Trends in Parasitology
Volume 38, Issue 1, January 2022, Pages 54-66
Journal home page for Trends in Parasitology

Review
Mosquito transgenesis for malaria control

https://doi.org/10.1016/j.pt.2021.08.001Get rights and content

Highlights

  • Mosquito transgenesis has advanced rapidly in recent years and emerged as an attractive tool for controlling malaria.

  • Genetically engineered parasite-refractory mosquitoes efficiently suppress malaria parasite infection and transmission in laboratory conditions.

  • Numerous antiparasite effector and parasite host factor genes can potentially be used to generate genetically engineered (GE) mosquitoes.

  • Gene drives make the implementation of GE mosquitoes to control malaria both affordable and sustainable.

  • Several technical issues and public concerns need to be addressed before actual application of GE mosquitoes for malaria control.

Malaria is one of the deadliest diseases. Because of the ineffectiveness of current malaria-control methods, several novel mosquito vector-based control strategies have been proposed to supplement existing control strategies. Mosquito transgenesis and gene drive have emerged as promising tools for preventing the spread of malaria by either suppressing mosquito populations by self-destructing mosquitoes or replacing mosquito populations with disease-refractory populations. Here we review the development of mosquito transgenesis and its application for malaria control, highlighting the transgenic expression of antiparasitic effector genes, inactivation of host factor genes, and manipulation of miRNAs and lncRNAs. Overall, from a malaria-control perspective, mosquito transgenesis is not envisioned as a stand-alone approach; rather, its use is proposed as a complement to existing vector-control strategies.

Section snippets

Malaria epidemics and vector control

Malaria, caused by Plasmodium parasites and transmitted by female Anopheles mosquitoes, remains one of the most devastating of human diseases, accounting for over 200 million cases and approximately half a million deaths each year [1]. The global age-standardized DALYs (see Glossary) rate of malaria in 2019 is 433 per 100 000 inhabitants [2], posing a great impact on both human mortality and economics. Malaria parasites have evolved a complex life cycle within their mosquito vectors (Figure 1).

Development of mosquito transgenesis

To generate a transgenic mosquito, a genetically engineered cassette (GEC) needs to be introduced into the mosquito genome. A GEC is either randomly integrated into the mosquito genome using transposable element (TE)-based transformation or precisely inserted into a DNA sequence through homology-directed repair (HDR) (Figure 2A). Four TEs have been demonstrated to be functional in mosquitoes, piggyBac [14., 15., 16., 17., 18., 19., 20.], mariner Mos1 [21,22], mariner Minos [23], and Hermes [24,

Transgenic expression of antiparasitic effector genes

The generation of fully parasite-refractory GE mosquitoes relies on the identification of efficient antiparasitic effector genes. As discussed previously, the transgene should provide maximum protection while imposing minimum fitness cost. Based on the working models for anti-Plasmodium effectors, GE mosquitoes can be categorized into three groups:

  • (i)

    Transgenic expression of exogenous antipathogen effectors to kill or suppress parasites. A variety of exogenous antimicrobial peptides (AMPs), such

Transgenic inactivation of host factor genes

Pathogen agonists, or host factors, are genes/proteins required for the development and replication of Plasmodium inside its vector mosquito. Depletion of these genes through genetic engineering of Anopheles mosquitoes aims at interrupting host–parasite interactions that are necessary for the development of the malaria parasite within the various cells and tissues of the mosquito [78]. Therefore, targeting host factors via GE Anopheles mosquitoes constitutes a promising strategy to halt

Transgenic manipulation of miRNAs and lncRNAs

In addition to expressing antiparasite effector genes and knocking out host factor genes, noncoding RNAs, (ncRNAs) such as microRNAs (miRNAs) and long noncoding RNAs (lncRNAs), have also been used to generate GE mosquitoes or have been shown to have potential for such use. Unlike mRNAs, ncRNAs are not involved in gene translation; instead, they provide a vast array of possibilities for post-transcriptional regulation of gene expression.

miRNAs are small endogenous noncoding RNAs that regulate

Intervention of gene drives

Gene drives are considered an essential tool to make GE mosquitoes affordable for controlling malaria and other vector-borne diseases in the field, and this technique has advanced rapidly in recent years with the development of CRISPR/Cas9-based gene-editing technologies [103]. Gene drives spread a GEC through a population at higher-than-normal Mendelian rates of inheritance. The technology relies on homing endonuclease genes (HEGs), which copy themselves and a GEC to a defined target site

Concluding remarks

Tremendous progress has recently been achieved in mosquito transgenesis and gene-drive technology, and the prospect of using parasite-refractory GE mosquitoes for malaria control is rapidly approaching a reality. Here we have mainly discussed the population replacement strategy, a self-sustainable approach that requires minimal follow-up effort, once the gene-drive refractory transgenic mosquitoes are in place. However, these advances have also led to a polarizing debate on the benefits and

Acknowledgments

This work was supported by the National Institute of Allergy and Infectious Diseases, National Institutes of Health Grants R01AI122743 and R21AI131574, the University of California Irvine Malaria Initiative, and the Bloomberg Philanthropies. We thank Dr Deborah McClellan for editorial assistance.

Declaration of interests

There are no interests to declare.

Glossary

Antiparasitic effectors
peptides or genes with the ability to inhibit malaria parasite infection in their vertebrate hosts or mosquito vectors, including exogenous antiparasite peptides and endogenous mosquito immune genes such as antimicrobial peptide genes.
CRISPR/Cas9
clustered regularly interspaced short palindromic repeats/CRISPR-associated sequence 9, a genome-editing tool comprising a nuclease (Cas9) and a guide RNA that directs the nuclease to bind to specific genomic loci and introduce

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