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Published in: Malaria Journal 1/2019

Open Access 01-12-2019 | Plasmodium Falciparum | Research

Streamlined SMFA and mosquito dark-feeding regime significantly improve malaria transmission-blocking assay robustness and sensitivity

Authors: Tibebu Habtewold, Sofia Tapanelli, Ellen K. G. Masters, Astrid Hoermann, Nikolai Windbichler, George K. Christophides

Published in: Malaria Journal | Issue 1/2019

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Abstract

Background

The development of malaria transmission-blocking strategies including the generation of malaria refractory mosquitoes to replace the wild populations through means of gene drives hold great promise. The standard membrane feeding assay (SMFA) that involves mosquito feeding on parasitized blood through an artificial membrane system is a vital tool for evaluating the efficacy of transmission-blocking interventions. However, despite the availability of several published protocols, the SMFA remains highly variable and broadly insensitive.

Methods

The SMFA protocol was optimized through coordinated culturing of Anopheles coluzzii mosquitoes and Plasmodium falciparum parasite coupled with placing mosquitoes under a strict dark regime before, during, and after the gametocyte feed.

Results

A detailed description of essential steps is provided toward synchronized generation of highly fit An. coluzzii mosquitoes and P. falciparum gametocytes in preparation for an SMFA. A dark-infection regime that emulates the natural vector-parasite interaction system is described, which results in a significant increase in the infection intensity and prevalence. Using this optimal SMFA pipeline, a series of putative transmission-blocking antimicrobial peptides (AMPs) were screened, confirming that melittin and magainin can interfere with P. falciparum development in the vector.

Conclusion

A robust SMFA protocol that enhances the evaluation of interventions targeting human malaria transmission in laboratory setting is reported. Melittin and magainin are identified as highly potent antiparasitic AMPs that can be used for the generation of refractory Anopheles gambiae mosquitoes.
Literature
2.
go back to reference Nikolaeva D, Draper SJ, Biswas S. Toward the development of effective transmission-blocking vaccines for malaria. Expert Rev Vaccines. 2015;19:1–28. Nikolaeva D, Draper SJ, Biswas S. Toward the development of effective transmission-blocking vaccines for malaria. Expert Rev Vaccines. 2015;19:1–28.
3.
go back to reference Price RN, Nosten F. Single-dose radical cure of Plasmodium vivax: a step closer. Lancet. 2014;383:1020–1.CrossRef Price RN, Nosten F. Single-dose radical cure of Plasmodium vivax: a step closer. Lancet. 2014;383:1020–1.CrossRef
5.
go back to reference Wells TN, van Huijsduijnen RH, Van Voorhis WC. Malaria medicines: a glass half full? Nat Rev Drug Discov. 2015;14:424–42.CrossRef Wells TN, van Huijsduijnen RH, Van Voorhis WC. Malaria medicines: a glass half full? Nat Rev Drug Discov. 2015;14:424–42.CrossRef
6.
go back to reference Hemingway J. The role of vector control in stopping the transmission of malaria: threats and opportunities. Phil Trans R Soc B. 2014;369:20130431.CrossRef Hemingway J. The role of vector control in stopping the transmission of malaria: threats and opportunities. Phil Trans R Soc B. 2014;369:20130431.CrossRef
7.
go back to reference Curtis FC. Possible use of translocations to fix desirable genes in insect pest populations. Nature. 1968;218:368–9.CrossRef Curtis FC. Possible use of translocations to fix desirable genes in insect pest populations. Nature. 1968;218:368–9.CrossRef
8.
go back to reference Alphey L. Genetic control of mosquitoes. Annu Rev Entomol. 2014;59:205–24.CrossRef Alphey L. Genetic control of mosquitoes. Annu Rev Entomol. 2014;59:205–24.CrossRef
9.
go back to reference James AA. Gene drive systems in mosquitoes: rules of the road. Trends Parasitol. 2005;21:64–7.CrossRef James AA. Gene drive systems in mosquitoes: rules of the road. Trends Parasitol. 2005;21:64–7.CrossRef
10.
go back to reference Deredec A, Godfray HCJ, Burt A. Requirements for effective malaria control with homing endonuclease genes. Proc Natl Acad Sci USA. 2011;108:E874–80.CrossRef Deredec A, Godfray HCJ, Burt A. Requirements for effective malaria control with homing endonuclease genes. Proc Natl Acad Sci USA. 2011;108:E874–80.CrossRef
11.
go back to reference Gantz VM, Jasinskiene N, Tatarenkova O, Fazekas A, Macias VM, Bier E, et al. Highly efficient Cas9-mediated gene drive for population modification of the malaria vector mosquito Anopheles stephensi. Proc Natl Acad Sci USA. 2015;2:E6736–43.CrossRef Gantz VM, Jasinskiene N, Tatarenkova O, Fazekas A, Macias VM, Bier E, et al. Highly efficient Cas9-mediated gene drive for population modification of the malaria vector mosquito Anopheles stephensi. Proc Natl Acad Sci USA. 2015;2:E6736–43.CrossRef
12.
go back to reference WHO. Guidance framework for testing of genetically modified mosquitoes. Geneva: World Health Organization/TDR Publications; 2014. WHO. Guidance framework for testing of genetically modified mosquitoes. Geneva: World Health Organization/TDR Publications; 2014.
13.
go back to reference van der Kolk M, De Vlas SJ, Saul A, van de Vegte-Bolmer M, Eling WM, Sauerwein W. Evaluation of the standard membrane feeding assay (SMFA) for the determination of malaria transmission-reducing activity using empirical data. Parasitology. 2005;130:13–22.CrossRef van der Kolk M, De Vlas SJ, Saul A, van de Vegte-Bolmer M, Eling WM, Sauerwein W. Evaluation of the standard membrane feeding assay (SMFA) for the determination of malaria transmission-reducing activity using empirical data. Parasitology. 2005;130:13–22.CrossRef
14.
go back to reference Wu Y, Sinden RE, Churcher TS, Tsuboi T, Yusibov V. Development of malaria transmission-blocking vaccines: from concept to product. Adv Parasitol. 2015;89:109–52.CrossRef Wu Y, Sinden RE, Churcher TS, Tsuboi T, Yusibov V. Development of malaria transmission-blocking vaccines: from concept to product. Adv Parasitol. 2015;89:109–52.CrossRef
15.
go back to reference Blagborough AM, Delves MJ, Ramakrishnan C, Lal K, Butcher G, Sinden RE. Assessing transmission blockade in Plasmodium sp. In: Ménard R, Ed. Methods in molecular biology (methods and protocols). Humana Press. 2012. p. 577–600. Blagborough AM, Delves MJ, Ramakrishnan C, Lal K, Butcher G, Sinden RE. Assessing transmission blockade in Plasmodium sp. In: Ménard R, Ed. Methods in molecular biology (methods and protocols). Humana Press. 2012. p. 577–600.
16.
go back to reference Beaghton A, Hammond A, Nolan T, Crisanti A, Godfray HC, Burt A. Requirements for driving anti-pathogen effector genes into populations of disease vectors by homing. Genetics. 2017;205:1587–96.CrossRef Beaghton A, Hammond A, Nolan T, Crisanti A, Godfray HC, Burt A. Requirements for driving anti-pathogen effector genes into populations of disease vectors by homing. Genetics. 2017;205:1587–96.CrossRef
17.
go back to reference Miura K, Takashima E, Deng B, Tullo G, Diouf A, Moretz SE, et al. Functional comparison of Plasmodium falciparum transmission-blocking vaccine candidates by the standard membrane-feeding assay. Infect Immun. 2013;81:4377–82.CrossRef Miura K, Takashima E, Deng B, Tullo G, Diouf A, Moretz SE, et al. Functional comparison of Plasmodium falciparum transmission-blocking vaccine candidates by the standard membrane-feeding assay. Infect Immun. 2013;81:4377–82.CrossRef
18.
go back to reference The malERA Consultative Group on Vaccines. A research agenda for malaria eradication: vaccines. PLoS Med. 2011;8:e1000398.CrossRef The malERA Consultative Group on Vaccines. A research agenda for malaria eradication: vaccines. PLoS Med. 2011;8:e1000398.CrossRef
19.
go back to reference Wu Y, Ellis RD, Shaffer D, Fontes E, Malkin EM, Mahanty S, et al. Phase 1 trial of malaria transmission blocking vaccine candidates Pfs25 and Pvs25 formulated with montanide ISA 51. PLoS One. 2008;3:e2636.CrossRef Wu Y, Ellis RD, Shaffer D, Fontes E, Malkin EM, Mahanty S, et al. Phase 1 trial of malaria transmission blocking vaccine candidates Pfs25 and Pvs25 formulated with montanide ISA 51. PLoS One. 2008;3:e2636.CrossRef
20.
go back to reference Brancucci NM, Goldowitz I, Buchholz K, Werling K, Marti M. An assay to probe Plasmodium falciparum growth, transmission stage formation and early gametocyte development. Nat Protoc. 2015;10:1131–42.CrossRef Brancucci NM, Goldowitz I, Buchholz K, Werling K, Marti M. An assay to probe Plasmodium falciparum growth, transmission stage formation and early gametocyte development. Nat Protoc. 2015;10:1131–42.CrossRef
21.
go back to reference Delves MJ, Straschil U, Ruecker A, Miguel-Blanco C, Marques S, Dufour AC, et al. Routine in vitro culture of P. falciparum gametocytes to evaluate novel transmission-blocking interventions. Nat Protoc. 2016;11:1668–80.CrossRef Delves MJ, Straschil U, Ruecker A, Miguel-Blanco C, Marques S, Dufour AC, et al. Routine in vitro culture of P. falciparum gametocytes to evaluate novel transmission-blocking interventions. Nat Protoc. 2016;11:1668–80.CrossRef
22.
go back to reference BEI Resources, MR4. Methods in Anopheles research. 2015 Ed. p. 4008. Accessed 7 Aug 2017. BEI Resources, MR4. Methods in Anopheles research. 2015 Ed. p. 4008. Accessed 7 Aug 2017.
23.
go back to reference Spitzen J, Takken W. Malaria mosquito rearing-maintaining quality and quantity of laboratory-reared insects. Proc Neth Entomol Soc Meet. 2005;16:95–100. Spitzen J, Takken W. Malaria mosquito rearing-maintaining quality and quantity of laboratory-reared insects. Proc Neth Entomol Soc Meet. 2005;16:95–100.
24.
go back to reference Phasomkusolsil S, Tawong J, Monkanna N, Pantuwatana K, Damdangdee N, Khongtak W, et al. Maintenance of mosquito vectors: effects of blood source on feeding, survival, fecundity, and egg hatching rates. J Vector Ecol. 2013;38:38–45.CrossRef Phasomkusolsil S, Tawong J, Monkanna N, Pantuwatana K, Damdangdee N, Khongtak W, et al. Maintenance of mosquito vectors: effects of blood source on feeding, survival, fecundity, and egg hatching rates. J Vector Ecol. 2013;38:38–45.CrossRef
25.
go back to reference Das S, Garver L, Dimopoulos G. Protocol for mosquito rearing (A. gambiae). JoVE. 2007;4:e221. Das S, Garver L, Dimopoulos G. Protocol for mosquito rearing (A. gambiae). JoVE. 2007;4:e221.
26.
go back to reference Dennison NJ, Jupatanakul N, Dimopoulos G. The mosquito microbiota influences vector competence for human pathogens. Curr Opin Insect Sci. 2014;3:6–13.CrossRef Dennison NJ, Jupatanakul N, Dimopoulos G. The mosquito microbiota influences vector competence for human pathogens. Curr Opin Insect Sci. 2014;3:6–13.CrossRef
27.
go back to reference Romoli O, Gendrin M. The tripartite interactions between the mosquito, its microbiota and Plasmodium. Parasit Vectors. 2018;11:200.CrossRef Romoli O, Gendrin M. The tripartite interactions between the mosquito, its microbiota and Plasmodium. Parasit Vectors. 2018;11:200.CrossRef
28.
go back to reference Churcher TS, Blagborough AM, Delves M, Ramakrishnan C, Kapulu MC, Williams AR, et al. Measuring the blockade of malaria transmission–an analysis of the standard membrane feeding assay. Int J Parasitol. 2012;42:1037–44.CrossRef Churcher TS, Blagborough AM, Delves M, Ramakrishnan C, Kapulu MC, Williams AR, et al. Measuring the blockade of malaria transmission–an analysis of the standard membrane feeding assay. Int J Parasitol. 2012;42:1037–44.CrossRef
29.
go back to reference Medley GF, Sinden RE, Fleck S, Billingsley PF, Tirawanchap N, Rodriguez MH. Heterogeneity in patterns of malarial oocyst infections in the mosquito vector. Parasitology. 1993;106:441–9.CrossRef Medley GF, Sinden RE, Fleck S, Billingsley PF, Tirawanchap N, Rodriguez MH. Heterogeneity in patterns of malarial oocyst infections in the mosquito vector. Parasitology. 1993;106:441–9.CrossRef
30.
go back to reference Miura K, Stone WJ, Koolen KM, Deng B, Zhou L, Gemert GJ, et al. An inter-laboratory comparison of standard membrane-feeding assays for evaluation of malaria transmission-blocking vaccines. Malar J. 2016;15:463.CrossRef Miura K, Stone WJ, Koolen KM, Deng B, Zhou L, Gemert GJ, et al. An inter-laboratory comparison of standard membrane-feeding assays for evaluation of malaria transmission-blocking vaccines. Malar J. 2016;15:463.CrossRef
31.
go back to reference Vale N, Aguiar L, Gomes P. Antimicrobial peptides: a new class of antimalarial drugs? Front Pharmacol. 2014;5:275.CrossRef Vale N, Aguiar L, Gomes P. Antimicrobial peptides: a new class of antimalarial drugs? Front Pharmacol. 2014;5:275.CrossRef
32.
go back to reference Lewies A, Wentzel J, Jacobs G, Du Plessis L. The potential use of natural and structural analogues of antimicrobial peptides in the fight against neglected tropical diseases. Molecules. 2015;20:15392–433.CrossRef Lewies A, Wentzel J, Jacobs G, Du Plessis L. The potential use of natural and structural analogues of antimicrobial peptides in the fight against neglected tropical diseases. Molecules. 2015;20:15392–433.CrossRef
33.
go back to reference Sinha S, Singh A, Medhi B, Sehgal R. Systematic review: insight into antimalarial peptide. Int J Pept Res Ther. 2016;22:325–40.CrossRef Sinha S, Singh A, Medhi B, Sehgal R. Systematic review: insight into antimalarial peptide. Int J Pept Res Ther. 2016;22:325–40.CrossRef
34.
go back to reference Carter V, Underhill A, Baber I, Sylla L, Baby M, Larget-Thiery I, et al. Killer bee molecules: antimicrobial peptides as effector molecules to target sporogonic stages of Plasmodium. PLoS Pathog. 2013;9:e1003790.CrossRef Carter V, Underhill A, Baber I, Sylla L, Baby M, Larget-Thiery I, et al. Killer bee molecules: antimicrobial peptides as effector molecules to target sporogonic stages of Plasmodium. PLoS Pathog. 2013;9:e1003790.CrossRef
35.
go back to reference Wang Y, Wang F, Wang R, Zhao P, Xia Q. 2A self-cleaving peptide-based multi-gene expression system in the silkworm Bombyx mori. Sci Rep. 2015;5:16273.CrossRef Wang Y, Wang F, Wang R, Zhao P, Xia Q. 2A self-cleaving peptide-based multi-gene expression system in the silkworm Bombyx mori. Sci Rep. 2015;5:16273.CrossRef
36.
go back to reference Liu Z, Chen O, Wall J, Zheng M, Zhou Y, Wang L, et al. Systematic comparison of 2A peptides for cloning multi-genes in a polycistronic vector. Sci Rep. 2017;7:2193.CrossRef Liu Z, Chen O, Wall J, Zheng M, Zhou Y, Wang L, et al. Systematic comparison of 2A peptides for cloning multi-genes in a polycistronic vector. Sci Rep. 2017;7:2193.CrossRef
37.
go back to reference Ponnudurai T, Lensen AH, Leeuwenberg AD, Meuwissen JH. Cultivation of fertile Plasmodium falciparum gametocytes in semi-automated systems. 1. Static cultures. Trans R Soc Trop Med Hyg. 1982;76:812–8.CrossRef Ponnudurai T, Lensen AH, Leeuwenberg AD, Meuwissen JH. Cultivation of fertile Plasmodium falciparum gametocytes in semi-automated systems. 1. Static cultures. Trans R Soc Trop Med Hyg. 1982;76:812–8.CrossRef
38.
go back to reference Ponnudurai T, Lensen AH, Van Gemert GJ, Bensink MP, Bolmer M, Meuwissen JT. Infectivity of cultured Plasmodium falciparum gametocytes to mosquitoes. Parasitology. 1989;98:165–73.CrossRef Ponnudurai T, Lensen AH, Van Gemert GJ, Bensink MP, Bolmer M, Meuwissen JT. Infectivity of cultured Plasmodium falciparum gametocytes to mosquitoes. Parasitology. 1989;98:165–73.CrossRef
39.
go back to reference Demanga CG, Eng JW, Gardiner DL, Roth A, Butterworth A, Adams JH, et al. The development of sexual stage malaria gametocytes in a Wave Bioreactor. Parasit Vectors. 2017;10:216.CrossRef Demanga CG, Eng JW, Gardiner DL, Roth A, Butterworth A, Adams JH, et al. The development of sexual stage malaria gametocytes in a Wave Bioreactor. Parasit Vectors. 2017;10:216.CrossRef
40.
go back to reference Lyimo EO, Koella JC. Relationship between body size of adult Anopheles gambiae s.l. and infection with the malaria parasite Plasmodium falciparum. Parasitology. 1992;104:233–7.CrossRef Lyimo EO, Koella JC. Relationship between body size of adult Anopheles gambiae s.l. and infection with the malaria parasite Plasmodium falciparum. Parasitology. 1992;104:233–7.CrossRef
41.
go back to reference Takken W, Smallegange RC, Vigneau AJ, Johnston V, Brown M, Mordue-Luntz AJ, et al. Larval nutrition differentially affects adult fitness and Plasmodium development in the malaria vectors Anopheles gambiae and Anopheles stephensi. Parasit Vectors. 2013;6:345.CrossRef Takken W, Smallegange RC, Vigneau AJ, Johnston V, Brown M, Mordue-Luntz AJ, et al. Larval nutrition differentially affects adult fitness and Plasmodium development in the malaria vectors Anopheles gambiae and Anopheles stephensi. Parasit Vectors. 2013;6:345.CrossRef
42.
go back to reference Dong Y, Manfredini F, Dimopoulos G. Implication of the mosquito midgut microbiota in the defense against malaria parasites. PLoS Pathog. 2009;5:e1000423.CrossRef Dong Y, Manfredini F, Dimopoulos G. Implication of the mosquito midgut microbiota in the defense against malaria parasites. PLoS Pathog. 2009;5:e1000423.CrossRef
43.
go back to reference Habtewold T, Groom Z, Christophides GK. Immune resistance and tolerance strategies in malaria vector and non-vector mosquitoes. Parasit Vectors. 2017;10:186.CrossRef Habtewold T, Groom Z, Christophides GK. Immune resistance and tolerance strategies in malaria vector and non-vector mosquitoes. Parasit Vectors. 2017;10:186.CrossRef
44.
go back to reference Lefevre T, Ohm J, Dabiré KR, Cohuet A, Choisy M, Thomas MB, et al. Transmission traits of malaria parasites within the mosquito: genetic variation, phenotypic plasticity, and consequences for control. Evol Appl. 2018;11:456–69.CrossRef Lefevre T, Ohm J, Dabiré KR, Cohuet A, Choisy M, Thomas MB, et al. Transmission traits of malaria parasites within the mosquito: genetic variation, phenotypic plasticity, and consequences for control. Evol Appl. 2018;11:456–69.CrossRef
45.
go back to reference Tripet F, Aboagye-Antwi F, Hurd H. Ecological immunology of mosquito-malaria interactions. Trends Parasitol. 2008;24:219–27.CrossRef Tripet F, Aboagye-Antwi F, Hurd H. Ecological immunology of mosquito-malaria interactions. Trends Parasitol. 2008;24:219–27.CrossRef
46.
go back to reference Linenberg I, Christophides GK, Gendrin M. Larval diet affects mosquito development and permissiveness to Plasmodium infection. Sci Rep. 2016;6:38230.CrossRef Linenberg I, Christophides GK, Gendrin M. Larval diet affects mosquito development and permissiveness to Plasmodium infection. Sci Rep. 2016;6:38230.CrossRef
47.
go back to reference Weinhold A, Dorcheh EK, Li R, Rameshkumar N, Baldwin IT. Antimicrobial peptide expression in a wild tobacco plant reveals the limits of host-microbe-manipulations in the field. 2018;7:e28715. Weinhold A, Dorcheh EK, Li R, Rameshkumar N, Baldwin IT. Antimicrobial peptide expression in a wild tobacco plant reveals the limits of host-microbe-manipulations in the field. 2018;7:e28715.
48.
go back to reference Bell A, Monaghan P, Page AP. Peptidyl-prolyl cis–trans isomerases (immunophilins) and their roles in parasite biochemistry, host–parasite interaction and antiparasitic drug action. Int J Parasitol. 2006;36:261–76.CrossRef Bell A, Monaghan P, Page AP. Peptidyl-prolyl cis–trans isomerases (immunophilins) and their roles in parasite biochemistry, host–parasite interaction and antiparasitic drug action. Int J Parasitol. 2006;36:261–76.CrossRef
49.
go back to reference Yeaman MR, Yount NY. Mechanisms of antimicrobial peptide action and resistance. Pharmacol Rev. 2003;55:27–55.CrossRef Yeaman MR, Yount NY. Mechanisms of antimicrobial peptide action and resistance. Pharmacol Rev. 2003;55:27–55.CrossRef
50.
go back to reference Tossi A, Sandri L, Giangaspero A. Amphipathic, alpha-helical antimicrobial peptides. Biopolymers. 2000;55:4–30.CrossRef Tossi A, Sandri L, Giangaspero A. Amphipathic, alpha-helical antimicrobial peptides. Biopolymers. 2000;55:4–30.CrossRef
51.
go back to reference Matsuzaki K. Why and how are peptide–lipid interactions utilized for self-defense? Magainins and tachyplesins as archetypes. Biochim Biophys Acta. 1999;1462:1–10.CrossRef Matsuzaki K. Why and how are peptide–lipid interactions utilized for self-defense? Magainins and tachyplesins as archetypes. Biochim Biophys Acta. 1999;1462:1–10.CrossRef
52.
go back to reference Gwadz RW, Kaslow D, Lee JY, Maloy WL, Zasloff M, Miller LH. Effects of magainins and cecropins on the sporogonic development of malaria parasites in mosquitoes. Infect Immun. 1989;57:2628–33.PubMedPubMedCentral Gwadz RW, Kaslow D, Lee JY, Maloy WL, Zasloff M, Miller LH. Effects of magainins and cecropins on the sporogonic development of malaria parasites in mosquitoes. Infect Immun. 1989;57:2628–33.PubMedPubMedCentral
Metadata
Title
Streamlined SMFA and mosquito dark-feeding regime significantly improve malaria transmission-blocking assay robustness and sensitivity
Authors
Tibebu Habtewold
Sofia Tapanelli
Ellen K. G. Masters
Astrid Hoermann
Nikolai Windbichler
George K. Christophides
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2019
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/s12936-019-2663-8

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