Evidence map›Paper›PMID 33743783›Full record

ArticleParasites & vectors2021

Potential metabolic resistance mechanisms to ivermectin in Anopheles gambiae: a synergist bioassay study.

Patricia Nicolas, Caroline Kiuru, Martin G Wagah, Martha Muturi, Urs Duthaler, Felix Hammann, Marta Maia, Carlos Chaccour

Open access · goldAbstract read
In one paragraph

Article in Parasites & vectors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 6 countries.

Patricia Nicolas *ISGlobal, Hospital Clínic-Universitat de Barcelona, Rosello 132, 5ª 2ª, 08036, Barcelona, Spain.
Caroline Kiuru *ISGlobal, Hospital Clínic-Universitat de Barcelona, Rosello 132, 5ª 2ª, 08036, Barcelona, Spain.
Martin G WagahWellcome Sanger Institute, Wellcome Genome Campus, Hinxton, Cambridge, CB10 91SA, UK.
Martha MuturiDepartment of Biosciences, KEMRI Wellcome Trust Research Programme, Kilifi, 230-80108, Kenya.
Urs DuthalerDivision of Clinical Pharmacology and Toxicology, Department of Biomedicine, University and University Hospital Basel, 4056, Basel, Switzerland.
Felix HammannDivision of Clinical Pharmacology and Toxicology, Department of Internal Medicine, University Hospital Bern, 3010, Bern, Switzerland.
Marta MaiaDepartment of Biosciences, KEMRI Wellcome Trust Research Programme, Kilifi, 230-80108, Kenya.
Carlos ChaccourISGlobal, Hospital Clínic-Universitat de Barcelona, Rosello 132, 5ª 2ª, 08036, Barcelona, Spain. carlos.chaccour@isglobal.org.ORCID http://orcid.org/0000-0001-9812-050X
Kenya Medical Research Institute · KEManhiça Health Research Centre · MZIfakara Health Institute · TZUniversity Hospital of Bern · CHUniversity of Basel · CHWellcome Sanger Institute · GB

Funding

Unitaid BOHEMIA
6 · The paper itself

Abstract

backgroundDespite remarkable success obtained with current malaria vector control strategies in the last 15 years, additional innovative measures will be needed to achieve the ambitious goals for malaria control set for 2030 by the World Health Organization (WHO). New tools will need to address insecticide resistance and residual transmission as key challenges. Endectocides such as ivermectin are drugs that kill mosquitoes which feed on treated subjects. Mass administration of ivermectin can effectively target outdoor and early biting vectors, complementing the still effective conventional tools. Although this approach has garnered attention, development of ivermectin resistance is a potential pitfall. Herein, we evaluate the potential role of xenobiotic pumps and cytochrome P450 enzymes in protecting mosquitoes against ivermectin by active efflux and metabolic detoxification, respectively.

methodsWe determined the lethal concentration 50 for ivermectin in colonized Anopheles gambiae; then we used chemical inhibitors and inducers of xenobiotic pumps and cytochrome P450 enzymes in combination with ivermectin to probe the mechanism of ivermectin detoxification.

resultsDual inhibition of xenobiotic pumps and cytochromes was found to have a synergistic effect with ivermectin, greatly increasing mosquito mortality. Inhibition of xenobiotic pumps alone had no effect on ivermectin-induced mortality. Induction of xenobiotic pumps and cytochromes may confer partial protection from ivermectin.

conclusionThere is a clear pathway for development of ivermectin resistance in malaria vectors. Detoxification mechanisms mediated by cytochrome P450 enzymes are more important than xenobiotic pumps in protecting mosquitoes against ivermectin.

Indexed as

Insecticide ResistanceAnimalsAnophelesBiological AssayCytochrome P-450 Enzyme SystemFemaleInsecticidesIvermectinLethal Dose 50MalariaMosquito ControlMosquito VectorsXenobioticsCytochrome P-450 Enzyme SystemInsecticidesIvermectinXenobioticsABC transporterBioassayCYPEndectocideInsecticide resistanceIvermectinP-gpResistanceSynergists

Identifiers

PMID33743783
PMCPMC7981804
OpenAlexW3111955526

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.