Prevention is Better than Cure

>the problems they have encountered. Surmounting
Scientists at Imperial College, London, point the waythese difficulties would make possible not just a
to stopping malaria at its source: the mosquitomalaria-free future but would also allow similar
Malaria remains one of the world's most intransigenttechniques to be applied in fighting yellow fever and
diseases, causing suffering and posing serious threatsdengue.
to development in some of the world's poorestThe obstacle race
countries. Transmitted through the bite of a femaleProfessor Andrea Crisanti, who has recently jointly
mosquito (Anopheles stephensi), it affects more thanpublished a paper on these studies, acknowledges
300 million people and causes more than one millionthat further work is needed on the molecular
deaths each year, 90 percent of which occur ingenetics of the problem: 'an increasingly important
Africa. According to the World Health Organisationchallenge is to study the population biology of
(WHO), most of these deaths are among childrentransformed mosquitoes and understand how a
under the age of five. Pregnant women are alsobeneficial gene can be driven through a wild
especially vulnerable to this disease, which ispopulation,' he says.
increasingly resistant to the drugs used to treat it.He recognises too that public concern over genetic
Malaria is characterised by the WHO as 'both amodification in general means that the environmental
disease of poverty and a cause of poverty'. As noand bio-safety aspects of the work will play an
effective vaccination been developed and none is onimportant role. The population studies being
the horizon, the situation seems to hold little promiseundertaken by himself and his team will be essential
for those whose lives and livelihoods are threatenedto the regulatory processes associated with such
by the disease.issues.
Now progress in the field of genetics has ledMathematical modelling, carried out by Professor
scientists from Imperial College, London, to map theCharles Godfray also at Imperial College is helping the
means by which it could be eradicated - not byscientists to understand more about how the GM
treatment but by prevention. Genetically modifiedmosquitoes react in mixed populations. Already it
mosquitoes that do not transmit malaria were firstseems as if one problem has been identified. As the
bred under laboratory conditions three years ago.GM mosquitoes have been bred from a single
The hope has been that such a strain, if released intoancestor, it may be that inbreeding is causing the
the wild, would become absorbed into the nativeintroduced gene to become associated with
population and spread the gene that stops thedetrimental mutations. While these do not actually kill
transmission of the malaria parasite, thus transformingthe mosquito, they impair its competitiveness with
the insects from 'disease carriers to disease fighters.'unmodified insects. Fortunately such effects can be
Unfortunately this hope has so far been thwarted. Itovercome by cross-breeding.
seems that the transgenic mosquitoes do not haveHope for the future
the clout to dominate over their wild relatives. On theWhile current weapons against malaria remain
contrary, they quickly die out if they breed freelyinadequate to protect the thousands of very young
with their unmodified counterparts. The Imperialchildren who die each year from this cruel disease,
College Study, in which the transgenic mosquitoesthe research being conducted by the Imperial College
were mated with unmodified insects showed thatteam holds real hope that the end is in sight.
the beneficial gene was lost over the course ofReferences:
between 4 and 16 generations. Given the shortCatteruccia, F., Godfray, C. J. & Crisanti, A. Impact of
life-cycle of the insects, this represents only a verygenetic manipulation on the fitness of Anopheles
slight time span. Infinite numbers of mosquitoesstephensi mosquitoes. Science, 299, 1225 - 1227,
would therefore need to be released in a particular(2003).
place to give them a hope of replacing the wild,Catteruccia, F. et al. Stable germline transformation of
parasite-riddled varieties - meaning that the scale andthe malaria mosquito Anopheles stephensi. Nature,
cost of such an activity would probably be prohibitive.405, 959 - 962, (2003).
However, the scientists involved in the project, whichFor further information, please contact:
is funded by the Wellcome Trust, are confident thatJudith Moore
what has been learnt points the way ahead. NowImperial College of Science, Technology and
they have to carry out feasibility studies and look atMedicinej.h.moore@ic.ac.
the costs involved to see if they can find solutions to