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Int. J. Environ. Res. Public Health 2013 10 249-277; doi:10.3390/ijerph10010249 International Journal of Environmental Research and Public Health ISSN 1660-4601 www.mdpi.com/journal/ijerph Review Nature, Nurture and Evolution of Intra-Species Variation in Mosquito Arbovirus Transmission Competence Walter J. Tabachnick Florida Medical Entomology Laboratory, University of Florida, IFAS, 200 9th St. SE, Vero Beach, FL 32962, USA; E-Mail: email@example.com; Tel. : +1-772-778-7200; Fax: +1-772-778-7205 Received: 10 December 2012; in revised form: 29 December 2012 / Accepted: 9 January 2013 / Published: 11 January 2013 Abstract: Mosquitoes vary in their competence or ability to transmit arthropod-borne viruses (arboviruses). Many arboviruses cause di sease in humans and animals. Identifying the environmental and genetic causes of variat ion in mosquito competence for arboviruses is one of the great challenges in public health. Progress id entifying genetic (nature) and environmental (nurture) factors influenci ng mosquito competence for arboviruses is reviewed. There is great complexity in the vari ous traits that comprise mosquito competence. The complex interactions between environmental and genetic factors controlling these traits and the factors shaping variation in Nature are largely unknown. The norms of reaction of specific genes influencing competen ce, their distributions in natural populations and the effects of genetic polymorphism on ph enotypic variation need to be determined. Mechanisms influencing competence are not lik ely due to natural selection because of the direct effects of the arboviru s on mosquito fitness. More likely the traits for mosquito competence for arboviruses are the effects of adaptations for other functions of these competence mechanisms. Determining these othe r functions is essential to understand the evolution and distributions of competence for arboviruses. This information is needed to assess risk from mosquito-borne disease, predict new mosquito-arbovirus systems, and provide novel strategies to mitigate mosquito-borne arbovirus transmission. Keywords: mosquitoes; arboviruses; vector comp etence; environmental determinants; genetic determinants; evolution OPEN ACCESS
Int. J. Environ. Res. Public Health 2013 10 250 1. Introduction One of the great moments in medical science occurred on August 27, 1900 when James Carroll of the U.S. Army Medical Corps stationed in Cuba a llowed Jesse Lazear to place a potentially infectious Aedes aegypti mosquito on Carrolls arm and Carroll allo wed it to take a blood meal. This was believed to have been the cause of Carrolls subsequent bout with yellow fever on August 29 from which he survived. These events developed into the series of experiments by Walter Reed, Carroll, Lazear and Aristides Agramonte demonstrating that yellow fever virus (YFV) was transmitted by mosquitoes. Unfortunately on September 25, 1900 Lazear lost his life to yellow fever before the conclusive experiments were completed. Our know ledge about mosquito transmission of pathogens has made enormous strides in the ensuing 100+ y ears with information about different species of mosquitoes, the pathogens that they transmit, their ecologies, their roles in causing human and animal diseases, and a variety of tools that can be used to control or mitigate their impact on human and animal health and well-being. Information about the factors which influence a mosquitos ability to become infected and to transmit a particular pathoge n has continued to grow. It is now well accepted that not every Ae. aegypti is equal in its ability to transmit YFV and that populations of Ae. aegypti show differences in their vector ability for YFV. It is ironic to consider it fortunate to maintain the U.S. Armys research groups resolve to pursue mo squito transmission that Carroll did get yellow fever and that the individual mosquito chosen for the initial infection of James Carroll was one of those Ae. aegypti competent for YFV transmission. The suite of factors that allow an arthropod that has encountered a pa thogen to become infected and to transmit a particular pathogen once it encounters a susceptible hos t is defined as the arthropods vector competence for that pathogen. One can only admire the exquisite series of events that occur in a mosquito that result in vector competence and the transmission of a pathogen. The events comprising arthropod vector competence have been described elsewhere . Th e process of vector infection begins when the pathogen enters the mosquito w ithin a blood meal containing sufficient numbers of the pathogen to ensure some will encounter the ep ithelium where the blood has been deposited in the arthropods midgut. The pathogen must be able to cr oss the epithelium that ha s been termed the midgut infection barrier (MIB). Once in the epithelium the pathogen must re plicate, cross the epithelium and escape the midgut into the hemocoel in a process te rmed the midgut escape barrier (MEB). The pathogen then must replicate in various mosquito tissues but ultimately some sufficient quantity of the pathogen must invade the mosquitos salivary glands in a process overcoming the salivary gland infection barrier (SIB). There the pathogen replicates and ultimately must escape the salivary gland in the process described as the salivary gland escape barri er (SEB) upon subsequent blood feeding when it is injected into a susceptible animal host to complete th e transmission cycle. This entire process can take several days to complete in the mosquito during a period called the extrinsic incubation period (EIP). Along the way there are a myriad of other arthropod f actors in addition to the various barriers to the pathogen that may also influence the pathogen a nd the arthropods vector competence. The pathogen encounters arthropod digestive enzymes and digest ive processes, intracellu lar processes and the arthropods immune system to name just a few pr ocesses that also influe nce vector competence. It is widely appreciated that arthropod genetic factors and the environment both influence vector competence. However the complexity of how these factors interact with one another to determine
Int. J. Environ. Res. Public Health 2013 10 251 variation in vector competence with in a vector species is only beginni ng to be appreciated. The goal of this chapter is to explore this complexity with pa rticular attention to the challenges in understanding determinants of vector competence, how this know ledge is essential in understanding and controlling vector-borne diseases, and to pr ovide a perspective on the gaps in our understanding. This chapter focuses on mosquito competence for arthropod-borne vi ruses, the so called arboviruses. Extraordinary advances have occurred with othe r arthropods and the pathogens th ey transmit, particularly the Anopheles vectors of malaria, and thes e are discussed elsewhere [4,1016] The issues and perspective on mosquito competence for arboviruses reviewed here are also applicable to other arthropod vectors, the pathogens they transmit and ot her arthropod traits that contri bute to arthropod transmission. The reader will be directed to a few select examples of mosquito competence for arboviruses to illustrate different concepts with apologies to the many other excellent studies that could not be included in the interest of available space for this brief review. 2. The Vector Competence Phenotype The brief summary of the suite of factors describe d above as the different traits comprising vector competence is only a partial picture. Each of the traits incl uded in this descripti on can be thought of as a specific phenotype of the vect or. Individual mosquitoes have a specific MIB, MEB, SIB, SEB, immune pathways, digestive processes, etc ., that are the phenotypes for a specific pathogen. Many studies have addressed factors that influence each such phenotype. However, most studies have focused on the mosquitos susceptibility to infection as the phenotype while there are a few studies on the ability of the infect ed mosquito to transmit the pathoge n as another phenotype. All vector competence studies share the problem that the phenot ypes being studied are generally not specifically defined. Generally each of the observed phenotypes actually encompasses severa l different mechanisms and there may be a variety of mechanisms that can result in the same phenotype. For example, the MIB phenotype likely consists of several different mechanisms, i.e ., failure of the virus to attach to a cell receptor, digestive or immune pro cesses that reduce vira l reproduction or fail ure of the virus to replicate within the midgut epithelium. Each of th ese is a more specifica lly defined phenotype and each is a part of the MIB phenotype and a part of vector competence. The phenotype of vector susceptibility to infection includes the MIB and MEB processes, in addition to processes involved in immunity, digestion, viral replicat ion, intracellular processe s and all the mechanisms influencing each of these. The phenotype of transmi ssion of the pathogen to an animal host consists of many different traits. It is a general phenotype since it includes all th e processes and mechanisms in the vector that are required for transmission includi ng all of the barriers and proc esses that one might encounter. 3. Determinants of Vector Competence Although there are many studies ch aracterizing variation in seve ral of the broad components of vector competence, there has been little information to establish the primary causes for observed variability in vector competence within any vector species. In general the primary focus of most studies has been on laboratory based characterizations of vector suscep tibility to infection. There have been far fewer studies on the dissemination of the pa thogen out of the vector midgut that must occur
Int. J. Environ. Res. Public Health 2013 10 252 for transmission. There are even fewe r studies of salivary gland infec tion and far less work on actual transmission to the animal host. What is evident from all of these studies is th e widespread phenotypic vari ation in components of vector competence between mos quito populations no matter how the phenotype is defined. This has been most evident in the large number of studies s howing geographic variation in the susceptibility to infection with various arboviruses between mosqu ito populations in various mosquito species. Phenotypic variation in susceptibilit y to arbovirus infection between pop ulations of mosquitoes within a species has been found in every mosquito-arbovir us system studied for mu ltiple populations . There has been little similar work on population variation in mosquito ability to transmit an arbovirus due to the greater effort involved in charac terizing the transmission phenotype in individual mosquitoes. Compared to simply measuring viru s in a mosquitos body to establish whether the mosquito is infected, it is more difficult and labor intensive to collect and detect virus in mosquito saliva that necessarily involves expe nding considerable yet wasted effort testing mosquitoes that may not even be infected or lack a disseminated infecti on. Phenotypic variation in the ability for an arbovirus to escape from the midgut and disseminate to ot her body tissues has also b een observed . There is evidence that phenotypic varia tion for infection, dissemination and transmission of West Nile virus (WNV) were independent phenotypes fr om one another in a population of Culex pipiens quinquefasciatus indicating that these phenot ypes are controlled by diffe rent mechanisms . The causes of variation resulting in the diffe rent competence phenotypes between individual mosquitoes within a vector species is a daunting ch allenge that has hardly been explored. The large number of studies showing phenot ypic variation in competence for arboviruses between mosquito populations is strong evidence for genetic causes for this variation since each such study was conducted under laboratory conditions where each popul ation tested in the pa rticular study was likely exposed to similar environmental conditions. Hence si nce there is likely little environmental variation in the laboratory test within a pa rticular study, the observed variat ion between populations is more likely the result of genetic factors. However despit e this indirect evidence for genetic causes it is generally appreciated that there are likely genetic and environmental factors that contribute to the observed phenotypic variation in the laboratory and that both likely cont ribute to actual variation in Nature. Further, it is sobering to realize that labora tory tests of vector competence do not likely reflect naturally occurring phenotypic variation in either the mosqu ito and virus populations. Such studies cannot include the range of genetic variation availa ble in Nature, and laboratory studies are unable to employ the range of environmental va riability that occurs in Nature in the laboratory environment. 4. Mosquito Genetic Factors Influence Mosquito Competence for Arboviruses There is widespread variation with in mosquito vector species for th e different components of vector competence for arboviruses. There ha ve also been many studies on the population genetics of mosquitoes using molecular markers that shows that there is a great deal of genetic differentiation that exists between mosquito populations and that there is genetic variation in general that exists within mosquito vector species . For example, population genetic variation has been expl ored in the arbovirus vectors Ae. aegypti [32,4857], Ae. albopictus , Culex pipiens complex mosquitoes , to name just a few.
Int. J. Environ. Res. Public Health 2013 10 253 Although obtaining information about specific genetic factors that co ntribute to natu rally occurring variation in competence for arboviruses within mo squito species has been difficult, substantial progress has been made since the su bject was reviewed over the last 20 years [4,44]. There is hope that the application of mosquito genomics approaches to mosquito competence for arboviruses will result in greater progress in identifying more genetic factors [69,70]. There are only a few studies that have explored genetic variation in mosquito competen ce and even fewer that have sought to identify specific genes controlling mosquito variation in vect or competence. Initial genetic studies showed that there was a genetic component to mosquito vector competence either through observing a response to selection for resistance and/or susceptibility to arboviru s infection and/or employing family studies showing the familial basis of the phenotype [2 3,7176]. One of the few studies identifying a single genetic locus with a propos ed genetic mechanism influencing insect susceptibility to infection with an arbovirus was in the biting midge, Culicoides sonorensis and its susceptibil ity to infection with bluetongue virus (BTV) . This rare demonstration showing a single locus that influenced susceptibility involved a mechanism of maternal inheritance and patern al imprinting. This provided an example of the potential genetic complexity that might occur in other vector-pathogen systems. Quantitative inheritance approaches have identified se veral genetic factors in the form of quantitative trait loci (QTL) that influence Ae. aegypti variation in vector competen ce for dengue virus (DENV) . These studies identified regions of the Ae. aegypti chromosome that contained one or more genes that influenced variation in the midgut escape barrier for DENV . The identified QTL among the seven QTL detected in these studies varied in their influence depe nding on the geographic origin and maintenance in the laboratory of the Ae. aegypti populations that were employe d in the analysis though the specific identity or functions of these QTL have not been determined. These observations show the potential for great complexity in the genetic mechan isms influencing competence. This complexity is illustrated by the observation that different populations of Ae. aegypti contain different genetic factors and potentially different genetic mechanisms that influence variation in susceptibility. There are different QTLs in different populati ons that reside in different chro mosomal regions that influence Ae aegypti competence for DENV. Hence there is no reason to believe that competence variation in different populations of the same species is due to the same ge netic mechanisms. For example, refractoriness for YFV in Asian Ae. aegypti may be due to completely different mechanisms than those producing refractoriness in Ae aegypti populations in the Caribbean. How many such mechanisms exist in a species such as Ae. aegypti ? One approach to answering this question would be to perform simple complement tests  between diverse lines homozygous for particular phenotypes. If the same loci control a phenotype like susceptibility to infection the F1 o ffspring resulting from a cross between a resistant male from one line and a resistant female from another should also be resistant. If they are not then one is dealing with diffe rent genes or different complement ation groups. The range of diverse complementation groups for any vector compet ence phenotype is unknown. The diversity of mechanisms in different mosquito populations is completely unknown. A variety of genomic approaches have identified 1,000s of candidate genes that influence vector competence. For example, studies have involved pr oteomics and transcriptome profiling to identify genes involved in mosquito responses to arbovi rus infection . A ge nome-wide transcriptome profile for Ae. aegypti strains that differed in susceptibility to infection for DENV identified ca. 2,500 Ae. aegypti genes that had different responses when the two phenotypes were compared after
Int. J. Environ. Res. Public Health 2013 10 254 challenge with DENV . This large scale st udy provided independen t support for many other previous studies by identifying ma ny of the same genes. Among thes e were genes in the mosquito innate immune response pathways that have been shown to respond to infection with arboviruses like DENV [84,9095]. When exposed to arboviruses mo squitoes respond with anti-microbial immune pathways like Janus kinase-signal transducer and activator of transcription (JAK/STAT) and Toll pathways [93,96], immune deficiency (IM D) [94,95] and RNA interference (RNAi) machinery . Other genes previously implicated in Ae. aegypti vector competence and also identified in the genome-wide profile include gene s controlling trypsin in the mosquito midgut  and genes controlling serine protease s  that may play a role in Ae. aegypti susceptibility to infection with DENV. Genes that ha ve also been shown to play a role in mosquito competence include genes producing proteins that bind with an arbovirus . A variety of Ae. aegypti midgut genes have been found to differ between re sistant and susceptible strains of Ae. aegypti to DENV  and the importance of the midgut epitheli um proteins has been observed in Aedes taeniorhynchus infected with Venezuelan equine encephaliti s virus in the mosquito vector [ 115]. Though barriers to infection in the mosquito likely involve receptor proteins, conditi ons have been observed where differences in the competence of two strains of Ae. aegypti for DENV was not due to diffe rences in the binding of DENV to midgut proteins . Many diverse factors influence mosquito competence for arboviruses. There is great complexity in the genetic factor s that influence mosquito variation in vector competence for arboviruses. Aedes aegypti vector competence to DENV illustrates the involvement of suites of different genes in what has been described as gene networ ks  any of which might cause variations between individual mosquitoes and hen ce between populations of mosquitoes that could influence disease epidemiology. A variety of in teracting intrinsic gene tic factors influence Ae. aegypti competence for DENV . The numbers of potential controlling genes that ca n influence the vector competence phenotype is impressive but this is not surprising considering the array of traits that comprise vector competence. It is a daunting challeng e to consider that there is so little information about the extent of genetic variatio n in natural populations of mosqu itoes for the genes that influence competence. As new genes are discovered it will be essential to determine wh ich might be considered major genes with the greatest in fluence on the competence phenotype whether this is for the MIB, MEB, SIB, SEB, viral replication, immune pathways, etc Then such genes will need to be characterized for polymorphisms and the extent of the effects of each polymorphism on phenotypic variation assessed. Ultimately it will be essential to characterize the population ge netics of these genes, characterize their freque ncies in different populations and then identify factors responsible for those frequencies. This information will be a first step in being able to understand how vector competence evolves and the role of vector co mpetence in vector-borne disease ep idemiology. It is expected this information will lead to novel approaches to modi fy vector populations to be of less danger. 5. Environmental Factors Influence Mosquito Competence for Arboviruses The challenge in understanding naturally occurri ng phenotypic variation in mosquito competence for arboviruses is compounded by the many studies desc ribing the influence of different environmental factors on competence. Here anything th at is non-genetic in origin in the mosquito that influences the mosquito competence phenotype will be considered as an environmental factor. Studies of environmental
Int. J. Environ. Res. Public Health 2013 10 255 effects on competence for arboviruses generally have used the broadly defined phenotypes of susceptibility to arbovirus infection and less often the ability of infected mosquito es to transmit. Since the identification of specific genes that have been s hown to control any aspect of mosquito competence is still in its infancy, environmental influences on any specific genes have not yet been characterized. The most often studied environmental factor infl uencing mosquito competence for arboviruses is temperature. The temperature of a mosquitos envi ronment can influence a mosquitos competence for an arbovirus in a number of different ways. For exampl e as temperature increases virus replication will generally increase in a mosquitos tissues. Many studi es have provided support for the increase in virus replication in mosquitoes with increased temperature by observing increasing susceptibility to arbovirus infection in the laborator y at increasing temperatures a nd some have showed increased transmission as well [38,40,118132]. Other studies have shown that variation in the external temperature can influence a mosquitos ability to m odulate replication of the virus in the mosquitos cells [1,133]. The temperature at which the adult fema le mosquito is exposed during the EIP after the virus has entered the midgut through the acquisition of the blood meal influences the subsequent events involved in competence for the arbovirus. The impact of fluc tuating temperatures during the EIP on vector competence have also been explored in an attempt to reflect what more likely occurs under natural conditions . Other studies with a variety of mosqu ito-arbovirus systems have shown that temperature, nutrition and co mpetition during the larval stage may also influence the subsequent vector competence for arboviruses of the re sulting adult females [20,42,127,133138]. The specific manner and which specific aspects of the suite of tr aits comprising vector competence are influenced by temperature are largely unknown. Some of the observe d effects of temperatur e are due to increased viral replication at higher temperatures that often results in a shortening of the EIP. Though most studies of environmental influences on mosquito vector competence have involved the effects of temperature other st udies have reported on th e effects of other environmental factors. Exposure to insecticides in the adu lt or larval stages has been shown to influence mosquito competence for arboviruses [137,139,140], and so has humidity and th e pH of the blood meal . Different forms of the arbovirus, i.e ., arbovirus serotypes or other genetic differences be tween viruses can influence a mosquitos vector competence [25,41,141155]. The amoun t of virus that a mosquito imbibes in the blood meal can influence mosquito competence generally with greater susceptibi lity to infection with an arbovirus when the mosquito is exposed to blood meals containing hi gher titers of the arbovirus [25,149,156159]. Changes in the ex pression of genes involved in mosquito immunity that also interfere with Ae. aegypti competence for DENV have been observed due to infection with Wolbachia [160,161]. The large number of studies that demonstrate e nvironmental effects on mosquito competence for arboviruses have hardly e xplored the potential complexity of e nvironmental effects. Several studies have shown that environmental f actors interact with one another in complex unpredictable ways to influence mosquito competence for arboviruses. For example, though increasing environmental temperature generally increases susceptibility to infection and may shorten the EIP needed for transmission, the effect of temperature on vector co mpetence can be influenced by the virus dose in the blood meal and the age of the mosquito in Cx. pipiens quinquefasciatus exposed to WNV or St. Louis encephalitis virus (SLEV). The age of adult Cx. pipiens quinquefasciatus influenced their vector competence to SLEV but the influence of the mos quitos age was dependent on both temperature and
Int. J. Environ. Res. Public Health 2013 10 256 virus dose . Culex pipiens quinquefasciatus exposed to WNV also show ed interactions between different age classes but these eff ects were dependent on temperature and dose and the effects differed between two different colonies . These observations show the complexity of environmental factors and their effects on mosquito competence for arboviruses. The effects of environmental factors like external temperature, the age of the mosquito and virus dose as examples, were dependent on other factors in non-linear ways, a nd different populations or colonies of a species responded to the environment differently. The complexity of environmental influences was shown for Cx. nigripalpus competence for WNV where the eff ects on infection, dissemination and transmission were influenced differently by dose and the length of the EIP . Further adding to the complexity is the observation that the observed interactions between environmental factors are dependent on unknown genetic factors in the mosquito that also show extensive variation. This was illustrated by different responses to the environment by different colonies of the same species . The comple xity of the genetic and environmental influences on vector competence might lead to suspici on that the resulting phenotype is a consequence of random factors. This is a misl eading conclusion. The re sulting phenotype is not random but it is the result of a host of contingent, in ter-related factors. Unfort unately the great majority of the factors and their inter-relati onships have not been identified. Figure 1. An example of the effects of two environmental factors (EIP, virus dose in the blood meal) and mosquito genotype on the pr obability of a mosquito transmitting an arbovirus. The norm of reaction of each genot ype for temperature is dependent in a nonlinear way on the dose of the virus in the blood meal obtained by the mosquito. The response of specific vector competence genotypes to the range of variation in any environmental factor, the norm of reaction of the genotype, has not been characterized and is likely very complex (Figure 1). For example, in this illustration the change in competence at different temperatures for genotype C is dependent on the dose of the virus. Therefore, since little is known about mosquito competence genotypes it should not be surprising that relationships between different environmental factors influencing vector competence have not been explored. There is no information about potential interactio ns nor is there any information in an y mosquito-arbovirus system suggesting 0 10 20 30 40 50 60 70 80 90 100 18212527% Probability of TransmissionTemperature of Incubation (C) Genotype A, Dose 1 Genotype A, Dose 2 Genotype B, Dose 1 Genotype B, Dose 2 Genotype C, Dose 1 Genotype C, Dose 2
Int. J. Environ. Res. Public Health 2013 10 257 whether such relationships are li near in their effects on vector competence phenotypes or may have other shapes depending on the environment and genetic constitutions of the virus and mosquito. All observations to date have been made using labo ratory studies employing a mosquito population or colony as a representative of naturally occurri ng variation in the mosquito species though actual information concerning the extent of genetic variation in any species of mosquito is not available. A similarly selected virus is usually employed in th ese studies to represent virus variation in Nature though the extent of virus variability in Nature is also uncertain. Finally the mosquito is exposed to the arbovirus in the laboratory under environmental conditions that likely represents only some selected portion of the range of environmental variation in Natu re. It is no wonder that th ere is so little known about variation in competence and its causes. The observations that have been reported from these types of studies do not provide the ability to assess natura l conditions and must be interpreted with great caution. As a result it is not possible to asse ss the vector competence of an entire species with assurance based on laboratory observations us ing a few selected mosquito populations. 6. The Importance of Vector Competence Variation in Arbovirus Epidemiology The evidence for extensive phenotypic variation in all aspects of mosquito vector competence is overwhelming. However the role that such intra-speci es variation contributes to arbovirus epidemiology has not been extensively explored. The observations of phenotypic variation illustrated above show that the observed variation was statistically sign ificant within the particular study. Depending on the sample sizes used in a particular study, the magnit ude of variation could be slight though statistically significant. Observing statistically significant differences within a study is not definitive proof that the observed variation is biologically meaningful with a measurable effect on mosquito-borne transmission and/or disease epidemiology. For example does a 10% statistically significan t and therefore real difference in susceptibility to infection between two mosquito populations for an arbovirus translate into meaningful differences in pathogen transm ission that also have an influence on disease epidemiology? Does 20% or 50% or 90% influen ce epidemiology? What does it mean for a population to have 70% of the mosquito popula tion susceptible to infection, 70% of mosquitoes infected capable of dissemination out of the midgut and 60% of those with disseminatio n capable of transmission to a host animal? If the three traits are independent of one another then th e probability of actual transmission for any mosquito in this population is ca. 30%. How doe s this compare with a population with 50% infection, 50% dissemination, 10% transm ission and actual transmission probability then of 2.5% if the 3 traits are also indepe ndent of one another? Other things being equal does it mean that the population with 30% probability of transmission is more likely to support transmission than a population with 2.5% probability of tran smission and that more mosquito es would be needed to sustain the same level of pathogen transmission in the la tter population? The epidem iologic significance of the hypothetical variation in transmission ra tes illustrated by Fi gure 2 is unknown. This difference in transmission was observed wh en a relatively incompetent population of Ae. aegypti supported an epidemic of yellow fever in Ni geria . Using a model  to estimate the number of bites needed to sustain YFV tran smission, and observed infection rates of 30% in Caribbean Ae. aegypti compared to only 2% as the estimate of actual transmission in a Nigerian Ae. aegypti population, it was shown that ca. 15 times the biting intensity was needed to sustain YFV
Int. J. Environ. Res. Public Health 2013 10 258 transmission in the Nigeria outbreak compared to what would have been needed with a more competent Caribbean Ae. aegypti population . This yellow fever epidemic was likely due to the very high numbers of Ae. aegypti observed at the time in the regions of Nigeria with yellow fever. It was also believed that the low competence in the Ae. aegypti population in the region was a factor that prevented the epidemic from spreading to other regions . Figure 2. An example of transmission variation th at is dependent on non-linear relationships between vector competence genotype, virus dose, and temperature of incubation. The epidemiologic significance of the variations in the probability of transm ission such as shown here are unknown. Specific evidence linking observed variation in vect or competence with the appearance of arboviral epidemics is lacking because there are many other factors that contribute to the appearance of an epidemic. Some studies have concluded that varia tion in pathogen epidemiol ogy is likely caused by other factors influencing the mosq uito-arbovirus system rather than variation in mosquito population competence for arboviruses. An often discussed epid emiological puzzle in mo squito-borne arbovirus epidemiology is the historical absence of yello w fever from Asia despite the presence of Ae. aegypti throughout Asia and the historic presence of DENV and dengue fever in Asia . A transmission model suggested that the most likely explanation for the absence of yellow fever in Asia was the possibility of cross immunity between DENV and YFV, and the presence of both Ae. albopictus and Ae. aegypti in Asia for substantial DENV infection with cross protection agai nst YFV . YFV and DENV coexist in Africa and have occurred in th e new World where there are very high ratios of Ae. aegypti compared to Ae. albopictus resulting in less dengue and less cross protect ion in these regions. It is interesting that the relatively lower competence for YFV by Asian Ae. aegypti  was not considered substantial enough to be th e cause of YFVs absence in Asia. An Ae. aegypti population with probability of infection of 20% did not substantially reduce the prevalence of YFV compared to mosquito populations with a probability of 70 and 80% according to the model . The probability of infection represents only one component of competence. The pot ential for transmission by Asian 0 20 40 60 80 100 2 4 6 8 2 4 6 8 2 4 6 8 2 4 6 8 Probability (%) Transmission Dose (logs/mL) and Competence Genotype 20 23 25 27 30 IncubationTemp (oC)
Int. J. Environ. Res. Public Health 2013 10 259 Ae. aegypti in the natural environment is unknown. Therefore the low v ector competence of Asian Ae. aegypti for YFV may yet be an important factor in the historic absence of YFV from Asia. 7. Challenges in Characterizing Causes of Vari ation in Mosquito Competence for Arboviruses New technologies in gene sequenc ing, gene expression analyses transcriptome profiles, and proteomics have greatly accelerated gene discovery in all fields of bi ology. Vector biology has benefitted as well as evidenced by the rapid progress in gene discovery that has identified hundreds of genes responding to mosquito co mpetence infection with arboviruses. The rapid progress in gene discovery is the result of the t echnological advances in genomics. Ri chard Lewontin  pointed out that scientists are successf ul because they know it is important that they choose to pursue amenable problems using the best available technologies a nd resources. This has me ant rapid progress in genomics and related issues because of the availab ility of new high throughput methods using automated sequencing, transcriptome profiling, PCR, and proteomics. The re sult however has b een less attention to the more difficult biological problems that are not as amenable for study using the new technologies. These are the problems that require translating ge nomic information into understanding of function, form, phenotype, fitness effects and evolution. Despite the progress in gene discovery involved in mosquito competence shown in this review, we are only at the very beginning in meeting the challenge to understand translating genomics information into understanding of the form and function of vector competence phenotypes, the biological and environmenta l factors that influen ce mosquito competence and then to apply this knowledge to mitigate mosquito-borne arboviral disease transmission. The progress in understanding mosquito competence for arboviruses has provided the following conclusions: (1) There is a great amount of gene tic variation within a nd between populations of mosquito vectors of arboviruses that likely extends to the genes controlli ng vector competence. (2) There is a great deal of phenotypic variation between individual mosquitoes and between populations of mosquitoes for every component of vector competence st udied. (3) There are substantial numbers of different genes that influence ever y aspect of mosquito competence for arboviruses and the influence of these genes can differ depending on the mosqu ito population and the environmental conditions. (4) There are many different environmental factors th at occur in both the mosquito larval and adult stages that influence every aspect of mosquito comp etence. (5) The effects of environmental factors on mosquito competence for arboviruses influence one anot her and interact with mosquito genetic factors in largely unpredicta ble and complex ways. The last conclusion poses the greatest chal lenge in making progre ss on characterizing and understanding the causes of variation in mosquito competence for arboviruses. Variation in mosquito competence between individual mosqu itoes and populations of mosquitoes is the result of the interplay between currently largely unknown genetic factors influencing mosquito competence and diverse complex environmental factors that are also la rgely unknown. The ability to translate DNA sequence and genomic information into effects on actual phenot ypes is rudimentary and scientists are not very good at doing this [168,169]. Although there are now numerous candidate genes known to influence mosquito competence, the norms of reaction or how any one of these genes reacts under the array of environmental conditions available in Nature is unkno wn . In addition the levels of polymorphism,
Int. J. Environ. Res. Public Health 2013 10 260 the alleles and their distributions for any of the l iterally hundreds of candidate genes and the influence of allelic polymorphism of these genes on mosq uito competence for arboviruses are also unknown. The continuing identification of mosquito genes th at influence vector comp etence for arboviruses will accelerate with the development and application of new developing technologies for gene identification. However it is essential that studies begin that will determine the norms of reaction of such genes, the population genetics of these genes, an d identify the causes that determine the distribution of these genes in mosquito populations. What has b een missing in the efforts to characterize mosquito competence for arboviruses us ing genomics has been an assessment of naturally occurring determinants, their variants, and how these determinants have evolved. Characterizing the evolution of vector competence is essential to understand the factors that shape genotype and phenotype distributions within a species and characterizing the factors that might influence vector competence in the future. For example, although it is likely that future changes in climate will influence vector competence and the evolution of mosqu ito-pathogen systems, there is not n early enough information about these systems to predict specific change s in the phenotypes of mosquitoes such as how vector competence for arboviruses might evolve under anticipated clima tic changes . What are the types of information that are required to predict the transmission of any mosquito-borne pathogen under future conditions? Some of the required inform ation has been outlined here that begins with identifying and characterizing genes controlling the traits associated with mo squito competence for arboviruses under realistic environmental conditions. Though a daunting challenge, this represents only pa rt of the information that will be needed. Mosquito-b orne arbovirus transmission is depe ndent on more than competence. The discussion of anticipating the effects of climate change on mosquito-borne disease illustrates the complexity of these very complex systems [170,171]. A key question is whether the genes responsible fo r vector competence are adaptive. This leads to several other important questions. Wh at are the factors that have infl uenced the evolution of the genes controlling mosquito competence for arboviruses? What are the factors that now govern the distribution and frequencies of these genes in natural populations of mosquitoes? There are many studies demonstrating that the pr esence of arboviruses in mosquitoes influence traits related to the fitn ess of the mosquito vector and these are reviewed elsewh ere . Although this might lead to the conclusion that mosquitoes have been under se lection as a resu lt of arboviral infections, there is little evidence proving mosquito evolution has been in fluenced by arboviruses. Similarly though there is speculation that there have been evolutiona ry consequences from malaria infection in Anopheles , there is little direct evid ence for this. Though several arboviruses have been shown to influence fitness related traits or were pathologic in a variety of mosquito species , the impact of any of these fitness related traits or any pathologic effects that have been observed due to the arbovirus on mosquito evol ution have not been demonstrated. Observing an effect of an arbovirus on a trait re lated to fitness is not proof positi ve that the effect is of any consequence, or proof that the tra it is under natural select ion due to the effects of the arbovirus on the mosquito. It is the influence of the specific trait on the total reproductive success of the organism that must be demonstrated. For example, effects on f itness that occur post reproduction will not be influenced by selection. Effects on fitness that o ccur in only a small portion of a mosquito population may not influence adaptation or have a net effect on reproductive success for a variety of reasons.
Int. J. Environ. Res. Public Health 2013 10 261 Consider responses to selection for a trait for impr oved fitness when a mosquito is infected with an arbovirus but that this same selected trait results in low fitness in the absen ce of the arbovirus. Only a small proportion of a mosquito population generally en counters the virus even during large epidemics. Although genes will be selected because they increase fitness after exposure to the virus in the small portion of the population encounteri ng the arbovirus, they may decr ease in the great majority of mosquitoes not encountering the virus and more so in populations where the arbovirus is not present at all. For naturally occurring infections in mosqu itoes, the minimum infection rate (MIR) generally recorded as the number of infect ed mosquitoes per 1,000, is normally <1 to 10 with rare instances being on the order of 50 for brie f periods . Th e overwhelming proportio n of the mosquito population never encounter a virus during an epidemic and more often 100% of the mosquitoes in a population will not encounter an ar bovirus during the long inter-epidemic periods when the arbovirus is not present or at low levels in the population. Hen ce most traits involved in vector competence were and/or are now likely under natural selection for other functions duri ng the long periods in the absence of the arbovirus. It is likely these other functions ha ve determined fitness differences and these are the functions that respond to selection pressures. It is difficult to imagine selection coefficients on competence traits high enough and persistent enough to have a major influence on mosquito evolution considering the small numbers of mosquitoes en countering the arbovirus a nd the long period when such selection would be relaxed in the arbovirus absence. The absence of any phylogenetic signature for mosquito capacity to transmit arboviruses is cons istent with the hypothesis that genes controlling mosquito competence for arbovirus were not adapta tions selected for comp etence . In the majority of mosquito-arbovirus sy stems the closest phylogenetic rela tives of the competent vector species are incapable of transmitting the particular ar bovirus for a variety of different reasons. At the same time the vectors have more distant phyloge netic relatives that are capable transmitters. Figure 3. Phylogeny A is consistent with vector cap acity being an ancestral trait from the common ancestor (circled). Hence it is common in the clade wh ere sister species (1 and 3) are the vectors. Phylogeny B is consistent with either vector capacity being in the ancestor of both clades (circled) and being lost in the majority of desce ndant species, or that vector capacity is the result of c onvergent evolution in distantly related species (7 and 11). A Vector Vector Vector Vector 1 2 3 4 7 5 6 8 9 10 11 12 B
Int. J. Environ. Res. Public Health 2013 10 262 The absence of phylogenetic signatures for vector co mpetence is illustrated by the relationships of those Culex species that are capable vectors of WNV, those Culicoides species that are vectors of BTV, and the Aedes species that are vectors of both DENV and YFV  For example, among the 217 or so species in the subgenus Culex only members of the Cx. pipiens complex, Cx. univittatus and Cx. vishnui are considered capable vect ors of WNV. The nearest ph ylogenetic neighbors of these Culex vector species in this subgenus are not vectors. The same can be said for Ae. aegypti and Ae. albopictus the principal vectors of DENV and YFV. The primary Culicoides vectors of BTV are in disparate subgenera while species in the same subgenus as the vector species are themselves not vectors of BTV. The great ma jority of the species of Stegomyia here considered a subgenus, with the primary Aedes vectors of YFV, Ae. aegypti Ae. simpsoni and Ae. albopictus are not themselves vectors. Figure 3 illustrates two different phylogen etic patterns that may occur. One pattern suggests that the traits involved in vector competence were ancestral to the clade where the majority of the species are vectors. The second patt ern suggests that either vector capability was ancestral to both clades and was lost in the majority of species, or that vector status was a consequence of convergent evolution in different clades. The observations that sister member s within the same clade of a v ector species are not themselves vectors for the arbovirus, while species in different clades are vectors, makes it unlikely that vector capacity for arboviruses is an ancestral trait shared by the desce ndants of the common ancestor of the clade. The phylogenetic pattern that is most commonly found is more consistent with convergent evolution where mosquito species that perhaps shar e some common suite of traits for various reasons are more likely to be capable of transmission should they encount er a particular pathogen. This conclusion leads directly to the hypothesis that di fferent mechanisms likely contribute to vector competence in disparate distantly rela ted species. Tabachnick  belie ved that it is more likely that many traits that support vector ability includi ng vector competence for arboviruses represent adaptations for completely different functions not related directly to competence. The vector competence traits are the effects of these adaptations and the ad aptive function ma y still be under selection for this other function though not for the competence effect. Such traits are simply other effects of an adaptation . Th ere may be some traits that influence mosquito competence for arboviruses that were originally adaptations serving other func tions and these may now be under natural selection when the mosqu ito encounters an arbovirus. These traits would be what Gould and Vrba  defined as exaptations Though many mosquito traits invo lved in arbovirus transmission likely evolved due to other functions there are also likely some traits that may be ancestral in a particular group that include the as pects of the vector ge neral body plan or bauplan that provide the basis or foundation for the evolutio n of vector capacity in the gene ral sense . For example, although only a few species of Culex transmit WNV, and only a few species of Aedes transmit YFV and DENV, the Culex bauplan has yet to provide a vector of DENV. The Culex bauplan, and the Aedes bauplan, etc have differences that prevent the evolutio n of traits supporting competence for certain arboviruses. In general the Anopheles bauplan does not support the ability to vector arboviruses. It will be important to distinguish such circumstances, dist inguish effects, exaptations adaptations, and just what are the different bauplans for vector competence phenotypes. What is needed is to characterize all of the mechanisms that influence vector competence and determine the other functions of the different traits and how they influence average reproductive success and are therefore s ubject to selection. Then
Int. J. Environ. Res. Public Health 2013 10 263 it will be possible to determine those factors that shape the frequencies of these controlling genes in natural populations and determine the causes of the frequencies of competent mosquitoes in natural mosquito populations. 8. Conclusions There are environmental and genetic factors that infl uence variation in the ability of mosquitoes to transmit arboviruses. It is nave to only address the influence of individual environmental factors on a trait such as competence for arboviruses without al so considering interactions with genetic factors controlling competence. Environmental influences must be determined in the context of specific controlling genetic factors for sp ecific traits that influence ar bovirus epidemiology. The phenotype, and this includes all aspects of vector competen ce, is a function of genetic and environmental influences. However, the genotype and environmen t are simultaneously causes and effects since an organism is influenced by its gene s, the environment also influences organisms, but the organisms phenotype/genotype also influences the organisms environment . If there is anything we have learned since mosquito transmission of YFV was first demonstrated in Cuba at the st art of the 20th century it is the complexity of the interactions of genes and environment, the complexity of nature and nurture. Mosquito competence for arboviruses is an excellent example of this complexity. There are many different traits that cont ribute to mosquito competence for arboviruses, each influenced by diverse genetic factors and a host of diverse environmen tal factors. It is apparent that there is great complexity in how environmental factors influence phenotypic variation in ev ery component and trait comprising mosquito competence for arboviruses. Different traits comprising mosquito competence for arboviruses are cont rolled by a variety of different yet still largely unknown genetic mechanis ms and there is eviden ce suggesting that many different genes can influence the same trait. Diffe rent genes and very different genetic mechanisms may contribute to variation in a specific competen ce trait in different mosqu ito populations with the potential that different genetic mechanisms ca n produce the same competence phenotype in two different populations of the same species. Recall that different QTL were detected influencing susceptibility to infection for DENV in two different Ae. aegypti populations . The norms of reaction for genotypes for competence traits have hardly been explor ed though it is now clear that norms of reaction of competence genotypes will be complex and that some will display nonlinear relationships between environmen tal variation for a factor, and adding to the complexity, the relationship between genotype and phenotypic expr ession across a range of variation for one environmental factor can be dependent on the vari ation in another environm ental factor. Therefore even a complete understanding of genotypic variati on controlling all of the mechanisms influencing vector competence will not provi de the ability to predict resu lting phenotypes unless there is a complete understanding of environmental influen ces on specific vector competence genotypes. Progress must entail understanding how environmental factors influen ce one another in their effect on the phenotype produced by specific genotypes. The an swer to the issues f acing medical entomology will not be provided simply by more genomics. Mu ch more information is needed then can be provided by current genomics, sequ encing and gene discovery studies. This will include work along the lines of what has been termed vector-borne di sease system heterogeneit ies . There is ample
Int. J. Environ. Res. Public Health 2013 10 264 opportunity for new research projects focused on identifying and characterizing the complex heterogeneities in mosquito competence for arboviruses. The importance of characterizing complex factors in fluencing mosquito competence is to be able to understand the epidemiology and causes of mosquito-bor ne diseases in order to be more effective in reducing their burden on human and animal health. The transmission parameters of vector-borne infections, i.e ., those factors influencing the basic reproduction number (R0) of the pathogen, are influenced by many biological and environmental condi tions that cannot be extrapolated to different situations  because of the reasons reviewed in this paper. The scope of th e research that is required to understand the entire su ite of factors encompassing vector-borne disease cycl es previously described as the entire disease episystem [ 170] is daunting. Will it be essential to understand every factor and the influence of every factor on all ot her factors to be able to charac terize the significance of vector competence variation? How accurate must our unders tanding of the details, the mechanisms, and the diversity of factors influencing mosquito compet ence for arboviruses have to be for sufficient understanding of mosquito-b orne disease epidemiology? Are there e nvironmental factors, genetic variants in controlling mechanisms, etc that are slight enough so they can be ignored because th ey have little influence on biologically relevant vari ation? Science is at the very beginning of addressing these issues. One of the greatest of the evoluti onary biologists of the 20th centu ry, T. Dobzhansky, believed that nothing in biology makes sense except in the light of evolution . Mosquito competence for arboviruses is no exception. There is great potential to explor e the evolutionary features of mosquito competence for arboviruses. This will require studies of complex issues that may not be as easily amenable to inquiry as the studie s that focus exclusively on genomic approaches and gene discovery. Although identifying specific genes influencing competence for arboviruses will provide new opportunities to explore diverse genetic mechanisms, the challenge ahead will be to characterize the population genetic variation of the involved genes, assess the effects of genetic polymorphism on general physiology, behavior and ecology for example, and assess environmental factors, the norms of reaction, their evolution and determ ine the role of these genes in controlling phenotypic functions. These are difficult issues and they will require difficu lt approaches. It will requi re scientists willing to invest in risky and difficult under takings. Do specific mosquito geno types influence adaptive functions that influence arbovirus epidemiology? What is the significance of the functions of these genes? What is the variation? Why? The answers to these i ssues will require moving beyond gene discovery. Pursuing these issues will be the next hurdle for understanding vector-borne disease. This will be critical to develop new strategies to control th e diseases caused by arbovi ruses including reducing competence in natural mosquito populations usi ng genetic and environmental means and thereby providing another tool for humans to reduce the burden of mosquito-borne diseases. Acknowledgments I thank Barry Alto, Jonathan Day, and Chelsea Smar tt for invaluable discussions that provided new ideas and perspectives. I appreciated the helpful suggestions of two anonymous reviewers. Though I may have not used all of their suggestions, thei r comments were invaluable in improving earlier drafts of this manuscript. Publica tion of this article was funded by the University of Florida Open-Access Publishing Fund.
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