Mem Inst Oswaldo Cruz, Rio de Janeiro, 102(4) June 2007

Perspectives in the control of infectious diseases by transgenic mosquitoes in the post-genomic era – A Review

Márcia Aparecida SperançaI; Margareth Lara CapurroII, +

IDisciplina de Biologia Molecular, Faculdade de Medicina de Marília, Marília, SP, Brasil
IIDepartamento de Parasitologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, Av. Prof. Lineu Prestes 1374, 05508-900 São Paulo, SP, Brasil

Page: 425-433 DOI: 10.1590/S0074-02762007005000054
4929 views 713 downloads

Arthropod-borne diseases caused by a variety of microorganisms such as dengue virus and malaria parasites afflict billions of people worldwide imposing major economic and social burdens. Despite many efforts, vaccines against diseases transmitted by mosquitoes, with the exception of yellow fever, are not available. Control of such infectious pathogens is mainly performed by vector management and treatment of affected individuals with drugs. However, the numbers of insecticide-resistant insects and drug-resistant parasites are increasing. Therefore, inspired in recent years by a lot of new data produced by genomics and post-genomics research, several scientific groups have been working on different strategies to control infectious arthropod-borne diseases. This review focuses on recent advances and perspectives towards construction of transgenic mosquitoes refractory to malaria parasites and dengue virus transmission.

Worldwide a variety of viruses, protozoans and helminths are transmitted to humans by mosquitoes, and these are responsible for more than 2 million deaths per year. Malaria transmitted by anopheline mosquitoes, leishmaniasis by phlebotomines, trypanosomiasis by triatomines, dengue and yellow fever transmitted mainly by Aedes aegypti, are examples of these arthropod-borne diseases, which impose major economic and social burdens on affected populations.

Today, management of human and veterinary arthropod-borne diseases is principally through the use of drugs and vector control. Despite many efforts, there still are no effective vaccines against malaria, dengue, leishmaniasis, etc. In recent years, genomics and post-genomics research have produced significant data that has been employed for the development of new tools to eliminate arthropod-borne infectious pathogens or to block their transmission. These studies performed by different scientific groups, globally-distributed, include investigation of new drugs to kill the parasite, development of vaccines capable to block infection in the host or inside the vector, searches for new insecticides to eliminate the arthropod, and genetic manipulation of vectors in order to abrogate its ability to be infected by parasites.

In this scenario research groups have been working on construction of transgenic mosquitoes refractory to malaria parasite and dengue virus transmission. Research on transgenic mosquitoes to control malaria and dengue fever will be the subject of this review.



Vector control remains generally the most effective method to prevent malaria and dengue transmission. Insecticides were responsible in the past for malaria elimination from a variety of countries. Ae. aegypti was eradicated from most American countries in the 1950s decade with the use of insecticides during a continental campaign initiated in 1916 by the Rockefeller Foundation and followed up by the Pan American Health Organization in 1940-1960 (Vasconcelos et al. 1999). However, socioeconomic issues including population growth, increased urbanization without planning, lack of sanitation, deforestation, rapid movement of pathogens and vectors by jet travel, occurrence of drug-resistant parasites and insecticide-resistant mosquitoes, have been contributing to re-emergence and difficulties in controlling important arthropod-borne diseases.

Nowadays, insecticide spray use is an important strategy to control malaria transmission (WHO 2006), and the use of insecticide-impregnated bed nets is an effective method to decrease malaria transmission in Africa (Hawley et al. 2003). Re-emerging dengue fever is prevented only by vector control with insecticide and community-based strategies since no drugs or vaccine are available for this disease. Despite many efforts, malaria and dengue control is not effective, and the morbidity and mortality associated with these diseases are overwhelming: billions of people are now at risk for infection. Thus, the increasing public health importance of these pathogens, the failure of conventional approaches to control them, and the lack of alternatives in the face of pesticide-resistant vectors and drug-resistant pathogens, demonstrate the need of novel and efficacious control strategies for these diseases.

A relatively new approach to combat malaria and dengue fever consists of genetic manipulation of mosquito vectors to impair their ability to be infected by and transmit Plasmodium or dengue virus. At about 40 years ago, Knipling proposed the first initiative to use genetically-modified mosquitoes to combat a disease which consisted of the field release of sterile males to decrease arthropod-borne pathogens transmission or insect population (Knipling 1959, 1962). This approach, sterile insect technique (SIT), uses radiation-sterilized males released in the field to compete with wild ones. Females that have been mated with irradiated mosquito will not produce descendents. With SIT employment was possible to eliminate the New World screwworm, Cochliomyia hominivorax from South of US, Mexico, and Central America (Wyss 2000). However, when tested with Anopheles, the method showed promise in the laboratory (Andreasen & Curtis 2005), but was not efficient in field experiments (Benedict & Robinson 2003). Problems included difficulties in the separation of male insects by physical methods (Alphey & Adreasen 2002); poor mating competitiveness of the sterile male compared to the wild insect (Benedict & Robinson 2003); and the occurrence of emerging species with different ecological preferences and significant prezygotic reproductive isolation (Stump et al. 2005).

The approach to generate a transgenic mosquito unable to transmit pathogens emerges as an alternative strategy. Recently, bioinformatics analyses of the An. gambiae genome has enabled identification of sex-specific genes (Scali et al. 2005), which can be used to make transgenic mosquito lines expressing sex-controlled genes or sterile males by specific gene manipulation. How to generate efficient mosquitoes that are completely unable to transmit certain pathogens and how to spread and control this phenotype in natural populations are some of the difficult challenges to overcome in order to control dengue fever and malaria using pathogen refractory transgenic mosquitoes.



To produce a transgenic vector refractory to a pathogen, several technological features are necessary: efficient transformation and driver transfection systems, suitable reporter genes, efficient tissue- and developmental-specific promoters, appropriate anti-parasite effectors genes and efficient microinjection techniques. Until now the most efficient method to stable transform a mosquito is the injection of the transgene construct into early embryos, a technique imported from Drosophila and that has low efficiency and is time consuming.



In the last decades, different stable and transient vector transformation systems to introduce a foreign gene into the mosquito have been developed: virus transducing systems, transposable elements, and endosymbionts.

Virus transducing systems in mosquitoes are mainly performed with the Sindbis virus (SIN). Sindbis virus from genus Alphavirus and Togaviridae family has a positive-sense RNA genome 11,703 nucleotides in length, and nonstructural and structural proteins encoded from two different promoters. The nonstructural proteins, including RNA-dependent RNA polymerase (RDRP), are encoded by and translated from the 5'-end two-thirds of the genome. SIN structural proteins are encoded in the 3'-end one-third of the virus RNA and are translated from a subgenomic mRNA transcribed intracellularly by the RDRP from an internal promoter (Strauss & Strauss 1994). The SIN natural cycle of infection involves birds and Culex mosquitoes (Taylor et al. 1955), but it is also able to infect Aedes and Anopheles mosquitoes and a broad range of vertebrate animal cells (Hurlbut & Thomas 1960, Xiong et al. 1989). Production of a genomic SIN complete cDNA allowed the use of SIN as a vector since infectious viral RNA can be generated by in vitro transcription (Rice et al. 1987). Two types of expression vectors derived from the cDNA SIN clone have been developed: the double-subgenomic SIN (dsSIN) expression vector TE/3'J and the SIN replicon (Olson 2000). TE/3'J has a duplicated internal promoter from which transgenes can be expressed. The SIN replicon has its structural protein genes deleted and this can be replaced by up to 6000 bp of heterologous genetic material. Infective virions are produced directly by injecting in vitro transcribed RNA of TE/3'J into competent eukaryotic cells. Producing the SIN replicon requires co-infection of cells with a helper virus expressing the viral structural genes.

Thus, insect transformation by SIN expression systems emerged as a tool to test genes that impaired pathogen transmission. Most of the experiments in mosquitoes have been done with Ae. aegypti and aimed to demonstrate the efficacy of effector molecules such as antisense RNAs for their ability to block dengue, yellow fever, and LaCross viruses transmission (Powers et al. 1996, Olson et al. 1996). The same strategy has been used to characterize single-chain recombinant antibodies as target molecules to block malaria transmission using the experimental model of avian malaria Plasmodium gallinaceum infecting Ae. aegypti mosquitoes (Capurro et al. 2000). SIN expression systems have also been used to silence expression of endogenous genes for rapid characterization of vector molecules in vivo (Johnson et al. 1999). Thus, SIN expression systems are contributing to the better understanding of the biology of important vectors of human diseases and to characterize target molecules potentially capable of blocking pathogen transmission.

In order to obtain a transgenic mosquito, it is necessary to insert the transgene into the mosquito genome. Furthermore, to be used in the field, the transgene needs to be efficiently spread in the natural population. It is unlikely that reliance on Mendelian inheritance alone could accomplish this because it would require an enormous numbers of mosquitoes. Thus, drive mechanisms such as mobile DNA elements or other shuttles of genetic material that are spread in a non-Mendelian manner (e.g. symbiotic bacteria) have been the tool of choice to produce transgenic mosquitoes (Kidwell & Ribeiro 1992, Curtis & Sinkins 1998).

Transposable elements (TEs), or mobile genetic elements, are integral components of the eukaryotic genomes. Because they have the ability to replicate and spread in the genome primarily as " selfish " genetic units, TEs can comprise significant proportions of the genome (Hedges & Batzer 2005). Genetic transformation of mosquitoes using transposable elements began with the modification of the naturally occurring transposable P-element from D. melanogaster. Initially, the P-element was tested in Ae. aegypti but the integration frequency was extremely low and did not result from the action of the P-element transposase (Morris et al. 1989). After that, others DNA transposable elements were searched and tested in mosquitoes and initially two elements were able to transform Ae. aegypti: Hermes from the hAT family of transposons derived from the housefly Musca domestica (Jasinskiene et al. 1998) and the mariner element Mos1 from D. mauritiana (Coates et al. 1998). Two additional transposition elements have been employed to produce transgenic mosquitoes: piggyBack isolated initially from Trichoplusia ni and minos from D. hydei. piggyBac vectors transform efficiently Ae. aegypti (Kokoza et al. 2001), An. stephensi (Nolan et al. 2002), An. albimanus (Perera et al. 2002), An. gambiae (Grossman et al. 2001, Kim et al. 2004), and An. fluvialitis (Rodrigues et al. 2006). The Minos element has also been used to transform several insects including the mosquito An. stephensi (Catteruccia et al. 2000, Lycett et al. 2004, Yoshida & Watanabe 2006) and its transposition rate is similar to that found for other elements. An advantage for Minos is that non-canonical integration events have not been found in mosquitoes as reported for mariner, Hermes and piggyBac (O' Brochta et al. 2003). Additional research is needed to understand the behavior of these elements to verify the viability to use Minos transgenic insects in fieldwork.

An alternative potential mechanism to introduce an effective gene into a vector population involves the use of intracellular symbiotic bacterium Wolbachia, which infect a variety of insect tissues (Beard et al. 1998). An interesting characteristic of Wolbachia is its cytoplasmic incompatibility. Only when a male infected with the bacteria mates with an infected female are the eggs viable, and the bacteria are transmitted transovarially to the next generation. This effect leads to increased reproductive success and consequently to a fast dissemination of a transgene since genetically-modified Wolbachia could be used to transduce mosquitoes with parasite transmission-blocking genes (Sinkins et al. 1997). This interesting methodology still is not available to anopheline mosquitoes due to the lack of symbiotic bacteria that could be potentially used in these insects. Also, it is not yet possible to genetically transform Wolbachia (Christophides 2005).



Earlier attempts to construct a stable transgenic mosquito were set up with insecticide and antibiotic resistance genes as markers (Miller et al. 1987, McGrane et al. 1988, Morris et al. 1989), a strategy imported from research in bacteria. After that, the cinnabar gene encoding the kynurenine hydroxylase of Drosophila was found to complement a white-eyed mutation in a strain of Ae. aegypti (Cornel et al. 1997). Fluorescent markers, such as the green fluorescent protein (GFP) from Aequorea victoria (Higgs et al. 1996), replaced the previous ones and have been extensively used. Fluorescence of GFP transformed individuals is observed even in early larval stages, saving time and effort of rearing the non-transgenic insects to adults. GFP constructs driven by the polyubiquitin (Handler & Harrell 1999) and PAX eye-specific promoters (Horn et al. 2000) were used first on Ae. aegypti germ line transformation (Pinkerton et al. 2000), and subsequently have been used to transform the germ line of others species of mosquitoes (Ito et al. 2002, Kokoza et al. 2001). More recently, the Discosoma sp red fluorescent protein (dsRED) (Matz et al. 1999) was also successfully employed in the transformation of An. stephensi (Nolan et al. 2002).



A remarkable number of effectors molecules capable of blocking pathogen transmission in mosquitoes have been investigated. For example, several mechanisms exist for interfering with different developmental stages of malaria parasites in mosquitoes (Nirmala & James 2003). Two groups of peptides have been tested against Plasmodium ssp and show interference on transmission. The first group corresponds to competitor peptides that bind to salivary gland receptors blocking sporozoite invasion (Ghosh et al. 2001, Myung et al. 2004). The second group consists of peptides that might have parasiticidal effects in mosquitoes such as cecropins, magainins and defensins or hybrid peptides such as the cecropin-like peptides and scorpine (Gwadz et al. 1989, Shahabuddin et al. 1998). Most of these natural peptides, at high concentrations, are capable of reducing the levels of sporogonic stages of malaria parasites. Arrighi and collaborators (2002) using natural and synthetic peptides showed that three short novel hybrid peptides can interfere with oocyst development. The authors also demonstrated that hybrid peptides consisting of random coils and turns were particularly active against the sporogonic stages of P. berghei and P. yoelli nigeriensis.

Using Sindbis expression system, several heterologous proteins and anti-sense RNAs with anti-parasite properties have been investigated in Ae. aegypti (Olson 2000, Sanchez-Vargas et al. 2004). Single-chain antibody fragments (scFv) comprising fused heavy-chain and light-chain variable regions of monoclonal antibodies expressed as the product of a single gene, have been used to block malaria parasite development. For example, a scFv specific to the malarial circumsporozoite protein (CSP), reduced by 99% the number of P. gallinaceum sporozoites in salivary glands of Ae. aegypti (Capurro et al. 2000). Further, Olson and collaborators (1996) showed inhibition of dengue 2 (DEN2) in mosquitoes Ae. aegypti transiently expressing an antisense RNA corresponding to a fragment of 567 bases of the pre-membrane protein from DEN2. Using the same strategy and the employment of different antisense RNAs, the same research group demonstrated the inhibition of DEN replication in mosquito and mosquito cells by a mechanism similar to the post-transcriptional silencing or RNA interference (RNAi) (Adelman et al. 2001, Travanty et al. 2004, Franz et al. 2006).

Microarray-based transcription analysis of the murine malaria model An. stephensi and P. berghei corresponded to an interesting and elegant approach to characterize molecules involved in the parasite-arthropod vector interactions. By this methodology, numerous novel genes were identified during malaria midgut invasion, oocyst differentiation and ookinete development from both parasite and mosquito origin (Abraham et al. 2004, Srinivasan et al. 2004). One novel molecule identified with this methodology corresponded to the gene encoding a Plasmodium surface protein WARP, with a von Willebrand factor A-like adhesive domain WARP that is expressed only in ookinetes and early oocysts (Yuda et al. 2001, Abraham et al. 2004). It was shown that anti-WARP polyclonal antibody inhibits strongly (70-92%) Plasmodium development in the mosquito, making it a candidate antigen for transmission blocking vaccines or for construction of refractory mosquitoes expressing recombinant antibodies rose against this protein (Abraham et al. 2004). The same approach has allowed the identification of transcription profiles of both host and parasite organisms with temporal correlation between processes such as Plasmodium invasion of the midgut epithelium, Anopheles immune responses to Plasmodium infection, and apoptosis and expulsion of invaded midgut cells from the epithelium (Xu et al. 2005). These data can be employed to help in the construction of a malaria refractory mosquito. Transcriptome experiments envisioning identification of specifically expressing transcripts from Ae. aegypti in response to dengue infection are in progress (pers. commun. of Margareth L Capurro).



Expression of a transgene in the mosquito also requires the use of an appropriate promoter. The ideal promoter should enable the expression of a foreign gene in the tissue of interest and at a proper time. According to the pathogen life cycle inside the arthropod vector the foreign gene would be expressed in salivary glands, hemolymph, midgut, Malpighian tubules or thoracic musculature.

Salivary gland promoters for the maltase-like I (MalI) (James et al. 1989) and Apyrase (Apy) (Smartt et al. 1995) genes have been able to direct expression of recombinant firefly luciferase in Hermes-transformed Ae. aegyti in the tissues and at time of expression of the corresponding endogenous genes (Coates et al. 1999). However, expression of the transgene driven by these promoters was too weak to be used in the construction of transgenic mosquitoes. In order to find a suitable promoter to express a transgene in the salivary gland of mosquitoes at a high concentration, Yoshida and Watanabe (2006) isolated the anopheline antiplatelet protein promoter (AAPP) from An. stephensi. This promoter is activated to a high level after a blood meal and was used to construct an An. stephensi transgenic mosquito with the Minos element, which expressed highly the DsRed fluorescent protein in the cytoplasm of the distal lateral lobes of the salivary gland (a region preferentially invaded by Plasmodium sporozoites). The authors suggest the possibility to use the AAPP not only to produce pathogen refractory mosquitoes but also to deliver vaccine antigens during a mosquito blood meal (" flying vaccinator ").

With the aim of expressing a transgene in the gut of mosquitoes, the first site of interaction between the mosquito and pathogens, promoter sequences involved in the regulation of the gene encoding the digestive enzyme carboxypeptidase have been isolated and characterized from An. gambiae (Edwards et al. 1997) and Ae. aegypti (Edwards et al. 2000). Employing the transposable elements Hermes and Mos1, Moreira and collaborators (2000), generated transgenic Ae. aegypti mosquitoes capable of driving luciferase expression in the mosquito gut epithelium in a robust sex, tissue and stage-specific manner, under the control of both Ae. aegypti and An. gambiae carboxypeptidase promoters. Furthermore, the Ae. aegypti carboxypeptidase promoter was used to construct an An. gambiae transgenic mosquito expressing the immune peptide cecropin A in the posterior insect midgut (Kim et al. 2004). Both Ae. aegypti and An. gambiae carboxypeptidase promoters also have been successfully used to express anti-malarial peptides in An. stephensi (Moreira et al.2002, Ito et al. 2002). P. berghei oocyst formation was reduced by approximately 80% in transgenic An. stephensi mosquitoes expressing the phospholipase A2 (PLA2) protein under control of the An. gambiae adult peritrophic matrix protein 1 (AgAper1) regulatory elements (Abraham et al. 2005).

Expression of an anti-parasite transgene in the insect haemolymph can target Plasmodium sporozoites pathogen and with this purpose the vitellogenin regulatory sequence obtained from Ae. aegypti has been used to drive strong blood-inducible expression of the antibacterial peptide defensin (Kokoza et al. 2000). More recently, the vitellogenin promoter sequence has been obtained from An. stephensi and showed to have its expression regulated in a sex-, stage- and tissue specific manner, and therefore is a good candidate to express transgenes in anophelines (Nirmala et al. 2006).

Recently, a complete genome of An. gambiae, the most important human malaria vector, has been sequenced by an international consortium (Holt et al. 2002). In parallel, the first mosquito cDNA microarray was constructed with 4000 cDNA expressed sequence tags sequenced from a library prepared from hemocyte-like cultured cell line (Dimopoulos et al. 2000; 2002). These arrays were used to detect genes in the mosquito that are up-regulated during infection with parasites and bacteria (Dimopoulos et al. 2002). These authors showed specific expression of the mosquito genes encoding isocitrate dehydrogenase, dsRNA binding RNAse 3 and a mitochondrial phosphate carrier when RNA source was obtained from mosquitoes infected with malaria but not bacteria. Genomic analysis of these transcripts can in turn contribute to the characterization of promoter sequences that are activated only in the presence of malaria parasites, offering a tool to produce transgenic mosquitoes specifically refractory to malaria transmission.

Moreover, functional genomic studies have enabled identification of diverse An. gambiae promoters specifically expressed in different mosquito tissues and at different time in response to several biological conditions, including blood feeding and infection by Plasmodium. Vlachou and collaborators (2005) have shown that 7% of the An. gambiae midgut transcripts are differentially expressed during P. berghei oocyst invasion. The expression profile of An. gambiae females was assessed by microarray analysis in response to blood-feeding, resulting in the identification of three groups of developmentally expressed genes (early, middle, and late). These were classified according to physiological responses: blood feeding, blood digestion, peritrophic matrix formation, egg development and immunity (Dana et al. 2005).

The genome of Ae. aegypti mosquito, the major vector of dengue viruses, is almost completed and all sequence data obtained until now is available at the website Ae. aegypti midgut differential expression profile in response to blood feeding over a time course of 72 h also has been performed through the use of microarray technology (Sanders et al. 2003) and is available at the website More recently, the characterization of transcripts expressed in the fat body of Ae. aegypti at 24 h post blood meal was published. These data also provides a basic tool for understanding the processes occurring in the fat body and could identify putative new genes whose promoters can be used to specifically express transgenes in this organ of Ae. aegypti (Feitosa et al. 2006).

In addition to genomics, gene expression and DNA microarray technology, pathogen arthropod vectors have been investigated by proteomics, since many types of information cannot be obtained from genes alone. For example, exon-intron structure is difficult to predict with bioinformatics, mRNA is subject to pos-transcriptional regulation as alternative splicing and polyadenylation or can be regulated at the protein translation level. Proteins can also be regulated by proteolysis and compartmentalization. Thus, with proteomic approaches, several biochemical and physiological regulation features can be identified, such as signal peptides, which can be used as tools in the construction of pathogen refractory mosquitoes. Using mass spectrometry to characterize peptides from An. gambiae, it was possible to correct and confirm genome annotations and also, novel proteins were discovered (Kalume et al. 2005). Additional experiments seek the identification of differentially-expressed proteins by mass spectrometry of hemolymph from Ae. aegypti infected and not infected by the malaria parasite P. gallinaceum (pers. commun. of Mar-gareth L Capurro).



Once a pathogen refractory transgenic mosquito is obtained in the laboratory, the next step is its introduction to the environment in order to substitute the specific pathogen susceptible vector population. To reach this objective several aspects have to be carefully investigated in either the wild target population and in the transgenic population. Recent research on the fitness of transgenic mosquitoes, including measurements of longevity and fertility and use of population cages, has been performed. Most of these studies (Riehle et al. 2003, Marrelli et al. 2006a), showed a reduced fitness load of transgenic mosquitoes, when compared to the wild population. Only one transgene, the peptide SM1 expressed in An. stephensi did not impose a detectable fitness load. The principal difference of this transgene was a specific promoter that restricted the foreign gene expression to posterior midgut cells for only a few hours after a blood meal and the protein was secreted from the cells, which might have minimized fitness load (Moreira et al. 2004). More recently, the same transgenic mosquito showed to be more fit than sibling nontransgenic mosquitoes when feeding on Plasmodium-infected with gametocyte producing parasites (strain ANKA 2.34) but not when maintained on mice infected with gametocyte-deficient parasites (strain ANKA 2.33). This was the first evidence for a selective advantage of transgenic malaria-resistant mosquitoes over nontransgenic mosquitoes (Marrelli et al. 2007). Catteruccia and collaborators (2003) reported a reduced fitness compared to wild type of four different transgenic mosquito lines expressing fluorescent reporter proteins from an actin promoter. Irvin and collaborators (2004) examined the impact of transgenesis on the fitness of Ae. aegypti transformed with enhanced GFP gene and two transposase genes derived from the Hermes and Mos1 transposable elements. The authors found that life-table parameters were significantly diminished in transgenic mosquitoes relative to the untransformed laboratory strain.

Reduced fitness can occur due to different aspects of the manipulated vector: inbreeding depression, toxicity of a foreign protein expressed in abundance (Liu et al. 1999); random integration of transposable elements altering important genes; presence of a transposition repressor in the vector population which after several generations could inhibit transposition gradually. This latter aspect is of practical importance because in such cases the transgene(s) can be driven through a population only once (Riehle et al. 2003).

Inbreeding depression is characteristic of the transgenic laboratory mosquito strains since each transgenic line arises from a single fertilized zygote containing transgenic gametes and this characteristic can also reduce mosquito fitness (Taylor et al. 2001).

Ribeiro and Kidwell (1994) and Boete and Koella (2003) developed a theoretical modeling suggesting that absolute absence of fitness load may not be essential for introducing genes into wild population. The same authors also suggested that any released mosquito would need to be nearly 100% refractory to have any impact on malaria transmission. Thus, to obtain such a high blocking capability it will be necessary to construct a transgenic mosquito with multiple refractory genes that, probably, may incur greater fitness costs to the mosquito. However, there is considerable lack of experimental data to corroborate or disprove these models.

The target wild population has also to be analyzed. Locations where releases of transgenic mosquitoes are to occur also need to be well studied so that the transgenic mosquito population can be introduced without disruption of the surrounding natural environment. Thus, research has to be done to define the populations in the wild that will be the targets of genetic intervention, including size, ecological features, breeding structure, migration characteristics, and number and distribution of genetically distinct vector populations. It is important to stress that in malaria transmission, the ecology of the vectors is complex in most locales. For example, the main African vectors, An. gambiae and An. funestus, are complexes of seven and nine (at least) species, respectively, with different behaviors and ecology. Furthermore, An. gambiae sensu stricto consists of at least two sibling species revealing another level of complexity that is likely to be common within anophelines (Taylor et al. 2001). Additionally, employing the ITS2 sequence as a marker, Marrelli and collaborators (2006b) have analyzed a broad range of Anopheline species from Latin America, showing also a high genetic diversity of malaria vectors from the Neotropical countries, including Brazil. The data obtained by these authors demonstrate the need for research on Anopheline mosquitoes in order to understand its ecology before it can be used to control malaria.

Mosquito mating behavior is another task to be investigated since in the past the low success to genetic control arthropod vectors through the sterile insect technique (SIT) was because of the low mating competence of released sterile males (Benedict & Robinson, 2003).

Another important aspect to be investigated is the biology of the pathogens to be eliminated, principally with respect to the genomic plasticity of malaria parasites and viruses such as dengue. Thus, molecular epidemiology studies should be performed on the pathogen population also, principally if the effector gene is based on parasite gene targets. These problems can be solved in part by transforming mosquitoes with multiple effector molecules but even so, it is important to stress the potential escape from the block and the development of resistant parasites.

A number of other aspects of the eventual release of genetically-modified arthropod vectors of human pathogens must be considered. These include potential environmental hazards, public health risks, and public perceptions. Some governmental organizations developed standards and protocols to guide manipulation of important biological resources involved in human diseases. The NIH and CDC have developed standards for the classification of risk and conditions for work with human disease agents. The US Department of Agriculture Animal and Plant Health Inspection Service (USDA-APHIS) has established guidelines and an approval process for the release of transgenic arthropod plant pests. While none of these addresses directly the release of genetically-modified arthropod vectors of human disease, they establish precedents for risk assessment and regulation (Hollander 1991, Hoy 1995, Simonsen & Levin 1988). Individual and public health risks must be assessed in both laboratory and pilot field studies, and accurate information must be provided to the public at the earliest possible time (Asner 1990).



A number of technological breakthroughs such as the identification of efficient transposable elements, the finding of suitable transformation markers, the characterization of efficient tissue-specific promoters, the discovery of anti-pathogen effector genes candidates, have been extensively explored by genomics, microarray techniques, proteomics and bioinformatic analyses. Now, scientific efforts have to be performed in order to test all new molecules characterized in a short period of time. Effector transgenes that confer full resistance against Plasmodium or dengue virus have yet to be developed. Difficulties in obtaining such molecules may result from the high genomic plasticity of parasites, which may escape from human and arthropod immune systems. The biology of an ideal effector trait must be fully understood before it is put in use, as unintended phenotypes leading to irreversible alterations of the mosquito biology and potentially harmful ecological effects could be disastrous. Thus, several tasks have to be solved before we can expect to release transgenic insects to the environment to block human diseases.



To Dr Anthony A James for critical reading of the manuscript.



Abraham EG, Donnelly-Doman M, Fujioka H, Ghosh A, Moreira L, Jacobs-Lorena M 2005. Driving midgut-specific expression and secretion of a foreign protein in transgenic mosquitoes with AgAper1 regulatory elements. Insect Mol Biol 14: 271-279.

Abraham EG, Islam S, Srinivasan P, Ghosh AK, Valenzuela JG, Ribeiro JM, Kafatos FC, Dimopoulos G, Jacobs-Lorena M 2004. Analysis of the Plasmodium and Anopheles transcriptional repertoire during ookinete development and midgut invasion. J Biol Chem 279: 5573-5580.

Adelman ZN, Blair CD, Carlson JO, Beaty BJ, Olson KE 2001. Sindbis virus-induced silencing of dengue viruses in mosquitoes. Insect Mol Biol 10: 265-273.

Alphey L, Andreasen M 2002. Dominant lethality and insect population control. Mol Biochem Parasitol 121: 173-178.

Andreasen MH, Curtis CF 2005. Optimal life stage for radiation sterilization of Anopheles males and their fitness for release. Med Vet Entomol 19: 238-244.

Arrighi RB, Nakamura C, Miyake J, Hurd H, Burgess JG 2002. Design and activity of antimicrobial peptides against sporogonic-stage parasites causing murine malarias. Antimicrob Agents Chemother 46: 2104-2110.

Asner M 1990. Public relations: the scientist and the public, the government, and the media. In HG Purchase, Mackenzie (eds), Agricultural Biotechnology. Introduction to Field Testing, Office of Agricultural Biotechnology, USDA, 35 pp.

Beard CB, Durvasula RV, Richards FF 1998. Bacterial symbiosis in arthropods and the control of disease transmission. Emerg Infect Dis 4: 581-591.

Benedict MQ, Robinson AS 2003. The first releases of transgenic mosquitoes: an argument for the sterile insect technique. Trends Parasitol 19: 349-355.

Boete C, Koella JC 2003. Evolutionary ideas about genetically manipulated mosquitoes and malaria control. Trends Parasitol 19: 32-38

Capurro ML, Coleman J, Beerntsen BT, Myles KM, Olson KE, Rocha E, Krettli AU, James AA 2000. Virus-expressed, recombinant single-chain antibody blocks sporozoite infection of salivary glands in Plasmodium gallinaceum-infected Aedes aegypti. Am J Trop Med Hyg 62: 427-433.

Catteruccia F, Godfray HC, Crisanti A 2003. Impact of genetic manipulation on the fitness of Anopheles stephensi mosquitoes. Science 299: 1225-1227.

Catteruccia F, Nolan T, Blass C, Muller HM, Crisanti A, Kafatos FC, Loukeris TG 2000. Toward Anopheles transformation: Minos element activity in anopheline cells and embryos. Proc Natl Acad Sci USA 97: 2157-2162.

Christophides GK 2005. Transgenic mosquitoes and malaria transmission. Cell Microbio 7: 325-333.

Coates CJ, Jasinskiene N, Miyashiro L, James AA 1998. Mariner transposition and transformation of the yellow fever mosquito, Aedes aegypti. Proc Natl Acad Sci USA 95: 3748-3751.

Coates CJ, Jasinskiene N, Pott G, James AA 1999. Promoter directed expression of recombinant fire-fly luciferase in the salivary glands of Hermes-transformed Aedes aegypti. Gene 226: 317-325.

Cornel AJ, Benedict MQ, Rafferty CS, Howells AF, Collins FG 1997. Transient expression of the Drosohila melanogaster cinnabar gene rescues eye color in the whit eye (WE) strain of Aedes aegypti. Insect Biochem Mol Biol 27: 993-997.

Curtis CF, Sinkins SP 1998. Wolbachia as a possible means of driving genes into populations. Parasitology 116: S111-S115.

Dana AN, Hong YS, Kern MK, Hillenmeyer ME, Harker BW, Lobo NF, Hogan JR, Romans P, Collins FH 2005. Gene expression patterns associated with blood-feeding in the malaria mosquito Anopheles gambiae. BMC Genomics 6: 5-29.

Dimopoulos G, Casavant tL, Chang S, Scheetz T, Roberts C, Donohue M, Schultz J, Benes V, Bork P, Ansorge W, et al 2000. Anopheles gambiae pilot gene discovery project identification of mosquito innate immunity genes from expressed sequence tags generated from immune-competent cell lines. Proc Natl Acad Sci USA 97: 6619-6624.

Dimopoulos G, Christophides GK, Meister S, Schultz J, White KP, Barillas-Mury C, Kafatos FC 2002. Genome expression analysis of Anopheles gambiae: Responses to infury, bacterial challenge, and malaria infection. Proc Natl Acad Sci USA 99: 8814-8819.

Edwards MJ, Lemos FJ, Donnelly-Doman M, Jacobs-Lorena M 1997. Rapid induction by a blood meal of a carboxypeptidase gene in the gut of the mosquito Anopheles gambiae. Insect Biochem Mol Biol 27: 1063-1072.

Edwards MJ, Moskalyk LA, Donelly-Doman M, Vlaskova M, Noriega FG, Walker VK, Jacobs-Lorena M 2000. Characterization of a carboxypeptidase A gene from the mosquito, Aedes aegypti. Insect Mol Biol 9: 33-38.

Feitosa FM, Calvo E, Merino EF, Durham AM, James AA, de Bianchi AG, Marinotti O, Capurro ML 2006. A transcriptome analysis of the Aedes aegypti vitellogenic fat body. J Insect Sci 6: 1-26.

Franz AWE, Sanchez-Vargas I, Adelman ZN, Blair CD, Beaty BJ, James AA, Olson KE 2006. Engineering RNA interference-based resistance to dengue virus type 2 in genetically modified Aedes aegypti. Proc Natl Acad Sci USA 103: 4198-4203.

Ghosh AK, Ribolla PE, Jacobs-Lorena M 2001. Targeting Plasmodium ligands on mosquito salivary glands and midgut with a phage display peptide library. Proc Natl Acad Sci USA 98: 13278-13281.

Grossman GL, Rafferty CS, Clayton JR, Stevens TK, Mukabayire O, Benedict MQ 2001. Gemline transformation of the malaria vector, Anopheles gambiae, with the piggyBac transposable element. Insect Mol Biol 10: 597-604.

Gwadz RW, Kaslow D, Lee JY, Maloy WL, Zasloff M, Miller LH 1989. Effects of magainins and cecropins on the sporogonic development of malaria parasites in mosquitoes. Infect Immun 57: 2628-2633.

Handler AM, Harrel RA 1999. Germline transformation of Drosophila melanogaster with the piggyBack transposon vector. Insect Mol Biol 8: 449-457.

Hawley WA, ter Kuile FO, Steketee RS, Nahlen BL, Terlouw DJ, Gimnig JE, Shi YP, Vulule JM, Alaii JA, Hightower AW, Kolczak MS, Kariuki SK, Phillips-Howard PA 2003. Implications of the western Kenya perymethrin-treated bed net study for policy, program implementation, and future research. Am J Trop Med Hyg 68: 168-173.

Hedges DJ, Batzer MA 2005. From the margins of the genome: mobile elements shape primate evolution. Bioessays 27: 785-794.

Higgs S, Traul D, Davis BS, Kamrud KI, Wilcox CL, Beaty BJ 1996. Green fluorescent protein expressed in living mosquitoes without the requirement of transformation. Biotechniques 21: 660-664.

Hollander AK 1991. Environmental impacts of genetically engineered microbial and viral biocontrol agents. In K Maramorosch, Biothechnology for Biological Control of Pests and Vectors, CRC Press, Boca Raton, p. 251-266.

Holt RA, Subramantan GM, Halpern A, Sutton GG, Charlab R, Nusskern DR, Wincker P, Clark AG, Ribeiro JM, Wides R, 2002. The genome sequence of the malaria mosquito Anopheles gambiae. Science 298: 129-149.

Horn C, Jaunich B, Wimmer EA 2000. Highly sensitive, fluorescent transformation marker for Drosophila transgenesis. Dev Genes Evol 210: 623-629.

Hoy MA 1995. Impact of risk analyses on pest-management programs employing transgenic arthropods. Parasitol Today 11: 229-232.

Hurlbut H, Thomas J 1960. The experimental host range of the arthropod-borne animal viruses in arthropods. Virology 12: 391.

Irvin N, Hoddle MS, O'Brochta DA, Carey B, Atkinson PW 2004. Assessing fitness costs for transgenic Aedes aegypti expressing the GFP marker and transposase genes. Proc Natl Acad Sci USA 101: 891-896.

Ito J, Ghosh A, Moreira LA, Wimmer EA, Jacobs-Lorena M 2002. Transgenic Anopheline mosquitoes impaired in transmission of a malaria parasite. Nature 417: 452-455.

James AA, Blackmer K, Racioppi 1989. A salivary gland-specific maltase-like gene of the vector mosquito, Aedes aegypti. Gene 75: 73-83.

Jasinskiene N, Coates CJ, Benedict MQ, Corel AJ, Rafferty CS, James AA, Collins FG 1998. Stable transformation of the yellow fever mosquito, Aedes aegypti, with the Hermes element from the housefly. Proc Natl Acad Sci USA 95: 3743-3747.

Johnson B, Olson K, Allen-Miura T, Carlson JO, Coates CJ, Jasinkiene N, James AA, Beaty BJ, Higgs S 1999. Inhibition of luciferase expression in transgenic Aedes aegypti mosquitoes by Sindbis virus expression of antisense luciferase RNA. Proc Natl Acad Sci USA 96: 13399-13403.

Kalume DE, Peri S, Reddy R, Zhong J, Okulate M, Kumar N, Pandey A 2005. Genome annotation of Anopheles gambiae using mass spectrometry-derived data. BMC Genomics 6: 128-138.

Kidwell MG, Ribeiro JM 1992. Can transposable elements be used to drive disease refractoriness genes into vector popultations? Parasitol Today 8: 325-329.

Kim W, Koo H, Richman AM, Seeley D, Vizioli J, Klocko AD, O'Brochta DA. 2004. Ectopic expression of a cecropin transgene in the human malaria vector mosquito Anopheles gambiae (Diptera: Culicidae): effects on susceptibility to Plasmodium. J Med Entomol 41: 447-455.

Knipling EF 1959. Sterile-male method of population control. Science 130: 902-904.

Knipling EF 1962. The use and limitations of isotopes and radiation sterility in meeting insect problems. Int J Appl Radiat Isot 13: 417-426.

Kokoza V, Ahmed A, Cho WL, jasinskiene N, James AA, Raikhel A 2000. Engineering blood meal-activated systemic immunity in the yellow fever mosquito Aedes aegypti. Proc Natl Acad Sci USA 97: 9144-9149.

Kokoza V, Ahmed A, Wimmer EA, Raikhel AS 2001. Efficient transformation of the yellow fever mosquito Aedes aegypti using piggyBack transposable element vecto pBac(3xP3-EGFP afm). Insect Biochem Mol Biol 31: 1137-1143.

Liu HS, Jan MS, chou CK, Chen PH, De NJ 1999. Is green fluorescent protein toxic to the living cells? Biochem Biophys Res Commun: 260, 712-717.

Lycett GJ, Kafatos FC, Loukeris TG 2004. Conditional expression in the malaria mosquito Anopheles stephensi with Tet-On and Tet-Off systems. Genetics 167: 1781-1790.

Marrelli MT, Moreira CK, Kelly D, Alphey L, Jacobs-Lorena M 2006a. Mosquito transgenesis: what is the fitness cost? Trends Parasitol 22: 197-202.

Marrelli MT, Sallum MAM, Marinotti O 2006b. The second internal transcribed spacer of nuclear ribosomal DNA as a tool for Latin American anopheline taxonomy – A critical review. Mem Inst Oswaldo Cruz 101: 817-832.

Marrelli MT, Li C, Rasgon JL, Jacobs-Lorena M 2007. Transgenic malaria-resistant mosquitoes have a fitness advantage when feeding on Plasmodium-infected blood. Proc Natl Acad Sci USA [Epub ahead of print]

Matz MV, Fradkov AF, Labas YA, Savitsky AP, Zaraisky AG, Markelov ML, Lukyanov AS 1999. Fluorescent proteins from nonbioluminescent Anthozoa species. Nat Biotechnol 17: 969-973.

McGrane V, Carlson JO, Miller BR, Beaty BJ 1988. Microinjection of DNA into Aedes triseriatus ova and detection of integration. Am J Trop Med Hyg 39: 502-510.

Miller LG, Sakai RK, Romans P., Gwadz RW, Dantoff P, Coon HG 1987. Stable integration and experession of a bacterial gene in the mosquito Anopheles gambiae. Science 237: 779-781.

Moreira LA, Edwards MJ, Adhami F, Jasinskiene N, James AA, Jacobs-Lorena M. 2000. Robust gut-specific gene expression in transgenic Aedes aegypti mosquitoes. Proc Natl Acad Sci USA 97: 10895-10898.

Moreira LA, Ito J, Ghosh A, Devenport M, Zieler H, Abraham EG 2002. Bee venom phospholipase inhibits malaria parasite development in transgenic mosquitoes. J Biol Chem 277: 40839-40843.

Moreira LA, Wang J, Collins FH, Jacobs-Lorena M 2004. Fitness of anopheline mosquitoes expressing transgenes that inhibit Plasmodium development. Genetics 166: 1337-1341.

Morris AC, Eggleston P, Crampton JM 1989. Genetic transformation of the mosquito Aedes aegypti by micro-injection of DNA. Med Vet Entomol 3: 1-7.

Myung JM, Marshall P, Sinnis P 2004. The Plasmodium circumsporozoite protein is involved in mosquito salivary gland invasion by sporozoites. Mol Biochem Parasitol 133: 53-59.

Nirmala X, James AA 2003. Engineering Plasmodium-refractory phenotypes in mosquitoes. Trend Parasitol 19: 384-387.

Nirmala X, Marinotti O, Sandoval JM, Phin S, Gakhar S, Jasinskiene N, James AA. 2006. Functional characterization of the promoter of the vitellogenin gene, AsVg1, of the malaria vector, Anopheles stephensi. Insect Biochem Mol Biol 36: 694-700.

Nolan T, Bower M, Brown AE, Crisanti A, Catteruccia F 2002. piggyBac-mediated germline transformation of the malaria mosquito Anopheles stephensi using the red fluorescent protein dsRED as a selectable marker. J Biol Chem 277: 8759-8762.

O' Brochta DA, Sethuraman N, Wilson R, Hice RH, Pinkerton AC, Levesque CS, Bideshi DK, Jasinskiene N, Coates CJ, James AA, Lehane MJ, Atkinson PW 2003. Gene vector and transposable element behavior in mosquitoes. J Exp Biol 206: 3823-3834.

Olson KE 2000. Sindbis virus expression systems in mosquitoes: background, methods and application. In AM Handler, AA James (eds), Insect Transgenesis: Methods and Applications, CRC Press, US, p. 161-189.

Olson KE, Higgs S, Gaines PJ, Powers AM, Davis BS, Kamrud KI, Carlson JO, Blair CD, Beaty BJ 1996. Genetically engineered resistance to dengue-2 virus transmission in mosquitoes. Science 272: 884-886.

Perera OP, Harrell RA, Handler AM 2002. Germ-line transformation of the South American malaria vector, Anopheles albimanus, with a piggyBac/EGFP transposon vector is routine and highly efficient. Insect Mol Biol 11: 291-297.

Pinkerton AC, Michel K, O'Brochta DA, Atkinson PW 2000. Green fluorescent protein as a genetic marker in transgenic Aedes aegypti. Insect Mol Biol 9: 1-10.

Powers AM, Kamrud KI, Olson KE, Higgs S, Carlson JO, Beaty BJ 1996. Molecularly engineered resistance to California serogroup virus replication in mosquito cells and mosquitoes. Proc Natl Acad Sci USA 93: 4187-4191.

Ribeiro JM, Kidwell MG. 1994. Transposable elements as population drive mechanisms: specification of critical parameter values. J Med Entomol 31: 10-16.

Rice CM, Levis R, Strauss JH, Huang HV 1987. Production of infectious RNA transcripts from Sindbis virus cDNA clones: mapping of lethal mutations, rescue of a temperature-sensitive marker, and in vitro mutagenesis to generate defined mutants. J Virol 61: 3809-3819.

Riehle MA, Srinivasan P, Moreira CK, Jacobs-Lorena M 2003. Towards genetic manipulation of wild mosquito populations to combat malaria: advances and challenges. J Exp Biol 206: 3809-3816.

Rodrigues FG, Oliveira SB, Rocha BC, Moreira LA 2006. Germline transformation of Aedes fluviatilis (Díptera: culicidae) with the piggyBac transposable element. Mem Inst Oswaldo Cruz 101: 755-757.

Sanchez-Vargas I, Travanty EA, Keene KM, Franz AW, Beaty BJ, Blair CD, Olson KE 2004. RNA interference, arthropod-borne viruses, and mosquitoes. Virus Res 102: 65-74.

Sanders HR, Evans AM, Ross LS, Gill SS 2003. Blood meal induces global changes in midgut gene expression in the disease vector, Aedes aegypti. Insect Biochem Mol Biol 33: 1105-1122.

Scali C, Catteruccia F, Qiuxiang L, Crisanti A 2005. Identification of sex-specific transcripts of the Anopheles gambiae doublesex gene. J Exp Biol 208: 3701-3709.

Shahabuddin M, Fields I, Bulet P, Hoffmann JA, Miller LH 1998. Plasmodium gallinaceum: differential killing of some mosquito stages of the parasite by insect defensin. Exp Parasitol 89: 103-112.

Simonsen L, Levin BR. 1988. Evaluating the risk of releasing genetically engineered organisms. Tree 2: 27.

Sinkins SP, Curtis CF, O'Neill SL 1997. The potential application of inheried symbiont systems to pest control. In SL O' Neill, A Hoffman, J Werren (eds), Influential Passengers, Oxford University Press, Oxford, p. 155-175

Smartt CT, Kim AP, Grossman GL, James AA 1995. The apyrase gene of the vector mosquito, Aedes aegypti, is expressed specifically in the adult female salivary glands. Exp Parasitol 81: 239-248.

Srivivasan P, Abraham EG, Ghosh AK, Valenzuela J, Ribeiro JMC, Dimopoulos G, Kafatos FC, Adams JH, Fujioka H, Jacobs-Lorena M 2004. Analysis of the Plasmodium and Anopheles transcriptomes during oocyst differentiation. J Biol Chem 279: 5581-5587.

Strauss JH, Strauss EG 1994. The alphaviruses: gene expression, replication and evolution. Microbiol Rev 58: 491-562.

Stump AD, Shoener JA, Costantini C, Sagnon N, Besansky NJ 2005. Sex-linked differentiation between incipient species of Anopheles gambiae. Genetics 169: 509-1519.

Taylor C, Toure YT, Carnahan J, Norris DE, Dolo G, Traore SF, Edillo FE, Lanzaro GC 2001. Gene flow among populations of the malaria vector, Anopheles gambiae, in Mali West Africa.Genetics 157: 743-750.

Taylor RM, Hurlbut HS, Work TH, Klingston JR, Frothingham TE 1955. Sindbis virus: A newly recognized arthropod-transmitted virus. Am J Trop Med Hyg 4: 844.

Travanty EA, Adelman ZN, Franz AWE, Keene KM, Beaty BJ, Blair CD, James AA, Olson KE 2004. Using RNA interference to develop dengue virus resistance in genetically modified Aedes aegypti. Insect Biochem Mol Biol 34: 607613.

Vasconcelos PFC, Travassos-da-Rosa APA, Pinheiro FP, Rodrigues SG, Travassos-da-Rosa ES, Cruz ACR, Travassos-da-Rosa JFS 1999. Aedes aegypti, dengue and re-urbanization of yellow fever in Brazil and other South American countries-past and present situation and future perspectives. Dengue Bull 23: 55-66.

Vlachou D, Schlegelmilch T, Christophides GK, Kafatos FC 2005. Functional genomic analysis of midgut epithelial resonses in Anopheles during Plasmodium invasion. Curr Biol 15: 1185-1195.

Xiong C, Levis R, Shen P, Schlesinger S, Rice CM, Huang HV 1989. Sindbis virus: an efficient, broad host range vector for gene expression in animal cells. Science 243: 1188-1191.

Xu X, Dong Y, Abraham EG, Kocan A, Srinivasan P, Ghosh AK, Sinden RE, Ribeiro JMC, Jacobs-Lorena M, Kafatos FC, Dimipoulos G 2005. Transcriptome analysis of Anopheles stephensi-Plasmodium berghei interactions. Mol Biochem Parasitol 142: 76-87.

WHO-World Health Organization 2006. Malaria vector control and personal protection: report of a WHO study group. Chapter I: Mosquito control – methods. WHO technical report series 936.

Wyss JH 2000. Screwworm eradication in the Americas. Ann NY Acad Sci 916: 186-193.

Yoshida S, Watanabe H 2006. Robust salivary gland-specific transgene expression in Anopheles stephensi mosquito.Insect Mol Biol 15: 403-410.

Yuda M, Yano K, Tsuboi T, Torii M, Chinzei Y 2001. von Willebrand Factor A domain-related protein, a novel microneme protein of the malaria ookinete highly conserved throughout Plasmodium parasites. Mol Biochem Parasitol 116: 65-72.

Received 16 November 2006
Accepted 10 April 2007


+ Corresponding author:

Our Location

Memórias do Instituto Oswaldo Cruz

Av. Brasil 4365, Castelo Mourisco 
sala 201, Manguinhos, 21040-900 
Rio de Janeiro, RJ, Brazil

Tel.: +55-21-2562-1222

This email address is being protected from spambots. You need JavaScript enabled to view it.

Support Program


fiocruz governo
faperj cnpq capes