Abstract
During the process of blood feeding insect vectors are exposed to an array of vertebrate-derived blood factors ranging from byproducts of blood meal digestion to naturally occurring products in the blood including growth hormones, cytokines and factors derived from blood-borne pathogens themselves. In this review, we examine the ability of these ingested vertebrate blood factors to alter the innate pathogen defenses of insect vectors. The ability of these factors to modify the immune responses of insect vectors offers new intriguing targets for blocking or reducing transmission of human disease-causing pathogens.
Keywords: mosquito, sand fly, tsetse fly, Reduviidae, Plasmodium, Leishmania, insulin, insulin-like growth factor 1 (IGF1), transforming growth factor-beta (TGF-β), complement, chitinase
Introduction
Insect vectors of human disease-causing pathogens are exposed to a unique range of vertebrate blood factors that can persist through the process of blood digestion and directly impact their immune system. This review provides a summary of the various effects of vertebrate-derived blood factors on insect immune responses. Blood feeding behavior has evolved independently several times during insect evolution and, as a result, the feeding stage and rate and frequency of feeding vary greatly among hematophagous insect vector species. This review will focus on the best-studied of these insects: mosquitoes, sand flies, and kissing bugs. Only female adult mosquito and sand fly species feed on blood while non-holometabolous kissing bugs require blood at every life stage. For most hematophagous insects a blood meal is necessary for the successful completion of a reproductive or gonotrophic cycle; however, there are species that are capable of autogenous reproduction.
Hemoglobin
A hematophagous insect can ingest up to 10 times its body weight in vertebrate blood, which is primarily composed of hemoglobin (Hb) [1••]. The degradation of Hb during the digestive process releases heme and can yield antimicrobial peptides that are bioactive in both humans and insects [2]. These Hb-derived peptides are an important part of both vertebrate and insect innate immune responses and adversely affect the growth of parasites, fungi, and bacteria. The presence of these antimicrobial peptides in the midguts of hematophagous insects can inhibit the growth of invading organisms. For example, Hb peptides with activity against Trypanosoma cruzi (the causative agent of Chagas disease) have been isolated from the midguts of the kissing bugs Triatoma infestans [3] and Rhodnius prolixus [4]. The fact that these antimicrobial Hb peptides exists in both humans and insects [5], implies that this physiology is both ancient and highly conserved. The release of heme during Hb digestion can also catalyze the synthesis of reactive oxygen species (ROS), which can directly lyse blood stages of Trypanosoma and Plasmodium (the causative agent of malaria) parasites [6, 7]. In mosquitoes, blood digestion generates elevated levels of ROS that are further enhanced in the presence of malaria parasites [8•]. In response to these damaging levels of ROS, hematophagous insects have evolved an array of heme-inactivating mechanisms [1••]. However, these responses are not immediately saturating and ROS are likely to be present throughout the process of blood digestion.
In addition, low concentrations of ROS can regulate the innate immune responses of a variety of organisms. For example, in mosquitoes the control of dengue virus in Wolbachia-infected Aedes aegypti is mediated by ROS-dependent activation of the Toll pathway [9]. In contrast, ROS induced by the insulin/insulin-like growth factor signaling (IIS) pathway in Anopheles stephensi favors malaria parasite development [10]. Given the conserved nature of ROS physiology, other insect vectors are likely have these signaling responses as well.
Pathogen-derived factors
Pathogen-derived factors present in the vertebrate blood meal also have the potential to alter mammalian and insect biology. Examples of such pathogen-derived factors are the glycosylphosphatidylinositols (GPIs) and GPI-anchored proteins. Plasmodium, Leishmania (the causative agent of leishmaniasis), and Trypansoma GPIs anchor proteins to parasite cell surfaces and are also secreted [11••]. The GPIs of all three parasite genera can modulate the production of pro-inflammatory cytokines in infected mammals [11••]. In addition, parasite-derived GPIs can modulate the innate immune responses of insect vectors. For example, Plasmodium falciparum GPIs can induce anti-microbial peptide secretion [12•] and NOS expression [13] in Anopheles mosquitoes. The GPI-anchored cell surface lipophosphoglycans (LPGs) of Leishmania [14•] and Trypansoma [15] parasites are critical for their survival and infectivity in their respective insect vectors.
Complement
An important component of the vertebrate innate immune response is the complement cascade which recognizes and induces the targeted lysis of invading organisms. Elements of both the classical and alternative complement cascades of humans can persist and alter pathogen development in insect hosts [16–18]. In mosquitoes, human complement can reduce malaria parasite development by either binding directly to zygotes and inhibiting their development into ookinetes [17] or by killing the parasites through complement-mediated lysis [18]. To evade complement-mediated killing in the mammalian host, malaria gametocytes have evolved the ability to bind complement regulator factor H. Factor H is a regulatory protein found in circulation that normally protects vertebrate host cells from complement activation and is therefore likely to present in a blood meal as well [19•].
Chitinase
Most blood feeding insects synthesize a peritrophic matrix (PM) composed of proteins and chitin around an ingested blood meal to protect their gut [20]. To establish an infection, and avoid digestion and expulsion by the insect midgut, pathogens must traverse the physical barrier of the PM. Chitinases are highly conserved enzymes that facilitate the breakdown of the PM in insects. The human ortholog chitotriosidase (CHIT) can similarly catalyze the hydrolysis of chitin [21]. During P. falciparum infection, plasma CHIT activity is elevated in humans [22] and mosquitoes fed blood supplemented with human CHIT exhibited a reduction in PM thickness [23•]. Leishmaniasis can also increase CHIT levels in human blood [24], which could similarly alter the PM of sand flies upon ingestion to impact the transmission of Leishmania parasites.
Insulin and insulin-like growth factor-1
The IIS pathway is highly conserved and regulates a variety of physiological functions in insects including immunity [25••]. IIS protein orthologs can be found in a broad range of insect species including the true bug R. prolixus, tsetse flies, sand flies, mosquitoes, and the human body louse Pediculus humanus humanus [26–32]. In addition to conservation of IIS architecture, mammalian insulin and invertebrate insulin-like peptides (ILPs) share a conserved structure that facilitates the binding of mammalian insulin to insect ILP receptors [33]. Indeed, exogenous insulin from vertebrate blood activates IIS in mosquitoes [26, 27] and tsetse flies [34]. In anopheline mosquitoes, physiological levels of insulin (170 pM) can significantly increase P. falciparum oocyst development [26–28], and control of malaria parasite infection requires at least three IIS proteins (ERK [35], Akt/PKB [36••, 37], PTEN [38]). In humans, IIS modifies innate immune responses through the regulation of NF-κB transcription factors [39]. Insects also possess NF-κB transcription factors (reviewed in [40]) and in mosquitoes IIS inhibits NF-κB-dependent immune responses [30•].
Although human insulin and insulin-like growth factor-1 (IGF-1) are structurally similar, they vary considerably in their effects in both humans and blood feeding insects [32]. Unlike insulin, ingested human IGF-1 increases resistance of A. stephensi to P. falciparum through the induction of midgut mitochondrial ROS and nitric oxide (NO) [32, 41•]. In humans, IGF binding proteins (IGFBPs) regulate the bioavailability of IGF-1 and can also independently activate the IGF receptor [42]. In the fruit fly Drosophila melanogaster ILP-2 and ILP-5 signaling is regulated, in part, by interaction with IGFBP-like proteins [43]. IGFBP-like proteins have been described in Ae. aegypti [44] and in the moth species Spodoptera frugiperda [45], raising the possibility that insect vectors may also possess IGFBP-related proteins that could interact with ingested vertebrate growth factors to alter their downstream effects.
TGF-β1
Mammalian transforming growth factor (TGF)-β1 is a cytokine that is often present in peripheral blood during infection and is critical in regulating host immune responses [46]. In addition, TGF-β1 is also induced by infection with Trypanosoma and Leishmania, and these parasites may benefit directly from its subsequent downstream signaling effects [46]. Most mammalian cells produce TGF-β1 in its latent form and it is only after its activation that TGF-β1 exerts is cellular effects.
Mosquitoes ingest human TGF-β1 primarily in a latent form that is rapidly activated by factors such as heme and NO that are released during the digestion of a blood meal [47•]. Levels of circulating latent TGF-β1 in healthy, uninfected humans can reach 5 ng/ml, therefore mosquitoes ingest a biologically relevant level of TGF-β1 [48]. Orthologous proteins from the TGF-β signaling pathway have been identified in a diversity of blood feeding insects [49], raising the possibility that ingested human TGF-β1 activates endogenous TGF-β1 signaling pathways in other insect vectors as well. One of the most potent effects of TGF-β1 is the regulation of NO production, which is used by both mammals and mosquitoes to kill Plasmodium parasites [50]. In mosquitoes, low levels of human TGF-β1 (≤ 200 pg/ml) ingested in an infectious blood meal induce a moderate increase in nitric oxide synthase (NOS) activity that inhibits malaria parasite development. In contrast, high concentrations of TGF-β1 (2,000 pg/ml) do not alter malaria parasite development, but instead induce negative feedback to regulate NO synthesis [35]. The dose dependent effects of TGF-β1 signaling observed in mosquitoes are consistent with findings from mammalian biology that highlight the ability of TGF-β1 to regulate NOS activity on multiple levels [51].
Other cytokines
Both vertebrates and invertebrates use cytokines and cytokine-like factors to regulate immunity and wounding healing. To date, no mammalian cytokines have been identified that signal in insect vectors. However, the strong conservation of signaling pathways between insects and their vertebrate hosts suggests that mammalian cytokines capable of altering the physiology of insect vectors exist. For example, human interferon-γ (IFNγ) signals through the Janus kinase/signal transducers and activators of transcription (JAK/STAT) pathway. Binding of IFNγ by its membrane receptors leads to the activation of JAK, which phosphorylates the immune-regulatory transcription factor STAT1. JAK/STAT signaling is regulated in part by suppressor of cytokine signaling-1 (SOCS-1) [52]. Orthologs of STAT, JAK, and SOCS proteins exist in Anopheles, Aedes and Culex mosquitoes [53, 54] and activation of JAK/STAT signaling in A. gambiae can inhibit the development Plasmodium parasites [55]. In addition, a cytokine with homology to mammalian interferon has been identified in West Nile virus (WNV)-infected Culex quinquefasciatus cell lines [56•]. This secreted peptide, termed Vago, restricts WNV infection in mosquito cells through the activation of the JAK/STAT signaling pathway [56•]. The use of cytokines by insect vector species to regulate their innate immune responses and the presence of a clear signaling architecture suggests that exogenous human cytokines may signal in insect vectors as well.
Conclusions
In this review we highlighted a variety of vertebrate blood-derived factors that modify the innate immune responses of insect vectors. The conservation of these signaling pathways, and the breadth of cross-talk identified, suggest that other connections remain to be discovered between mammalian hosts and blood feeding insects. Although in this review we discussed blood-derived factors and their impact on insect immunity individually, a single blood meal will most likely contain a multitude of these factors concurrently. Therefore, considerable work is still required to understand how these signaling pathways network with one another to understand their ultimate downstream affects on insect immunity and pathogen transmission.
Highlights.
Ingested blood-derived factors can alter the immune response of insect vectors
Factors released by hemoglobin digestion can limit the growth of pathogens
Pathogen-derived factors can signal in the insect midgut to alter immunity
Human chitotriosidase can alter the peritrophic matrix of insects
Human insulin, IGF-1, and TGF-α1 signal in the insect midgut to alter immunity
Acknowledgements
We apologize to all our colleagues whose studies could not be covered because of space limitations. This work was supported by the National Institute of Health, National Institute of Allergy and Infectious Disease grants AI080799, AI073745, and AI078183.
Abbreviations
- CHIT
Chitotriosidase
- GPIs
glycosylphosphatidylinositols
- Hb
hemoglobin
- IIS
insulin/insulin-like growth factor signaling
- IGF-1
insulin-like growth factor-1
- IGFBPs
IGF binding proteins
- ILPs
insulin-like peptides
- IFNγ
interferon-γ
- JAK/STAT
Janus kinase/signal transducers and activators of transcription
- LPGs
lipophosphoglycans
- NO
nitric oxide
- NOS
nitric oxide synthase
- PM
peritrophic matrix
- ROS
reactive oxygen species
- SOCS-1
suppressor of cytokine signaling-1
- (TGF)-β1
transforming growth factor
- WNV
West Nile Virus
Footnotes
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