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Resistance to macrocyclic lactones
Adrian J Wolstenholme1, Ray M Kaplan
1Dept of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA. adrianw@uga.edu
Abstract:
Resistance to the macrocyclic lactones (MLs) has been confirmed or suspected in many target organisms and is a serious problem in some. For some species, such as parasitic nematodes of small ruminants, ML resistance has become severe enough to threaten effective worm control worm control. Resistance is also a major concern in horse parasites and an emerging problem in cattle. Despite this, we have insufficient understanding of the mechanisms of ML resistance, especially in nematodes. Some insect and mite agricultural pests express higher levels of detoxifying enzymes, leading to cross-resistance to other pesticide classes. A major difficulty is in the identification of true resistance and distinguishing this from other causes of treatment or prophylaxis failure--some in vitro assays for ML resistance are available but more are badly needed. Changes in the way anthelmintic drugs are used in livestock farming have been proposed, based on the treatment of those animals that would benefit most, and schemes have been devised for identifying those animals, flocks and herds. The continued sustainable use of these invaluable drugs may depend on the adoption and improvement of such schemes, as resistance is likely to become an ever more serious problem.
Insights
Macrocyclic lactone (ML) resistance is a growing threat to parasite control in livestock, particularly nematodes. Understanding resistance mechanisms and improving drug use are crucial for sustainable parasite management.
Area of Science:
- Veterinary Parasitology
- Antimicrobial Resistance
- Livestock Health
Background:
- Macrocyclic lactones (MLs) are vital for controlling parasitic infections in livestock.
- Increasing resistance to MLs in target organisms like nematodes poses a significant threat to animal health and agricultural productivity.
- Severe ML resistance is already impacting small ruminants, horses, and cattle.
Purpose of the Study:
- To highlight the escalating problem of macrocyclic lactone resistance in livestock parasites.
- To emphasize the urgent need for a better understanding of ML resistance mechanisms, especially in nematodes.
- To discuss challenges in distinguishing true resistance from treatment failures and the need for improved diagnostic assays.
Main Methods:
- Review of current knowledge on ML resistance in veterinary parasites.
- Analysis of factors contributing to treatment and prophylaxis failures.
- Evaluation of proposed strategies for sustainable anthelmintic drug use in livestock farming.
Main Results:
- ML resistance is a confirmed and escalating issue in various livestock species, severely compromising parasite control.
- There is a significant knowledge gap regarding the specific mechanisms of ML resistance in nematodes.
- Distinguishing true resistance from other causes of drug failure is difficult, necessitating the development of more robust diagnostic tools.
Conclusions:
- Sustainable use of MLs depends on improved understanding of resistance and implementation of strategic drug administration.
- Developing and refining diagnostic assays for ML resistance is critical.
- Adoption of improved drug use schemes is essential to mitigate the growing threat of ML resistance in livestock parasites.
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