A combination DNA vaccine encoding nucleoside hydrolase 36 and glycoproteine 63 protects female but not male hamsters against Leishmania mexicana.

Leishmaniasis is a group of diseases caused by protozoan parasites of the Leishmania genus. Previous studies have shown that a DNA vaccine encoding Leishmania donovani antigen nucleoside hydrolase 36 and L. mexicana glycoprotein 63 is protective in mice. We investigated here the efficacy of this DNA vaccine to induce protection in golden hamsters. Male hamsters were more susceptible to infection by Leishmania mexicana than females. Following immunization with two doses of the DNA vaccine, only females resulted protected while males developed normal lesions.

Variations in sex ratio, feeding, and fecundity of Triatoma dimidiata (Hemiptera: Reduviidae) among habitats in the Yucatan Peninsula, Mexico.

Chagas' disease is a major public health concern in most Latin American countries and its prevention is based on insect vector control. Previous work showed that in the Yucatan peninsula of Mexico, houses are transiently infested by adult Triatoma dimidiata, which then fail to establish sustained colonies. The present study was designed to evaluate the seasonality and possible causes of the dispersal of sylvatic T. dimidiata toward the houses and the subsequent failure of colonization. Dispersal was highly seasonal and correlated with temperature, pressure, and wind speed. Analysis of sex ratio, feeding status, and fecundity of sylvatic populations of T. dimidiata indicated a rather low feeding status and low potential fecundity, suggesting that seasonal dispersal may be associated with foraging for better conditions. Also, feeding status and potential fecundity tended to improve in the domestic habitat but remained largely suboptimal, suggesting that these factors may contribute to the ineffective colonization of this habitat.

Usefulness of community participation for the fine temporal monitoring of house infestation by non-domiciliated triatomines.

The irregular presence and low abundance of wild triatomines inside domiciles make their detection more difficult than that of domiciled species, so that vector surveillance and evaluation of Chagas disease transmission risk are more challenging. We compared timed manual searches, considered as the gold standard, with community-based collections, for their efficacy at monitoring domestic and peridomestic infestation by non-domiciliated Triatoma dimidiata, and community-based collection was the most sensitive and cost effective. Scaling up community participation permitted investigation of fine temporal variations in infestation by T. dimidiata in over 700 houses. We confirmed a large seasonal infestation during March-July, but weekly and daily collections showed a rather stochastic pattern of bug presence in the houses, even during this period. These data are of key importance for the successful implementation of vector control, and community participation is a method of choice for sustained monitoring of infestation by non-domesticated triatomines.

Dynamics and distribution of house infestation by Triatoma dimidiata in central and southern Belize.

Chagas disease is a major public health problem from South America to Mexico, with approximately 10 million infected people. Chagas disease is known to occur in Belize, but little is known about the prevalence of Trypansoma cruzi infection in the Belizean population or the Chagas vector in this region. An entomologic survey of triatomines in the central and southern region of Belize was thus performed. Triatomines were collected by community participation in 37 villages of the Cayo (central) and Toledo (southern) districts and analyzed for infection with T. cruzi by microscopic examination and polymerase chain reaction. Two hundred fifty-six triatomines were collected in 34/37 villages, indicating a wide distribution, and all were identified as T. dimidiata. The majority (87%) were adults (42% males, 58% females), and 13% were larval stages. The infection rate with T. cruzi was 28%. Triatomines were more abundant during the hot season (March-July) compared with the cooler season (September-February). These results confirm that there is a significant risk for autochthonous Chagas disease transmission in central and southern Belize and suggest a pattern of seasonal infestation by nondomiciliated adult triatomines, which are likely to be closely related to T. dimidiata from Yucatan, Mexico. Further entomologic and epidemiologic studies should be performed to precisely determine T. cruzi transmission risk to humans, as well as the seroprevalence of T. cruzi infection and incidence of Chagasic cardiomyopathy in the Belizean population.

Urban infestation by Triatoma dimidiata in the city of Mérida, Yucatán, México.

The observation of widespread seasonal infestation by Triatoma dimidiata in rural villages around the city of Mérida, Yucatán, México, led us to reconsider the presence of Chagas disease vectors and the risk factors for house infestation in the city itself. Bugs were collected in 150 houses from 30 neighborhoods distributed throughout the city. We observed a widespread infestation by T. dimidiata in the city, with 38% of infested houses and 48% of the collected triatomines testing positive for Trypanosoma cruzi. House infestation by triatomines was greatest during the months of April-June. Infestation risk factors were related with backyard characteristics rather than housing type and quality of housing: houses located in the periphery of the city, with abandoned lots on the sides and large backyards, had a higher risk of being infested, while those with mosquito screens and occasional insecticide spraying in their yards had a lower risk. Several human blood meals were also identified and seropositive patients were distributed through most of the city, confirming the potential for urban transmission of Chagas disease to humans. This study shows that urban Chagas disease should not be neglected and surveillance programs should be implemented to further evaluate the magnitude of the problem.

Comparative study of DNA vaccines encoding various antigens against Leishmania mexicana.

Leishmaniases represent an important public health problem in large parts of the world. In the south-east of Mexico, the major species isolated from patients is Leishmania mexicana mexicana, causing localised cutaneous leishmaniasis, and the development of a vaccine is a key objective for the control of this parasite. We thus performed a comparative study of DNA vaccines encoding L. m. mexicana gp63 and CPb, L. m. amazonensis gp46, and L. major LACK to define the best antigen(s) candidate(s). cDNAs encoding these antigens were subcloned into the VR1012 plasmid, and susceptible BALB/c mice were immunised with two i.m. injections of 100 microg of plasmid DNA. All mice immunised with VR1012-GP46, VR1012-CPb and VR1012-GP63 showed increased IgG levels against L. m. mexicana, but not those immunised with VR1012-LACK. Two to three weeks after the last immunisation, mice were challenged by the injection of 4 x 10(6) L. m. mexicana parasites in the foot pad to evaluate protection. Measurement of lesion size indicated that mice immunised with VR012-GP46, VR012-GP63 and VR1012-CPb were partially protected against infection, whereas the other plasmids had no effect. Thus, these plasmids represent good candidates for further development of DNA immunisation against L. m. mexicana.