PERSISTENCE OF BRUGIA MALAYI DNA IN VECTOR AND NON-VECTOR MOSQUITOES: IMPLICATIONS FOR XENOMONITORING AND TRANSMISSION MONITORING OF LYMPHATIC FILARIASIS

PETER FISCHER Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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SARA M. ERICKSON Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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KERSTIN FISCHER Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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JEREMY F. FUCHS Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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RAMAKRISHNA U. RAO Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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BRUCE M. CHRISTENSEN Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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GARY J. WEIL Department of Internal Medicine, Infectious Diseases Division, Washington University School of Medicine, St. Louis, Missouri; Department of Animal Health and Biomedical Sciences, University of Wisconsin-Madison, Madison, Wisconsin

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Xenomonitoring (detection of filarial larvae or their DNA in mosquitoes) is a sensitive marker for assessing the endemicity of filariasis and a useful tool for evaluating elimination programs. To examine the fate of microfilariae (mf) and filarial DNA in vector competent and non-competent mosquito strains, we compared the detection of Brugia malayi parasites by dissection and by quantitative real-time polymerase chain reaction (PCR) in three different mosquito strains. We conclude that PCR is much more sensitive than dissection for detecting filarial larvae, especially their remnants in mosquitoes. However, parasite DNA can be detected in both vector and non-vector mosquitoes for two weeks or longer after they ingest mf-positive blood. Thus, although xenomonitoring with vector and non-vector mosquito species may be a sensitive method for indirectly detecting filarial parasites in human populations, positive test results for parasite DNA in mosquitoes do not necessarily prove that transmission is ongoing in the study area.

Author Notes

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