First detection of a Vssc allele V1016G conferring a high level of insecticide resistance in Aedes albopictus collected from Europe (Italy) and Asia (Vietnam), 2016: a new emerging threat to controlling arboviral diseases.

IntroductionAedes albopictus (Skuse) is an important vector of arboviral diseases, including dengue, chikungunya and Zika virus disease. Monitoring insecticide resistance and mechanisms by which the mosquito develops resistance is crucial to minimise disease transmission.AimTo determine insecticide resistance status and mechanisms in Ae. albopictus from different geographical regions.MethodsWe sampled 33 populations of Ae. albopictus from Asia, Europe and South America, and tested these for susceptibility to permethrin, a pyrethroid insecticide. In resistant populations, the target site for pyrethroids, a voltage-sensitive sodium channel (Vssc) was genotyped. Three resistant sub-strains, each harbouring a resistance allele homozygously, were established and susceptibilities to three different pyrethroids (with and without a cytochrome P450 inhibitor) were assayed.ResultsMost populations of Ae. albopictus tested were highly susceptible to permethrin but a few from Italy and Vietnam (4/33), exhibited high-level resistance. Genotyping studies detected a knockdown resistance (kdr) allele V1016G in Vssc for the first time in Ae. albopictus. Two previously reported kdr alleles, F1534C and F1534S, were also detected. The bioassays indicated that the strain homozygous for the V1016G allele showed much greater levels of pyrethroid resistance than other strains harbouring F1534C or F1534S.ConclusionThe V1016G allele was detected in bothAsian and Italian Ae. albopictus populations, thus a spread of this allele beyond Italy in Europe cannot be ruled out. This study emphasises the necessity to frequently and regularly monitor the V1016G allele in Ae. albopictus, particularly where this mosquito species is the main vector of arboviruses.

Host-Seeking Behavior of Trombiculid Mites on Vegetation in Relation to Sika Deer.

We collected larval trombiculid mites on vegetation monthly from October 1997 to February 2000, and from the heads of sika deer culled in March 2003 in Boso Peninsula, central Japan. Two species of trombiculid mites, Neotrombicula nogamii Takahashi, Takano, Misumi, and Kikuchi and Leptotrombidium scutellare Nagayo, Miyagawa, Mitamura, and Tamiya, occurred on vegetation. Peak numbers of N. nogamii were found in January, and L. scutellare numbers peaked in November. Both species were collected predominantly on the top of Sasa bamboo stems, where they formed clusters, though N. nogamii preferred heights of 40-50 cm. Furthermore, N. nogamii and Walchia masoni (Asanuma and Saito) were collected from deer. These findings indicate that vegetation is an important substrate for some trombiculid mites awaiting hosts.

Winter Activity and Diapause of Aedes albopictus (Diptera: Culicidae) in Hanoi, Northern Vietnam.

We studied the winter activity of Aedes albopictus (Skuse) from November 2008 to April 2009 in Bat Trang village of Hanoi, Vietnam. We selected 12 houses and collected: 1) adults with BG sentinel traps, 2) pupae from household water containers, and 3) eggs with ovitraps. Aedes albopictus adults, pupae, and eggs were not collected from early January to early February. Though the egg hatching probability tended to be initially high at longer day length, the maximum probability gradually shifted to shorter day length, as the observation period elapsed. When females were reared under long day length and their eggs were immersed 1 or 5 wk after oviposition, >50% of eggs hatched within 20 days. However, when females were reared under short day length and their eggs were immersed after 1 wk, hatching was suppressed for 60 days. When females were reared under short day length, the median hatching day occurred earlier in eggs kept dry for 5 and 10 wk after oviposition than in those dried for only 1 wk. This indicates that the extended dry periods accelerate egg hatching. Our results showed that hatchability gradually changed with day length, suggesting that selection for overwintering is not as strong relative to Ae. albopictus living in the temperate zone, where winter conditions are less favorable than in tropical and subtropical areas.

Detachment of hard ticks (Acari: Ixodidae) from hunted sika deer (Cervus nippon).

Ixodid ticks were collected from 13 sika deer, Cervus n.nippon, shot in the Boso Peninsula in central Japan from late February to early March 1999. Haemaphysalis megaspinosa was the most abundant species of the adults collected, although Haemaphysalis longicornis, H. flava, H. kitaokai, H. cornigera, Ixodes ovatus, and Amblyomma testudinarium were also collected. Males were more abundant than females for H. longicornis, H. megaspinosa, H. flava, and H. kitaokai. Ticks that had inserted their hypostome into its host skin (designated attached) were distinguished from those that were detached and on the host's surface. A greater fraction of males than females of all four species were detached. Females were classified in three feeding stages (engorged, partially engorged, and unfed). More H. longicornis and H. megaspinosa unfed female ticks than engorged and partially-engorged female ticks were collected detached. Our results indicated that H. megaspinosa, H. longicornis, H. flava, and H. kitaokai male ticks detached sooner than female ticks after their host died.

Aedes mosquito larvae collected from Ishigaki-jima and Taketomi-jima Islands in southern Japan.

An investigation of habitat preference for larval breeding sites by Aedes (Diptera: Culicidae) mosquitoes which occur around human dwellings in Ishigaki-jima and Taketomi-jima Islands revealed that Ae. albopictus Skuse 1894 preferred pools in tires and boats and was distributed widely from the coast, inland. Although Ae. riversi Bohart & Ingram, 1946 and Ae. flavopictus miyarai (Tanaka et al, 1979) shared tree holes as larval breeding sites, Ae. riversi was collected near the ocean whereas Ae. flavopictus miyarai was collected inland. Ae. togoi Theobald, 1907 was collected near the coast and strongly preferred boats. Our study showed that habitat preference was different between four species of Aedes mosquito in Ishigaki-jima and Taketomi-jima Islands.

Oviposition of Aedes aegypti and Aedes albopictus on Ovitraps in Dry and Rainy Seasons in Southern Vietnam.

Ovitraps were set inside and outside of 15 households in December 2012 (dry season) and August 2013 (rainy season) in 2 communes (An Thanh and Phu Hoa) of Binh Duong Province in southern Vietnam. Eggs laid in the ovitraps were collected after 4 days, dried, and soaked in water. Hatched larvae were transferred to cups and reared to adulthood to identify the species. The rate of positive ovitraps did not differ between December and August for Aedes aegypti, but it was lower in December for Ae. albopictus. The number of eggs laid per ovitrap by Ae. aegypti did not differ between December and August, while that for Ae. albopictus decreased significantly in December in both communes. Moreover, Ae. albopictus laid eggs in ovitraps placed outside the households. Therefore, it is necessary for future studies to investigate whether the major source containers for oviposition had dried in the dry season or Ae. albopictus entered diapause, leading to these observations.

Effects of Color and Perforated Lid on Ovitrap Preference of Aedes aegypti and Aedes albopictus.

The shape and color of an ovitrap affect the sampling efficiency of mosquitoes. We examined the effect of perforated lids of different colored cups on the preference of Aedes aegypti and Ae. albopictus for oviposition containers. The mosquito species were collected from Tuy Hoa City, Phu Yen Province, Vietnam in April 2016. Females of both species laid eggs in cups without a lid in the order of black, red, and green. However, the number of eggs laid by both species was not different between the black cups with a perforated lid and those without a lid. Aedes aegypti females laid more eggs in red cups with a perforated lid than cups without a lid. Green cups with a perforated lid were not preferred by Ae. aegypti and Ae. albopictus. Our results showed that the effect of perforated lids on oviposition preference was dependent on cup color and that it differed between the mosquito species. Out study provides valuable insights for the development of more effective ovitraps for Aedes mosquito surveillance and control.

Comparison of cisplatin-induced nephrotoxicity when using conventional versus short hydration in gastric cancer-a retrospective study.

Although a short hydration protocol for cisplatin has been recently developed for use in lung cancer, this has yet to be established for gastric cancer. This study reviewed medical records of patients with gastric cancer who received XPT(capecitabine/cisplatin/trastuzumab) therapy containing cisplatin. Patients received either the conventional or short hydration regimen. Nephrotoxicity was compared between these two regimens by monitoring the serum creatinine. Out of the 26 total patients, 19 received the conventional regimen while 7 received the short hydration regimen. There was a higher nephrotoxicity was observed in the group receiving the conventional regimen (42.1%, 8/19) as compared to the short hydration regimen (0%, 0/7). There was a statistically significant difference in nephrotoxicity between the regimens (P = 0.039). Study results suggest that short hydration may be a feasible regimen for XPT therapy in gastric cancer patients.

Seasonal change in habitat use by Haemaphysalis longicornis (Acari: Ixodidae): plant, litter, and soil.

Habitat use of Hemaphysalis longicornis Neumann (Acari: Ixodidae) was observed from February 1998 to January 2000 in Boso Peninsula, central Japan. The number of ticks collected from plants (by hand) and from litter and soil (by the vinyl method) was compared seasonally. Laboratory experiments showed that the vinyl method effectively collected 97% of adults, 98% of nymphs, and 95% of larvae from soil and litter samples. Field studies showed that habitat use of all stages varied during the species' active period. Larvae were seen on plants from August to October, and the number of larvae on plants peaked in September. Nymphs were on plants from March to May in 1998 or July in 1999 and again in August and September in 1998 and 1999. The number of nymphs collected from the litter was large in October and March. Nymphs shifted from litter and soil to plants both in spring and autumn. Adults were on plants from March to July, although they were collected from litter and soil from September to July. Adults shifted from litter and soil to plants during their activity period. It was shown that all stages were uncommon (low percentages) on plants early in the active period and very abundant (high percentages) late in the active period.

Interspecific and intraspecific associations of two species of hard ticks, Haemaphysalis longicornis and Haemaphysalis megaspinosa, in relation to questing site.

The effects of intraspecific and interspecific interactions on preferred questing sites of ticks, specifically nymphs and larvae of Haemaphysalis longicornis and Haemaphysalis megaspinosa, were examined in Boso Peninsula of central Japan from October 1996 to September 1999. Haemaphysalis longicornis were primarily segregated from H. megaspinosa by season. All stages of the 2 tick species preferred sedges. Three-way contingency tables and log-linear models were used to test for independence of occurrence and to quantify associations between species and stages with similar host ranges. The shifts of questing site from leaves to stem tips and from 40-49 cm to greater heights were observed in both species, which suggests that these sites are more suitable for ticks and that aggregation may serve as protection from severe conditions. In contrast, a shift to a lower height was observed in H. longicornis nymphs and larvae when other species were present, suggesting that they were driven away by other species, especially H. megaspinosa. Heterospecific clusters composed of at least 2 species were formed on stem tips more frequently. It is concluded that questing site was affected by both aggregation pattern and the presence of other species.

Cerebral infarction following pituitary apoplexy--case report.

A 29-year-old man presented with lethargy, headache, high fever, and visual disturbance. Neurological examination showed mydriatic pupil, ptosis, diminished light reflex, and ophthalmoplegia on the left. Magnetic resonance (MR) imaging showed the typical findings of pituitary apoplexy, and cerebral angiography disclosed mild narrowing of the A1 segment of the left anterior cerebral artery (ACA). Transsphenoidal tumor resection was performed. Transient severe right hemiparesis occurred directly after the operation. Computed tomography demonstrated cerebral infarction in the territory of the left Heubner's and medial lenticulostriate arteries. Pituitary apoplexy followed by cerebral infarction is very rare. Vasospasm of the perforating arteries of the ACA probably caused the cerebral infarction. Subarachnoid blood or vasoactive agents released from the tumor were the most likely cause of the vasospasm. MR imaging findings of contrast enhancement around the vessels may indicate reactive processes around the vessels.

[Multiple extracranial metastases from a meningeal hemangiopericytoma and severe hypoglycemia: a case report].

Extracranial multiple metastases from meningeal hemangiopericytoma have been reported only rarely. The authors describe the case of a 61-year-old woman, who was previously diagnosed as having primary meningeal hemangiopericytoma with its multiple metastases to the liver, lumbar spine, etc. and who suffered from a sudden attack of hypoglycemia. Considering the history of her present illness, this hypoglycemic shock was most likely brought on by the remarkable metastatic tumors to the liver. Recent literature pertinent to hypoglycemia suggests that insulin-like growth factor-II (IGF-II) produced by tumor is strongly suspected to be involved in the development of hypoglycemia.

Winter refuge for Aedes aegypti and Ae. albopictus mosquitoes in Hanoi during Winter.

Dengue occurs throughout the year in Hanoi, Vietnam, despite winter low temperatures <10°C. During July 2010 to March 2012, we surveyed monthly for Aedes larvae and pupae in 120 houses in 8 Hanoi districts. Aedes albopictus preferred discarded containers in summer and pupal density drastically decreased in winter. Aedes aegypti preferred concrete tanks and this preference increased in winter. Even in winter, the lowest water temperature found in concrete tanks was >14°C, exceeding the developmental zero point of Ae. aegypti. Although jars, drums and concrete tanks were the dominant containers previously (1994-97) in Hanoi, currently the percentage of residences with concrete tanks was still high while jars and drums were quite low. Our study showed that concrete tanks with broken lids allowing mosquitoes access were important winter refuge for Ae. aegypti. We also indicate a concern about concrete tanks serving as foci for Ae. aegypti to expand their distribution in cooler regions.

The phenetic structure of Aedes albopictus.

The large and recent migrations of the main vector of the Chikungunya virus, Aedes albopictus, raise questions about the epidemiological impact of possible microevolutionary changes in new territories. Quantitative traits are suitable to detect such changes as induced by environmental adaptations, local competition and founder effects. Using landmark-based geometric morphometrics, we compared the size and shape of 22 populations (1572 females) of Ae. albopictus. The collection sites covered five countries around the world, with special emphasis on Asia, which is assumed to be the origin of the vector. Some collections came from places where an important epidemic outbreak of Chikungunya has recently occurred. Quantitative comparisons were based on 18 anatomical landmarks on the wing. To contrast geographic and possible interspecific shape variation, close species were introduced in the sample, namely five Aedes riversi and nine Ae. flavopictus from Japan. The three species had similar size, but they were clearly separated by shape. Within Ae. albopictus, there was general agreement on size variation with the available climatic data. Shape variation was less related to climatic data than to either geography or a known itinerary of past territorial expansion. Thus, two main clusters were distinguished by wing shape variation: the first one composed of the Southeast Asian sample, the second one grouping Japan, Florida, Hawaii and the Reunion Island samples. The Southeast Asian countries, assumed to be at the origin of the geographic expansion of the mosquito, had similar wings and constituted a distinct group where localities clustered into northern and southern localities. Contrasting with this homogeneous group, very distant localities such as United States (US) and Japan shared a common shape pattern. The US Ae. albopictus samples (Hawaii and Florida) were indeed very similar to the Japanese samples, with Florida behaving exactly like a northern Japanese locality, close to Tokyo and Yokohama. Shape proximity among these distant areas could be explained by a common and relatively recent ancestor, as generally suggested in the literature. The three Reunion Island samples conformed a group external to the Southeast Asian countries, loosely connected to the remaining localities. Thus, areas where recent epidemics took place, the Reunion Island and the southernmost localities of Thailand, did not cluster together, but represented separate groups. In sum, the size of the wing was apparently under the influence of climatic factors, while its shape could contribute information on species and geographic differences. Apparent departures from expectations based on geography were explained by known past and present migratory routes. These patterns of shape variation were compatible with genetic drift, suggesting microevolutionary changes probably induced by the expansion of the Ae. albopictus mosquito.

Field trial on a novel control method for the dengue vector, Aedes aegypti by the systematic use of Olyset® Net and pyriproxyfen in Southern Vietnam.

BACKGROUND: Jars, tanks, and drums provide favorable rearing/breeding sites for Aedes aegypti in Vietnam. However, the use of insecticides to control mosquitoes at such breeding sites has not been approved in Vietnam since they are also often sources of drinking water, making larval vector control difficult. Mosquito nets pre-treated with long-lasting insecticide treated nets (LLITNs) form an effective measure for malaria control. We examined changes in the abundance of immature Aedes aegypti to evaluate the efficacy of covering ceramic jars with lids comprising one type of LLITN, Olyset® Net, in inhibiting oviposition by adult females, and to evaluate the effect of treating other breeding containers, such as flower vases, inside and around the outside of houses with a slow-release pyriproxyfen formulation to kill pupae. METHODS: We selected 313 households for the trial and 363 households for the control in Tan Chanh, Long An province, Vietnam. In the trial area, Olyset® Net lids were used to cover five major types of water container (ceramic jars, cylindrical concrete tanks, other concrete tanks, plastic drums, and plastic buckets), while pyriproxyfen was used to treat flower vases and ant traps. We also monitored dengue virus transmission by measuring anti-dengue IgM and IgG levels in healthy residents in both control and trial areas to estimate the effectiveness of Olyset® Net at controlling the dengue vector, Aedes aegypti. RESULTS: The container-index and house-index for immature Ae. aegypti fell steeply one month after treatment in the trial area. Lids with Olyset® Net that fit container openings clearly seemed to reduce the presence of immature Ae. aegypti as the density of pupae decreased 1 month after treatment in the trial area. Pyriproxyfen was also effective at killing pupae in the water containers in the trial area. Although the dengue seroconversion rate was not influenced by Olyset® Net, it was lower in two-five year old children when compared to older children and adults in both control and trial areas. CONCLUSIONS: Our study showed that the treatment by Olyset® Net and pyriproxyfen had a strong negative effect on the prevalence of immature Ae. aegypti, which persisted for at least 5 months after treatment.

Effect of body size and sugar meals on oviposition of the yellow fever mosquito, Aedes aegypti (Diptera: Culicidae).

The effects of dietary sugar and body size on the oviposition of Ae. aegypti were studied under laboratory conditions. In female mosquitoes provided with sugar, the start of maximum fecundity was significantly delayed and the oviposition period was longer than in females provided with water. The peak of oviposition was also delayed in sugar-fed females. Large females oviposited more eggs per day than small females at maximum fecundity and during eight days of observations. Large females also visited significantly more water-containing cups in their cages per day than small females at maximum fecundity. During the eight days of observations, large females and sugar-fed females visited more water-containing cups in their cages than water-fed small females. Both large females and sugar-fed females oviposited their eggs at sites higher above the water line than water-fed small females. These results suggested that large and sugar-fed female Ae. aegypti mosquitoes had more energy reserves and oviposited their eggs at higher sites, which would lead to a time lag in hatching.

Apparently asymptomatic arachnoid cyst: postoperative improvement of subtle neuropsychological impediment -case report-.

A 13-year-old right-handed boy sustained minor head trauma in a traffic accident. Computed tomography of the head showed no injuries, but revealed an arachnoid cyst in the left middle fossa. Single photon emission computed tomography revealed relatively decreased cerebral blood flow (CBF) in the left frontal and temporal lobes compared with the contralateral regions. The Wechsler Intelligence Scale for Children-Revised (WISC-R) test showed full scale intelligence quotient (IQ) was normal, but also a discrepancy between verbal IQ and performance IQ. Cyst-peritoneal shunting was performed. Postoperatively, laterality of the CBF in the frontal and temporal lobes was resolved and the verbal IQ/performance IQ discrepancy was normalized. In this case, although the WISC-R score was apparently within normal limits, latent regional ischemia induced by compression due to the arachnoid cyst may have caused neuropsychological dysfunction. CBF study and neuropsychological evaluation by the WISC-R may be useful for selecting patients with apparently asymptomatic arachnoid cysts for surgery.

Effect of existing practices on reducing Aedes aegypti pre-adults in key breeding containers in Ho Chi Minh City, Vietnam.

This study aimed to evaluate the effects of existing practices of residents in reducing pre-adult Aedes aegypti (L.) infestation and to assess the effect of dengue-related knowledge on the practices. A house-to-house survey was conducted in two areas with different socioeconomic status in Ho Chi Minh City between October and November 2007. Some residents in both the areas used covers on the productive containers such as the jars and plastic buckets (i.e., 58% and 81% in the two study areas), and it was effective in reducing Ae. aegypti infestation: odds ratio (OR) of 4.0 and 4.9 (95% confidence interval [CI]: 1.49-10.76 and 1.2-19.57, respectively) for the containers with inappropriate covers compared with those with appropriate covers in the two areas, respectively. Appropriate cover use was an effective practice; however, no beneficial role of the knowledge related to dengue in promoting the practice was identified.

Synthesis and biological activity of novel 4,4-difluorobenzazepine derivatives as non-peptide antagonists of the arginine vasopressin V1A receptor.

To find potent and selective antagonists of the arginine vasopressin (AVP) V1A receptor, optimization studies of compounds structurally related to (Z)-N-{4'-[(4,4-difluoro-5-carbamoylmethylidene-2,3,4,5-tetrahydro-1H-1-benzazepin-1-yl)carbonyl]phenyl}carboxamide were performed. The synthesis and pharmacological properties of these compounds are described. We first investigated the effect of the carboxamide moiety, and found that a 2-methylfuran-3-carbonyl group at this position increased V1A binding affinity and selectivity for the V1A receptor versus the V2 receptor. The amino group of the 5-carbamoylmethylidene moiety was also examined, and a 4-piperidinopiperidino group was found to be optimal at this position. The hemifumarate of compound 12l (YM218) was shown to exhibit potent binding affinity, V1A receptor selectivity, and in vivo antagonist activity.