Biology subjects

Kamgno, J.

Publications and source records attributed to Kamgno, J..

4 recordsLinked to original sources

bioRxiv2026

Automated detection of Loa loa: a field trial in Cameroon

Onchocerciasis (river blindness) is targeted for elimination through mass administration (MDA) of ivermectin (IVM) to endemic populations. In areas where loiasis, caused by the blood-borne filarial parasite Loa loa, is co-endemic, IVM MDA faced significant challenges because individuals harboring more than 30,000 L. loa microfilaria (mf)/mL of blood are at high risk of developing serious adverse events (SAEs) that can sometimes be fatal. An alternative strategy was developed for safe IVM distribution: the so-called 'Test and Not Treat' (TaNT), which identifies and excludes individuals with high mf density from IVM MDA and treats only those with minimal risk. TaNT requires a point-of-care diagnostic device to rapidly quantify L. loa parasites in field conditions. The NTDscope is a handheld device which captures bright-field videos of whole blood in capillaries. An onboard algorithm detects and counts the live microfilaria of L. loa via movement of red blood cells. This paper describes (i) a new detection algorithm; and (ii) a May 2025 field trial in Cameroon using the NTDscope with new algorithm (550 patients). Results for the TaNT use case (i.e. flagging cases with L. loa mf densities > 30,000 mf/mL): 94% to 97% sensitivity, and 94% to 97% specificity. The results indicate that the NTDscope and new algorithm provide a greater margin of safety than the predecessor device, and can potentially offer rapid, effective field detection of high mf infections to enable scalability of the TaNT strategy.

pathology↗

bioRxiv2023

Significant reduction in blackfly bites following implementation of Slash and Clear: An option to consider for onchocerciasis elimination in areas of persistent transmission

BackgroundAlthough "Slash and Clear" has proven effective in reducing blackfly densities in low transmission foci, the impact of this strategy in high transmission settings with large rivers and important vector densities remains to be demonstrated. Methods/Principal findingsA controlled before-and-after community-based intervention comprising two arms (Bayomen as control site and Biatsota as intervention site) was carried out in the Mbam Valley (Centre Region, Cameroon). In each arm, baseline blackfly densities were collected over one year using the human landing method. The intervention consisted of destroying the trailing vegetation where blackflies breed. Blackfly densities were collected post-intervention to assess the impact of the intervention. Before the intervention, a total of 36,273 and 29,041 blackflies were collected in Bayomen and Biatsota, respectively. After the intervention period, the total blackfly density in the intervention site decreased from 29,041 to 20,011 (31.1% reduction), while an increase of 2{middle dot}7% was observed in the control site (from 36,273 to 37,248). The Poisson mixed regression model shows that the reduction was significantly greater in the intervention site than in the control site (p<0.0005). Conclusions/SignificanceThis study showed that "Slash and Clear" approach is feasible and has a significant impact on vector densities in a high transmission setting. Further studies are needed to investigate the long-term impact of this vector control approach, and how this promising strategy can be scaled-up and sustained until elimination of onchocerciasis. Author summaryRiver blindness persists in some foci in Cameroon despite more than two decades of ivermectin-based preventive chemotherapy. Mass drug administration (MDA) appears insufficient to interrupt onchocerciasis transmission in these hotspots, and should be complemented by vector control, the most promising alternative strategy to date. In 2018, the effectiveness of a new community-based vector control approach, known as slash and clear, was demonstrated. This strategy involves the removal of trailing vegetation at breeding sites, a primary attachment points for blackfly larvae. In this study, we show that this environment-friendly intervention is feasible and has a significant impact on blackfly densities in high transmission settings. This promising intervention can be combined with regular annual ivermectin-based preventive chemotherapy to accelerate onchocerciasis elimination.

ecology↗

bioRxiv2020

Bacteriome diversity of blackflies gut and association with Onchocerca volvulus, the causative agent of onchocerciasis in Mbam valley (Center Region, Cameroon)

BackgroundVector control using larvicides is the main alternative strategy to address limits of preventive chemotherapy using ivermectin to fight onchocerciasis. However, it remains substantially limited by implementation difficulties, ecological concerns and resistance of vector populations. Therefore, efficient and environmentally safe alternative control strategies are still needed. This study explores the role of blackfly bacterial communities both on vector competence and refractoriness to O. volvulus infection in order to determine their potential as a novel vector control-based approach to fight onchocerciasis. Principal findingsA total of 1,270 blackflies were dissected and the infection rate was 10.1%, indicative of ongoing transmission of onchocerciasis in the surveyed communities. Sequencing process revealed 19 phyla and 210 genera, highlighting the diversity of gut blackflies bacterial communities. Wolbachia was the predominant genus with 70% of relative abundance of blackflies gut bacterial communities. Serratia sp and Acidomonas genera were significantly abundant among infected blackflies (p=0.043 and p=0.027, respectively), whereas other genera as Brevibacterium were associated with the absence of infection (p=0.008). Conclusion/SignificanceThis study revealed that blackfly native bacteria are potentially involved in infection by O. volvulus, either by facilitating or preventing the parasite infestation of the vector. These bacteria represent an interesting potential as a biological target for a novel approach of vector control to fight onchocerciasis. Author summaryStudies of arthropods involved in vector-borne diseases (tsetse flies, mosquitoes, and drosophila) demonstrated the importance of their native bacteria either to ease infection and transmission of human pathogenic microorganisms including parasites or on the contrary to induce host protective effects against these parasites. Indeed, some native bacteria of arthropod vectors are now recognized to be associated either with the resistance of their hosts to parasitic infections, or the reduction of their hosts viability in case of the parasite infestation, thus highlighting the potential of such bacteria to be used as biological tool for vector control strategies. However, such bacteria have never been described on blackfly, an arthropod transmitting Onchocerca volvulus, which is the parasite responsible of onchocerciasis commonly known as river blindness. This study aimed to fill this gap by investigating the bacterial diversity of blackfly bacteriome and describing the possible role of bacteria communities in susceptibility/resistance features of the blackflies to O. volvulus infection, and therefore their potential as biological targets or tool for vector control. The screening of these blackflies native bacteria during this study, highlighted some bacteria genera of interest with significant association either with the absence of O. volvulus in blackfly or with vector infection.

molecular biology↗

bioRxiv2016

Genome-wide analysis of ivermectin response by Onchocerca volvulus reveals that genetic drift and soft selective sweeps contribute to loss of drug sensitivity

BackgroundTreatment of onchocerciasis using mass ivermectin administration has reduced morbidity and transmission throughout Africa and Central/South America. Mass drug administration is likely to exert selection pressure on parasites, and phenotypic and genetic changes in several Onchocerca volvulus populations from Cameroon and Ghana - exposed to more than a decade of regular ivermectin treatment - have raised concern that sub-optimal responses to ivermectins anti-fecundity effect are becoming more frequent and may spread.\n\nMethodology/Principal FindingsPooled next generation sequencing (Pool-seq) was used to characterise genetic diversity within and between 108 adult female worms differing in ivermectin treatment history and response. Genome-wide analyses revealed genetic variation that significantly differentiated good responder (GR) and sub-optimal responder (SOR) parasites. These variants were not randomly distributed but clustered in ~31 quantitative trait loci (QTLs), with little overlap in putative QTL position and gene content between countries. Published candidate ivermectin SOR genes were largely absent in these regions; QTLs differentiating GR and SOR worms were enriched for genes in molecular pathways associated with neurotransmission, development, and stress responses. Finally, single worm genotyping demonstrated that geographic isolation and genetic change over time (in the presence of drug exposure) had a significantly greater role in shaping genetic diversity than the evolution of SOR.\n\nConclusions/SignificanceThis study is one of the first genome-wide association analyses in a parasitic nematode, and provides insight into the genomics of ivermectin response and population structure of O. volvulus. We argue that ivermectin response is a polygenically-determined quantitative trait in which identical or related molecular pathways but not necessarily individual genes likely determine the extent of ivermectin response in different parasite populations. Furthermore, we propose that genetic drift rather than genetic selection of SOR is the underlying driver of population differentiation, which has significant implications for the emergence and potential spread of SOR within and between these parasite populations.\n\nAuthor summaryOnchocerciasis is a human parasitic disease endemic across large areas of Sub-Saharan Africa, where more that 99% of the estimated 100 million people globally at-risk live. The microfilarial stage of Onchocerca volvulus causes pathologies ranging from mild itching to visual impairment and ultimately, irreversible blindness. Mass administration of ivermectin kills microfilariae and has an anti-fecundity effect on adult worms by temporarily inhibiting the development in utero and/or release into the skin of new microfilariae, thereby reducing morbidity and transmission. Phenotypic and genetic changes in some parasite populations that have undergone multiple ivermectin treatments in Cameroon and Ghana have raised concern that sub-optimal response to ivermectins anti-fecundity effect may increase in frequency, reducing the impact of ivermectin-based control measures. We used next generation sequencing of small pools of parasites to define genome-wide genetic differences between phenotypically characterised good and sub-optimal responder parasites from Cameroon and Ghana, and identified multiple genomic regions differentiating the response types. These regions were largely different between parasites from both countries but revealed common molecular pathways that might be involved in determining the extent of response to ivermectins anti-fecundity effect. These data reveal a more complex than previously described pattern of genetic diversity among O. volvulus populations that differ in their geography and response to ivermectin treatment.

genomics↗