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 Specific research studies Entomology
Why some people really are ‘mosquito magnets’ and promising new tools in the fight against malaria

We know a lot about mosquito preferences up close, but how do mosquitoes find us from up to a hundred meters away? From repellants to app-based mosquito monitoring and a new malaria vaccine, researchers are making important breakthroughs in the fight against the biting insects.

Human body odor essential for mosquitoes to locate hosts over long distances, study finds

A study reveals that human body odor plays a crucial role in how mosquitoes locate hosts over long distances. Using a testing arena in Zambia the size of an ice rink, researchers discovered that specific airborne components of body odor may explain why some individuals are more appealing to mosquitoes than others. The findings were published o­n May 19 in the journal Current Biology.

While most mosquito preference studies have been conducted in controlled lab environments that don't accurately reflect the wild, this study aimed to test how the African malaria mosquito, Anopheles gambiae, locates and selects human hosts o­n a larger, more realistic scale. Researchers from the Johns Hopkins Bloomberg School of Public Health's Malaria Research Institute and Macha Research Trust constructed a 1,000 m³ testing arena in Choma District, Zambia.

"This is the largest system in the world for assessing olfactory preferences in any mosquito," said neuroscientist Diego Giraldo, a postdoctoral fellow at Johns Hopkins Bloomberg School of Public Health and o­ne of the study's lead authors. "And it creates a very complex sensory environment for the mosquitoes."

 

Illustration by Observer Design

The arena featured a ring of landing pads heated to human skin temperature (35ºC). Each night, 200 hungry mosquitoes were released into the arena, and their movements were tracked using infrared cameras. The researchers specifically observed how often the mosquitoes landed o­n each pad, which indicated their readiness to bite.

Initially, the team compared the relative importance of heat, CO2, and human body odor in attracting mosquitoes. They found that mosquitoes were o­nly drawn to the heated landing pads when they were also baited with CO2, but human body odor was even more attractive than CO2 alone.

To test the mosquitoes' selectivity, the researchers had six individuals sleep in single-person tents surrounding the arena for six consecutive nights. Air from each tent, containing the occupant's scent, was channeled o­nto the heated landing pads via repurposed air conditioner ducts. In addition to recording the mosquitoes' preferences, the researchers collected air samples from the tents each night to analyze and compare the airborne components of body odor.

These mosquitoes typically hunt humans between 10 PM and 2 AM, following scent trails and currents from humans. The researchers aimed to evaluate mosquito olfactory preferences during this peak activity period and assess the odors emitted by sleeping humans during the same window.

Night after night, the researchers observed that some individuals were consistently more attractive to mosquitoes than others. o­ne volunteer, whose odor composition was markedly different from the others, attracted very few mosquitoes.

The team identified 40 chemicals emitted by all the participants, but in varying amounts. "It's likely a specific blend of ratios they're following," explained analytical chemist Stephanie Rankin-Turner, another lead author of the study. "We don't yet know exactly which aspects of skin secretions, microbial metabolites, or breath emissions are driving this, but we hope to figure that out in the coming years."

Although each person's odor profile varied from night to night, the researchers identified some consistent patterns. Those who were more attractive to mosquitoes emitted higher levels of carboxylic acids, likely produced by skin microbes. In contrast, the least attractive person emitted lower levels of carboxylic acids but about three times more eucalyptol, a compound found in many plants. The researchers hypothesize that elevated eucalyptol levels may be related to this person's diet.

The researchers were surprised by how effectively the mosquitoes could locate and differentiate between potential human hosts in such a large arena. "When you take something from a small laboratory setting where the odors are concentrated and see mosquitoes still finding them in this vast open space in Zambia, it really emphasizes how powerful these mosquitoes are as host seekers," said Rankin-Turner.

This research was funded by the Johns Hopkins Malaria Research Institute, Bloomberg Philanthropies, and the Human Frontier Science Program.

Are you a magnet for mosquitoes? Relief might be o­n the way

As summer begins, I o­nce again experience the annual transformation from human to a living pincushion. Whether at home or abroad, when mosquitoes are o­n the hunt, I'm reminded by a blanket of red welts?some swelling to the size of golf balls?that my blood is irresistible to them. During a tropical Christmas vacation last December, a day that started with a barrage of mosquito bites quickly turned into a painful experience when I was also stung by jellyfish and wasps. At this point, I can o­nly assume mosquitoes are inspiring other species to target me.

But there is hope for the 20% of the population who receive an above-average number of mosquito bites. Earlier this month, researchers at the Hebrew University of Jerusalem (HUJI) developed a new repellent that could reduce mosquito bites by 80%. A thin layer of naturally occurring cellulose nanocrystals (CNC) combined with indole, an organic compound with a pungent odor, applied to the skin acts as "chemical camouflage," according to a study published in PNAS Nexus. This combination disrupts the signals mosquitoes use to identify their victims and is considered "unprecedented," according to Jonathan Bohbot, a senior lecturer at HUJI and o­ne of the study's co-authors. The results are so promising that further human trials are planned, with the goal of gaining regulatory approval for commercial use. Bohbot notes that this CNC-repellent combo could be more effective and longer-lasting than current products o­n the market, with high adoption rates expected if it becomes available.

Whether you get bitten or not is largely predetermined; some estimates suggest that genetics account for 85% of a person?s likelihood of being bitten. DNA testing company 23andMe has identified 285 genetic markers responsible for the frequency, itchiness, and size of mosquito bites.

Mosquitoes are drawn to humans by volatile organic compounds in our breath, but it's the chemicals we release through our skin, like lactic acid and ammonia, that guide them to feed. The more lactic acid your body produces, the more intense the feeding frenzy. Since altering our physiology is not an option, repellents remain our primary defense?a market projected to reach $9 billion by 2026.

HUJI?s researchers aren?t the o­nly o­nes working o­n a solution. Earlier this year, Italian scientists developed a repellent combining cyclic acetals and carbonyl compounds that is reportedly four times more effective than DEET, the active ingredient in many sprays and creams. Tested against the tiger mosquito, Aedes albopictus, it protected 95% of people for up to eight hours (compared to two hours with DEET) and was less toxic and odorous than current options. Published in the Journal of Agricultural and Food Chemistry, this formula could be a welcome addition to the market. ?We didn?t think it was that easy to find a new repellent,? said Francesca Dani, associate professor of zoology at the University of Florence, adding that her team was ?pretty satisfied? with the results.

The team?s next goal is to test whether their repellent can protect against other pests like ticks, which have been linked to tick-borne encephalitis, a potentially fatal virus recently found in the UK, and Anopheles gambiae, the mosquito species that spreads malaria. Repellents are "the o­nly way you can keep disease vectors away," Dani says. "It's a very simple way to protect people."

While being bitten is o­ne of the more minor issues mosquitoes cause, repellents do little to combat diseases like malaria. Ancient civilizations relied o­n remedies like vinegar or burnt snakeskin to deter mosquitoes, but chemical solutions o­nly became available in 1957 with the introduction of DEET. Although DEET is effective, its toxicity limits its concentration in products sold in the UK and Europe. Icaridin, IR3535, and citriodiol are popular alternatives, but none have yet achieved the perfect balance of effectiveness, odorlessness, non-toxicity, and resistance to water and grease.

 

Your propensity to being bitten by mosquitoes - as well as to itching and swelling - seems to be determined by genetics. Photograph: kmatija/Getty Images

The Defense Advanced Research Projects Agency (DARPA) is exploring a new approach, particularly for those needing long-term protection, like soldiers. Their ReVector program aims to create a product that can be applied hours before entering a mosquito-prone area, has no detectable scent, and offers protection for up to two weeks with a single application. This involves modifying the skin?s microbiome to reduce the production of mosquito-attracting chemicals like lactic acid.

Proof of concept is DARPA?s primary goal. If successful, they plan to partner with industry or the Department of Defense to expand human studies or commercialize the product. They also hope to extend ReVector?s reach to other pests, such as sandflies, which can transmit leishmaniasis, a parasitic disease.

Although mosquitoes are the deadliest animals to humans, responsible for 725,000 deaths each year, repellents alone can?t combat diseases like malaria. Insecticide-treated nets (ITNs) and indoor residual spraying (IRS) are the most effective methods of disease control. However, with rising mosquito-borne diseases and the challenges of insecticide resistance, there is a pressing need for new solutions. A recently approved malaria vaccine in Ghana and Nigeria may help reduce the number of cases, but the World Health Organization (WHO) has yet to recommend it for widespread use.

For those looking forward to a bite-free vacation, there is hope o­n the horizon. However, further testing, regulatory approvals, and commercial partnerships are needed before these new remedies hit the shelves.

In the meantime, scientists are encouraging public participation in tracking mosquitoes. The Mosquito Alert St. Louis app, launched in April, uses citizen science to combat the spread of mosquitoes in Missouri. Originally developed in Catalonia to monitor the tiger mosquito, the American version aims to address both nuisance and public health. Users are asked to photograph mosquitoes and submit details about their size and location. This data helps identify mosquito hotbeds and assess their disease-carrying potential, allowing locals to better protect themselves.

 

The Mosquito Alert app. Originally developed in Catalonia, it is now being used in Missouri to track the spread of the tiger mosquito. Photograph: MosquitoAlert.com

Users are charged with taking photos of adult mosquitoes and submitting them, along with information about their size and location, with volunteer experts o­n hand to help label each species. Creating a database will identify mosquito hotbeds and determine their disease-carrying potential, allowing locals to better protect themselves.

"You can get really good data from citizen scientists," enthuses Palmer; information about the times of day a mosquito is biting people "tells you a lot also about the species, because different species tend to bite at different times". The number of bites each user gets "is really important from an epidemiological modelling perspective"; ditto data o­n where o­n the body an individual has been bitten. While larger-scale prevention is typically reliant o­n government data, or costly installation and monitoring of treated nets, this rapid information provides a "much more high-resolution or fine-grained picture of where disease-vector mosquitoes are present".

The race for a bite-free summer may not be over, but for those who are constantly bitten, there is finally hope o­n the horizon.

 

05/20/2023
Recapitulated by An Khang  

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