In contrast to Vector Cellular Immunity, in which the main immune processes were described separately, here the humoral immunity of each vector group is briefly described. This allows a more dynamic and interactive summary of this complex process.
The sequencing of the genomes of An. gambiae, Ae. aegypti and
Culex quinquefasciatus [
161,
162,
163]
provided great opportunities for new approaches for studying the biology of these important vectors and has led to rapid progress in understanding the vector-parasite/pathogen associations. Ae. aegypti are responsible for vectoring yellow fever, dengue, Zika and Chikungunya, and
filarial nematodes, An. gambiae for
malaria and filarial worms, and C.
quinquefasciatus for West Nile and Saint Louis encephalitis viruses, and filarial worms (
Table 1)
.
The mosquito responses to these diverse pathogens may well vary with new PAMPS to be recognised on/in these, as well as with the different vector species whose immune competence is affected by the composition of the microbiota [
18,
164]
. For example, in Aedes, Anopheles and Culex, 417, 380 and 500 immunity genes have been recorded, respectively, with expansions in Culex of C-type lectins, fibrinogen-related proteins (FREPs), and serine protease inhibitors (SRPNs) accounting for some of the increases in immunity gene numbers [
165].
Following ingestion with the blood meal, the pathogens enter the midgut where they face numerous host-derived factors which may inhibit/kill the invaders or else assist in their development. The epithelial cells of the midgut, however, are protected by a chitinous/glycoprotein peritrophic membrane, although in An. gambiae, FREP1 anchors Plasmodium to the peritrophic matrix and assists parasite penetration of this structure [
166]
. Regarding arboviruses, commensal bacteria may assist the infection process into the mosquito midgut [
167], while disrupting the formation of the peritrophic membrane by RNAi of chitin synthase expression has no effect on B. pahangi development or on the spread of dengue virus [
168].
Once in the midgut, many factors are involved in the survival or elimination of the parasite including:-
- i.
upregulation of immune effector genes to antimicrobial peptides (AMPs) via signalling pathways
- ii.
the vector PpO system, melanisation and serine proteases
- iii.
cytotoxic/stimulatory lectin molecules
- iv.
nitric oxide and ROS killing of parasites
- v.
specific peptides stimulating parasite differentiation
- vi.
glycoprotein receptors on the surface of the midgut for parasite attachment
- vii.
role of bacterial symbionts
Recognition by the PRRs of the PAMPs of invading parasites and pathogens occurs shortly after entry of the blood meal into the gut and other tissues of vectors, and results in the systemic upregulation of genes and immune effector molecules [
24]. These are produced by triggering of the three signalling pathways, Toll, Imd and JAK-STAT and
details of these are given in section 6 on Recognition, below, and in other papers in this special issue.
i. Important groups of effector molecules are
the antimicrobial peptides against bacteria, fungi,
Plasmodium, viruses and nematodes [
24,
126,
151]. Four important
AMPs in mosquitoes are defensins, cecropins, attacins and gambicins (
Table 3). An example of the AMPs role against invaders is provided by RNAi silencing in
Ae. aegypti of the Toll factor, Cactus, resulting in enhanced expression of the defensin gene and helping to control/neutralize dengue virus. Some
bacterial species in the gut can also promote the expression of AMPs as with
Serratia. marcescens in
An. stephensi against
Plasmodium berghei [
169]. In mosquitoes, it is not clear which pathway induces which AMP but some are modulated by both Toll and Imd and this may indicate that these two signalling pathways partially converge downstream in response to infection with different pathogens [
19]. The role mosquito AMPs play against bacteria, fungi,
Plasmodium and viruses is recorded but interaction with nematodes is not fully understood, although previously primed
Ae. aegypti exposed to
B. malayi, significantly reduces infection intensity [
172].
Ii/iii. The
vector PpO, melanisation, serine proteases and C-type lectins (CTLs), are all involved in the mosquito immune defences to pathogens
(Table 3). Melanisation of nematode microfilariae and
Plasmodium ookinetes are described above in
section 4. 2. 3. Nodules and Capsules and the mosquito haemocytes have been shown to be significantly involved eg. [
102]. There are, however, reports of melanisation of nematode larvae in the midgut before entry into the haemolymph [
173], and other confirmations that the interaction of this key defence process with pathogens is not fully understood in mosquitoes [
174]. For example, in
Ae. aegypti, the filarial nematode,
B. malayi, has recently been shown to produce extracellular vesicles that downregulate the AAEL002590 gene encoding a serine protease involved in mosquito PO activity [
152]. In addition, activation of the
An. gambiae melanisation response is mediated by complex extracellular hierarchical cascades involving
CLIP-domain serine proteases (CLIP-SPs), namely, SPCLIP1, CLIPA8, and CLIPA28 upstream of CLIPC9 [
174]. To further emphasise the complexity of melanisation,
C-type lectins (CTLs) in the genomes of
Ae. aegypti,
An. gambiae and
C. quinquefasdatus have 52, 55 and 25 CTLs predicted, respectively [
175], and have also previously been shown to be involved in PPO activation in other Insects [
176,
177]. In
An. gambiae too, CTLs play an important role in interactions with
Plasmodium falciparum parasites with CTL4 protecting the human parasite from a killing mechanism that is independent of the normal TEP1 mediated Imd pathway melanisation process [
177]. In contrast, defence against the rodent parasite,
P. berghei, involves TEP1 and the Imd pathway so that the mosquito immune system has different roles depending upon the pathogen [
177]. The literature, however, also shows that in
Anopheles coluzzii, the immune genes APL1C, LRIM1, TEP1, and TEP3 and the signalling pathways influence susceptibility to both fungal and
P. falciparum infections [
178].
Iv. In addition
, reactive oxygen (ROS) and nitric oxide (RNS) species are also involved in mosquito killing of pathogens [
122,
173]. The blood meal alone results in ROS/RNS production but when
Plasmodium passes through the midgut epithelium this is enhanced further [
6]. Strains of
An. gambiae resistant to bacteria also have higher levels of ROS and the application of antioxidants decreases mosquito survival [
179]. Furthermore,
P. berghei infection often produces high levels of mosquito killing which can be reduced by the oral application of the antioxidant uric acid [
179]. It has been proposed that toxic quinones generated during melanotic encapsulation also generate high levels of ROS to kill parasites [
180] and that in the mosquito midgut epithelium responses to
Plasmodium are modulated by ROS from mitochondria [
181]. Regarding RNS activity, a nitric oxide synthase (NOS) gene is transcriptionally activated in
An. gambiae by both bacteria and
Plasmodium parasites and is particularly active in the midgut wall where the synthesis of nitric oxide (NO) occurs by inducible NOS (AsNOS) [
182,
183]. Furthermore, mosquitoes fed with the NOS substrate, L-arginine, have reduced infection rates of 28 %, while the NOS inhibitor, L-NAME, increases significantly oocyst numbers in the midgut wall [
183]. More recent research has revealed the role of RNS in the mosquito defences against invading
Plasmodium parasites. The invasion of
An. gambiae (G3) midgut epithelial cells by ookinetes causes a wounding response resulting in apoptosis and also induction of NOS, heme peroxidase (HPX2) and NADPH oxidase 5 (NOX5) enzymes in these cells. The NO produced is toxic and results in protein nitration of the midgut basal lamina which attracts haemocytes. Upon contact with the midgut nitrated surface these release haemocyte-derived microvesicles (HdMv) which activate the mosquito (TEP1) complement system to lyse the parasites [
184,
185].
v/vi. There have been many reports
of parasite proteins required for
Plasmodium development and invasion of mosquitoes but fewer on the role of
mosquito midgut proteins assisting parasite invasion [
186]. Such proteins include
Anopheles alanyl aminopeptidase N (AnAPN1), fibrinogen-related protein1(FREP1), and AgPfs47Rec (
An. gambiae Plasmodium falciparum P47 receptor). AnAPN1 is a midgut lumen surface glycoprotein functioning to digest the blood meal and binding to ookinetes to facilitate their entry into midgut cells for continuation of sporogenesis [
186,
187]. FREP1, as mentioned previously, anchors
Plasmodium to the peritrophic matrix and assists parasite penetration of this structure [
166]
. AgPfs47Rec is an
Anopheles, midgut receptor for
P. falciparum protein Pfs47. This interaction mediates the parasite avoidance of mosquito immunity by disruption of the JNK (c-Jun-N-terminal kinase) signalling pathway leading to inhibition of the midgut nitration process and the TEP1 complement system [
186,
188].
vii. Research on the mosquito microbiome is most important since it has been shown that the component microbes have roles in the physiology, nutrition, metabolism, immunity, reproduction, longevity and behaviour of these vector insects eg. [
26,
189]. The microbiome also modulates the interaction of the vector with invading parasites and pathogens [
18,
26,
189]. The reviews by Gabrieli et al. and Vinayagam et al. [
18,
29] describe the trilogy of interactions between the mosquito gut microbiome, the vector immune system and invading pathogens. The blood meal in female mosquito triggers the proliferation of the midgut microbiota whose cell wall peptidoglycan is recognised by the peptidoglycan recognition protein LC (PGRP-LC) in the anterior midgut, resulting in activation of the Imd pathway [
18,
29]. The activated Imd pathway eventually induces the expression of antimicrobial peptides (AMPs) via the NF-κB transcription factor Relish. This priming of mosquito immunity by the gut bacteria to express AMPs explains one way by which the microbiome defends against invading parasites and pathogens. For example,
S. marcescens in
An. stephensi defends against
P. berghei [
169] and
Proteus sp. in
Ae. aegypti protects against dengue [
190].
Much work has concentrated on the bacteriomes of
Aedes spp. and
Anopheles although the mosquito microbiomes also contain fungi, viruses, archaea and protozoans [
26,
191,
192]. The bacteriomes of these mosquitoes are composed mainly of Gram-negative species. In anophelines as many as 98 genera have been recorded [
193], although few taxa, the core microbiota usually dominate [
26,
194]. The origin of the microbiome seems partially to depend on the ecology as different mosquito species from comparable environments have similar core bacteria [
195]. The fact that these bacteria can reduce
Plasmodium infections has stimulated interest in developing paratransgenesis (genetic manipulation of the insect vector´s native microbiome to inhibit or kill invading disease pathogens) to control mosquito-transmitted diseases, such as malaria, and maybe mosquitoes too. The main bacteria of interest include
Asaia, Pantoea, Escherichia, Serratia, Enterobacter, Chromobacterium and
Pseudomonas [
26]. For example,
Asaia strains inhibit
Plasmodium development by producing toxic proteins [
196], reduce parasite numbers by activating
Anopheles immunity after infective feeding [
197], and also inhibit competing
Wolbachia infections [
198]. Wang and Jacobs-Lorena [
199] recognised four classes of anti-
Plasmodium effector molecules: (i) parasite killers; (ii) those engaging with parasites; (iii) those engaging with epithelia of the mosquito midgut or salivary glands; and (iv) modulators of the mosquito immune system. These effector molecules with different modes of action, can potentially be engineered in combination into symbiotic bacteria, such as
Pantoea agglomerans, to kill parasites and prevent the development of resistance [
199].
There are more than 2,200 species of blackflies of which the largest genus,
Simulium, has at least 26 species that are vectors of
Onchocerca volvulus [
200]. Many recent papers on this important group are concerned with “Prevention, Control and Elimination” [
43,
44] together with taxonomy, infection rates and composition of the saliva eg. [
201,
202]. Unfortuneately, since the pioneering research of Ham, Hagen et al. in the 1990s and early 2000s [
203,
204], there have been few papers on the details of the interaction of the blackfly immune system in the midgut and haemolymph with the microfilariae following parasitisation by
O. volvulus. Therefore, vaccine development against
O. volvulus has concentrated on antigens associated with the parasites rather than on elements of the vector immune response [
43].
The usual comment about the life cycle of the microfilariae in the blackfly vector is that following an infected blood meal the parasites “develop further in the black fly and are then transmitted to the next human host” eg. [
44]. In fact, Ham et al. [
203] described 4 types of molecules modulated by ingested microfilariae in black flies, namely, antimicrobial peptides (AMPs), proteases, phenoloxidases (PO) and haemolymph lectins. The AMPs included attacin-like molecules (23 kDa), lysozyme (14 kDa), cecropins and defensins (4-8 kDa). Antibodies raised against some of these peptides inhibited immune killing of
Onchocerca sp. microfilariae in
Simulium haemolymph [
205]. The proteases were both serine and cysteine proteases, and it was postulated that some of these are infection-specific in response to both bacteria and microfilariae, and may have been involved in PPO activation [
203]. Levels of PO in microfilariae-infected black flies were reduced compared with controls possibly due to binding to the parasites and internal vector tissues. The haemolymph lectins recorded by Ham et al. [
203] were hypothesised to be involved with PO/PPO in the recognition of non-self resulting in signal transduction to the nucleus and the induction of genes [
203]. More recently, a defensin and a cecropin were identified and characterised from the salivary glands of
Simulium bannaense [
202]
. The defensin,
SibaDef, had high antimicrobial properties against Gram-positive bacteria while the cecropin,
SibaCec, possessed potent activity against Gram-negative bacteria.
SibaCec also had low cytotoxicity towards mammalian cells, neutralised LPS and exhibited strong anti-inflammatory activity [
202]. Finally, progress has been made in identifying the composition of the bacteriome of black flies. The phylum Proteobacteria predominates in the black fly core bacteriome with
Wolbachia the most dominant genus [
206]. Importantly, the infection status of the blackflies had a significant association with the abundance of certain bacterial genera such as
Serratia [
206]. With further research, these bacteria have potential for the development of innovative control techniques including paratransgenesis.
Approximately, 500 species of sandflies (phlebotomine) have been described with more than 90 transmitting leishmaniasis. Species and subspecies of
Phlebotomus in the Old World and
Lutzomyia in the New World are the main vectors of human leishmaniasis [
207]. There are numerous papers on various aspects of sandfly biology with some consideration of the role of the vector immune response as a determinant of infection by
Leishmania parasites. Examples of relevant publications on sandfly innate immunity include Dillon et al. [
208], Boulanger et al. [
209], Telleria et al. [
8], Coutinho-Abreu et al. [
210], Kykalová et al. [
211], Omondi et al. [
212] and Campolina et al. [
213]. Dillon et al. [
208] undertook an analysis of expressed sequence tags (ESTs) derived from a whole-body cDNA library from
Lutzomyia longipalpis sandflies, some of which were infected with
Leishmania infantum, and revealed putative proteins involved in the barrier function of the vector gut, digestive physiology, and the immune response. The immune factors identified included Gram-negative binding proteins, galectins, thioester proteins, scavenger receptors, signalling pathway factors, serpins, caspases, and peroxidases. The detection of these proteins indicated the presence of an active innate immune system in sandflies capable of interacting with invading parasites/pathogens like
Leishmania. Evidence for this has also been provided by transcriptomic studies of changes in immune gene expression following infection with
Leishmania. The genes affected included members of the Toll, Imdand JNK pathways and the antioxidants, catalase, glutathione s-transferase, superoxide dismutase and peroxiredoxin, controlling ROS levels [reviewed in
8]. The upregulation of the Dorsal and Relish genes, that are positive modulators of the Toll and Imd pathways, respectively, also occurred following
Leishmania challenge and led to the expression of the AMPs attacin, cecropin and defensin 2 increases at different time points in the sand fly LL5 cell line [
127]. In contrast,
Leishmania infected
L. longipalpis show no significant changes in ROS gut levels compared with controls. Since reductions in numbers of
Leishmania in the sand fly gut occur following silencing of the sand fly antioxidant, catalase, this may indicate manipulation of vector antioxidative elements by the parasite [
127].
The above implies the involvement of components of the sandfly innate immune response following
Leishmania infections. Consideration, however, of the published work leads to some contradictions in observations recorded since minimal responses to the presence of
Leishmania in the sandfly gut have also been published [
210]. Similar inconsistences have also been noted in research on mosquito immunity in which the vector insects or parasites used were derived from different vector or parasite populations or used in alternative combinations. In addition, variations in insect physiological states or parasite developmental stages and the use of alternative sampling and analysis techniques can all affect the results [
26].
Leishmania, in contrast to
Plasmodium in mosquitoes, is confined to the gut of sandflies where it undergoes several developmental changes. The amastigotes in the blood meal develop into to weakly motile procyclic promastigotes in the peritrophic membrane, then to strongly motile long nectomonad promastigotes in the midgut lumen that transform into short nectomonad promastigotes, also called leptomonads, which eventually form the infective metacyclic stage which are regurgitated and transmitted during blood feeding [
214]. All these various forms probably present unique molecular surface challenges to the sandfly immune system and result in variations in the vector response [
8]. This emphasises the complexity of the sandfly-parasite association which is made even more complex by differences in the microbiomes of the vectors.
Studies of sandfly microbiomes have identified Gram-negative members belonging to the phylum Proteobacteria as dominant with the Gram-positive phyla Firmicutes and Actinobacteria also present. The Proteobacteria include
Serratia and
Enterobacter in the family Enterobacteriales and
Pseudomonas as core taxa eg. [
8,
26,
215]. The role of the bacteriome in priming mosquito immunity and reducing
Plasmodium infections has been described above
(see section 5. 1. Mosquitoes), and similar reports exist for sandflies. For example, the effects of
in vitro and
in vivo co-cultivation for 24 h of each of 13 native bacteria isolated from
L. longipalpis, at different developmental stages and physiological conditions, with promastigotes of
Leishmania infantum chagasi, Leishmania major,
Leishmania amazonensis, and
Leishmania braziliensis were analysed. After co-cultivation, a reduction in growth was recorded with all parasite species [
213]. In contrast, again with
L. longipalpis, but infected with
L. Infantum, antibiotic-mediated perturbation of the midgut microbiome rendered sandflies unable to support parasite growth and metacyclogenesis. This suggests that an intact sand fly midgut microbiome is necessary for
Leishmania development to its infective stage [
216].
The reasons for such variations in experimental results has been discussed in detail in other papers eg. [
8,
26,
213], and confirms the complexity of the sand fly-
Leishmania relationship. This complexity emphasises the need for further studies, for example, of the sandfly haemocytes
(see section 4.1. Hemocyte Types), of the parasite evasion processes eg. [
8,
210,
213,
218], of the potential for development of paratransgenesis [
26] and vaccines [
23,
219], and of the role of the vector microbiome co-egested with the parasites during sandfly feeding on the establishment of
Leishmania in the mammalian host [
23,
218].
The reasons for such variations in experimental results has been discussed in detail in other papers eg. [
8,
26,
213], and confirms the complexity of the sand fly-
Leishmania relationship. This complexity emphasises the need for further studies, for example, of the sandfly haemocytes
(see section 4.1. Hemocyte Types), of the parasite evasion processes eg. [
8,
210,
213,
218], of the potential for development of paratransgenesis [
26] and vaccines [
23,
219], and of the role of the vector microbiome co-egested with the parasites during sandfly feeding on the establishment of
Leishmania in the mammalian host [
23,
218].
Tsetse flies (
Glossina spp) are viviparous and include 30–33 species and subspecies and usually divided into the Morsitans, Palpalis and Fusca groups which are particularly important medically and economically due to transmission of African trypanosomes in humans and animals [
220]. An excellent review and original papers on tsetse fly innate immunity are provided by Matetovici et al. [
12], while Weiss et al. [
132] emphasize the importance of tsetse cellular immunity, as described above
(see section 4. 2. 2. Phagocytosis).
The
Glossina genome was published in 2014 and is almost twice the size of the
Drosophila genome containing
ca. 12,308 protein-encoding genes [
221]. The competence of the tsetse flies as vectors is determined by many factors such as nutrition, age, sex and symbionts [
220,
221].
Glossina has a reduced component of some humoral immunity related genes, for example, some AMPs, lysozyme, C-type lectins, peptidoglycan recognition proteins (PGRPs), glucan binding proteins, serine proteases and serpins, while other immune genes are expanded such as those encoding for the AMPs, attacin A and attacin B, and for the thioester-containing protein family (TEPs) [
12,
221,
222]
. In addition, tsetse EP protein, reactive intermediates of oxygen and nitrogen species (ROS, RNS), coagulation, melanisation, phagocytosis and the peritrophic membrane all contribute to the tsetse defence response [
12,
132]. The AMPs include the attacins A and B as well as cecropins A1, A2, B and C that are induced through the Toll and Imd pathways [
12,
222].
Particularly significant is the role of the symbiont,
Wigglesworthia, in the development of the immune system in the tsetse larvae in order for the immune system to function normally in adult flies. In a basic simplification of the research by Weiss et al. [
132,
223], pregnant female tsetse were fed a diet containing tetracycline. The antibiotic removes all symbionts from the flies,
resulting iñ aposymbiotic adult
Glossina morsitans morsitans [
GmmApo]), with a severely compromised immune system without phagocytic haemocytes and with abnormal expression of immunity-related genes. Subsequently, these flies rapidly succumbed to infection with normally non-pathogenic
Escherichia coli. Furthermore, the process of immune system development can be restored in intrauterine
GmmApo larvae when their mothers receive a diet supplemented with
Wigglesworthia cell extracts. Therefore, molecular components of
Wigglesworthia have immunostimulatory activity within tsetse, and this represents a novel evolutionary adaptation that links an obligate symbiont with its host [
132,
223]. Wigglesworthia also enhances, in the gut of intrauterine tsetse larvae, an odorant binding protein 6 that stimulates the hematopoietic RUNX transcription factor, lozenge, causing larval haemocyte precursors to develop into functional crystal cells and initiate the melanisation cascade, via prophenoloxidase release [
224], and haemolymph clotting. In Wigglesworthia-free tsetse flies cuticular wounds also fail to clot [
223]
.
The above is a basic description of tsetse fly innate immunity since many other aspects of this process have been hardly mentioned. For example, the role of the PGRPs in tsetse immunity is important with the
Glossina genome containing six PGRPs genes, four in the long (pgrp-la, -lb, -lc, -ld) and two in the short (pgrp-sa, -sb) subfamilies [
221]. Of these, RNAi silencing of PGRP-LC in
G. morsitans suppresses the Imd pathway resulting in a strong inhibition of attacin expression and an enhancement of midgut trypanosome infections [
12,
225]. Tsetse PGRP-LB, however, functions to degrade peptidoglycan from microbes, preventing an overactive immune response and avoids damage to the essential Wigglesworthia symbionts in the tsetse bacteriome [
12,
225]. PGRP-LB, together with the other AMPs, has strong trypanocidal activity against procyclic and bloodstream trypanosomes [
226]. In addition, the peritrophic matrix forms the first barrier to the parasites and determines the immunologically detection of the invader. In summary, this immune detection together with the Imd-pathway associated PGRP-LB, the AMP attacin, and the cellular immune system are key components of the tsetse fly / trypanosome interaction that leads either to parasite establishment or elimination from the midgut [
12,
132].
There are about 4,000 species of lice but only 3 species infest humans, namely, the body louse,
Pediculus humanus (=
P. humanus humanus), the head louse,
Pediculus capitis, and the pubic or crab louse,
Pthirus pubis [
56]. The body lice and head lice are closely related and may belong to the same species. The human body louse,
P. humanus, vectors
Rickettsia prowazekii, causing epidemic typhus, as well as
Borrelia recurrentis, causing epidemic relapsing fever, and
Bartonella quintana, the causative agent of trench fever [
56]. Body lice may also be the vectors of plague caused by
Yersinia pestis [
227]. It is generally regarded that body lice act as vectors of these diseases and not the head lice although there is increasing evidence that head lice may be vectors too [
227].
Lice are ectoparasites with infections often spread from the faeces or from crushed insect bodies, with blood meals taken several times per day by members of the suborder Anoplura [
56]. The genome sequence of the body louse and a symbiont were published in 2010 [
228] and showed that the body louse has the smallest genome of any hemimetabolous insect reported up to 2019 [
229]. Comparisons have been made between the immune systems of body and head lice to identify any differences resulting in the primary vector role of the former and not of the latter [
115,
129]. For example, following bacterial challenge with
Bartonella quintana, several genes in the body lice are downregulated compared with head lice and the bacteria multiply at a higher rate in the body lice too [
230]. A transcriptional analysis of the basal immune response of the guts of body lice and head lice, showed that the transcript levels of important immune genes, such as the peptidoglycan recognition protein and defensins, were reduced in body lice while the defensin 1 transcription following
B. quintana oral infection was only up-regulated in head lice [
230]. Furthermore, the level of ROS produced by epithelial cells was significantly lower in body lice [
230]. These results seem to indicate that the higher vector capacity of the body lice may be related to the reduced expression of certain key immune genes [
129,
229,
230]. Immune genes associated with the Toll pathway have been identified in lice including those for the AMPs, Scavenger receptor A, Fibrinogen-like Protein, and Spaetzle. Lice also lack an Imd gene but retain some other Imd pathway genes [
115] and can still respond to Gram-negative bacteria like
E. coli [
129}. Regarding symbiotic bacteria, both body and head lice have an endosymbiont,
Candidatus Riesia
pediculicola, in special enlarged midgut cells called mycetocytes forming the mycetoma and producing certain B vitamins not present in the blood meal [
231].
There are
ca. 2574 species of fleas with 16 families and 238 genera, but only a minority is synanthropic ie. live intimately with humans [
232]. Common synanthropic species are
Pulex irritans (human flea),
Ctenocephalides felis (cat flea), and
Xenopsylla cheopis (rat flea). Diseases vectored by fleas include plague, caused by
Yersinia pestis, murine typhus (endemic typhus,
Rickettsia typhi), rural epidemic typhus (
Rickettsia prowazekii) in the USA, spotted fever agent
Rickettsia felis, and
Bartonella spp, including
Bartonella henselae, the agent of cat-scratch disease.
P. irritans is an inefficient vector of plague bacteria,
Y. pestis, compared with the rodent flea,
X. cheopis. Furthermore, fleas also carry the helminths,
Dipylidium caninum and
Hymenolepis diminuta that, respectively, are parasites of carnivores and rats. Finally, tungiasis in the tropics is a human disease linked to the parasitism of humans by fleas [
233].
Often, pathogen transmission by fleas occurs orally through regurgitation of blood meals or from contaminated faeces [
233]. The outcome of infection of fleas by bacterial pathogens also varies according to both the species of the flea and of the infecting bacteria [
234]. Thus,
Y. pestis is usually confined to the gut of different flea species while rickettsial pathogens, such as
R. felis, may penetrate the midgut epithelium to migrate rapidly through the haemocoel to the salivary glands [
235]. Therefore, any description of the immune response of fleas to bacterial invasion needs to consider events occurring in the midgut, haemolymph and salivary glands. This process may be complicated in
C. felis, and probably
X. cheopis, by the widespread gene duplication in the genome with genome sizes ranging from 433-551 Mb for individual fleas in different populations [
236]. Therefore, every cat flea has a unique genome sequence with gene duplication a source of genetic innovation creating problems in gene-targeting pest control measures and complicating comparative transcriptomics analysis [
236].
In the flea midgut following an infected blood meal, the bacteria need to avoid being excreted and so they form biofilm aggregates or bind to the gut by receptor/ligand interaction [
9]. For example, in
X. cheopis, Y. pestis forms a biofilm which blocks the proventricular valve causing regurgitation of the flea gut contents and pathogen transmission into the wound [
237, 238}. Studies on the gut transcriptome of
X. cheopis showed that the initial immune response to
Y. pestis infection was the upregulation of AMPs. Coincidentally, Relish, an NF-κB-like transcription factor controlling gene expression in the Imd pathway, was also upregulated in infected fleas. In addition. the peptidoglycan recognition proteins (PGRP-LC and PGRP-LB), which are also activators and regulators of the Imd pathway, were upregulated too. The AMPs detected included two attacins and a coleoptericin-like peptide, [
237]
. Gene expression of antibacterial ROS, however, was limited, so that that
Y. pestis fails induction of a strong initial ROS response in
X. cheopis [
237]. However, previously, ROS have been described in response to
Y. pestis infection in the gut of
X. cheopis [
130,
237] and this illustrates either the variable nature of flea immunity and/or differences in the experimental protocols used. Cactus, the negative regulator of Toll, was upregulated by infected and sterile blood meals, so the Toll pathway probably does not participate in the flea immune response to
Y. pestis [
237]. Other transcripts modulated in the midgut by infection and /or a blood meal include serine proteases in
C. felis midguts infected by
R. typhi [
239], while serpins and PPO activators have also been detected [
9].
Regarding the invasion of the flea haemocoel, salivary glands and other tissues by rickettsial pathogens, such as
R. felis and R. typhi, these organs have also been shown to have active immune responses to bacteria [
111,
235,
240]. For example, utilising model bacteria injected into the haemolymph of the cat flea.
C. felis, Muñoz et al. [
111] found that the haemolymph had enhanced antibacterial activity and increased numbers of haemocytes so that additional studies with pathogens were justified. Likewise with studies on
C. felis injected with
R. felis and using PCR showed that defensin-2, glycine-rich AMPs and several flea antigens were modulated by rickettsial infection [
235]. Finally, apart from the bacterial pathogens vectored, fleas are also known to have other bacteria in their microbiomes, but information is limited except that a diverse range of
Wolbachia strains have been reported of unknown interactions with flea immunity and vector competence [
241].
There are
ca. 150 species of triatomine bugs [
242,
243] distributed mainly in South and Central America and southern USA. Most triatomine species are capable of vectoring the haemoflagellate protozoan parasite,
Trypanosoma cruzi. In contrast, the metacyclic form of the closely related species,
Trypanosoma rangeli, is reported to be mainly confined to
Rhodnius species [
244].
T. cruzi infection occurs after a blood meal from the human host by the triatomine vector results in transmission of
Chagas disease, an often fatal condition of the heart and gut [
242]. The
T. cruzi development is confined within the gut, from stomach to
rectum, while
T. rangeli invades the
haemocoel and haemocytes before colonising the vector
salivary glands [
245]. For
T. cruzi,
Rhodnius,
Triatoma, and
Panstrongylus species are epidemiologically most important in Latin America, as they colonize peridomestic and domestic areas close to humans and their animals [
243,
246].
There are considerable advantages of using triatomines for research into the immune reactions of insect vectors to their parasites and pathogens. First, the large size of many triatomines means that tissue samples, such as haemolymph, are easily obtained. For example, the most commonly researched triatomine,
Rhodnius prolixus, grows up to 34 mm in length which is
ca. 10 times the size of sandflies and fleas, and at least 5-7 times that of lice, blackflies and mosquitoes (personal observations). Secondly,
R. prolixus is relatively easily cultured, and there is already much information on its physiology gleaned from decades of research by entomologists of this vector as a model insect [
247].
In this Special Issue,
Schaub et al. present a detailed overview of “Triatomine innate immunity against parasites” so that only a basic description of triatomine humoral immunity is given here. Emphasis will therefore be made of some of the more recent research since the publication of the
R. prolixus genome in 2015 [
248]. In addition, many details of research progress in understanding triatome immune responses following infection are also given in a number of the most up to date reviews [
21,
24,
27,
135,
137,
138,
243,
249,
250,
251,
252,
253].
The humoral immune defences of triatomines have a number of factors/processes produced by the haemocytes, fat body, gut and other tissues, including antimicrobial peptides (AMPs), reactive oxygen species (ROS) and nitric oxide (NO), prophenoloxidase (PPO), melanisation, lysins, lectins and enzymes. All of these come together to combat would-be invaders, denying infection so that only a minority of vectors usually succumb to transmit disease.
Regarding the AMPs, an arsenal of these has been detected in triatomines including defensins A, B and C, lysozymes A and B, prolixicin, attacin, diptericin and trialysin [
137]. The PRGPs recognise the PAMPs on the surface of the invaders and the Toll, Imd and JAK/STAT pathways are activated to induce the expression of the AMPs. Previously, there was some doubt about whether the Imd pathway in
Rhodnius was fully functional, but using knockdown experiments of one of the PGRP genes reduced AMP expression induced by Gram- bacteria and confirmed the role of the Imd pathway in AMP expression [
119]. There has also been interesting research on
Triatoma pallidipennis in which the Toll and Imd pathways were silenced separately or together and then insects challenged with bacteria. This resulted in insect survival rates of
ca. 62 – 73 % when silencing occurred separately, but this fell to ca. 36% for
Escherichia coli and 41% for
Micrococcus luteus) after silencing both pathways This indicated that the Imd and Toll pathways participate jointly to eliminate Gram+ and Gram- bacteria [
139]. Challenging with T.
cruzi or
T. rangeli and monitoring parasite numbers might have yielded interesting results regarding the participation of the Imd and Toll pathways in immune reactions towards parasites.
Using quantitative proteomics for the analysis of the
R. prolixus haemolymph from 6 to 24 hr following
T. cruzi infection also identified novel proteins with possible roles in immune reactivity to parasites [
24]. These included an immunoglobulin I-set domain containing protein (T1HCN4) for the first time in triatomines and of unknown function but which like hemolin might be involved in inhibition of haemocyte aggregation [
24]. Another protein identified was a C1q-like protein which was strongly induced by
T. cruzi infection compared with uninfected blood alone and may also be involved in the vector immune response to parasitisation [
24].
A complex of interacting factors from the
R. prolixus vector as well as from the invading trypanosomes determine the outcome of infection and the subsequent survival or killing of the parasites [
135,
136,
137,
138]. One key factor that seems to be involved in the invasion and survival of
T. cruzi in
R. prolixus, and other vector insects, is nitric oxide (NO), with reactive nitrogen species (RNS) resulting from activation of nitric oxide synthase (NOS) to yield NO. It has been shown that NOS gene activity and NO production are specifically modulated in
R. prolixus according to the nature of the invading organism so that differential responses occur following infection with
T. cruzi and
T. rangeli [
254,
255,
256]. Results of Whitten et al. [
255] together those of Baptista et al. [
257] showed an augmentation of NOS gene expression by treatment with L-arginine, an activator of NO, and a reduction of NOS expression with L-NAME, an inhibitor of NOS. These modulations coincided not only with different levels of parasites in the gut but also with changes in levels of phenoloxidase, superoxide anion and antimicrobial activity but also with reductions in intestinal microbes. Such reductions in numbers of bacteria following infection with
T. cruzi and
T. rangeli were confirmed in a recent metagenomic shotgun sequencing study of the gut microbiome of
R. prolixus [
252]. These studies confirm several aspects of the complexity of the triatomine immune response with no real explanation of the factors governing these changes. It is essential that the responses occur early on in the invasion of the vector insect by the parasites since the anterior gut is a hostile environment with the majority of parasites often failing to infect the host insect. It has previously been postulated that surface components of
T. rangeli directly or indirectly cause rapid modulation of the insect vector immune system after parasite invasion into the haemocoel [
258]. In addition,
T. cruzi has been reported to spontaneously secrete extracellular vesicles [
259]. Such vesicles have been shown in humans to play key roles in pathological and physiological functions [
260]. In protozoan parasites causing malaria and Chagas disease, there is also evidence that extracellular vesicles enhance growth and promote transmission, helping to avoid host immunity and to modulate the microenvironment [
260].
Potential factors modulating the complex immune interactions between the vector insect and trypanosome parasites are the prostaglandins (PGs) and other eicosanoids. These molecules have been shown to play important roles in insect innate immunity eg. [
142,
250,
261,
262,
263] but, with notable exceptions, seem to be have had less attention recently. This may be due to the fact that cyclooxygenase (COX) genes responsible for converting C20 PUFAs (polyunsaturated fatty acids) into PGs seem to be absent from published insect genomes [
262]. There is now confirmed evidence that eicosanoids mediate both cellular and humoral immunity in insects including much research in
R. prolixus and some in mosquitoes [
263,
264]. Significantly, eicosanoids have their effects early in the immune response and are involved in phagocytosis, nodule formation, clotting, haemocyte chemotaxis and aggregation, ROS formation, melanisation by PPO, mediation of AMP gene expression in both Toll and Imd pathways, interactions with the fat body, and Toll/Imd signalling to trigger NO to activate PLA
2 (phospholipase A
2) and synthesise eicosanoids [
142,
264]. The research by Barletta et al. [
263] with
An. gambiae mosquitoes invaded by
Plasmodium parasites is classic and beautifully designed and executed and confirms the role of the midgut production of prostaglandin E2 to attract haemocytes and induce long-term systemic cellular immune responses to infection by
Plasmodium parasites
(see also section 6.3.6 Immune Priming for more details). Finally, it is well known in vertebrates that eicosanoids effect the expression of iNOS and NO production [
265] so much can also be gained by reading this literature.