Ivermectin and Moxidectin Can Incapacitate Different Strains of the Common Bed Bug Cimex lectularius L.: A Study

Johnathan M Sheele1, Elizabeth Lesser1, Xiaolin Li2

  • 1Emergency Medicine, Mayo Clinic, Jacksonville, USA.

Cureus
|February 28, 2020
PubMed

Insights

Antiparasitic drugs ivermectin and moxidectin did not effectively incapacitate pyrethroid-resistant bed bugs (Cimex lectularius). Ivermectin persists in bed bugs for up to a month, aiding research into their long-term health effects.

Area of Science:

  • Entomology
  • Parasitology
  • Pesticide Resistance

Background:

  • The common bed bug (Cimex lectularius) has resurged globally, driven by resistance to conventional pesticides like pyrethroids.
  • Effective control strategies are urgently needed due to widespread pesticide resistance in bed bug populations.

Purpose of the Study:

  • To evaluate the efficacy of antiparasitic drugs ivermectin and moxidectin against pyrethroid-resistant and susceptible strains of Cimex lectularius.
  • To develop and validate an analytical method for quantifying ivermectin concentrations within Cimex lectularius.
  • To investigate the persistence of ivermectin in Cimex lectularius following exposure.

Main Methods:

  • Laboratory feeding system used to expose Cimex lectularius strains to ivermectin and moxidectin.
  • High-performance liquid chromatography (HPLC) and mass spectroscopy (MS) employed for drug quantification.
  • Comparative analysis of incapacitation rates between pyrethroid-resistant and susceptible bed bug strains.

Main Results:

  • Ivermectin and moxidectin did not demonstrate superior incapacitation rates in pyrethroid-resistant Cimex lectularius compared to susceptible strains.
  • A sensitive HPLC/MS assay was successfully developed to measure ivermectin concentrations in bed bugs.
  • Ivermectin was detected in Cimex lectularius for up to one month post-exposure, indicating significant persistence.

Conclusions:

  • Ivermectin and moxidectin are not currently effective alternatives for controlling pyrethroid-resistant bed bugs.
  • The developed HPLC/MS method is a valuable tool for pharmacokinetic studies of ivermectin in Cimex lectularius.
  • Understanding ivermectin persistence is crucial for investigating the mechanisms of long-term morbidity in bed bugs exposed to sublethal doses.