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The entomopathogenic fungus Beauveria bassiana reduces instantaneous blood feeding in wild multi-insecticide-resistant Culex quinquefasciatus mosquitoes in Benin, West Africa

PMCID: PMC2946288

PMID: 20843321

Abstract

Background Mosquito-borne diseases are still a major health risk in many developing countries, and the emergence of multi-insecticide-resistant mosquitoes is threatening the future of vector control. Therefore, new tools that can manage resistant mosquitoes are required. Laboratory studies show that entomopathogenic fungi can kill insecticide-resistant malaria vectors but this needs to be verified in the field. Methods The present study investigated whether these fungi will be effective at infecting, killing and/or modifying the behaviour of wild multi-insecticide-resistant West African mosquitoes. The entomopathogenic fungi Metarhizium anisopliae and Beauveria bassiana were separately applied to white polyester window netting and used in combination with either a permethrin-treated or untreated bednet in an experimental hut trial. Untreated nets were used because we wanted to test the effect of fungus alone and in combination with an insecticide to examine any potential additive or synergistic effects. Results In total, 1125 female mosquitoes were collected during the hut trial, mainly Culex quinquefasciatus Say. Unfortunately, not enough wild Anopheles gambiae Giles were collected to allow the effect the fungi may have on this malaria vector to be analysed. None of the treatment combinations caused significantly increased mortality of Cx. quinquefasciatus when compared to the control hut. The only significant behaviour modification found was a reduction in blood feeding by Cx. quinquefasciatus , caused by the permethrin and B. bassiana treatments, although no additive effect was seen in the B. bassiana and permethrin combination treatment. Beauveria bassiana did not repel blood foraging mosquitoes either in the laboratory or field. Conclusions This is the first time that an entomopathogenic fungus has been shown to reduce blood feeding of wild mosquitoes. This behaviour modification indicates that B. bassiana could potentially be a new mosquito control tool effective at reducing disease transmission, although further field work in areas with filariasis transmission should be carried out to verify this. In addition, work targeting malaria vector mosquitoes should be carried out to see if these mosquitoes manifest the same behaviour modification after infection with B. bassiana conidia.

Full Text

Current mosquito control for the prevention of malaria and other vector-borne diseases relies heavily on pyrethroid insecticides, most notably through the use of insecticide-treated nets (ITN) and indoor residual spraying (IRS) [1]. Unfortunately, the emergence of insecticide resistance in some geographical areas is threatening vector control efforts [2]. It is widely accepted that the emergence of insecticide resistance in mosquitoes in Benin, as in many other areas of the world, was due to heavy pesticide use in agriculture [3-7]. However, the impact of this resistance is increasingly affecting the public health sector as well. It is therefore important to search for alternative tools that can be used to control insecticide-resistant mosquitoes.
The entomopathogenic fungi Metarhizium anisopliae and Beauveria bassiana can be used to target a wide range of insects [8,9] including adult mosquitoes [10-12]. In addition, these fungi can cause significant mortality to insecticide-resistant Anopheles mosquitoes in the laboratory [13-15], with insecticide-resistant mosquitoes being significantly more susceptible to fungal infection when compared to insecticide-susceptible mosquitoes [15]. This finding could lead to interesting possibilities with population dynamics because insecticide-resistant genes would be removed from the mosquito population at a faster rate and this would lead to the conservation of insecticide-susceptible genes.
The conidia of entomopathogenic fungi, once germinated, directly penetrate the mosquito cuticle. Once inside the mosquito haemocoel, the fungi produce compounds and eventually kill the mosquitoes by a combination of nutrient depletion and internal mechanical damage [16]. According to previous research, this starts leading to insect death approximately three-to-four days after infection [10,11,17]. This slow kill time is in contrast to fast acting insecticides currently in use and potentially allows fungus-infected mosquitoes to attain some of their life-time reproductive output, which could reduce selection pressure for resistance. Accordingly, in order to determine overall transmission blocking (and indeed, overall fitness costs of infection) it is important to evaluate not only the mortality rate but also sub- and pre-lethal consequences of infection. In this regard, previous studies have revealed reductions in mosquito feeding propensity [18] and fecundity [18] due to fungal infection, and B. bassiana was shown to limit the development of malaria parasites in the mosquito [19].
Due to proposed future application methods, it is important to test entomopathogenic fungi alone and in the presence of existing control tools such as ITNs so as to monitor any potential additive or synergistic effects [20], as were found in a recent laboratory study that showed that fungal and permethrin combination treatments can cause increased mosquito mortality when compared to either treatment alone [21].
Despite encouraging results from the laboratory, only two studies have been published using these entomopathogenic fungi against mosquitoes in the field, and neither of these studies targeted insecticide-resistant mosquitoes [22,23]. Both studies showed that fungal infections significantly shortened the life span of infected mosquitoes when compared to uninfected mosquitoes [22,23], but neither study examined behavioural effects such as blood feeding.
At the field site (described below) in Benin, West Africa, the wild An. gambiae population has been shown to be 100% An. gambiae s.s. Mopti cytotype [3]. Culex quinquefasciatus Say is also present and both species are resistant to pyrethroids, DDT and dieldrin [2,3,24,25]. Resistance mechanisms involve the kdr gene mutation, mixed function oxidase (MFO) and esterase levels that are higher than in reference susceptible strains [3]. In addition, Cx. quinquefasciatus is resistant to carbosulfan and has elevated glutathione-S-transferase (GST) activity [3].
After being dried at ambient temperature and then stored in the refrigerator, dry conidia of M. anisopliae and B. bassiana were separately suspended in the synthetic isoparaffinic hydrocarbon solvent ShellSol T ™ (Shell, The Netherlands). ShellSol T was selected because the delivery system of fungal conidia suspended in this solvent has been shown to be significantly more virulent to An. gambiae s.s. mosquitoes when compared to conidia suspended in other oils [26]. A Bürker-Türk haemocyte counter and light microscope (at ×400) were used to determine accurate conidial concentrations per ml ShellSol T. New suspensions were made for each experimental replicate. As a measure for conidial viability, the germination of spores on a rich agar medium was counted as previously reported [15]. The mean (± SE) viabilities of the batches of M. anisopliae and B. bassiana used in this study were 8.5% (± 2.62; 2339 spores counted) and 64% (± 4.70; 2381 spores counted) respectively.
The netting used was made of white 100% multifilament 150 denier warp-knitted polyester fibres with 12 holes per cm2 (Vestergaard Frandsen, Switzerland). This net was used to cover the windows in the experimental hut trials and for the behaviour experiments in the laboratory. Unpublished work found that around 50% of mosquitoes would pass this mesh-sized netting when a human host cue was provided on the other side, whilst fewer mosquitoes passed the smaller mesh-sized netting [27]. In an effort to increase the proportion of mosquitoes passing through the netting, small slits were cut into the netting to facilitate mosquito passage (Figure 1). Obviously, in a proper control setting we would not advocate damaging the physical integrity of window or eave screens but for this experimental test, it was necessary to allow mosquitoes access to the huts in order to sample them post-exposure. Netting was dipped into the fungal conidia/ShellSol T suspensions resulting in treatment densities of 7.2 × 1012 conidia per m2. Control netting was treated with ShellSol T only.
To test the suitability of fungus-treated nets for infecting hut-entering mosquitoes, and to confirm that mosquitoes would be able to pass through the netting, behavioural assays were conducted in the laboratory at Wageningen University. The experimental set-up (Figure 2) contained a transparent plastic cylinder (15 cm diameter × 50 cm length) with a separating piece of cardboard in the centre (C in Figure 2). A 1 cm slit was made lengthways in the centre part of the cardboard, representing the gaps of the windows in the experimental huts. The ends of the cylinder were sealed with wire netting to allow air to pass through. At one end, a heating element set between 33.5°C and 34.5°C, humid air and a worn nylon sock (not shown but in position D in Figure 2) were used to entice mosquitoes released at the other end of the cylinder (A in Figure 2) to pass through the 1 cm gap. A small amount of suction at the opposite end was used to move the odour through the cylinder. The test was carried out under a red light and started during the night so that the mosquitoes were more likely to initiate host seeking.
In the first set of experiments in one of the cylinders, the 1 cm gap in the cardboard was left clear, while in the second cylinder untreated white polyester netting was placed over the gap. Six-to-nine day old non-blood fed female An. gambiae s.s. VKPER strain mosquitoes were selected immediately before the test based on a response to a human hand; mosquitoes of this age were used because host seeking peaks at 6 days post emergence [28]. Twenty-five mosquitoes were placed into each tube at a time, such that they had to pass the gap or net to contact the heat and odour source. The test was run for 30 minutes; four replicates were carried out.
The experimental hut study was undertaken in Ladji village (6°23'23N, 2°25'56E) on the shore of Lake Nokoué in the northern outskirts of Cotonou, in Benin, West Africa. Concrete experimental huts have been built within this village (Figure 3) so that they more accurately represent the village dynamics with respect to mosquito house entry. These huts were of the typical West African design with corrugated iron roofs that do not have eaves (for a schematic representation see Hougard et al. [29]). The ceilings of the huts were thick polyethylene sheeting. Mosquitoes can only enter the huts through four windows. These windows were 60 cm long and consist of metal funnels that channel mosquitoes into a 2 cm gap. This means that once mosquitoes have entered the hut they are unlikely to leave via the windows. Mosquitoes wanting to leave the huts instead fly towards the large veranda trap which, being partial netting, is lighter than the hut interior. The huts are protected from ants by a water moat.
By using treated netting across the opening of the funnel windows of the experimental huts (Figure 1) we ensured that all the mosquitoes entering the huts contacted the fungal spores. The fungus-treated netting was treated as described above. The control window netting was treated with ShellSol T. Netting was treated and attached to the inside of the window openings in the huts on the same day. For each of the six replicates, new pieces of netting were impregnated with freshly made fungal suspensions. The fungus treatment amounted to 0.13 m2 per hut.
The bednets used were white 100 denier polyester netting (SiamDutch Mosquito Netting Co., Thailand) measuring 2.11 m length × 1.63 m width × 1.84 m high with a total surface area of 17.2 m2. Each bednet had six holes cut (4 cm × 4 cm) as recommended by the World Health Organisation (WHO) [30] to mimic worn bednets; this allows blood feeding behaviour to be monitored. Three nets were treated with permethrin 25EC (Syngenta, Switzerland) at 500 mg/m2 and three others were left untreated to serve as controls. Untreated nets were used because we wanted to test the effect of fungus alone and in combination with an insecticide to examine any potential additive or synergistic effects between the fungi and permethrin treatments.
The six treatments (Table 1) were randomly allocated between six huts and then rotated weekly using a Latin square design such that each treatment spent one week in each hut. The hut trial was run for 36 nights between 27th April and 6th June 2009. A temperature and humidity gauge was left inside one of the huts for the duration of the trial.
The study received ethical approval from the Ministry of Health, Cotonou, Republic of Benin, in May 2008 (approval n° 10717/MSP/DG/SGM/DRS). Six adult males from Ladji village were then recruited as sleepers after they had provided their informed consent to participate in the study. Malaria treatment was offered to these sleepers if they developed malaria during the trial. To control for individual attractiveness [31], the sleepers rotated between the huts nightly. During the evening the day after a new treatment had been placed in the huts, all the sleepers were individually asked a short series of questions to determine whether they had any health issues associated with the treatments. The questionnaire was carried out over six weeks such that all sleepers were questioned after sleeping under each treatment.
The external window shutters on the huts were opened at 6 pm and the sleepers entered the huts at 9 pm. At 5 am the following morning a curtain was unrolled to separate the veranda from the hut and at this time the sleepers collected all dead and live mosquitoes using a mouth aspirator. The mosquitoes from the hut, veranda trap and those found inside the bednet were kept in separate cups. The collected mosquitoes were identified to sex/species and the females were recorded as dead/alive and blood fed/unfed. Live mosquitoes were then held in plastic cups, given access to honey solution and mortality was scored every 24 hours [32]. For logistical reasons the mosquitoes that arrived in the laboratory alive from the huts were only able to be kept for a maximum of 7 days, after which time they were killed.
While monitoring the impact of the treatments on mosquito survival, a series of behavioural outcomes were also scored. When compared to mosquitoes collected from the control (Table 1; CC) hut it was possible to see whether any of the treatment combinations had caused blood feeding inhibition (smaller proportion of blood fed mosquitoes). Furthermore, if a treatment deters mosquitoes from entering the huts then the proportions that were blood fed may underestimate the full personal protective effect. This can be calculated using the following formula:
where Bu is the total number of blood fed mosquitoes collected from the untreated control hut and Bt is the total number of blood fed mosquitoes collected from the treated hut [30]. In addition, any effects on deterrence (fewer mosquitoes entering the huts) and/or induced exophily (more mosquitoes entering the veranda trap) were measured.
All statistics were carried out in SPSS 17.0 [33] with α at 0.05.
Of the 1018 female Cx. quinquefasciatus collected during the experimental hut trial, 22.5% (229/1018) had blood fed. The proportion of blood-fed Cx. quinquefasciatus was significantly lower in four treatment combinations when compared to the control treatment (Table 1). The level of blood feeding inhibition was similar for all three treatments that incorporated permethrin (CP, MP and BP). Of the fungus-only treatments, only the B. bassiana (BC) caused a significant reduction in the numbers of Cx. quinquefasciatus mosquitoes blood feeding (p = 0.032; Table 1). Although the level of blood feeding inhibition was similar for the permethrin (CP) and B. bassiana (BC) treatments, the combined B. bassiana and permethrin (BP) treatment showed no additive or synergistic effects of these two individual treatments (Table 1). The logistic regression analysis found no significant effect of the day, indicating that the levels of blood feeding did not significantly vary during the trial.
Culex quinquefasciatus mortality seven days after being collected from the huts was fairly similar for all six treatments (Table 1). Even when taking into account the variation between the replicates caused by doing the trial over a relatively long period of time, there was no significant impact of the M. anisopliae (HR = 1.03, p = 0.85), B. bassiana (HR = 1.12, p = 0.45) or permethrin ITN (HR = 1.02, p = 0.87) treatments on the mortality of mosquitoes when compared to the respective control treatments. Furthermore, there were no significant interactions between the fungal and insecticide treatments.
This study was the first to examine the effect of entomopathogenic fungi on wild mosquito blood feeding in the field. In particular, the current study investigated more or less instantaneous impacts on feeding within a single feeding night (i.e. within a few hours of fungal exposure). The results show that B. bassiana treatments significantly reduced blood feeding, with B. bassiana alone able to inhibit 37% of blood feeding relative to the control. Permethrin was able to inhibit 43% of blood feeding, a higher percentage than observed in a previous study in the same study village where another pyrethroid, alphacypermethrin, reduced Cx. quinquefasciatus blood feeding by 27% [24]. Given the results, it is unknown why no additive or synergistic effects were seen in the blood feeding inhibitions when the B. bassiana (BC) and permethrin (CP) treatments were combined into the B. bassiana and permethrin (BP) treatment, especially in light of recent laboratory findings [21], although the synergistic effects seen on mortality [21] may differ from any behavioural effects.
Both of the fungal species used in our study have previously shown a propensity to reduce mosquito blood feeding under laboratory conditions [18,19]. This response may be linked to the down-regulation of genes controlling digestion in mosquitoes inoculated with B. bassiana [34] indicating that digestion and nutrient acquisition is not a priority for mosquitoes after fungal infection. Although these earlier studies looked at feeding over several days following infection and at different mosquito genera, they found a similar level of blood feeding reduction as found in our study [18,19]. Relatively rapid changes in feeding behaviour after infection with M. anisopliae or B. bassiana have also been reported in many other insect types [35].
The mechanism behind the very rapid blood feeding inhibition observed in the current study is unknown but may be due to physiological and/or behavioural reasons. A mosquito may enter the huts several hours before blood feeding which would allow the fungus time to start germination and cuticle penetration. As far as we are aware no data have been published on the germination and penetration times on mosquito cuticles. However, in infected termites B. bassiana germination occurred between 6 and 12 hours post infection, with penetration between 12 and 24 hours [36]. In this study, mosquitoes had to pass directly through the fungus-treated netting so some conidia could have got into the mosquito spiracles or at the base of the setae. This may decrease the fungal penetration time because the cuticle is thinner in these places [36]. Even during pre-penetration growth of the conidia the wax layer of the insect cuticle is degraded [37] and insects use both cellular and humoral immune responses against fungal infections starting as early as cuticle degradation [38]. Therefore, if the germination and pre-penetration times on mosquito cuticles is similar to that on termites, then it is feasible that the immune system could have been activated during the short time the mosquitoes and sleepers were in the huts. Alternatively, the mosquito antennae and maxillary palpi may have become covered in conidia, interfering with their ability to detect the human host. In addition, termites have been shown to groom after fungal infection which successfully removes conidia [39]. This may also have taken place with our wild mosquitoes and could have interfered with their host seeking.
The results indicate that neither M. anisopliae nor B. bassiana repels foraging mosquitoes, as corroborated by a recent laboratory study [40]. In addition, B. bassiana conidia can reduce blood feeding in Cx. quinquefasciatus. However, no significant mortality was found in wild-caught Cx. quinquefasciatus mosquitoes collected from the huts. Although previous findings have found that Cx. quinquefasciatus is susceptible to M. anisopliae [11,22] it is important to note that adult Cx. quinquefasciatus mortality has not previously been measured following B. bassiana infection either in the laboratory or field. Even after discounting the M. anisopliae data due to the extremely low viability of the batch used in our study, the B. bassiana viability was within the range that could be used in the field in the future, but did not significantly impact wild mosquito mortality. There are three main reasons why this may be the case.
Firstly, the experimental method may have been ineffective at providing a sufficiently lethal dose to the wild mosquitoes, even though it was able to elicit a significant behaviour modification. Possible reasons include certain conditions affecting the conidia on the netting, and the short contact time of the mosquitoes. After one week under field conditions dry conidia were seen to be released from the window netting in the huts. This quick evaporation of ShellSol T and release of conidia has also been found in Tanzania (Matt Kirby, Pers. Comm.) and may lead to a lack of conidial protection from the field conditions, and a decrease in the effective concentration. Using other oil formulations [22] or encapsulation techniques may lead to higher conidial protection. Laboratory studies have shown that conidial viability is directly affected by the polyester netting [15,41]. In addition, temperature and humidity can adversely affect fungal conidia [42-44], however, the climatic conditions were similar for the experimental hut study and cone bioassay experiments carried out at the same time and under the same conditions (Howard et al. Manuscript Submitted), so similar adverse effects would be expected. Nevertheless, fungal spores used in the cone bioassays were able to infect mosquitoes causing significant mortality (Howard et al. Manuscript Submitted), but those applied in the experimental huts could not.
Scholte et al. [22] found much higher levels of mortality in their field study where the An. gambiae s.l. mosquitoes were found resting on fungus-impregnated cotton cloths [22]. The short contact time with the hut fungal netting, although not an issue for An. gambiae s.s. mosquitoes in the behaviour experiments in the laboratory, could have caused problems because a recent study has shown that longer exposure times can cause significantly quicker mortality rates [45]. There appears to be a threshold number of conidia per unit surface area required for successful mosquito infection [11]. This may be related to the up-regulated mosquito immune system being able to clear low-level fungal infections [34,46]. If the proportion of viable conidia was decreased by the polyester netting/field conditions then the wild Culex may not have been receiving enough viable conidia to initiate a successfully lethal fungal infection. Other proposed application methods in the field include cotton resting targets [22], clay pots [17], and odour baited stations [23], all of which will ensure longer contact times but would target resting mosquitoes post-feeding, and so may not affect blood feeding in the same way as the method used in this study.
The second reason for the lack of fungus-induced mortality could be that even if a successful fungal infection was received by the hut-entering mosquitoes, then it is possible that the mosquitoes died of natural causes before any significant toxic effects of fungal infections could be seen because control mortality after 7 days was 54% and was not significantly different from the fungus and/or permethrin-exposed mosquitoes. This may have masked any effects of the fungus. The natural mortality could be quite high because the mosquitoes entering the huts were of an unknown age range, and insecticide resistance in Culex mosquitoes is known to be associated with fitness costs [47] that can lead to reduced survival rates [48].
Finally, the third possible reason for the lack of fungal-induced mortality is that the wild multi-insecticide-resistant Cx. quinquefasciatus mosquitoes in Benin may just not have been susceptible to fungal infection. As mentioned, Cx. quinquefasciatus adults have not been previously shown to be susceptible to B. bassiana either in the laboratory or field. A previous laboratory study comparing An. gambiae s.s. and Cx. quinquefasciatus found very few differences in susceptibility to M. anisopliae infection, with both male and female Cx. quinquefasciatus having significantly reduced life spans after continuous exposure to both dry and oil-formulated conidia [11]. However, Scholte [49] speculates that wild Tanzanian insecticide-susceptible Cx. quinquefasciatus in the field had higher immunocompetence towards M. anisopliae infection than wild An. gambiae s.l. because the infection rates were 10% and 33% respectively. Wild Culex may be less susceptible to fungal infection due to interactions of their micro-flora [50], or because their insecticide resistance mechanisms protected them [51]. Micro-flora interactions can protect insects from infection; Pseudomonas bacteria found in insecticide-resistant diamond-back moths showed antagonistic activity against M. anisopliae and B. bassiana [50]. In addition, B. bassiana has been shown to be a poor competitor in the presence of M. anisopliae [45], and is therefore likely to compete poorly with the wild Culex gut flora. Insecticide-resistant Cx. quinquefasciatus in Sri Lanka were shown to adversely affect the development of the filarial worm Wuchereria bancrofti, thought to be due to elevated esterase activity [51]. Serebrov et al. [52] found that infection of greater wax moth caterpillars with M. anisopliae caused elevated levels of esterases and GST, presumably as part of the immune response. If elevated esterase and GST levels are also an important immune response to fungal infection in Cx. quinquefasciatus, this would explain the low susceptibility of the wild mosquitoes in this study; in effect their immune system is already activated because they naturally have higher levels of these enzymes [3]. Further work should be carried out to identify whether wild insecticide-resistant Culex mosquitoes can be killed using entomopathogenic fungi, and to identify for which reason this did not occur in the present study.
Although there were not enough malaria vectors to analyse the effect the fungi may have on these mosquitoes, it is also important to test new control tools on Culex mosquitoes. This is because in many areas Culex mosquitoes are often more numerous than Anopheles and as such personal protection methods such as ITNs are often bought to prevent the nuisance biting as much as for any other reason. Failure to control these nuisance mosquitoes can reduce the uptake of ITNs for malaria control [53,54]. Therefore tools that can reduce the biting of insecticide-resistant Culex mosquitoes are also required. This is especially true in East Africa, India and South East Asia where Culex mosquitoes are the vectors of filariasis.
Reducing blood feeding is important in terms of disease control and the finding that B. bassiana can reduce blood feeding in wild mosquitoes so soon after they acquired a fungal infection is both unexpected and important, but further research in areas with filariasis transmission is required to monitor whether this behaviour modification could be used to help prevent filariasis transmission. In addition, work should also be carried out specifically targeting malaria vectors to substantiate whether this behaviour is also present in Anopheles mosquitoes, and if this could have any effect on malaria transmission. Because blood feeding was significantly affected so soon after acquiring a fungal infection it is suggested that future application techniques for fungi in the field should target host-seeking mosquitoes. If the fungi are deployed as post-feeding resting targets [17,22,23], then one of the main ways in which entomopathogenic fungi could help reduce disease transmission would be missed.

Sections

"[{\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B1\", \"B2\", \"B3\", \"B7\"], \"section\": \"Background\", \"text\": \"Current mosquito control for the prevention of malaria and other vector-borne diseases relies heavily on pyrethroid insecticides, most notably through the use of insecticide-treated nets (ITN) and indoor residual spraying (IRS) [1]. Unfortunately, the emergence of insecticide resistance in some geographical areas is threatening vector control efforts [2]. It is widely accepted that the emergence of insecticide resistance in mosquitoes in Benin, as in many other areas of the world, was due to heavy pesticide use in agriculture [3-7]. However, the impact of this resistance is increasingly affecting the public health sector as well. It is therefore important to search for alternative tools that can be used to control insecticide-resistant mosquitoes.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B8\", \"B9\", \"B10\", \"B12\", \"B13\", \"B15\", \"B15\"], \"section\": \"Background\", \"text\": \"The entomopathogenic fungi Metarhizium anisopliae and Beauveria bassiana can be used to target a wide range of insects [8,9] including adult mosquitoes [10-12]. In addition, these fungi can cause significant mortality to insecticide-resistant Anopheles mosquitoes in the laboratory [13-15], with insecticide-resistant mosquitoes being significantly more susceptible to fungal infection when compared to insecticide-susceptible mosquitoes [15]. This finding could lead to interesting possibilities with population dynamics because insecticide-resistant genes would be removed from the mosquito population at a faster rate and this would lead to the conservation of insecticide-susceptible genes.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B16\", \"B10\", \"B11\", \"B17\", \"B18\", \"B18\", \"B19\"], \"section\": \"Background\", \"text\": \"The conidia of entomopathogenic fungi, once germinated, directly penetrate the mosquito cuticle. Once inside the mosquito haemocoel, the fungi produce compounds and eventually kill the mosquitoes by a combination of nutrient depletion and internal mechanical damage [16]. According to previous research, this starts leading to insect death approximately three-to-four days after infection [10,11,17]. This slow kill time is in contrast to fast acting insecticides currently in use and potentially allows fungus-infected mosquitoes to attain some of their life-time reproductive output, which could reduce selection pressure for resistance. Accordingly, in order to determine overall transmission blocking (and indeed, overall fitness costs of infection) it is important to evaluate not only the mortality rate but also sub- and pre-lethal consequences of infection. In this regard, previous studies have revealed reductions in mosquito feeding propensity [18] and fecundity [18] due to fungal infection, and B. bassiana was shown to limit the development of malaria parasites in the mosquito [19].\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B20\", \"B21\"], \"section\": \"Background\", \"text\": \"Due to proposed future application methods, it is important to test entomopathogenic fungi alone and in the presence of existing control tools such as ITNs so as to monitor any potential additive or synergistic effects [20], as were found in a recent laboratory study that showed that fungal and permethrin combination treatments can cause increased mosquito mortality when compared to either treatment alone [21].\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B22\", \"B23\", \"B22\", \"B23\"], \"section\": \"Background\", \"text\": \"Despite encouraging results from the laboratory, only two studies have been published using these entomopathogenic fungi against mosquitoes in the field, and neither of these studies targeted insecticide-resistant mosquitoes [22,23]. Both studies showed that fungal infections significantly shortened the life span of infected mosquitoes when compared to uninfected mosquitoes [22,23], but neither study examined behavioural effects such as blood feeding.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B3\", \"B2\", \"B3\", \"B24\", \"B25\", \"B3\", \"B3\"], \"section\": \"Mosquitoes\", \"text\": \"At the field site (described below) in Benin, West Africa, the wild An. gambiae population has been shown to be 100% An. gambiae s.s. Mopti cytotype [3]. Culex quinquefasciatus Say is also present and both species are resistant to pyrethroids, DDT and dieldrin [2,3,24,25]. Resistance mechanisms involve the kdr gene mutation, mixed function oxidase (MFO) and esterase levels that are higher than in reference susceptible strains [3]. In addition, Cx. quinquefasciatus is resistant to carbosulfan and has elevated glutathione-S-transferase (GST) activity [3].\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B26\", \"B15\"], \"section\": \"Fungi\", \"text\": \"After being dried at ambient temperature and then stored in the refrigerator, dry conidia of M. anisopliae and B. bassiana were separately suspended in the synthetic isoparaffinic hydrocarbon solvent ShellSol T \\u2122 (Shell, The Netherlands). ShellSol T was selected because the delivery system of fungal conidia suspended in this solvent has been shown to be significantly more virulent to An. gambiae s.s. mosquitoes when compared to conidia suspended in other oils [26]. A B\\u00fcrker-T\\u00fcrk haemocyte counter and light microscope (at \\u00d7400) were used to determine accurate conidial concentrations per ml ShellSol T. New suspensions were made for each experimental replicate. As a measure for conidial viability, the germination of spores on a rich agar medium was counted as previously reported [15]. The mean (\\u00b1 SE) viabilities of the batches of M. anisopliae and B. bassiana used in this study were 8.5% (\\u00b1 2.62; 2339 spores counted) and 64% (\\u00b1 4.70; 2381 spores counted) respectively.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B27\", \"F1\"], \"section\": \"Net treatment with the fungal conidia\", \"text\": \"The netting used was made of white 100% multifilament 150 denier warp-knitted polyester fibres with 12 holes per cm2 (Vestergaard Frandsen, Switzerland). This net was used to cover the windows in the experimental hut trials and for the behaviour experiments in the laboratory. Unpublished work found that around 50% of mosquitoes would pass this mesh-sized netting when a human host cue was provided on the other side, whilst fewer mosquitoes passed the smaller mesh-sized netting [27]. In an effort to increase the proportion of mosquitoes passing through the netting, small slits were cut into the netting to facilitate mosquito passage (Figure 1). Obviously, in a proper control setting we would not advocate damaging the physical integrity of window or eave screens but for this experimental test, it was necessary to allow mosquitoes access to the huts in order to sample them post-exposure. Netting was dipped into the fungal conidia/ShellSol T suspensions resulting in treatment densities of 7.2 \\u00d7 1012 conidia per m2. Control netting was treated with ShellSol T only.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"F2\", \"F2\", \"F2\", \"F2\"], \"section\": \"Behaviour experiments in the laboratory\", \"text\": \"To test the suitability of fungus-treated nets for infecting hut-entering mosquitoes, and to confirm that mosquitoes would be able to pass through the netting, behavioural assays were conducted in the laboratory at Wageningen University. The experimental set-up (Figure 2) contained a transparent plastic cylinder (15 cm diameter \\u00d7 50 cm length) with a separating piece of cardboard in the centre (C in Figure 2). A 1 cm slit was made lengthways in the centre part of the cardboard, representing the gaps of the windows in the experimental huts. The ends of the cylinder were sealed with wire netting to allow air to pass through. At one end, a heating element set between 33.5\\u00b0C and 34.5\\u00b0C, humid air and a worn nylon sock (not shown but in position D in Figure 2) were used to entice mosquitoes released at the other end of the cylinder (A in Figure 2) to pass through the 1 cm gap. A small amount of suction at the opposite end was used to move the odour through the cylinder. The test was carried out under a red light and started during the night so that the mosquitoes were more likely to initiate host seeking.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B28\"], \"section\": \"Behaviour experiments in the laboratory\", \"text\": \"In the first set of experiments in one of the cylinders, the 1 cm gap in the cardboard was left clear, while in the second cylinder untreated white polyester netting was placed over the gap. Six-to-nine day old non-blood fed female An. gambiae s.s. VKPER strain mosquitoes were selected immediately before the test based on a response to a human hand; mosquitoes of this age were used because host seeking peaks at 6 days post emergence [28]. Twenty-five mosquitoes were placed into each tube at a time, such that they had to pass the gap or net to contact the heat and odour source. The test was run for 30 minutes; four replicates were carried out.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"F3\", \"B29\"], \"section\": \"Field study location and experimental hut design\", \"text\": \"The experimental hut study was undertaken in Ladji village (6\\u00b023'23N, 2\\u00b025'56E) on the shore of Lake Nokou\\u00e9 in the northern outskirts of Cotonou, in Benin, West Africa. Concrete experimental huts have been built within this village (Figure 3) so that they more accurately represent the village dynamics with respect to mosquito house entry. These huts were of the typical West African design with corrugated iron roofs that do not have eaves (for a schematic representation see Hougard et al. [29]). The ceilings of the huts were thick polyethylene sheeting. Mosquitoes can only enter the huts through four windows. These windows were 60 cm long and consist of metal funnels that channel mosquitoes into a 2 cm gap. This means that once mosquitoes have entered the hut they are unlikely to leave via the windows. Mosquitoes wanting to leave the huts instead fly towards the large veranda trap which, being partial netting, is lighter than the hut interior. The huts are protected from ants by a water moat.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"F1\"], \"section\": \"Hut treatments\", \"text\": \"By using treated netting across the opening of the funnel windows of the experimental huts (Figure 1) we ensured that all the mosquitoes entering the huts contacted the fungal spores. The fungus-treated netting was treated as described above. The control window netting was treated with ShellSol T. Netting was treated and attached to the inside of the window openings in the huts on the same day. For each of the six replicates, new pieces of netting were impregnated with freshly made fungal suspensions. The fungus treatment amounted to 0.13 m2 per hut.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B30\"], \"section\": \"Hut treatments\", \"text\": \"The bednets used were white 100 denier polyester netting (SiamDutch Mosquito Netting Co., Thailand) measuring 2.11 m length \\u00d7 1.63 m width \\u00d7 1.84 m high with a total surface area of 17.2 m2. Each bednet had six holes cut (4 cm \\u00d7 4 cm) as recommended by the World Health Organisation (WHO) [30] to mimic worn bednets; this allows blood feeding behaviour to be monitored. Three nets were treated with permethrin 25EC (Syngenta, Switzerland) at 500 mg/m2 and three others were left untreated to serve as controls. Untreated nets were used because we wanted to test the effect of fungus alone and in combination with an insecticide to examine any potential additive or synergistic effects between the fungi and permethrin treatments.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"T1\"], \"section\": \"Hut treatments\", \"text\": \"The six treatments (Table 1) were randomly allocated between six huts and then rotated weekly using a Latin square design such that each treatment spent one week in each hut. The hut trial was run for 36 nights between 27th April and 6th June 2009. A temperature and humidity gauge was left inside one of the huts for the duration of the trial.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B31\"], \"section\": \"Hut trial procedure\", \"text\": \"The study received ethical approval from the Ministry of Health, Cotonou, Republic of Benin, in May 2008 (approval n\\u00b0 10717/MSP/DG/SGM/DRS). Six adult males from Ladji village were then recruited as sleepers after they had provided their informed consent to participate in the study. Malaria treatment was offered to these sleepers if they developed malaria during the trial. To control for individual attractiveness [31], the sleepers rotated between the huts nightly. During the evening the day after a new treatment had been placed in the huts, all the sleepers were individually asked a short series of questions to determine whether they had any health issues associated with the treatments. The questionnaire was carried out over six weeks such that all sleepers were questioned after sleeping under each treatment.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B32\"], \"section\": \"Hut trial procedure\", \"text\": \"The external window shutters on the huts were opened at 6 pm and the sleepers entered the huts at 9 pm. At 5 am the following morning a curtain was unrolled to separate the veranda from the hut and at this time the sleepers collected all dead and live mosquitoes using a mouth aspirator. The mosquitoes from the hut, veranda trap and those found inside the bednet were kept in separate cups. The collected mosquitoes were identified to sex/species and the females were recorded as dead/alive and blood fed/unfed. Live mosquitoes were then held in plastic cups, given access to honey solution and mortality was scored every 24 hours [32]. For logistical reasons the mosquitoes that arrived in the laboratory alive from the huts were only able to be kept for a maximum of 7 days, after which time they were killed.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"T1\"], \"section\": \"Hut trial procedure\", \"text\": \"While monitoring the impact of the treatments on mosquito survival, a series of behavioural outcomes were also scored. When compared to mosquitoes collected from the control (Table 1; CC) hut it was possible to see whether any of the treatment combinations had caused blood feeding inhibition (smaller proportion of blood fed mosquitoes). Furthermore, if a treatment deters mosquitoes from entering the huts then the proportions that were blood fed may underestimate the full personal protective effect. This can be calculated using the following formula:\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B30\"], \"section\": \"Hut trial procedure\", \"text\": \"where Bu is the total number of blood fed mosquitoes collected from the untreated control hut and Bt is the total number of blood fed mosquitoes collected from the treated hut [30]. In addition, any effects on deterrence (fewer mosquitoes entering the huts) and/or induced exophily (more mosquitoes entering the veranda trap) were measured.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B33\"], \"section\": \"Hut trial data\", \"text\": \"All statistics were carried out in SPSS 17.0 [33] with \\u03b1 at 0.05.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"T1\", \"T1\", \"T1\"], \"section\": \"Hut trial data\", \"text\": \"Of the 1018 female Cx. quinquefasciatus collected during the experimental hut trial, 22.5% (229/1018) had blood fed. The proportion of blood-fed Cx. quinquefasciatus was significantly lower in four treatment combinations when compared to the control treatment (Table 1). The level of blood feeding inhibition was similar for all three treatments that incorporated permethrin (CP, MP and BP). Of the fungus-only treatments, only the B. bassiana (BC) caused a significant reduction in the numbers of Cx. quinquefasciatus mosquitoes blood feeding (p = 0.032; Table 1). Although the level of blood feeding inhibition was similar for the permethrin (CP) and B. bassiana (BC) treatments, the combined B. bassiana and permethrin (BP) treatment showed no additive or synergistic effects of these two individual treatments (Table 1). The logistic regression analysis found no significant effect of the day, indicating that the levels of blood feeding did not significantly vary during the trial.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"T1\"], \"section\": \"Hut trial data\", \"text\": \"Culex quinquefasciatus mortality seven days after being collected from the huts was fairly similar for all six treatments (Table 1). Even when taking into account the variation between the replicates caused by doing the trial over a relatively long period of time, there was no significant impact of the M. anisopliae (HR = 1.03, p = 0.85), B. bassiana (HR = 1.12, p = 0.45) or permethrin ITN (HR = 1.02, p = 0.87) treatments on the mortality of mosquitoes when compared to the respective control treatments. Furthermore, there were no significant interactions between the fungal and insecticide treatments.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B24\", \"B21\", \"B21\"], \"section\": \"Discussion\", \"text\": \"This study was the first to examine the effect of entomopathogenic fungi on wild mosquito blood feeding in the field. In particular, the current study investigated more or less instantaneous impacts on feeding within a single feeding night (i.e. within a few hours of fungal exposure). The results show that B. bassiana treatments significantly reduced blood feeding, with B. bassiana alone able to inhibit 37% of blood feeding relative to the control. Permethrin was able to inhibit 43% of blood feeding, a higher percentage than observed in a previous study in the same study village where another pyrethroid, alphacypermethrin, reduced Cx. quinquefasciatus blood feeding by 27% [24]. Given the results, it is unknown why no additive or synergistic effects were seen in the blood feeding inhibitions when the B. bassiana (BC) and permethrin (CP) treatments were combined into the B. bassiana and permethrin (BP) treatment, especially in light of recent laboratory findings [21], although the synergistic effects seen on mortality [21] may differ from any behavioural effects.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B18\", \"B19\", \"B34\", \"B18\", \"B19\", \"B35\"], \"section\": \"Discussion\", \"text\": \"Both of the fungal species used in our study have previously shown a propensity to reduce mosquito blood feeding under laboratory conditions [18,19]. This response may be linked to the down-regulation of genes controlling digestion in mosquitoes inoculated with B. bassiana [34] indicating that digestion and nutrient acquisition is not a priority for mosquitoes after fungal infection. Although these earlier studies looked at feeding over several days following infection and at different mosquito genera, they found a similar level of blood feeding reduction as found in our study [18,19]. Relatively rapid changes in feeding behaviour after infection with M. anisopliae or B. bassiana have also been reported in many other insect types [35].\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B36\", \"B36\", \"B37\", \"B38\", \"B39\"], \"section\": \"Discussion\", \"text\": \"The mechanism behind the very rapid blood feeding inhibition observed in the current study is unknown but may be due to physiological and/or behavioural reasons. A mosquito may enter the huts several hours before blood feeding which would allow the fungus time to start germination and cuticle penetration. As far as we are aware no data have been published on the germination and penetration times on mosquito cuticles. However, in infected termites B. bassiana germination occurred between 6 and 12 hours post infection, with penetration between 12 and 24 hours [36]. In this study, mosquitoes had to pass directly through the fungus-treated netting so some conidia could have got into the mosquito spiracles or at the base of the setae. This may decrease the fungal penetration time because the cuticle is thinner in these places [36]. Even during pre-penetration growth of the conidia the wax layer of the insect cuticle is degraded [37] and insects use both cellular and humoral immune responses against fungal infections starting as early as cuticle degradation [38]. Therefore, if the germination and pre-penetration times on mosquito cuticles is similar to that on termites, then it is feasible that the immune system could have been activated during the short time the mosquitoes and sleepers were in the huts. Alternatively, the mosquito antennae and maxillary palpi may have become covered in conidia, interfering with their ability to detect the human host. In addition, termites have been shown to groom after fungal infection which successfully removes conidia [39]. This may also have taken place with our wild mosquitoes and could have interfered with their host seeking.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B40\", \"B11\", \"B22\"], \"section\": \"Discussion\", \"text\": \"The results indicate that neither M. anisopliae nor B. bassiana repels foraging mosquitoes, as corroborated by a recent laboratory study [40]. In addition, B. bassiana conidia can reduce blood feeding in Cx. quinquefasciatus. However, no significant mortality was found in wild-caught Cx. quinquefasciatus mosquitoes collected from the huts. Although previous findings have found that Cx. quinquefasciatus is susceptible to M. anisopliae [11,22] it is important to note that adult Cx. quinquefasciatus mortality has not previously been measured following B. bassiana infection either in the laboratory or field. Even after discounting the M. anisopliae data due to the extremely low viability of the batch used in our study, the B. bassiana viability was within the range that could be used in the field in the future, but did not significantly impact wild mosquito mortality. There are three main reasons why this may be the case.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B22\", \"B15\", \"B41\", \"B42\", \"B44\"], \"section\": \"Discussion\", \"text\": \"Firstly, the experimental method may have been ineffective at providing a sufficiently lethal dose to the wild mosquitoes, even though it was able to elicit a significant behaviour modification. Possible reasons include certain conditions affecting the conidia on the netting, and the short contact time of the mosquitoes. After one week under field conditions dry conidia were seen to be released from the window netting in the huts. This quick evaporation of ShellSol T and release of conidia has also been found in Tanzania (Matt Kirby, Pers. Comm.) and may lead to a lack of conidial protection from the field conditions, and a decrease in the effective concentration. Using other oil formulations [22] or encapsulation techniques may lead to higher conidial protection. Laboratory studies have shown that conidial viability is directly affected by the polyester netting [15,41]. In addition, temperature and humidity can adversely affect fungal conidia [42-44], however, the climatic conditions were similar for the experimental hut study and cone bioassay experiments carried out at the same time and under the same conditions (Howard et al. Manuscript Submitted), so similar adverse effects would be expected. Nevertheless, fungal spores used in the cone bioassays were able to infect mosquitoes causing significant mortality (Howard et al. Manuscript Submitted), but those applied in the experimental huts could not.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B22\", \"B22\", \"B45\", \"B11\", \"B34\", \"B46\", \"B22\", \"B17\", \"B23\"], \"section\": \"Discussion\", \"text\": \"Scholte et al. [22] found much higher levels of mortality in their field study where the An. gambiae s.l. mosquitoes were found resting on fungus-impregnated cotton cloths [22]. The short contact time with the hut fungal netting, although not an issue for An. gambiae s.s. mosquitoes in the behaviour experiments in the laboratory, could have caused problems because a recent study has shown that longer exposure times can cause significantly quicker mortality rates [45]. There appears to be a threshold number of conidia per unit surface area required for successful mosquito infection [11]. This may be related to the up-regulated mosquito immune system being able to clear low-level fungal infections [34,46]. If the proportion of viable conidia was decreased by the polyester netting/field conditions then the wild Culex may not have been receiving enough viable conidia to initiate a successfully lethal fungal infection. Other proposed application methods in the field include cotton resting targets [22], clay pots [17], and odour baited stations [23], all of which will ensure longer contact times but would target resting mosquitoes post-feeding, and so may not affect blood feeding in the same way as the method used in this study.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B47\", \"B48\"], \"section\": \"Discussion\", \"text\": \"The second reason for the lack of fungus-induced mortality could be that even if a successful fungal infection was received by the hut-entering mosquitoes, then it is possible that the mosquitoes died of natural causes before any significant toxic effects of fungal infections could be seen because control mortality after 7 days was 54% and was not significantly different from the fungus and/or permethrin-exposed mosquitoes. This may have masked any effects of the fungus. The natural mortality could be quite high because the mosquitoes entering the huts were of an unknown age range, and insecticide resistance in Culex mosquitoes is known to be associated with fitness costs [47] that can lead to reduced survival rates [48].\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B11\", \"B49\", \"B50\", \"B51\", \"B50\", \"B45\", \"B51\", \"B52\", \"B3\"], \"section\": \"Discussion\", \"text\": \"Finally, the third possible reason for the lack of fungal-induced mortality is that the wild multi-insecticide-resistant Cx. quinquefasciatus mosquitoes in Benin may just not have been susceptible to fungal infection. As mentioned, Cx. quinquefasciatus adults have not been previously shown to be susceptible to B. bassiana either in the laboratory or field. A previous laboratory study comparing An. gambiae s.s. and Cx. quinquefasciatus found very few differences in susceptibility to M. anisopliae infection, with both male and female Cx. quinquefasciatus having significantly reduced life spans after continuous exposure to both dry and oil-formulated conidia [11]. However, Scholte [49] speculates that wild Tanzanian insecticide-susceptible Cx. quinquefasciatus in the field had higher immunocompetence towards M. anisopliae infection than wild An. gambiae s.l. because the infection rates were 10% and 33% respectively. Wild Culex may be less susceptible to fungal infection due to interactions of their micro-flora [50], or because their insecticide resistance mechanisms protected them [51]. Micro-flora interactions can protect insects from infection; Pseudomonas bacteria found in insecticide-resistant diamond-back moths showed antagonistic activity against M. anisopliae and B. bassiana [50]. In addition, B. bassiana has been shown to be a poor competitor in the presence of M. anisopliae [45], and is therefore likely to compete poorly with the wild Culex gut flora. Insecticide-resistant Cx. quinquefasciatus in Sri Lanka were shown to adversely affect the development of the filarial worm Wuchereria bancrofti, thought to be due to elevated esterase activity [51]. Serebrov et al. [52] found that infection of greater wax moth caterpillars with M. anisopliae caused elevated levels of esterases and GST, presumably as part of the immune response. If elevated esterase and GST levels are also an important immune response to fungal infection in Cx. quinquefasciatus, this would explain the low susceptibility of the wild mosquitoes in this study; in effect their immune system is already activated because they naturally have higher levels of these enzymes [3]. Further work should be carried out to identify whether wild insecticide-resistant Culex mosquitoes can be killed using entomopathogenic fungi, and to identify for which reason this did not occur in the present study.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B53\", \"B54\"], \"section\": \"Discussion\", \"text\": \"Although there were not enough malaria vectors to analyse the effect the fungi may have on these mosquitoes, it is also important to test new control tools on Culex mosquitoes. This is because in many areas Culex mosquitoes are often more numerous than Anopheles and as such personal protection methods such as ITNs are often bought to prevent the nuisance biting as much as for any other reason. Failure to control these nuisance mosquitoes can reduce the uptake of ITNs for malaria control [53,54]. Therefore tools that can reduce the biting of insecticide-resistant Culex mosquitoes are also required. This is especially true in East Africa, India and South East Asia where Culex mosquitoes are the vectors of filariasis.\"}, {\"pmc\": \"PMC2946288\", \"pmid\": \"20843321\", \"reference_ids\": [\"B17\", \"B22\", \"B23\"], \"section\": \"Discussion\", \"text\": \"Reducing blood feeding is important in terms of disease control and the finding that B. bassiana can reduce blood feeding in wild mosquitoes so soon after they acquired a fungal infection is both unexpected and important, but further research in areas with filariasis transmission is required to monitor whether this behaviour modification could be used to help prevent filariasis transmission. In addition, work should also be carried out specifically targeting malaria vectors to substantiate whether this behaviour is also present in Anopheles mosquitoes, and if this could have any effect on malaria transmission. Because blood feeding was significantly affected so soon after acquiring a fungal infection it is suggested that future application techniques for fungi in the field should target host-seeking mosquitoes. If the fungi are deployed as post-feeding resting targets [17,22,23], then one of the main ways in which entomopathogenic fungi could help reduce disease transmission would be missed.\"}]"

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