The bite that binds us

The bite that binds us

A mosquito of the genus Anopheles • Jim Gathany/CDC (Public Domain)

Originally published 22 July 1996

Here’s some­thing to think about while you’re slap­ping mos­qui­toes this sum­mer. We have more in com­mon with these crea­tures than you might think.

We share an ances­tor in deep time. Our kin­ship is revealed by mol­e­c­u­lar biol­o­gists at the lev­el of the genes; it appears that we share some basic genet­ic machin­ery. Cer­tain­ly, we are chem­i­cal­ly enough alike so that human blood pro­tein is use­ful to the mosquito.

We share the over­ar­ch­ing pur­pose of all liv­ing crea­tures — to prop­a­gate our species.

And our lives are bound togeth­er by the malar­ia parasite.

In our part of the world, we have more or less for­got­ten about malar­ia. How­ev­er, sev­er­al hun­dred mil­lion peo­ple world­wide suf­fer from this debil­i­tat­ing ill­ness. More than 1 mil­lion die each year, most­ly chil­dren. All because of a micro­scop­ic crea­ture called Plas­mod­i­um that has a remark­able lifestyle.

Fol­low along for a moment.

The mos­qui­to that is pes­ter­ing you has only one thing on her mind: a blood meal.

It is def­i­nite­ly a she. Male mos­qui­toes have two things on their minds: sex and nec­tar. And only enough nec­tar to have the ener­gy for sex. The male mos­qui­to isn’t inter­est­ed in blood.

The female needs pro­tein-rich blood to nour­ish her eggs. It need not be human blood, but increas­ing­ly we have made our­selves the most read­i­ly avail­able item on her menu.

She may take more than one blood meal dur­ing her life­time, which, as we shall see, can have unfor­tu­nate con­se­quences for her sec­ond victim.

When a malar­ia-infect­ed mos­qui­to of the genus Anophe­les bites a human, she injects a bit a sali­va into the wound to keep the vic­tim’s blood flow­ing freely. In the sali­va are thou­sands of tiny thread­like crea­tures called sporozoites.

The sporo­zoites are car­ried by the blood­stream to the liv­er, where they leave the blood and pen­e­trate a liv­er cell. Inside, the sporo­zoite trans­forms itself into a spore-like form, called a mero­zoite, and repli­cates itself over and over, destroy­ing the liv­er cell and build­ing a cyst that is jam-packed with merozoites.

After two weeks, the cyst bursts and spews its con­tents into the blood­stream. Each mero­zoite attach­es itself to a human red blood cell and enters it. The mero­zoite feeds on hemo­glo­bin, grow­ing big­ger, until it shat­ters into bits, each of which forms anoth­er mero­zoite. At last, the teem­ing blood cell explodes its con­tents back into the blood stream.

The process is repeat­ed over and over, while the human host goes through bouts of fever. But now, an amaz­ing thing hap­pens. After sev­er­al cycles of repli­ca­tion, some of the mero­zoites become sex­u­al forms called game­to­cytes, male and female. These cir­cu­late in the blood­stream until the host is bit­ten by anoth­er Anophe­les mos­qui­to. The Plas­mod­i­um game­to­cytes are sucked up by the mos­qui­to along with their asex­u­al companions.

The blood-gorged Anophe­les flies away from its human vic­tim. Inside the mos­qui­to’s stom­ach the asex­u­al mero­zoites die. Male game­to­cytes turn them­selves into swarms of lash­ing, sperm-like fil­a­ments, which pen­e­trate the female game­to­cytes and fer­til­ize them.

Each fer­til­ized “egg” now trans­forms itself into a creepy-crawly thing that bores through the mos­qui­to’s stom­ach wall, where it attach­es itself on the out­side of the stom­ach wall and becomes a cyst. With­in the cyst, the mate­r­i­al of the “egg” reor­ga­nizes itself into thou­sands of thread­like forms, the sporo­zoites. The cyst bursts, the sporo­zoites make their way to the mos­qui­to’s sali­vary gland, and…

…and wait like bul­lets in a loaded gun for the mos­qui­to to have her sec­ond blood meal.

A new vic­tim, a new life cycle for Plas­mod­i­um.

This is the con­densed ver­sion of the sto­ry. Left out, for exam­ple, are the tricks Plas­mod­i­um employs to out­wit our immune system.

Humans are nec­es­sary to Plas­mod­i­um’s life cycle, as cafe­te­rias for feed­ing and places of explo­sive asex­u­al repro­duc­tion. The mos­qui­to is nec­es­sary as a vehi­cle for trans­port and a bow­er for sex­u­al expression.

It is often said that mos­qui­toes kill more humans than any oth­er ani­mal, but it is not mos­qui­toes that kill. It is the par­a­sites they car­ry, most par­tic­u­lar­ly the malar­ia pathogen, Plas­mod­i­um.

With our clever brains and sci­en­tif­ic skills we are not pas­sive vic­tims. We mar­shal our resources. We dis­cov­er or invent drugs to attack the pathogen or mit­i­gate the symp­toms of dis­ease. We drain the swamps where Anophe­les lays her eggs. We spray with DDT.

And for a while, these strat­a­gems worked. Some places, the Unit­ed States for exam­ple, have become malar­ia-free. The inci­dence of malar­ia world­wide tem­porar­i­ly dimin­ished. But Anophe­les and Plas­mod­i­um are not with­out resources of their own — most par­tic­u­lar­ly their quick repro­duc­tive cycles. The spir­it of Dar­win brush­es them with its favor­ing wings.

With­in mere decades, Anophe­les has evolved immu­ni­ty against pes­ti­cides. Plas­mod­i­um has evolved resis­tance to drugs. After a peri­od of decline, malar­ia is resur­gent. Today, malar­ia is the lead­ing cause of death world­wide for chil­dren under five.

All of this is some­thing to pon­der this sum­mer as mos­qui­toes buzz. The evo­lu­tion­ary riv­er that flows out of Eden binds us togeth­er in a com­mon fate — human, mos­qui­to, malar­ia pro­to­zoa. Each of us is doing every­thing we can to increase the odds for our own survival.

Slap!

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