Dengue emergence and adaptation to peridomestic mosquitoes.Phylogenetic phy·lo·ge·net·ic adj. 1. Of or relating to phylogeny or phylogenetics. 2. Relating to or based on evolutionary development or history. evidence suggests that endemic and epidemic dengue viruses (DENV DENV Department of Environment (Canada) ), transmitted among humans by the anthropophilic mosquitoes Aedes aegypfi and Ae. albopictus, emerged when ancestral, sylvatic sylvatic /syl·vat·ic/ (sil-vat´ik) sylvan; pertaining to, located in, or living in the woods. sylvatic found in the woods; occurring in animals of the forest. DENV transmitted among nonhuman primates by sylvatic Aedes mosquitoes adapted to these peridomestic vectors. We tested this hypothesis by retrospectively examining evidence for adaptation of epidemic and endemic versus sylvatic strains of DENV-2 to Ae. albopictus and Ae. aegypti. First and second-generation offspring of mosquitoes from different geographic regions in the Americas and Southeast Asia were tested for their susceptibility to epidemic/endemic and sylvatic DENV-2 isolates from West Africa, Southeast Asia, and Oceania. Both Aedes species were highly susceptible (up to 100% infected) to endemic/epidemic DENV-2 strains after ingesting artificial blood meals but significantly less susceptible (as low as 0%) to sylvatic DENV-2 strains. Our findings support the hypothesis that adaptation to peridomestic mosquito vectors mediated dengue dengue or breakbone fever or dandy fever Infectious, disabling mosquito-borne fever. Other symptoms include extreme joint pain and stiffness, intense pain behind the eyes, a return of fever after brief pause, and a characteristic rash. emergence from sylvatic progenitor pro·gen·i·tor n. 1. A direct ancestor. 2. An originator of a line of descent. progenitor ancestor, including parent. progenitor cell stem cells. viruses. ********* Dengue is caused by any of four antigenically distinct serotypes of dengue virus (DENV), family Flaviviridae. An estimated 100 million annual dengue cases occur each year in tropical cities, in which more than 2.5 billion people (almost half of the global population) are at risk (1). Infection with one DENV serotype serotype /se·ro·type/ (ser´o-tip) the type of a microorganism determined by its constituent antigens; a taxonomic subdivision based thereon. se·ro·type n. See serovar. v. confers lifelong protection against homologous reinfection reinfection /re·in·fec·tion/ (-in-fek´shun) a second infection by the same agent or a second infection of an organ with a different agent. re·in·fec·tion n. , while a subsequent heterologous heterologous /het·er·ol·o·gous/ (het?er-ol´ah-gus) 1. made up of tissue not normal to the part. 2. xenogeneic. het·er·ol·o·gous adj. 1. infection increases the likelihood of a more severe form of the disease (2-4). Dengue has four clinical manifestations: 1) undifferentiated illness, 2) classic dengue fever dengue fever (dĕng`gē, –gā), acute infectious disease caused by four closely related viruses and transmitted by the bite of the Aedes mosquito; it is also known as breakbone fever and bone-crusher disease. , 3) dengue hemorrhagic fever hemorrhagic fever (hĕm'ərăj`ĭk), any of a group of viral diseases characterized by sudden onset, muscle and joint pain, fever, bleeding, and shock from loss of blood. , and 4) dengue shock syndrome. Undifferentiated dengue, the most common syndrome, occurs when a DENV infection is asymptomatic or mildly symptomatic. Dengue fever involves an abrupt febrile febrile /feb·rile/ (feb´ril) pertaining to or characterized by fever. feb·rile adj. Of, relating to, or characterized by fever; feverish. illness lasting 2-7 days, accompanied by malaise, headache, retroorbital pain, myalgia myalgia /my·al·gia/ (mi-al´jah) muscular pain.myal´gic epidemic myalgia see under pleurodynia. my·al·gia n. , and arthralgia arthralgia /ar·thral·gia/ (ahr-thral´jah) pain in a joint. ar·thral·gia n. Severe pain in a joint. Also called arthrodynia. of such great intensity that it has earned the lexicon "break-bone" fever (5,6). Dengue hemorrhagic fever progresses to hemorrhagic Hemorrhagic A condition resulting in massive, difficult-to-control bleeding. Mentioned in: Hantavirus Infections hemorrhagic pertaining to or characterized by hemorrhage. manifestations and plasma leakage caused by increased vascular permeability. Dengue shock syndrome is characterized by circulatory failure and is the most lethal dengue syndrome (7). Within forest habitats of West Africa, Malaysia, and probably Vietnam, zoonotic Zoonotic A disease which can be spread from animals to humans. Mentioned in: Zoonosis , sylvatic dengue cycles have been described involving Aedes spp. mosquitoes and monkeys (8-10). Sylvatic DENV vectors in Africa include Aedes (Stegomyia) africanus, Ae. (S.) luteocephalus, Ae. (S.) opok, Ae. (Diceromyia) taylori, and Ae. (D.) furcifer (10); in Malaysia, Ae. niveus has been implicated im·pli·cate tr.v. im·pli·cat·ed, im·pli·cat·ing, im·pli·cates 1. To involve or connect intimately or incriminatingly: evidence that implicates others in the plot. 2. in transmission (8,9). These sylvatic cycles, probably involving only DENV-2 in West Africa but all four serotypes in Malaysia, are believed to represent the ancestral DENV cycles from which epidemic/endemic (henceforth referred to as endemic) strains of DENV-1-4 evolved independently hundreds to thousands of years ago (11). Although humans occasionally become infected with sylvatic DENV in West Africa and perhaps in Asia, they are tangential to the maintenance cycle, which involves sylvatic Aedes spp. mosquito vectors and nonhuman primates as reservoir hosts. In contrast to the sylvatic cycles, epidemic DENV cycles involving transmission among humans by Ae. (Stegomyia) aegypti, Ae. (S.) albopictus, and other anthropophilic Aedes species have emerged in large tropical urban cities (12). These urban cycles are ecologically and evolutionarily independent of the ancestral sylvatic cycles, with humans serving as reservoir hosts. Dengue is a reemerging disease reemerging disease Global medicine Any disorder, usually an infection–eg, cholera, malaria, TB, which was on the decline in the global population, reached a nadir and has now increased due to changes in the health status of a susceptible population. in the neotropics and is transmitted primarily by Ae. aegypti. The abundance in Africa of closely related Aedes species within the Stegomyia subgenus subgenus /sub·ge·nus/ (sub´je-nus) a taxonomic category between a genus and a species. sub·ge·nus n. pl. sub·gen·e·ra A taxonomic category ranking between a genus and a species. , the lack of closely related Stegomyia species in the Americas, and the existence of sylvatic Ae. aegypti (Ae. aegypti formosus) in Africa suggest an African origin for this species (13-17). Movement of people and their requisite water storage containers during the 17th to 19th centuries probably spread Ae. aegypti throughout the tropics tropics, also called tropical zone or torrid zone, all the land and water of the earth situated between the Tropic of Cancer at lat. 23 1-2°N and the Tropic of Capricorn at lat. 23 1-2°S. and subtropics sub·trop·ics pl.n. Subtropical regions. Noun 1. subtropics - regions adjacent to the tropics semitropics climatic zone - any of the geographical zones loosely divided according to prevailing climate and latitude . After World War II, Ae. aegypti prevalence and distribution increased in Asia and the Pacific Islands. Ae. aegypti was partially eradicated from tropical America in the 1940s and 1950s, but peridomestic Ae. aegypti aegypti has now reinfested most of the neotropics (12). The Asian tiger mosquito Asian tiger mosquito n. A mosquito (Aeder albopictus), native to Asia and now present in parts of tropical and subtropical America, that transmits dengue and yellow fever. Noun 1. , Ae. albopictus, originally of sylvatic origin as well, has spread widely in the world since the 1970s, including to the United States, Latin America, tropical Africa, the Pacific Islands, and Europe (7). Although less anthropophagic an·thro·poph·a·gus n. pl. an·thro·poph·a·gi A person who eats human flesh; a cannibal. [Latin anthr than Ae. aegypti, it is a secondary vector of DENV and possibly of greater importance in the early historical stages of urban dengue emergence. We hypothesized that all four endemic dengue viruses evolved independently from sylvatic progenitors by adaptating to peridomestic mosquito vectors and human reservoir hosts (11). The rise of urban civilizations and the associated peridomestication of Ae. aegypti and Ae. albopictus mosquitoes provided this opportunity for adaptation and resulted in the emergence of dengue in urban areas of the tropics. This hypothesis predicts that endemic DENV strains are more efficient at infecting urban mosquitoes such as Ae. aegypti and Ae. albopictus than are the ancestral, sylvatic DENV strains. We tested this hypothesis by using experimental infections of Ae. aegypti and Ae. albopictus with sylvatic versus urban strains of DENV-2. Our results support the hypothesis that adaptation to peridomestic mosquito vectors mediated dengue emergence from sylvatic progenitor viruses. Methods Mosquito Colonies Because geographic variation exists with regard to susceptibility to DENV in both colonized Colonized This occurs when a microorganism is found on or in a person without causing a disease. Mentioned in: Isolation (18,19) and wild-collected populations of Ae. aegypti and Ae. albopictus (20-22), mosquitoes from the United States, Brazil, Bolivia, and Thailand were tested. These locations were selected to represent a wide geographic range, including regions with endemic dengue, and on the basis of availability of specimens from collaborators. Because laboratory colonization has been shown to affect susceptibility of mosquitoes to oral infection by flaviviruses (23,24), low filial generation filial generation n. The generation resulting from a genetically controlled mating that is successive to the parental generation. filial generation any generation following the parental generation. cohorts were used for susceptibility experiments. Ae. aegypti and Ae. albopictus females were collected during the fall of 2001 from Galveston, Texas, and the first filial filial /fil·i·al/ (fil´e-al) 1. of or pertaining to a son or daughter. 2. in genetics, of or pertaining to those generations following the initial (parental) generation. (F1) laboratory generation was used for experiments. F1 generation Ae. aegypti females were also hatched from eggs collected in Mae Sed, Tak, Thailand, in 2002. Second generation (F2) Ae. aegypti collected in Santa Cruz, Bolivia, in 2002 were also used. From Brazil, F1 Ae. albopictus from Pindamonhangaba City (an urban environment) and F1 and F2 Ae. albopictus from Pedrinhas City (a rural environ) were used from a parental collection in 2001. All mosquitoes were maintained in an insectary in·sec·tar·y or in·sec·tar·i·um n. pl. in·sec·tar·ies or in·sec·tar·i·a A place for keeping, breeding, or observing living insects. at 28[degrees]C, with a relative humidity relative humidity n. The ratio of the amount of water vapor in the air at a specific temperature to the maximum amount that the air could hold at that temperature, expressed as a percentage. of 80% and a 12:12 light-dark circadian circadian /cir·ca·di·an/ (ser-ka´de-an) denoting a 24-hour period; see under rhythm. cir·ca·di·an adj. Relating to biological variations or rhythms with a cycle of about 24 hours. cycle. Adults were fed a hamster blood meal to obtain eggs. Eggs were stored in plastic containers for up to 3 months. Larvae Larvae, in Roman religion Larvae: see lemures. were reared on a diet of ground rabbit and mouse chow. Pupae were transferred to screened cages, and adults were fed 10% sucrose ad libitum ad libitum without restraint. ad libitum feeding food available at all times with the quantity and frequency of consumption being the free choice of the animal. . Virus Strains Low-passage isolates of DENV-2 were selected for this study to represent similar geographic ranges for endemic and sylvatic strains and based on the ability to obtain high-titered stocks after passage in mosquito cell (C6/36) cultures (Table 1); the strains included endemic strains New Guinea C (prototype strain) and 1349 and sylvatic strains PM 33974, A2022, and P81407. Virus stocks were prepared on C6/36 cell cultures and quantified by infecting C6/36 cells in 96-well plates with serial dilutions, followed by cell spotting in 12-well slides and immunofluorescence Immunofluorescence A technique that uses a fluorochrome to indicate the occurrence of a specific antigen-antibody reaction. The fluorochrome labels either an antigen or an antibody. assays (IFA Immunofluorescent assay (IFA) A blood test sometimes used to confirm ELISA results instead of using the Western blotting. In an IFA test, HIV antigen is mixed with a fluorescent compound and then with a sample of the patient's blood. ) to determine 50% tissue culture infective doses (TCI (Trustworthy Computing Initiative) An umbrella term from Microsoft for its efforts to improve security in Windows. TCI was announced in 2002 after viruses such as Code Red and Nimda had succeeded in attacking numerous Windows computers. [D.sub.50]) (see below). All work with DENV was carried out in a biosafety level biosafety level Epidemiology A classification for the degree of caution required when working with specific groups of pathogens. See Maximum containment facility. 2 laboratory at the University of Texas Medical Branch "UTMB" redirects here. For other system schools, see University of Texas System. The University of Texas Medical Branch (UTMB) is a component of the University of Texas System located in Galveston, Texas, about 50 miles (80 km) southeast of downtown Houston. with recommended safety procedures (25). Indirect Fluorescent Antibody Test Fluorescent antibody test (FA test) A test in which a fluorescent dye is linked to an antibody for diagnostic purposes. Mentioned in: Rabies Infection of mosquitoes with DENV was assayed with IFA in C6/36 cells, which is more sensitive than direct IFA of mosquito tissues (data not shown). Mosquito bodies and legs were triturated in Eagle's minimal essential medium Eagle's minimal essential medium (EMEM) is a cell culture medium by Harry Eagle that can be used to maintain cells in tissue culture. It contains:
`təmēn), organic compound, one of the 20 amino acids commonly found in animal proteins. , and antimicrobial agents
(penicillin and streptomycin streptomycin (strĕp'tōmī`sĭn), antibiotic produced by soil bacteria of the genus Streptomyces and active against both gram-positive and gram-negative bacteria (see Gram's stain), including species resistant to other ). Ten microliters of each triturated
suspension was added to 90 [micro]L of MEM in 96-well microtiter plates.
Plates were incubated for 7 days at 28[degrees]C. After incubation, 10
[micro]L suspensions of C6/36 cells were placed on multiwell slides, air
dried, and fixed in ice-cold 80% acetone acetone (ăs`ĭtōn), dimethyl ketone (dīmĕth`əl kē`tōn), or 2-propanone (prō`pənōn), CH3COCH3 . Slides were then incubated for
1 h at 37[degrees]C with a polyclonal polyclonal /poly·clo·nal/ (-klon´'l)1. derived from different cells. 2. pertaining to several clones. polyclonal derived from different cells; pertaining to several clones. anti-DENV-2 mouse ascitic as·ci·tes n. pl. ascites An abnormal accumulation of serous fluid in the abdominal cavity. [Middle English aschites, from Late Latin asc fluid diluted 1:80 in phosphate-buffered saline (PBS PBS in full Public Broadcasting Service Private, nonprofit U.S. corporation of public television stations. PBS provides its member stations, which are supported by public funds and private contributions rather than by commercials, with educational, cultural, ). Slides were rinsed twice in PBS and overlaid with fluorescein fluorescein /flu·o·res·ce·in/ (fldbobr-res´en) a fluorescing dye; its sodium salt is used as a tracer in retinal angiography and as a diagnostic aid for revealing corneal trauma and fitting contact lenses. isothiocyanate-labeled goat anti-mouse immunoglobulin G (Sigma, St. Louis, MO) diluted 1:15 in PBS. Slides were again incubated for 1 h at 37[degrees]C and washed twice in PBS. Slides were examined at 200 to 1,000x with an inverted inverted reverse in position, direction or order. inverted L block a pattern of local filtration anesthesia commonly used in laparotomy in the ox. fluorescent microscope. Vector Susceptibility Artificial blood meals consisting of 1% sucrose, 20% fetal bovine serum, 5 mmol ATE 33% PBS-washed sheep blood cells, and 33% MEM were used for mosquito susceptibility determinations. Multiple cohorts of 30 to 50 mosquitoes were offered blood meals incubated at 37[degrees]C in a water-jacketed membrane feeder (23). After 1 h of feeding, engorged en·gorge v. en·gorged, en·gorg·ing, en·gorg·es v.tr. 1. To devour greedily. 2. To gorge; glut. 3. To fill to excess, as with blood or other fluid. v.intr. mosquitoes were sorted from unengorged ones, and a sample of the blood meal was assayed to determine the virus titer. Fully engorged mosquitoes were incubated for 14 days at 27[degrees]C with a 12:12 light-dark cycle. Then, legs were detached from cold-anesthetized mosquitoes and assayed to determine the dissemination rate of the virus from the midgut midgut /mid·gut/ (mid´gut) the region of the embryonic digestive tube into which the yolk sac opens and which gives rise to most of the intestines; ahead of it is the foregut and caudal to it is the hindgut. into the hemocoel he·mo·coel n. A cavity or series of spaces between the organs of most arthropods and mollusks through which the blood circulates. (mosquito legs include hemolymph hemolymph /he·mo·lymph/ (he´mo-limf?) 1. blood and lymph. 2. the bloodlike fluid of those invertebrates having open blood-vascular systems. he·mo·lymph n. , which is believed to mediate infection of the salivary glands). Bodies were assayed to determine the overall infection rate. Blood meal titers were determined by IFAs on C6/36 cells (see above) of samples collected immediately after mosquito feeding. Because mosquito infections caused by artificial blood meals are inefficient compared to those using viremic hosts, we used the highest virus titers available (6.5-10.0 [log.sub.10] TCI[D.sub.50]/mL) from cell culture passages for our experiments. To interpret our data as conservatively as possible, infection and dissemination rates for endemic strains were only compared with rates from the same or higher blood meal titers for sylvatic strains. Infection and dissemination differences were tested for significance with chi-square and Fisher exact tests with the SPSS A statistical package from SPSS, Inc., Chicago (www.spss.com) that runs on PCs, most mainframes and minis and is used extensively in marketing research. It provides over 50 statistical processes, including regression analysis, correlation and analysis of variance. (Chicago, IL) Base 11.5 statistical package. When no significant differences were observed among endemic or sylvatic strains tested, data were pooled for each group. Results Aedes aegypti Susceptibility After ingestion ingestion /in·ges·tion/ (-chun) the taking of food, drugs, etc., into the body by mouth. in·ges·tion n. 1. The act of taking food and drink into the body by the mouth. 2. of artificial blood meals containing 6.5-8.0 [log.sub.10] TCI[D.sub.50]/mL of endemic DENV-2, infection and dissemination rates in Ae. aegypti mosquitoes from Galveston, Texas, were 86.5%-100.0% and 90.6%-78.9%, respectively (Table 2). Infection and dissemination rates after exposure to sylvatic viruses were more variable but lower, ranging from 11.4% to 69.4% and from 0% to 64.4% after ingestion of 8.0 to 10.0 [log.sub.10] TCI[D.sub.50]/mL of DENV. Even after the (lowest) infection rate data for strain 1407 were removed from the pooled analysis because they were significantly different than those for the other sylvatic strains, both infection (p < 0.0001) and dissemination (p = 0.01) rates were different between endemic and sylvatic strains (Table 2). Ae. aegypti from Santa Cruz, Bolivia, had lower infection and dissemination rates than Galveston populations after being exposed to endemic DENV strains. Infection rates were 40.9%-48.1% and dissemination rates were 76.9%-77.8% with blood meal titers of 9.5 [log.sub.10] TCI[D.sub.50/mL (Table 3). Infection and dissemination rates in Bolivian mosquitoes exposed to sylvatic viruses were also lower than those of Ae. aegypti from Galveston, and sylvanic strain infection rates in Bolivian mosquitoes were lower (p = 0.015), ranging from 16.7% to 27.3%, than those of endemic strains; dissemination rates were not significantly different (p = 0.663). Ae. aegypti from Mae Sed, Tak, Thailand, were also less susceptible than the Galveston population to DENV-2 strains used in this study, with the exception of endemic DENV-2 strain 1349 from Burkina Faso (infection and dissemination rates were 94.3% and 80%, respectively, with this strain) (Table 4). Like the Galveston and Bolivian populations, the Thai population exhibited consistent differences in susceptibility to endemic versus sylvatic strains (33.0%-94.3% infection with the endemic strains vs. 0%-13% for sylvatic strains; 84.8%-90.9% dissemination rate for endemic strains vs. 0%-50% for sylvatic strains). Infection rates for both endemic strains were higher than for the pooled sylvatic rates (p < 0.001), while dissemination rates were not significantly different (p > 0.1). Ae. albopictus Susceptibility Like Ae. aegypti, Ae. albopictus from Galveston, Texas, exhibited greater susceptibility to endemic than sylvatic DENV strains. After ingesting blood meals containing 6.5-8.0 [log.sub.10] TCI[D.sub.50]/mL of endemic strains, 92.3%-100% of mosquitoes became infected, with high rates of dissemination (Table 5). In contrast, only 11.1% of mosquitoes became infected after ingesting 8.0 [log.sub.10] TCI[D.sub.50]/mL of the sylvatic strain. The infection rates for endemic strains were higher than for sylvatic strains (p < 0.0001), but the difference in dissemination was not significant (p = 1.000; only one infected mosquito with a sylvatic strain was tested and exhibited dissemination). Ae. albopictus from two different locations in Brazil were also tested. One location was urban, Pindamonhangaba, while the other, Pedrinhas, was rural. Again, a significant difference in susceptibility was observed between endemic (strain New Guinea C) and sylvatic (strain 33974) infections with F1 mosquitoes of both geographic locations (Pindamonhangaba, p < 0.001, Pedrinhas, p < 0.001). However, no significant differences were detected in dissemination rates for either F1 mosquito population (p > 0.1). For the Pedrinhas mosquito population, F2 mosquitoes were tested with additional endemic and sylvatic strains. Again, the endemic strains infected at a higher rate (p < 0.001) than sylvatic strains, even when blood meal titers were lower (Table 6). Dissemination rates were also markedly different (p = 0.004). Geographic Variation in Susceptibility among Mosquito Populations Geographic variation for DENV susceptibility has been reported previously for both Ae. aegypti and Ae. albopictus (18,19). We found geographic variation among populations of both species. In general, Ae. aegypti from Galveston, Texas, were more susceptible than those from Bolivia (p < 0.001) but not those from Thailand (p > 0.1). Ae. albopictus from Galveston were also more susceptible to DENV-2 infection than those collected in Brazil (p = 0.009). Overall Trends In general, in the 701 peridomestic mosquitoes from four localities used in this study, we found high susceptibility to endemic DENV-2 isolates but much less susceptibility to sylvatic strains. These differences were detected despite the blood meal titers of sylvatic strains being equal to or greater than those of endemic strains. Dissemination rates within infected mosquitoes generally showed no significant difference between endemic and sylvatic strains. Our data also indicated that Ae. albopictus was more susceptible to endemic DENV-2 strains than Ae. aegypti (overall 94% vs. 69% infection rates). Comparing Ae. aegypti and Ae. albopictus from one geographic location, Galveston, we did not find a difference between mosquito species when we compared infection with endemic strains 1349 (p > 0.1) or the New Guinea C strain (p > 0.1). However, Galveston Ae. aegypti were more susceptible to sylvatic strain 33974 than were Ae. albopictus from Galveston (p = 0.026). Discussion Historical Emergence of Dengue and Adaptation to Peridomestic Vectors Our findings support the hypothesis that endemic DENV-2 strains are more efficient than sylvatic strains at infecting the peridomestic DENV vectors Ae. aegypti and Ae. albopictus. The overall trend that endemic DENV-2 strains were consistently more efficient at infecting peridomestic Aedes mosquitoes than were sylvatic DENV-2 strains (p = 0.000) supports our central hypothesis. Our data and previous phylogenetic studies (11) suggest that the emergence of endemic DENV from sylvatic progenitor strains occurred in conjunction with the peridomestication of Aedes mosquitoes and virus adaptation to these anthropophilic vectors. Although we tested only DENV-2 strains, emergence of DENV serotypes l, 3, and 4 may also have been mediated by vector switching (from infecting sylvatic Aedes mosquitoes to Ae. aegypti and Ae. albopictus). Very few sylvatic DENV-1 and 4 strains are available (and none of DENV-3), which makes evaluating this hypothesis difficult. The four independent evolutionary DENV emergence events (DENV-1-4) suggest that adaptation of DENV to new vectors and hosts occurred repeatedly from 300 to 1,500 years ago in Asia or Oceania (11,26). Since Ae. aegypti is not thought to have inhabited these regions at that time, Ae. albopictus was probably the original human vector (12). The widespread importance of Ae. aegypti as a vector may have begun in the 1700s, as commercial and slave trade transported it from its African origin. DENV-2 was probably introduced into Africa from Asia-Oceania approximately 1,000 years ago (11). The hypothesis that Ae. albopictus was the original peridomestic vector was supported by our study; Ae. albopictus was more susceptible to endemic DENV-2 strains than Ae. aegypti. The greater overall susceptibility (regardless of geographic origin) of Ae. albopictus compared to Ae. aegypti (94% and 69%, respectively) suggests a higher degree of adaptation, representing longer historical contact with Ae. albopictus. Other studies with sympatric sym·pat·ric adj. Ecology Occupying the same or overlapping geographic areas without interbreeding. Used of populations of closely related species. populations from Brazil show Ae. aegypti to be more susceptible than Ae. albopictus to endemic DENV-2 (19,20). Risk for Dengue in the United States When the vectorial capacity of a mosquito for an arbovirus arbovirus Any of a large group of viruses that develop in arthropods (chiefly mosquitoes and ticks). The name derives from “arthropod-borne virus.” The spheroidal virus particle is encased in a fatty membrane and contains RNA; it causes no apparent harm to the is considered, many factors come into play, including mosquito survivorship survivorship n. the right to receive full title or ownership due to having survived another person. Survivorship is particularly applied to persons owning real property or other assets, such as bank accounts or stocks, in "joint tenancy. , density, proportion of infected mosquitoes that are feeding, extrinsic incubation period extrinsic incubation period n. The interval between the acquisition of an infectious agent by a vector and the vector's ability to transmit the agent to other susceptible vertebrate hosts. , vector susceptibility, and density of susceptible hosts (27). We used vector susceptibility in this study as a measure not only of epidemiologic importance but also of the extent of adaptation of a virus to its vector. However, the full competence of a vector is established not only by its ability to become infected but also by its ability to transmit a pathogen. This feature is what gives vector competence its epidemiologic importance. In our study, transmission potential was estimated from dissemination rates because previous studies have suggested that mosquitoes are capable of transmitting DENV as long as the virus is able to disseminate from the midgut into the hemocoel (i.e., there is no evidence of a salivary gland infection salivary gland infection Sialadenitis, see there barrier) (18). Mosquitoes that have a disseminated infection were therefore assumed to be capable of transmission. Current methods of dengue control rely primarily on mosquito control and are aimed at reducing the populations of urban vectors, especially Ae. aegypti. This mosquito was eradicated from much of the New World during the middle of the 20th century. After the termination of the Ae. aegypti eradication program, Ae. aegypti populations reinfested many of the New World countries from which they had been eliminated, probably from those that did not achieve eradication. Being well adapted to urban environments and competent for transmission, DENV has become the most important mosquitoborne virus in the neotropics. Air travel and migration have increased the movement of virus strains around the world. Dengue virus has frequently been imported into the United States, where local transmission has been reported (28). Much of the southern United States The Southern United States—commonly referred to as the American South, Dixie, or simply the South—constitutes a large distinctive region in the southeastern and south-central United States. is at risk for dengue transmission because of the presence of endemic Ae. aegypti and Ae. albopictus. Our study suggests that local populations of both species from Galveston are highly susceptible and potentially able to transmit DENV-2 from Africa, Asia, and Oceania. Implications for Dengue Control Promising candidate dengue vaccines are raising hopes of effectively preventing human disease (29). Because humans are the only reservoir host for the endemic cycle, an effective vaccine could ultimately eradicate endemic strains. This scenario underscores the need for greater understanding of the historical emergence of human dengue from sylvatic origins to predict the facility with which the sylvatic strains could reemerge to initiate urban transmission. The four independent emergence events (DENV-1-4) suggest that the host-range changes that accompanied emergence can be readily accomplished by DENV; however, this hypothesis needs to be tested experimentally. One question to be answered is how many mutations are responsible for the efficient infection phenotype for Ae. aegypti and Ae. albopictus exhibited by the endemic DENV-2 strains. Identifying genetic determinants of DENV adaptation to these peridomestic vectors will ultimately provide an indication of the ability of these arboviruses arboviruses (ar´bōvī´r n. to reemerge. The viral molecular determinants that confer DENV with the ability to infect and be transmitted by their mosquito vectors are not known. Phylogenetic studies suggest that the DENV E protein may be important in the adaptation to urban vectors (11). In particular, domain III of the E protein contains several hypothetical amino acid replacements associated with emergence of urban strains. This clustering of changes in domain III is observed repeatedly during the emergence of DENV-1, DENV-2, and DENV-4, when phylogenetic methods are used. The envelope glycoproteins of other mosquitoborne viruses, including Sindbis (30), Venezuelan equine encephalitis Venezuelan equine encephalitis An alphavirus infection first identified in a sick horse in Venezuela in 1938, which occurs as an epizootic infection in central and northern South America; most exposed humans develop flu-like Sx; ±4%, especially adolescents, (31-33), and La Crosse viruses (34), have been shown to mediate vector infection. Another genomic region potentially important in mediating vector transmission may be the 5' noncoding region. Deletions in this region of DENV4 constrain its ability to infect Ae. aegypti and Ae. albopictus mosquitoes (35). Our study examined the extent of endemic DENV adaptation to peridomestic vectors. If this adaptation is species-specific, then sylvatic vectors may be more susceptible to infection by sylvatic than endemic DENV strains. We are currently evaluating this hypothesis with sylvatic West African vectors.
Table 1. DENV-2 strains used in this study (a)
Virus strain Virus type Host
1349 Endemic Human
New Guinea C Endemic Human
PM33974 Sylvatic Aedes africanus
DAK AR 2022 Sylvatic Ae. africanus
P8-1407 Sylvatic Sentinel monkey
Blood meal titer
([log.sub.10]
Virus strain Passage history (b) TCI[D.sub.50/mL)
1349 Mosquito 2, C6/36 2 6.5
New Guinea C Monkey 1, mosquito 4, 8
C6/36 1
PM33974 Toxorhynchites 8
amboinensis 1,
C6/36 2
DAK AR 2022 SM6, C6/36-2 10
P8-1407 SM3 C6/36-2 9.5
Virus strain Location Year
1349 Burkina Faso 1982
(Upper Volta)
New Guinea C New Guinea 1944
PM33974 Guinea 1981
DAK AR 2022 Burkina Faso 1980
(Upper Volta)
P8-1407 Malaysia 1970
(a) DENV, dengue virus; TCI[D.sub.50], 50% tissue culture infective
dose; SM, suckling mouse.
(b) C6/36, Ae. albopictus cell culture.
Table 2. DENV-2 infection and dissemination rates in Aedes
aegypti, Galveston (a,b)
% infected % dissemination (c)
Dengue strain (totals) (totals)
1349 (endemic) 86.5 (32/37) 90.6 (29/32)
New Guinea C (endemic) 100 (38/38) 78.9 (30/38)
33974 (sylvatic) 54.2 (26/48) 61.5 (16/26)
2022 (sylvatic) 69.4 (25/36) 64 (16/25)
1407 (sylvatic) 11.4 (4/35) 0 (0/4)
Collapsed (d)
Endemic 93.3 (70/75) 84.3 (59/70)
Sylvatic 63.0 (51/81) 62.7 (32/51)
(a) DENV, dengue virus.
(b) Blood meal titers are found in Table 1.
(c) Number of infected mosquitoes with virus in the legs.
(d) Strain 1407 data were not included in the collapsed analysis
because they were significantly different from data for other
sylvatic strains.
Table 3. DENV-2 infection and dissemination rates in Aedes
aegypti, Bolivia (a,b)
% infected % dissemination (c)
Dengue strain (totals) (totals)
1349 (endemic) 48.1 (13/27) 76.9 (10/13)
New Guinea C (endemic) 40.9 (27/66) 77.8 (21/27)
33974 (sylvatic) 16.7 (4/24) 100 (4/4)
2022 (sylvatic) 27.3 (6/22) 83.3 (5/6)
Collapsed
Endemic 43 (40/93) 77.5 (31/40)
Sylvatic 21.7 (10/46) 90 (9/10)
(a) DENV, dengue virus.
(b) Blood meal titers are found in Table 1.
(c) Number of infected mosquitoes with virus in the legs.
Table 4. DENY-2 infection and dissemination rates and Aedes
aegypti, Thailand (a,b)
% infected % dissemination (c)
Dengue strain (totals) (totals)
1349 (endemic) 94.3 (33/35) 84.8 (28/33)
New Guinea C (endemic) 33 (11/33) 90.9 (10/11)
33974 (sylvatic) 13 (6/46) 50 (3/6)
2022 (sylvatic) 8.1 (3/37) 0 (0/3)
1407 (sylvatic) 0 (0/27) 0 (0/0)
Collapsed (d)
Sylvatic 8.2 (9/110) 33.3 (3/9)
(a) DENV, dengue virus.
(b) Blood meal titers are found in Table 1.
(c) Number of infected mosquitoes with virus in the legs.
(d) Data for the two endemic strains were not collapsed because they
were significantly different.
Table 5. DENV-2 infection and dissemination rates in Aedes
albopictus, Galveston (a,b)
% infected % dissemination (c)
Dengue strain (totals) (totals)
1349 (endemic) 100 (12/12) 91.6 (11/12)
New Guinea C (endemic) 92.3 (12/13) 75 (9/12)
33974 (sylvatic) 11.1 (1/9) 100 (1/1)
Collapsed
Endemic 96 (24/25) 83.3 (20/24)
Sylvatic 11.1 (1/9) 100 (1/1)
(a) DENV, dengue virus.
(b) Blood meal titers are found in Table 1.
(c) Number of infected mosquitoes with virus in the legs.
Table 6. DENV-2 infection and dissemination
rates in Aedes albopictus (Brazil) (a,b)
Geographic %
population, % infected dissemination
generation Dengue strain (totals) (c) (totals)
Pindamonhangaba
F1
New Guinea C (endemic) 76.9 (10/13) 90 (9/10)
33974 (sylvatic) 10.7 (3/28) 100 (3/3)
Pedrinhas F1
New Guinea C (endemic) 100 (10/10) 100 (10/10)
33974 (sylvatic) 10 (2/20) 50 (1/2)
Pedrinhas F2
1349 (endemic) 100 (17/17) 88 (15/17)
New Guinea C (endemic) 95.7 (22/23) 100 (22/22)
33974 (sylvatic) 46.2 (6/13) 100 (6/6)
2022 (sylvatic) 0 (0/15) 0 (0/0)
1407 (sylvatic) 33.3 (5/15) 0 (0/5)
Collapsed
(Pedrinhas
F2) (d)
Endemic 49.3 (39/79) 94.9 (37/39)
Sylvatic 21.4 (6/28) 100 (6/6)
(a) DENV, dengue virus; F2, second generation.
(b) Blood meal titers are found in Table 1.
(c) Number of infected mosquitoes with virus in the legs.
(d) Strain 2022 data were not included in the collapsed
analysis because they were significantly different than
data for the other sylvatic strains.
Acknowledgments We thank Hilda Guzman for supplying antisera and viruses from the World Arbovirus Reference Center at University of Texas Medical Branch, Kriangkrai Lerdthusnee for supplying mosquito eggs from Thailand, and Steven Higgs and John-Paul Mutebi for supplying mosquito eggs from Brazil. This research was supported by grants TW01162, A110984, and A139800 from the National Institutes of Health. OPPORTUNITIES FOR PEER REVIEWERS The editors of Emerging Infectious Diseases seek to increase the roster of reviewers for manuscripts submitted by authors all over the world for publication in the journal. If you are interested in reviewing articles on emerging infectious disease topics, please e-mail your name, address, curriculum vitae, and areas of expertise to eideditor@ cdc.gov At Emerging Infectious Diseases, we always request reviewers' consent before sending manuscripts, limit review requests to three or four per year, and allow 2-4 weeks for completion of reviews. We consider reviewers invaluable in the process of selecting and publishing high-quality scientific articles and acknowledge their contributions in the journal once a year. Even though it brings no financial compensation, participation in the peer-review process is not without rewards. Manuscript review provides scientists at all stages of their career opportunities for professional growth by familiarizing them with research trends and the latest work in the field of infectious diseases and by improving their own skills for presenting scientific information through constructive criticism of those of their peers. To view the spectrum of articles we publish, information for authors, and our extensive style guide, visit the journal web site at www.cdc.gov/eid. For more information on participating in the peer-review process of Emerging Infectious Diseases, email eideditor@ cdc.gov or call the journal office at 404-371-5329. References (l.) Gubler DJ, Trent DW. Emergence of epidemic dengue/dengue hemorrhagic fever as a public health problem in the Americas. Infect Agents Dis. 1993;2:383-93. (2.) Halstead SB, Nimmannitya S, Cohen cohen or kohen (Hebrew: “priest”) Jewish priest descended from Zadok (a descendant of Aaron), priest at the First Temple of Jerusalem. The biblical priesthood was hereditary and male. SN. Observations related to pathogenesis of dengue hemorrhagic fever. IV. Relation of disease severity to antibody response and virus recovered. Yale J Biol Med. 1970;42:311-28. (3.) Sabin Sa·bin , Albert Bruce 1906-1993. American microbiologist and physician who developed a live-virus vaccine against polio (1957), replacing the killed-virus vaccine invented by Jonas Salk. AB. Research on dengue during World War II. Am J Trop Med Hyg. 1952;1:30-50. (4.) Kurane I, Ennis FE. Immunity and immunopathology in dengue virus infections. Semin Immunol. 1992;4:121-7. (5.) Rigau-Perez JG, Clark GG, Gubler DJ, Reiter P, Sanders EJ, Vorndam AV. Dengue and dengue haemorrhagic fever. Lancet. 1998;352:971-7. (6.) George R, Lum n. 1. A chimney. 2. A ventilating chimney over the shaft of a mine. 3. A woody valley; also, a deep pool. LSC LSC Learning and Skills Council LSC Legal Services Commission (UK) LSC Legal Services Corporation LSC Lyndon State College (Lyndonville, VT) LSC Learning Skills Council LSC Life Safety Code . Clinical spectrum of dengue infection. In: Gubler DJ, Kuno G. Dengue and dengue hemorrhagic fever. New York: CAB International; 1997. p. 89-113. (7.) Deubel V, Murgue B. Dengue. In: Service MW. The encyclopedia of arthropod-transmitted infections. Wallingford (UK): CAB International; 2001. p. 133-43. (8.) Rudnick A. Studies of the ecology of dengue in Malaysia: a preliminary report. J Med Entomol. 1965;2:203-8. (9.) Rudnick A. Ecology of dengue virus. Asian J Infect Dis. 1978;2:156-60. (10.) Diallo M, Ba Y, Sail AA, Diop OM, Ndione JA, Mondo mon·do Slang adj. Enormous; huge: a mondo list of pizza toppings. adv. Extremely; very: a mondo big mistake. M, et al. Amplification of the sylvatic cycle of dengue virus type 2, Senegal, 1999-2000: entomologic en·to·mol·o·gy n. The scientific study of insects. en to·mo·log findings and epidemiologic considerations. Emerg
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A single amino acid change in the E2 glycoprotein glycoprotein (glī'kōprō`tēn), organic compound composed of both a protein and a carbohydrate joined together in covalent chemical linkage. of Venezuelan equine encephalitis virus Venezuelan equine encephalitis virus is a mosquito-borne viral pathogen that causes Venezuelan equine encephalitis or encephalomyelitis (VEE). VEE can affect all equine species, such as horses, asses, and zebras. affects replication and dissemination in Aedes aegypti mosquitoes. J Gen Virol. 1991;72:2431-5. (32.) Brault AC, Powers AM, Weaver SC. Vector infection determinants of Venezuelan equine encephalitis virus reside within the E2 envelope glycoprotein. J Virol. 2002;76:6387-92. (33.) Brault AC, Powers AM, Ortiz D, Estrada-Franco JG, Navarro-Lopez R, Weaver SC. Venezuelan equine encephalitis emergence: Enhanced vector infection from a single amino acid substitution in the envelope glycoprotein. Proc Natl Acad Sci U S A. 2004; 101:11344-9. (34.) Sundin DR, Beaty BJ, Nathanson N, Gonzalez-Scarano F. A G1 glycoprotein epitope epitope: see immunity. of La Crosse virus: a determinant of infection of Aedes triseriatus. Science. 1987;235:591-3. (35.) Cahour A, Pletnev A, Vazielle-Falcoz M, Rosen L, Lai CJ. Growth-restricted dengue virus mutants containing deletions in the 5' noncoding region of the RNA RNA: see nucleic acid. RNA in full ribonucleic acid One of the two main types of nucleic acid (the other being DNA), which functions in cellular protein synthesis in all living cells and replaces DNA as the carrier of genetic genome. Virology virology, study of viruses and their role in disease. Many viruses, such as animal RNA viruses and viruses that infect bacteria, or bacteriophages, have become useful laboratory tools in genetic studies and in work on the cellular metabolic control of gene expression . 1995;207:68-76. Address for correspondence: Scott Weaver, Keiller 4.128, Department of Pathology, University of Texas Medical Branch, Galveston, TX 77555 0609, USA; fax: 409-747-2415; email: sweaver@utmb.edu Dr. Moncayo is an assistant professor in the Department of Biological Sciences at Ohio Northern University Ohio Northern University is a private, United Methodist Church-affiliated university located in the United States in Ada, Ohio, founded by Henry Solomon Lehr in 1871. ONU is accredited by The Higher Learning Commission and the North Central Association of Colleges and Schools. in Ada, Ohio. He is a contributing editor to the Entomological Society of America The Entomological Society of America (ESA) was founded in 1889 and today has more than 6,000 members, including educators, extension personnel, consultants, students, researchers, and scientists from agricultural departments, health agencies, private industries, colleges and . His current research interests are in the areas of mosquito systematics systematics: see classification. and vectorborne diseases, including dengue evolution and epidemiology. Abelardo C. Moncayo, * (1) Zoraida Fernandez, * (2) Diana Ortiz, * Mawlouth Diallo, ([dagger]) Amadou Am´a`dou n. 1. A spongy, combustible substance, prepared from fungus (Boletus and Polyporus) which grows on old trees; German tinder; punk. Sall, ([dagger]) Sammie Hartman, * C. Todd David, * Lark Coffey, * Christian C. Mathiot, ([dagger]) Robert B. Tesh, * and Scott C. Weaver * * University of Texas Medical Branch, Galveston, Texas, USA; and ([dagger]) Institut Pasteur, Dakar, Senegal (1) Current affiliation: Ohio Northern University, Ada, Ohio, USA. (2) Current affiliation: Instituto Venezolano de Investigaciones Cientificas, Caracas, Venezuela. |
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