Fighting Malaria, With a Little Help from Bacteria
Posted on by Dr. Francis Collins
It turns out that one of the most innovative and effective strategies to fight malaria might involve harnessing a bacterium called Wolbachia. This naturally occurring genus of bacteria infects many species of insects, including mosquitoes. The reason this is important is that Wolbachia-infected mosquitoes become resistant to the parasite Plasmodium falciparum, which causes some 219 million cases of malaria worldwide and more than 660,000 deaths . Wouldn’t it be amazing if Wolbachia-infected mosquitoes blocked the transmission of malaria?
Unfortunately, Wolbachia don’t normally pass from generation to generation in Anopheles, the mosquitoes that spread malaria. But that hurdle has now been overcome.
A team of NIH-funded researchers discovered that when a specific strain of Wolbachia, called wAlbB Wolbachia, was introduced into Anopheles stephensi—the major malaria-transmitting mosquito species in the Middle East and South Asia—it was passed down from generation to generation. In lab experiments, when just 5% of female mosquitoes were infected with wAlbB Wolbachia, researchers saw the bacteria spread to all the mosquitoes after just 8 generations .
Wolbachia likely makes the mosquito spew out a cocktail of toxic molecules called reactive oxygen species that kills the malaria parasites as it develops in mosquitoes’ mid-gut and salivary glands. That’s pretty cool—we’re basically using one microorganism to kill another.
This work suggests a potentially powerful public health intervention. Mosquitoes infected with wAlbB Wolbachia could be released in a region where malaria is endemic. These wAlbB Wolbachia mosquitoes would mate with the local mosquitoes. Their progeny would all carry the bacterium and be resistant to the malaria parasite. Eventually, wAlbB Wolbachia mosquitoes would replace the native population. It could be a very effective strategy, particularly for regions like sub-Saharan Africa where malaria claims the most victims.
This approach is promising and has already been tested on a small scale. In an Australian field trial, researchers successfully spread Wolbachia in another mosquito, Aedes aegypti, which transmits a disease called dengue fever. Wolbachia-infected mosquitoes infiltrated the local population and spread the bacteria from one generation to the next. In lab studies, these mosquitoes are resistant to dengue. It’s a clever intervention because the mosquitoes, by spreading Wolbachia, are actually doing all the work of blocking disease transmission.
 Malaria Facts. (CDC)
 Wolbachia invades Anopheles stephensi populations and induces refractoriness to Plasmodium infection. Bian G, Joshi D, Dong Y, Lu P, Zhou G, Pan X, Xu Y, Dimopoulos G, Xi Z. Science. 2013 May 10;340(6133):748-51.
NIH support: National Institute of Allergy and Infectious Diseases