Department of Tropical Medicine, College of Military Preventive Medicine, Army Medical University, Chongqing, China.
Department of Thoracic Surgery, Xinqiao Hospital, Army Medical University, Chongqing, China.
Front Cell Infect Microbiol. 2022 Feb 16;12:820650. doi: 10.3389/fcimb.2022.820650. eCollection 2022.
Malaria is still the most widespread parasitic disease and causes the most infections globally. Owing to improvements in sanitary conditions and various intervention measures, including the use of antimalarial drugs, the malaria epidemic in many regions of the world has improved significantly in the past 10 years. However, people living in certain underdeveloped areas are still under threat. Even in some well-controlled areas, the decline in malaria infection rates has stagnated or the rates have rebounded because of the emergence and spread of drug-resistant malaria parasites. Thus, new malaria control methods must be developed. As the spread of the parasite is dependent on the part of its life cycle that occurs in mosquitoes, to eliminate the possibility of malaria infections, transmission-blocking strategies against the mosquito stage should be the first choice. In fact, after the gametocyte enters the mosquito body, it undergoes a series of transformation processes over a short period, thus providing numerous potential blocking targets. Many research groups have carried out studies based on targeting the blocking of transmission during the mosquito phase and have achieved excellent results. Meanwhile, the direct killing of mosquitoes could also significantly reduce the probability of malaria infections. Microorganisms that display complex interactions with , such as and gut flora, have shown observable transmission-blocking potential. These could be used as a biological control strategy and play an important part in blocking the transmission of malaria.
疟疾仍然是最广泛传播的寄生虫病,也是全球感染人数最多的疾病。由于卫生条件的改善和各种干预措施的实施,包括使用抗疟药物,过去 10 年,世界许多地区的疟疾疫情已显著改善。然而,某些欠发达地区的人们仍然受到威胁。即使在一些控制良好的地区,由于抗疟药物的出现和传播,疟疾感染率的下降已经停滞不前或出现反弹。因此,必须开发新的疟疾控制方法。由于寄生虫的传播取决于其在蚊子体内发生的生命周期的一部分,为了消除疟疾感染的可能性,针对蚊子阶段的阻断传播策略应该是首选。事实上,当配子体进入蚊子体内后,它会在短时间内经历一系列的转化过程,从而提供了许多潜在的阻断目标。许多研究小组已经基于针对蚊子阶段传播阻断进行了研究,并取得了优异的成果。同时,直接杀死蚊子也可以显著降低疟疾感染的概率。与疟原虫相互作用复杂的微生物,如共生菌和肠道菌群,表现出可观察到的阻断传播潜力。这些可以作为一种生物控制策略,在阻断疟疾传播方面发挥重要作用。