Mosquito Infectivity and Parasitemia after Controlled Human Malaria Infection

Jona Walk Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands;
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands;

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Geert-Jan van Gemert Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands;
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands;

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Wouter Graumans Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands;
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands;

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Robert W. Sauerwein Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands;
Radboud Center for Infectious Diseases, Radboud University Medical Center, Nijmegen, The Netherlands;

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Else M. Bijker Department of Pediatrics, Radboud Institute for Molecular Life Sciences, Amalia Children’s Hospital, Radboud University Medical Center, Nijmegen, The Netherlands

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Controlled Human Malaria Infection (CHMI) has become an increasingly important tool for the evaluation of drugs and vaccines. Controlled Human Malaria Infection has been demonstrated to be a reproducible model; however, there is some variability in time to onset of parasitemia between volunteers and studies. At our center, mosquitoes infected with Plasmodium falciparum by membrane feeding have variable and high salivary gland sporozoite load (mean 78,415; range 26,500–160,500). To determine whether this load influences parasitemia after CHMI, we analyzed data from 13 studies. We found no correlation between the sporozoite load of a mosquito batch and time to parasitemia or parasite density of first-wave parasitemia. These findings support the use of infected mosquito bite as a reproducible means of inducing P. falciparum infection and suggest that within this range, salivary gland sporozoite load does not influence the stringency of a CHMI.

Author Notes

Address correspondence to Jona Walk, Radboud University Medical Center, Huispost 268, P.O. Box 9101, Nijmegen 6500HB. E-mail: jona.walk@radboudumc.nl

Financial support: J. W. reports grants from the Bill & Melinda Gates Foundation during the conduct of the study. E. M. B. reports grants from ZonMw, grants from EMVDA, grants from EU, and grants from TIPharma during the conduct of the study.

Authors’ addresses: Jona Walk, Geert-Jan van Gemert, Wouter Graumans, Robert W. Sauerwein, and Else M. Bijker, Radboud University Medical Center, Nijmegen, The Netherlands, E-mails: jona.walk@radboudumc.nl, geert-jan.vangemert@radboudumc.nl, wouter.graumans@radboudumc.nl, robert.sauerwein@radboudumc.nl, and else.bijker@radboudumc.nl.

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