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      Widespread Distribution of a Newly Found Point Mutation in Voltage-Gated Sodium Channel in Pyrethroid-Resistant Aedes aegypti Populations in Vietnam

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          Abstract

          Background

          Resistance of Aedes aegypti to photostable pyrethroid insecticides is a major problem for disease-vector control programs. Pyrethroids target the voltage-gated sodium channel on the insects' neurons. Single amino acid substitutions in this channel associated with pyrethroid resistance are one of the main factors that cause knockdown resistance in insects. Although kdr has been observed in several mosquito species, point mutations in the para gene have not been fully characterized in Ae. aegypti populations in Vietnam. The aim of this study was to determine the types and frequencies of mutations in the para gene in Ae. aegypti collected from used tires in Vietnam.

          Methods and Findings

          Several point mutations were examined that cause insensitivity of the voltage-gated sodium channel in the insect nervous system due to the replacement of the amino acids L1014F, the most commonly found point mutation in several mosquitoes; I1011M (or V) and V1016G (or I), which have been reported to be associated to knockdown resistance in Ae. aegypti located in segment 6, domain II; and a recently found amino acid replacement in F1269 in Ae. aegypti, located in segment 6, domain III. Among 756 larvae from 70 locations, no I1011M or I1011V nor L1014F mutations were found, and only two heterozygous V1016G mosquitoes were detected. However, F1269C mutations on domain III were distributed widely and with high frequency in 269 individuals among 757 larvae (53 collection sites among 70 locations surveyed). F1269C frequencies were low in the middle to north part of Vietnam but were high in the areas neighboring big cities and in the south of Vietnam, with the exception of the southern mountainous areas located at an elevation of 500–1000 m.

          Conclusions

          The overall percentage of homozygous F1269C seems to remain low (7.4%) in the present situation. However, extensive and uncontrolled frequent use of photostable pyrethroids might be a strong selection pressure for this mutation to cause serious problems in the control of dengue fever in Vietnam.

          Author Summary

          Pyrethroid is the general term for a group of synthetic chemicals that are structurally related to natural pyrethrins derived from C hrysanthemum flowers. In Vietnam, photostable pyrethroids have been extensively used as insecticides for malaria and dengue vector control. Recently, Kawada et al. found that Aedes aegypti collected from used tires were susceptible to pyrethroids in the North but were resistant in the South and Central Highlands of Vietnam. By analyzing the presence of mutations in the para locus, which cause insensitivity to voltage-gated sodium channel in the insect nervous system, a recently found amino acid replacement in the area of segment 6 of domain III (F1269C) was found to be widely distributed with high frequency in southern Vietnam. We suggest that this point mutation plays an important role in pyrethroid resistance in Vietnam. Extensive and uncontrolled frequent use of photostable pyrethroids might be a strong selection pressure for this mutation to increase homozygous populations, which cause serious problems in controlling dengue fever in Vietnam.

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          Most cited references17

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          Pyrethroid and DDT cross-resistance in Aedes aegypti is correlated with novel mutations in the voltage-gated sodium channel gene.

          Samples of the dengue vector mosquito Aedes aegypti (L.) (Diptera: Culicidae) were collected from 13 localities between 1995 and 1998. Two laboratory strains, Bora (French Polynesia) and AEAE, were both susceptible to DDT and permethrin; all other strains, except Larentuka (Indonesia) and Bouaké (Ivory Coast), contained individual fourth-instar larvae resistant to permethrin. Ten strains were subjected to a range of biochemical assays. Many strains had elevated carboxylesterase activity compared to the Bora strain; this was particularly high in the Indonesian strains Salatiga and Semarang, and in the Guyane strain (Cayenne). Monooxygenase levels were increased in the Salatiga and Paea (Polynesia) strains, and reduced in the two Thai strains (Mae Kaza, Mae Kud) and the Larentuka strain. Glutathione S-transferase activity was elevated in the Guyane strain. All other enzyme profiles were similar to the susceptible strain. The presence of both DDT and pyrethroid resistance in the Semarang, Belem (Brazil) and Long Hoa (Vietnam) strains suggested the presence of a knock-down resistant (kdr)-type resistance mechanism. Part of the S6 hydrophobic segment of domain II of the voltage-gated sodium channel gene was obtained by RT-PCR and sequenced from several insects from all 13 field strains. Four novel mutations were identified. Three strains contained identical amino acid substitutions at two positions, two strains shared a different substitution, and one strain was homozygous for a fourth alteration. The leucine to phenylalanine substitution that confers nerve insensitivity to pyrethroids in a range of other resistant insects was absent. Direct neurophysiological assays on individual larvae from three strains with these mutations demonstrated reduced nerve sensitivity to permethrin or lambda cyhalothrin inhibition compared to the susceptible strains.
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            Modelling insecticide-binding sites in the voltage-gated sodium channel.

            A homology model of the housefly voltage-gated sodium channel was developed to predict the location of binding sites for the insecticides fenvalerate, a synthetic pyrethroid, and DDT an early generation organochlorine. The model successfully addresses the state-dependent affinity of pyrethroid insecticides, their mechanism of action and the role of mutations in the channel that are known to confer insecticide resistance. The sodium channel was modelled in an open conformation with the insecticide-binding site located in a hydrophobic cavity delimited by the domain II S4-S5 linker and the IIS5 and IIIS6 helices. The binding cavity is predicted to be accessible to the lipid bilayer and therefore to lipid-soluble insecticides. The binding of insecticides and the consequent formation of binding contacts across different channel elements could stabilize the channel when in an open state, which is consistent with the prolonged sodium tail currents induced by pyrethroids and DDT. In the closed state, the predicted alternative positioning of the domain II S4-S5 linker would result in disruption of pyrethroid-binding contacts, consistent with the observation that pyrethroids have their highest affinity for the open channel. The model also predicts a key role for the IIS5 and IIIS6 helices in insecticide binding. Some of the residues on the helices that form the putative binding contacts are not conserved between arthropod and non-arthropod species, which is consistent with their contribution to insecticide species selectivity. Additional binding contacts on the II S4-S5 linker can explain the higher potency of pyrethroid insecticides compared with DDT.
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              Insecticide susceptibility of Aedes aegypti and Aedes albopictus across Thailand.

              Aedes aegypti (L.) and Aedes albopictus (Skuse), two important vectors of dengue fever and dengue hemorrhagic fever, were collected from Mae Sot, Nakhon Sawan, Nakhon Ratchasima, Surat Thani, and Phatthalung, Thailand, from July 2003 to April 2004. The patterns of insecticide susceptibility to temephos, malathion, and permethrin of both Ae. aegypti and Ae. albopictus larvae were determined. Ae. aegypti from all study sites were resistant to permethrin, they but were susceptible to malathion. Resistance to temephos was detected in all strains of Ae. aegypti, except those from Nakhon Ratchasima. Ae. albopictus larvae had low levels of resistance to all three insecticides, except Mae Sot and Phatthalung strains, which were resistant to permethrin.
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                Author and article information

                Contributors
                Role: Editor
                Journal
                PLoS Negl Trop Dis
                plos
                plosntds
                PLoS Neglected Tropical Diseases
                Public Library of Science (San Francisco, USA )
                1935-2727
                1935-2735
                October 2009
                6 October 2009
                : 3
                : 10
                : e527
                Affiliations
                [1 ]Department of Vector Ecology & Environment, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
                [2 ]National Institute of Infectious Diseases, Tokyo, Japan
                [3 ]National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
                [4 ]Pasteur Institute, Ho Chi Minh City, Vietnam
                [5 ]Universidad Evangélica de El Salvador, San Salvador, El Salvador
                Yale School of Public Health, United States of America
                Author notes

                Conceived and designed the experiments: HK YH OK SK TT MT. Performed the experiments: HK YH NTY RAPS. Analyzed the data: HK. Contributed reagents/materials/analysis tools: HK YH NTY LLL. Wrote the paper: HK.

                Article
                09-PNTD-RA-0300R3
                10.1371/journal.pntd.0000527
                2754656
                19806205
                02eb8d96-1d4f-4d90-a1ef-a9cf4912abbf
                Kawada et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
                History
                : 18 June 2009
                : 10 September 2009
                Page count
                Pages: 7
                Categories
                Research Article
                Genetics and Genomics/Gene Discovery

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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