Skip to main content
Top
Published in: Malaria Journal 1/2010

Open Access 01-12-2010 | Research

Costs of insensitive acetylcholinesterase insecticide resistance for the malaria vector Anopheles gambiae homozygous for the G119S mutation

Authors: Luc Djogbénou, Valérie Noel, Philip Agnew

Published in: Malaria Journal | Issue 1/2010

Login to get access

Abstract

Background

The G119S mutation responsible for insensitive acetylcholinesterase resistance to organophosphate and carbamate insecticides has recently been reported from natural populations of Anopheles gambiae in West Africa. These reports suggest there are costs of resistance associated with this mutation for An. gambiae, especially for homozygous individuals, and these costs could be influential in determining the frequency of carbamate resistance in these populations.

Methods

Life-history traits of the AcerKis and Kisumu strains of An. gambiae were compared following the manipulation of larval food availability in three separate experiments conducted in an insecticide-free laboratory environment. These two strains share the same genetic background, but differ in being homozygous for the presence or absence of the G119S mutation at the ace-1 locus, respectively.

Results

Pupae of the resistant strain were significantly more likely to die during pupation than those of the susceptible strain. Ages at pupation were significantly earlier for the resistant strain and their dry starved weights were significantly lighter; this difference in weight remained when the two strains were matched for ages at pupation.

Conclusions

The main cost of resistance found for An. gambiae mosquitoes homozygous for the G119S mutation was that they were significantly more likely to die during pupation than their susceptible counterparts, and they did so across a range of larval food conditions. Comparing the frequency of G119S in fourth instar larvae and adults emerging from the same populations would provide a way to test whether this cost of resistance is being expressed in natural populations of An. gambiae and influencing the dynamics of this resistance mutation.
Appendix
Available only for authorised users
Literature
1.
go back to reference Weill M, Lutfalla G, Mogensen K, Chandre F, Berthomieu A, Berticat C, Pasteur N, Philips A, Fort P, Raymond M: Insecticide resistance in mosquito vectors. Nature. 2003, 423: 136-137. 10.1038/423136b.CrossRefPubMed Weill M, Lutfalla G, Mogensen K, Chandre F, Berthomieu A, Berticat C, Pasteur N, Philips A, Fort P, Raymond M: Insecticide resistance in mosquito vectors. Nature. 2003, 423: 136-137. 10.1038/423136b.CrossRefPubMed
2.
go back to reference Weill M, Malcolm C, Chandre F, Mogensen K, Berthomieu A, Marquine M, Raymond M: The unique mutation in ace-1 giving high insecticide resistance is easily detectable in mosquito vectors. Insect Mol Biol. 2004, 13: 1-7. 10.1111/j.1365-2583.2004.00452.x.CrossRefPubMed Weill M, Malcolm C, Chandre F, Mogensen K, Berthomieu A, Marquine M, Raymond M: The unique mutation in ace-1 giving high insecticide resistance is easily detectable in mosquito vectors. Insect Mol Biol. 2004, 13: 1-7. 10.1111/j.1365-2583.2004.00452.x.CrossRefPubMed
3.
go back to reference Djogbenou L, Chandre F, Berthomieu A, Dabire R, Koffi A, Alout H, Weill M: Evidence of introgression of the ace-1(R) mutation and of the ace-1 duplication in West African Anopheles gambiae s. s. PLoS One. 2008, 3: e2172-10.1371/journal.pone.0002172.PubMedCentralCrossRefPubMed Djogbenou L, Chandre F, Berthomieu A, Dabire R, Koffi A, Alout H, Weill M: Evidence of introgression of the ace-1(R) mutation and of the ace-1 duplication in West African Anopheles gambiae s. s. PLoS One. 2008, 3: e2172-10.1371/journal.pone.0002172.PubMedCentralCrossRefPubMed
4.
go back to reference Djogbenou L, Dabire R, Diabate A, Kengne P, Akogbeto M, Hougard JM, Chandre F: Identification and geographic distribution of the ACE-1(R) mutation in the malaria vector Anopheles gambiae in south-western Burkina Faso, West Africa. Am J Trop Med Hyg. 2008, 78: 298-302.PubMed Djogbenou L, Dabire R, Diabate A, Kengne P, Akogbeto M, Hougard JM, Chandre F: Identification and geographic distribution of the ACE-1(R) mutation in the malaria vector Anopheles gambiae in south-western Burkina Faso, West Africa. Am J Trop Med Hyg. 2008, 78: 298-302.PubMed
5.
go back to reference Djogbenou L, Weill M, Hougard JM, Raymond M, Akogbeto M, Chandre F: Characterization of insensitive acetylcholinesterase (ace-1R) in Anopheles gambiae (Diptera: Culicidae): Resistance levels and dominance. J Med Entomol. 2007, 44: 805-810. 10.1603/0022-2585(2007)44[805:COIAAI]2.0.CO;2.PubMed Djogbenou L, Weill M, Hougard JM, Raymond M, Akogbeto M, Chandre F: Characterization of insensitive acetylcholinesterase (ace-1R) in Anopheles gambiae (Diptera: Culicidae): Resistance levels and dominance. J Med Entomol. 2007, 44: 805-810. 10.1603/0022-2585(2007)44[805:COIAAI]2.0.CO;2.PubMed
6.
go back to reference Elissa N, Mouchet J, Riviere F, Meunier JY, Yao K: Susceptibility of Anopheles gambiae to insecticides in the Ivory Coast. Santé. 1994, 4: 95-99.PubMed Elissa N, Mouchet J, Riviere F, Meunier JY, Yao K: Susceptibility of Anopheles gambiae to insecticides in the Ivory Coast. Santé. 1994, 4: 95-99.PubMed
7.
go back to reference N'Guessan R, Darriet F, Guillet P, Carnevale P, Traore-Lamizana M, Corbel V, Koffi AA, Chandre F: Resistance to carbosulfan in Anopheles gambiae from Ivory Coast, based on reduced sensitivity of acetylcholinesterase. Med Vet Entomol. 2003, 17: 19-25. 10.1046/j.1365-2915.2003.00406.x.CrossRefPubMed N'Guessan R, Darriet F, Guillet P, Carnevale P, Traore-Lamizana M, Corbel V, Koffi AA, Chandre F: Resistance to carbosulfan in Anopheles gambiae from Ivory Coast, based on reduced sensitivity of acetylcholinesterase. Med Vet Entomol. 2003, 17: 19-25. 10.1046/j.1365-2915.2003.00406.x.CrossRefPubMed
8.
go back to reference Dabire KR, Diabate A, Djogbenou L, Ouari A, N'Guessan R, Ouedraogo JB, Hougard JM, Chandre F, Baldet T: Dynamics of multiple insecticide resistance in the malaria vector Anopheles gambiae in a rice growing area in South-Western Burkina Faso. Malar J. 2008, 7: 188-10.1186/1475-2875-7-188.PubMedCentralCrossRefPubMed Dabire KR, Diabate A, Djogbenou L, Ouari A, N'Guessan R, Ouedraogo JB, Hougard JM, Chandre F, Baldet T: Dynamics of multiple insecticide resistance in the malaria vector Anopheles gambiae in a rice growing area in South-Western Burkina Faso. Malar J. 2008, 7: 188-10.1186/1475-2875-7-188.PubMedCentralCrossRefPubMed
9.
go back to reference Dabire KR, Diabate A, Namontougou M, Djogbenou L, Kengne P, Simard F, Bass C, Baldet T: Distribution of insensitive acetylcholinesterase (ace-1R) in Anopheles gambiae s.l. populations from Burkina Faso (West Africa). Trop Med Int Health. 2009, 14: 396-403. 10.1111/j.1365-3156.2009.02243.x.CrossRefPubMed Dabire KR, Diabate A, Namontougou M, Djogbenou L, Kengne P, Simard F, Bass C, Baldet T: Distribution of insensitive acetylcholinesterase (ace-1R) in Anopheles gambiae s.l. populations from Burkina Faso (West Africa). Trop Med Int Health. 2009, 14: 396-403. 10.1111/j.1365-3156.2009.02243.x.CrossRefPubMed
10.
go back to reference Weill M, Berthomieu A, Berticat C, Lutfalla G, Negre V, Pasteur N, Philips A, Leonetti JP, Fort P, Raymond M: Insecticide resistance: a silent base prediction. Curr Biol. 2004, 14: R552-553. 10.1016/j.cub.2004.07.008.CrossRefPubMed Weill M, Berthomieu A, Berticat C, Lutfalla G, Negre V, Pasteur N, Philips A, Leonetti JP, Fort P, Raymond M: Insecticide resistance: a silent base prediction. Curr Biol. 2004, 14: R552-553. 10.1016/j.cub.2004.07.008.CrossRefPubMed
11.
go back to reference Labbe P, Berticat C, Berthomieu A, Unal S, Bernard C, Weill M, Lenormand T: Forty years of erratic insecticide resistance evolution in the mosquito Culex pipiens . PLoS Genet. 2007, 3: 2190-2199. 10.1371/journal.pgen.0030205.CrossRef Labbe P, Berticat C, Berthomieu A, Unal S, Bernard C, Weill M, Lenormand T: Forty years of erratic insecticide resistance evolution in the mosquito Culex pipiens . PLoS Genet. 2007, 3: 2190-2199. 10.1371/journal.pgen.0030205.CrossRef
12.
go back to reference Raymond M, Berticat C, Weill M, Pasteur N, Chevillon C: Insecticide resistance in the mosquito Culex pipiens : what have we learned about adaptation?. Genetica. 2001, 112-113: 287-296. 10.1023/A:1013300108134.CrossRefPubMed Raymond M, Berticat C, Weill M, Pasteur N, Chevillon C: Insecticide resistance in the mosquito Culex pipiens : what have we learned about adaptation?. Genetica. 2001, 112-113: 287-296. 10.1023/A:1013300108134.CrossRefPubMed
13.
go back to reference Lenormand T, Bourguet D, Guillemaud T, Raymond M: Tracking the evolution of insecticide resistance in the mosquito Culex pipiens. Nature. 1999, 400: 861-864. 10.1038/23685.CrossRefPubMed Lenormand T, Bourguet D, Guillemaud T, Raymond M: Tracking the evolution of insecticide resistance in the mosquito Culex pipiens. Nature. 1999, 400: 861-864. 10.1038/23685.CrossRefPubMed
14.
go back to reference Bourguet D, Guillemaud T, Chevillon C, Raymond M: Fitness costs of insecticide resistance in natural breeding sites of the mosquito Culex pipiens. Evolution. 2004, 58: 128-135.CrossRefPubMed Bourguet D, Guillemaud T, Chevillon C, Raymond M: Fitness costs of insecticide resistance in natural breeding sites of the mosquito Culex pipiens. Evolution. 2004, 58: 128-135.CrossRefPubMed
15.
go back to reference Chevillon C, Bourguet D, Rousset F, Pasteur N, Raymond M: Pleiotropy of adaptive changes in populations: comparisons among insecticide resistance genes in Culex pipiens. Genet Res. 1997, 70: 195-203. 10.1017/S0016672397003029.CrossRefPubMed Chevillon C, Bourguet D, Rousset F, Pasteur N, Raymond M: Pleiotropy of adaptive changes in populations: comparisons among insecticide resistance genes in Culex pipiens. Genet Res. 1997, 70: 195-203. 10.1017/S0016672397003029.CrossRefPubMed
16.
go back to reference Gazave E, Chevillon C, Lenormand T, Marquine M, Raymond M: Dissecting the cost of insecticide resistance genes during the overwintering period of the mosquito Culex pipiens. Heredity. 2001, 87: 441-448. 10.1046/j.1365-2540.2001.00926.x.CrossRefPubMed Gazave E, Chevillon C, Lenormand T, Marquine M, Raymond M: Dissecting the cost of insecticide resistance genes during the overwintering period of the mosquito Culex pipiens. Heredity. 2001, 87: 441-448. 10.1046/j.1365-2540.2001.00926.x.CrossRefPubMed
17.
go back to reference Lenormand T, Raymond M: Analysis of clines with variable selection and variable migration. Am Nat. 2000, 155: 70-82. 10.1086/303295.CrossRefPubMed Lenormand T, Raymond M: Analysis of clines with variable selection and variable migration. Am Nat. 2000, 155: 70-82. 10.1086/303295.CrossRefPubMed
18.
go back to reference Berticat C, Boquien G, Raymond M, Chevillon C: Insecticide resistance genes induce a mating competition cost in Culex pipiens mosquitoes. Genet Res. 2002, 79: 41-47. 10.1017/S001667230100547X.CrossRefPubMed Berticat C, Boquien G, Raymond M, Chevillon C: Insecticide resistance genes induce a mating competition cost in Culex pipiens mosquitoes. Genet Res. 2002, 79: 41-47. 10.1017/S001667230100547X.CrossRefPubMed
19.
go back to reference Agnew P, Berticat C, Bedhomme S, Sidobre C, Michalakis Y: Parasitism increases and decreases the costs of insecticide resistance in mosquitoes. Evolution. 2004, 58: 579-586.CrossRefPubMed Agnew P, Berticat C, Bedhomme S, Sidobre C, Michalakis Y: Parasitism increases and decreases the costs of insecticide resistance in mosquitoes. Evolution. 2004, 58: 579-586.CrossRefPubMed
20.
go back to reference Duron O, Labbe P, Berticat C, Rousset F, Guillot S, Raymond M, Weill M: High Wolbachia density correlates with cost of infection for insecticide resistant Culex pipiens mosquitoes. Evolution. 2006, 60: 303-314.CrossRefPubMed Duron O, Labbe P, Berticat C, Rousset F, Guillot S, Raymond M, Weill M: High Wolbachia density correlates with cost of infection for insecticide resistant Culex pipiens mosquitoes. Evolution. 2006, 60: 303-314.CrossRefPubMed
21.
go back to reference Berticat C, Bonnet J, Duchon S, Agnew P, Weill M, Corbel V: Costs and benefits of multiple resistance to insecticides for Culex quinquefasciatus mosquitoes. BMC Evol Biol. 2008, 8: 104-10.1186/1471-2148-8-104.PubMedCentralCrossRefPubMed Berticat C, Bonnet J, Duchon S, Agnew P, Weill M, Corbel V: Costs and benefits of multiple resistance to insecticides for Culex quinquefasciatus mosquitoes. BMC Evol Biol. 2008, 8: 104-10.1186/1471-2148-8-104.PubMedCentralCrossRefPubMed
22.
go back to reference Berticat C, Duron O, Heyse D, Raymond M: Insecticide resistance genes confer a predation cost on mosquitoes, Culex pipiens. Genet Res. 2004, 83: 189-196. 10.1017/S0016672304006792.CrossRefPubMed Berticat C, Duron O, Heyse D, Raymond M: Insecticide resistance genes confer a predation cost on mosquitoes, Culex pipiens. Genet Res. 2004, 83: 189-196. 10.1017/S0016672304006792.CrossRefPubMed
23.
go back to reference Berticat C, Rousset F, Raymond M, Berthomieu A, Weill M: High Wolbachia density in insecticide-resistant mosquitoes. Proc Biol Sci. 2002, 269: 1413-1416. 10.1098/rspb.2002.2022.PubMedCentralCrossRefPubMed Berticat C, Rousset F, Raymond M, Berthomieu A, Weill M: High Wolbachia density in insecticide-resistant mosquitoes. Proc Biol Sci. 2002, 269: 1413-1416. 10.1098/rspb.2002.2022.PubMedCentralCrossRefPubMed
24.
go back to reference Alout H, Djogbenou L, Berticat C, Chandre F, Weill M: Comparison of Anopheles gambiae and Culex pipiens acetycholinesterase 1 biochemical properties. Comp Biochem Physiol B Biochem Mol Biol. 2008, 150: 271-277. 10.1016/j.cbpb.2008.03.008.CrossRefPubMed Alout H, Djogbenou L, Berticat C, Chandre F, Weill M: Comparison of Anopheles gambiae and Culex pipiens acetycholinesterase 1 biochemical properties. Comp Biochem Physiol B Biochem Mol Biol. 2008, 150: 271-277. 10.1016/j.cbpb.2008.03.008.CrossRefPubMed
25.
go back to reference Bourguet D, Prout M, Raymond M: Dominance of insecticide resistance presents a plastic response. Genetics. 1996, 143: 407-416.PubMedCentralPubMed Bourguet D, Prout M, Raymond M: Dominance of insecticide resistance presents a plastic response. Genetics. 1996, 143: 407-416.PubMedCentralPubMed
26.
go back to reference Weill M, Fort P, Berthomieu A, Dubois MP, Pasteur N, Raymond M: A novel acetylcholinesterase gene in mosquitoes codes for the insecticide target and is non-homologous to the ace gene in Drosophila . Proc Biol Sci. 2002, 269: 2007-2016. 10.1098/rspb.2002.2122.PubMedCentralCrossRefPubMed Weill M, Fort P, Berthomieu A, Dubois MP, Pasteur N, Raymond M: A novel acetylcholinesterase gene in mosquitoes codes for the insecticide target and is non-homologous to the ace gene in Drosophila . Proc Biol Sci. 2002, 269: 2007-2016. 10.1098/rspb.2002.2122.PubMedCentralCrossRefPubMed
27.
go back to reference Bourguet D, Pasteur N, Bisset J, Raymond M: Determination of Ace.1 Genotypes in Single Mosquitoes: Toward an Ecumenical Biochemical Test. Pestic Biochem Physiol. 1996, 55: 122-128. 10.1006/pest.1996.0041.CrossRefPubMed Bourguet D, Pasteur N, Bisset J, Raymond M: Determination of Ace.1 Genotypes in Single Mosquitoes: Toward an Ecumenical Biochemical Test. Pestic Biochem Physiol. 1996, 55: 122-128. 10.1006/pest.1996.0041.CrossRefPubMed
28.
go back to reference Shute GT: A method of maintaining colonies of East African strains of Anopheles gambiae . Ann Trop Med Parasitol. 1956, 50: 92-94.PubMed Shute GT: A method of maintaining colonies of East African strains of Anopheles gambiae . Ann Trop Med Parasitol. 1956, 50: 92-94.PubMed
29.
go back to reference Agnew P, Hide M, Sidobre C, Michalakis Y: A minimalist approach to the effects of density-dependent competition on insect life-history traits. Ecol Entomol. 2002, 27: 396-402. 10.1046/j.1365-2311.2002.00430.x.CrossRef Agnew P, Hide M, Sidobre C, Michalakis Y: A minimalist approach to the effects of density-dependent competition on insect life-history traits. Ecol Entomol. 2002, 27: 396-402. 10.1046/j.1365-2311.2002.00430.x.CrossRef
30.
go back to reference Bedhomme S, Agnew P, Vital Y, Sidobre C, Michalakis Y: Prevalence-dependent costs of parasite virulence. PLoS Biol. 2005, 3: e262-10.1371/journal.pbio.0030262.PubMedCentralCrossRefPubMed Bedhomme S, Agnew P, Vital Y, Sidobre C, Michalakis Y: Prevalence-dependent costs of parasite virulence. PLoS Biol. 2005, 3: e262-10.1371/journal.pbio.0030262.PubMedCentralCrossRefPubMed
31.
32.
go back to reference R Development Core Team: R: A language and environment for statistical computing. Vienna, Austria. 2008 R Development Core Team: R: A language and environment for statistical computing. Vienna, Austria. 2008
33.
go back to reference Pinheiro J, Bates D, DebRoy S, Sarkar D, R Core team: nlme: Linear and nonlinear mixed effect models. R package version 3. 2008, 1-88. Pinheiro J, Bates D, DebRoy S, Sarkar D, R Core team: nlme: Linear and nonlinear mixed effect models. R package version 3. 2008, 1-88.
34.
go back to reference Hoffmann F, Fournier D, Spierer P: Minigene rescues acetylcholinesterase lethal mutations in Drosophila melanogaster . J Mol Biol. 1992, 223: 17-22. 10.1016/0022-2836(92)90710-2.CrossRefPubMed Hoffmann F, Fournier D, Spierer P: Minigene rescues acetylcholinesterase lethal mutations in Drosophila melanogaster . J Mol Biol. 1992, 223: 17-22. 10.1016/0022-2836(92)90710-2.CrossRefPubMed
35.
go back to reference Dewhurst SA, McCaman RE, Kaplan WD: The time course of development of acetylcholinesterase and choline acetyltransferase in Drosophila melanogaster. Biochem Genet. 1970, 4: 499-508. 10.1007/BF00486600.CrossRefPubMed Dewhurst SA, McCaman RE, Kaplan WD: The time course of development of acetylcholinesterase and choline acetyltransferase in Drosophila melanogaster. Biochem Genet. 1970, 4: 499-508. 10.1007/BF00486600.CrossRefPubMed
36.
go back to reference Polyzou A, Debras JF, Belzunces LP: Changes in acetylcholinesterase during pupal development of Apis mellifera queen. Arch Insect Biochem Physiol. 1997, 36: 69-84. 10.1002/(SICI)1520-6327(1997)36:2<69::AID-ARCH1>3.0.CO;2-R.CrossRef Polyzou A, Debras JF, Belzunces LP: Changes in acetylcholinesterase during pupal development of Apis mellifera queen. Arch Insect Biochem Physiol. 1997, 36: 69-84. 10.1002/(SICI)1520-6327(1997)36:2<69::AID-ARCH1>3.0.CO;2-R.CrossRef
37.
go back to reference Charlwood JD, Pinto J, Sousa CA, Ferreira C, Do Rosario VE: Male size does not affect mating success (of Anopheles gambiae in Sao Tome). Med Vet Entomol. 2002, 16: 109-111. 10.1046/j.0269-283x.2002.00342.x.CrossRefPubMed Charlwood JD, Pinto J, Sousa CA, Ferreira C, Do Rosario VE: Male size does not affect mating success (of Anopheles gambiae in Sao Tome). Med Vet Entomol. 2002, 16: 109-111. 10.1046/j.0269-283x.2002.00342.x.CrossRefPubMed
38.
go back to reference Huho BJ, Ng'habi KR, Killeen GF, Nkwengulila G, Knols BG, Ferguson HM: Nature beats nurture: a case study of the physiological fitness of free-living and laboratory-reared male Anopheles gambiae s.l. J Exp Biol. 2007, 210: 2939-2947. 10.1242/jeb.005033.CrossRefPubMed Huho BJ, Ng'habi KR, Killeen GF, Nkwengulila G, Knols BG, Ferguson HM: Nature beats nurture: a case study of the physiological fitness of free-living and laboratory-reared male Anopheles gambiae s.l. J Exp Biol. 2007, 210: 2939-2947. 10.1242/jeb.005033.CrossRefPubMed
39.
go back to reference Ng'habi KR, John B, Nkwengulila G, Knols BG, Killeen GF, Ferguson HM: Effect of larval crowding on mating competitiveness of Anopheles gambiae mosquitoes. Malar J. 2005, 4: 49-10.1186/1475-2875-4-49.PubMedCentralCrossRefPubMed Ng'habi KR, John B, Nkwengulila G, Knols BG, Killeen GF, Ferguson HM: Effect of larval crowding on mating competitiveness of Anopheles gambiae mosquitoes. Malar J. 2005, 4: 49-10.1186/1475-2875-4-49.PubMedCentralCrossRefPubMed
40.
go back to reference Raymond M, Chevillon C, Guillemaud T, Lenormand T, Pasteur N: An overview of the evolution of overproduced esterases in the mosquito Culex pipiens. Philos Trans R Soc Lond B Biol Sci. 1998, 353: 1707-1711. 10.1098/rstb.1998.0322.PubMedCentralCrossRefPubMed Raymond M, Chevillon C, Guillemaud T, Lenormand T, Pasteur N: An overview of the evolution of overproduced esterases in the mosquito Culex pipiens. Philos Trans R Soc Lond B Biol Sci. 1998, 353: 1707-1711. 10.1098/rstb.1998.0322.PubMedCentralCrossRefPubMed
Metadata
Title
Costs of insensitive acetylcholinesterase insecticide resistance for the malaria vector Anopheles gambiae homozygous for the G119S mutation
Authors
Luc Djogbénou
Valérie Noel
Philip Agnew
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2010
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-9-12

Other articles of this Issue 1/2010

Malaria Journal 1/2010 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.