Mosquitoes provide a transmission route between possums and humans for Buruli ulcer in southeastern Australia

Peter T Mee1, Andrew H Buultjens2, Jane Oliver3

  • 1Centre for AgriBioscience, AgriBio, Agriculture Victoria, Bundoora, Victoria, Australia. peter.mee@agriculture.vic.gov.au.

Nature Microbiology
|January 24, 2024
PubMed

Insights

Mosquitoes, specifically Aedes notoscriptus, likely transmit Mycobacterium ulcerans, the cause of Buruli ulcer, in southeastern Australia. This finding highlights mosquito control as a key prevention strategy for this chronic infection.

Area of Science:

  • Infectious Diseases
  • Medical Entomology
  • Microbiology

Background:

  • Buruli ulcer, a chronic subcutaneous infection, is caused by Mycobacterium ulcerans.
  • The prevalence of Buruli ulcer is increasing in southeastern Australia.
  • While possums are a known wildlife reservoir for M. ulcerans, the transmission route to humans remains unclear.

Purpose of the Study:

  • To investigate the role of mosquitoes in the transmission of Mycobacterium ulcerans in southeastern Australia.
  • To identify potential vectors for M. ulcerans in the Mornington Peninsula region.
  • To determine the association between mosquito infection, wildlife reservoirs, and human cases of Buruli ulcer.

Main Methods:

  • Extensive field surveys of mosquito populations in southeastern Australia.
  • Polymerase Chain Reaction (PCR) screening of trapped mosquitoes for M. ulcerans.
  • Spatial scanning statistics to analyze the overlap of M. ulcerans-positive mosquitoes, possum excreta, and human cases.
  • Metabarcoding analysis to identify blood meal sources in individual mosquitoes.
  • Bacterial genomic analysis to compare M. ulcerans strains.

Main Results:

  • A significant association was found between M. ulcerans and the mosquito species Aedes notoscriptus.
  • Spatial analysis revealed an overlap between clusters of M. ulcerans-positive Ae. notoscriptus, possum excreta, and Buruli ulcer cases.
  • Metabarcoding confirmed that individual Ae. notoscriptus mosquitoes had fed on both humans and possums.
  • Genomic analysis confirmed shared M. ulcerans strains among mosquitoes, possums, and humans.

Conclusions:

  • Ae. notoscriptus mosquitoes are likely vectors for Mycobacterium ulcerans transmission in southeastern Australia.
  • Findings support the role of mosquitoes in the epidemiology of Buruli ulcer in this region.
  • Mosquito control measures are recommended as a strategy for Buruli ulcer prevention.