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Published on: February 20, 2020
Transmission of Leishmania metacyclic promastigotes by phlebotomine sand flies
1Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK. pbates@liverpool.ac.uk
Abstract:
A thorough understanding of the transmission mechanism of any infectious agent is crucial to implementing an effective intervention strategy. Here, our current understanding of the mechanisms that Leishmania parasites use to ensure their transmission from sand fly vectors by bite is reviewed. The most important mechanism is the creation of a "blocked fly" resulting from the secretion of promastigote secretory gel (PSG) by the parasites in the anterior midgut. This forces the sand fly to regurgitate PSG before it can bloodfeed, thereby depositing both PSG and infective metacyclic promastigotes in the skin of a mammalian host. Other possible factors in transmission are considered: damage to the stomodeal valve; occurrence of parasites in the salivary glands; and excretion of parasites from the anus of infected sand flies. Differences in the transmission mechanisms employed by parasites in the three subgenera, Leishmania, Viannia and Sauroleishmania are also addressed.
Insights
Leishmania parasites transmit through sand fly bites, primarily via a blocked fly mechanism. This involves regurgitation of promastigote secretory gel (PSG) and infective parasites into the host.
Area of Science:
- Vector-borne diseases
- Parasitology
- Infectious disease transmission
Background:
- Understanding infectious agent transmission is key for effective interventions.
- Leishmania parasites are transmitted by sand flies.
Purpose of the Study:
- To review the mechanisms of Leishmania transmission by sand fly vectors.
- To explore factors influencing parasite transmission efficiency.
Main Methods:
- Review of existing literature on Leishmania transmission.
- Analysis of parasite-host interactions within the sand fly vector.
Main Results:
- The primary transmission mechanism involves a "blocked fly" state caused by promastigote secretory gel (PSG) secretion.
- Sand flies regurgitate PSG and metacyclic promastigotes into mammalian hosts during feeding.
- Other potential factors include stomodeal valve damage, salivary gland parasite presence, and anal excretion.
Conclusions:
- The blocked fly mechanism is the most significant route for Leishmania transmission.
- Variations in transmission mechanisms exist across Leishmania subgenera (Leishmania, Viannia, Sauroleishmania).
- Further research into these mechanisms can inform control strategies.
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