to die. Dead mosquitoes were aspirated out after 48 hours and then cotton soaked with autoclaved 10% sucrose solution was provided and replaced daily.

Oocyst and Sporozoite scoring

Eight days post infection (dpi), one-third of mosquitoes from each mosquito strain was dissected and their midguts were stained with a 1% mercurochrome solution before examination for presence of oocysts microscopically. The remaining mosquitoes were kept up to day 16 dpi and the mosquito`s DNA was extracted using DNAzol® reagent ⁷² for molecular analysis and quantification of P. falciparum infection in mosquito stages from the mosquito heads and thoraces (sporozoites stages). Using quantitative reverse transcription polymerase chain reaction (RT-qPCR)⁷³, absolute quantification of all sporozoites positive samples was performed using the standard curves generated on P. falciparum-specific 18S rDNA plasmid (GenBank: AF145334) from P. falciparum (BEI Resources, NIAID, MRA-177). Plasmid copy numbers per µl were calculated as described elsewhere⁷⁴. The standard curves were generated on serial dilutions over eight magnitudes assuming an average of six copies of the 18S rDNA gene sequence per parasite genome⁷⁵. Each concentration from the serial dilution was run in triplicates to determine qPCR efficiency, limit of detection, slope and y-intercept.

Statistical analysis

Data cleaning and analysis were conducted using STATA 17 software (StataCorp LLC, College Station TX, USA). Descriptive statistics were employed for data summarization, presenting the proportion of infected mosquitoes with a 95% confidence interval. For parasite intensity (oocysts or sporozoites), the median along with minimum and maximum values were reported.

To evaluate vector competence towards P. falciparum infection among the three mosquito strains, mixed-effect regression was used, with mosquito strain as a fixed categorical effect and study participants included as a random effect. For oocyst and sporozoite prevalence logistic distribution was used. For oocyst and sporozoite intensity, negative binomial distribution was used and only infected mosquitoes were included in the intensity analysis.

Acknowledgments

The authors express their sincere gratitude to the village leaders and community in Bagamoyo for their unwavering cooperation and support throughout the study. A special thanks to Vector Control and Product testing Unit (VCPTU) management, administrators and colleagues who helped in organising logistics and materials, allowing smooth performance of the study.

Authors ‘contribution

SJM, PAK, MMT, LH conceived the study. PAK, LH and MMT developed the study protocol. RYM and PAK performed the DMFAs. RMS, PAK and FM dissected the mosquitoes. PAK, LH and RYM performed molecular analysis. PAK drafted the manuscript. SJM, MMT, DWL, and LH reviewed and edited drafts of the manuscript.

Code, data, and materials availability

Data is provided within the supplementary information files.

Competing interests

All authors declare no competing interest.

Funding

This study`s field work was funded by VCTPU and PAK, RYM, RMS and FM receive salary support from the Transmission Zero project (Bill and Melinda Gates Foundation (BMGF), grant no. OPP1158151).

Ethics approval and consent to participate

All adult participants provided written informed consent, while for children under 18 years old, consent was obtained from their parent or guardian, with the children's assent also sought for their participation. All study volunteers received artemisinin-lumefantrine treatment within 24 hours of diagnosis, following the Tanzania Guidelines for Diagnosis and Treatment of Malaria⁷⁶, administered by a qualified nurse. No adverse effects were reported among the participants during the study period. The study activities were reviewed and approved by the Institutional Review Board of IHI (IHI/IRB/No: 44 – 2020) and the National Institute for Medical Research Tanzania (NIMR/HQ/R.8a/Vol.IX/3595). All research was performed in accordance to relevant guidelines and regulations.

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No competing interests reported.

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Contrasting vector competence of three main East African Anopheles malaria vector mosquitoes for Plasmodium falciparum

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Abstract

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Introduction

Results

Oocysts

Sporozoites

Discussion

Methods

Mosquito rearing

Recruitment of asymptomatic gametocytaemic carriers

Oocyst and Sporozoite scoring

Statistical analysis

Declarations

References

Additional Declarations

Supplementary Files

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