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Ivermectin metabolites reduce Anopheles survival

Abstract:
Ivermectin mass drug administration to humans or livestock is a potential vector control tool for malaria elimination. The mosquito-lethal effect of ivermectin in clinical trials exceeds that predicted from in vitro laboratory experiments, suggesting that ivermectin metabolites have mosquito-lethal effect. The three primary ivermectin metabolites in humans (i.e., M1 (3″-O-demethyl ivermectin), M3 (4-hydroxymethyl ivermectin), and M6 (3″-O-demethyl, 4-hydroxymethyl ivermectin) were obtained by chemical synthesis or bacterial modification/metabolism. Ivermectin and its metabolites were mixed in human blood at various concentrations, blood-fed to Anopheles dirus and Anopheles minimus mosquitoes, and mortality was observed daily for fourteen days. Ivermectin and metabolite concentrations were quantified by liquid chromatography linked with tandem mass spectrometry to confirm the concentrations in the blood matrix. Results revealed that neither the LC50 nor LC90 values differed between ivermectin and its major metabolites for An. dirus or An. minimus., Additionally, there was no substantial differences in the time to median mosquito mortality when comparing ivermectin and its metabolites, demonstrating an equal rate of mosquito killing between the compounds evaluated. These results demonstrate that ivermectin metabolites have a mosquito-lethal effect equal to the parent compound, contributing to Anopheles mortality after treatment of humans.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41598-023-34719-2

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDM
Role:
Author
ORCID:
0000-0002-4807-9681


More from this funder
Grant:
104926/Z/14/Z
220211/A/20/A
104926/Z/14/Z


Publisher:
Springer Nature
Journal:
Scientific Reports More from this journal
Volume:
13
Issue:
1
Article number:
8131
Place of publication:
England
Publication date:
2023-05-19
Acceptance date:
2023-05-05
DOI:
EISSN:
2045-2322
Pmid:
37208382


Language:
English
Keywords:
Pubs id:
1344240
Local pid:
pubs:1344240
Deposit date:
2023-09-20

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