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Genetic diversity of Anopheles stephensi in Ethiopia provides insight into patterns of spread

Background The recent detection of the South Asian malaria vector Anopheles stephensi in the Horn of Africa (HOA) raises concerns about the impact of this mosquito on malaria transmission in the region. Analysis of An. stephensi genetic diversity and population structure can provide insight into the history of the mosquito in the HOA to improve predictions of future spread. We investigated the genetic diversity of An. stephensi in eastern Ethiopia, where detection suggests a range expansion into this region, in order to understand the history of this invasive population. Methods We sequenced the cytochrome oxidase subunit I (COI) and cytochrome B gene (CytB) in 187 An. stephensi collected from 10 sites in Ethiopia in 2018. Population genetic, phylogenetic, and minimum spanning network analyses were conducted for Ethiopian sequences. Molecular identification of blood meal sources was also performed using universal vertebrate CytB sequencing. Results Six An. stephensi COI-CytB haplotypes were observed, with the highest number of haplotypes in the northeastern sites (Semera, Bati, and Gewana towns) relative to the southeastern sites (Kebridehar, Godey, and Degehabur) in eastern Ethiopia. We observed population differentiation, with the highest differentiation between the northeastern sites compared to central sites (Erer Gota, Dire Dawa, and Awash Sebat Kilo) and the southeastern sites. Phylogenetic and network analysis revealed that the HOA An. stephensi are more genetically similar to An. stephensi from southern Asia than from the Arabian Peninsula. Finally, molecular blood meal analysis revealed evidence of feeding on cows, goats, dogs, and humans, as well as evidence of multiple (mixed) blood meals. Conclusion We show that An. stephensi is genetically diverse in Ethiopia and with evidence of geographical structure. Variation in the level of diversity supports the hypothesis for a more recent introduction of An. stephensi into southeastern Ethiopia relative to the northeastern region. We also find evidence that supports the hypothesis that HOA An. stephensi populations originate from South Asia rather than the Arabian Peninsula. The evidence of both zoophagic and anthropophagic feeding support the need for additional investigation into the potential for livestock movement to play a role in vector spread in this region. Graphical Abstract Supplementary Information The online version contains supplementary material available at 10.1186/s13071-021-05097-3.


Background
Malaria remains one of the leading global health concerns, with over 229 million cases reported yearly [1]. Efforts to prevent the transmission of malaria often involve controlling the mosquito vectors (Anopheles) that transmit the malaria parasite, Plasmodium spp. Previous studies have shown that the movement of Plasmodium strains from one region to another can have serious population health consequences, such as the emergence of antimalarial resistance [2] or malaria epidemics in naïve or low-transmission areas [3]. Investigations into the long-distance movement of these new Plasmodium strains have typically centered on the movement of their human hosts as carriers of the strains, especially asymptomatic individuals who act as reservoirs for Plasmodium transmission (for review, see Bousema et al. [4]). With the growing evidence that vectors can be transported long distances [5], and given the correlation between new vector introductions and increased disease burden in some instances [6][7][8], investigating the movement of vector populations in malaria-endemic regions is critical to understanding the introduction of new parasite strains and evaluating the malaria risk in a particular region.
The Horn of Africa (HOA), comprising Djibouti, Eritrea, Ethiopia, and Somalia, is classified as a malariaendemic area, with the distinction compared to most other areas in Africa of having substantial transmission of both Plasmodium falciparum and Plasmodium vivax [1]. In 2012, an urban malaria vector mosquito, Anopheles stephensi, which is common in South Asia, was detected in the HOA for the first time in Djibouti [9,10], and then in 2016 in eastern Ethiopia [11]. Previously, this species range was believed to be limited to South Asia and the Middle East, including the eastern Arabian Peninsula [12]. Like Anopheles arabiensis, the major malaria vector in the HOA, An. stephensi is known to transmit both major malaria parasite species, P. falciparum and P. vivax, and could threaten recent progress in reducing the prevalence of malaria in that area. After additional surveillance, An. stephensi was also detected in the Republic of Sudan and Somalia (Vector Threat Map, WHO, 2019) and was revealed to have a broader distribution in Ethiopia [13] and Djibouti [10], suggesting that An. stephensi may spread to other parts of Africa. With molecular evidence that various Plasmodium strains evolve to be compatible with specific Anopheles species, it was previously unclear whether An. stephensi could transmit local HOA Plasmodium strains. There is now evidence that the HOA An. stephensi can transmit the local strains of P. falciparum and P. vivax in Djibouti [10] and Ethiopia [14], validating concern for the role An. stephensi may play in increasing malaria transmission.
The expansion of An. stephensi in the HOA complicates malaria control in the HOA in several ways. Until now, vector control strategies have centered on the detection and elimination of known major vectors like An. arabiensis which exhibit different breeding, feeding, and resting behaviors when compared to An. stephensi. Also, there is evidence of diverse insecticide resistance mechanisms among Anopheles species [15][16][17]. Given these differences, vector control approaches are in the process of being modified to account for the presence of An. stephensi in the HOA. The potential threat to progress in controlling malaria led the World Health Organization (WHO) to post a "vector alert" in 2019, characterizing An. stephensi as a "major potential threat, " and calling for enhanced surveillance in Africa [18].
In order to better assess the potential impact of An. stephensi on malaria in the HOA and the rest of the continent, more information is needed on the pattern of spread of An. stephensi. Analysis of the genetic variation in An. stephensi populations can provide crucial information about the geographical range of the species and the frequency of introductions. Phylogeographic and population genetic analyses of the structure of variation and relationships between newly detected An. stephensi and An. stephensi from long-established populations outside of Africa can provide insight into the evolution of this population in Africa. Initial analysis of the mitochondrial COI (cytochrome c oxidase subunit I, also known as cox1) generated from An. stephensi in Kebridehar in eastern Ethiopia and An. stephensi sequence data from collections in South Asia, the Middle East, and the Arabian Peninsula taken from GenBank [11] identified a single haplotype that was different from Djibouti sequences but identical to one An. stephensi sequence from Pakistan. Since the identification of An. stephensi in Ethiopia, this vector has been detected in 10 additional sites in eastern Ethiopia as far north as Semera and as far south as Godey [13]. Additional data from these sites are needed to provide a more complete picture of the history of An. stephensi in Ethiopia. In addition to phylogeographic history, more information on factors that facilitate An. stephensi spread is needed. One potential factor of interest is the host preferences of An. stephensi in the HOA. Pastoralism is a common livelihood in Ethiopia and involves moving cattle, goats, sheep, and camels hundreds of kilometers every season [19]. Movement may be driven by several factors including limited natural resources, conflicts, recurrent severe droughts, and extreme weather [20,21]. Resource depletion in recent years has led to movement of livestock over longer distances in search of grazing areas and water [22,23]. Anopheles stephensi has exhibited both zoophagic (common livestock species such as cattle) and anthropophagic behaviors in populations in South Asia [24]. Data on An. stephensi feeding preferences in Ethiopia can provide insight into the potential for extensive livestock movement as a vehicle for An. stephensi spread. Here we performed phylogeographic and population genetic analyses of An. stephensi at 10 sites and used sequence barcoding approaches to evaluate hosts on which An. stephensi feeds, to better understand vector movement.

Sample collection and site description
Sample collection was conducted in 10 sites from September to November of 2018 in eastern and northeastern Ethiopia including Semera, Bati, Awash Sebat Kilo, Gewane, Dire Dawa, Erer Gota, Degehabur, Jigjiga, Kebridehar, and Godey as previously detailed [13]. These sites were selected based on the variation in landscape (altitude and topography) and proximity to major roads. Study sites were assigned to categories (northern, central, and southern) based on proximity to specific major roads and relative location across sites. "Northern" sites included the northernmost sites off the B11 road (which runs between Mille town and Kombolcha town) and A1 road (which runs between Ethiopia's capital, Addis Ababa, and Djibouti). "Central" sites were located in the middle portion of our collection sites along the A10 road (which runs between Addis Ababa and Degehabur) running west/east. "Southern" sites were the southernmost sites off the A10 road running north/south. Mosquitoes were collected using Centers for Disease Control and Prevention (CDC) light traps and pyrethrum spray collection (PSC) in houses, and larvae and pupae were sampled using the WHO dipping approach. CDC light traps were set up from 18:00 to 6:00 local time. Pyrethrum spray collections were performed between 6:00 and 8:00. Larvae and pupae were collected from suspected larval habitats including human-made containers using a standard dipper (350 ml capacity) and pipettes. Adults were reared from collected larvae and morphologically identified to species using palps, wings, abdomen, and legs based on standard identification keys [25][26][27] and confirmed molecularly through COI and ITS2 sequencing. Overall, a total of 187 mosquitoes were analyzed in this study: 118 wild-caught reared from immatures and 69 wild-caught adults ( Table 1).

Analysis of An. stephensi DNA
Molecular analyses of specimens were conducted at Baylor University. Two An. stephensi genes were selected for genetic diversity analysis. COI was chosen based on the availability of sequences from other countries for global phylogenetic analysis. CytB was chosen for its successful application in characterizing other Culicidae. While ITS2 was helpful for species identification [28], no genetic variation was observed at this locus in these Ethiopian samples [3] and thus ITS2 phylogenetic analysis was not undertaken. COI sequences were generated as previously described [2]. For CytB, two primers were designed with Primer3 software [29,30]: CytbF 5′AGG ATC TTC TAC AGG ACG AG3′ and CytbR 5′CAT GTA GGA CGA GGA GTC TA3′ and used for polymerase chain reaction (PCR) amplification. Final reagent concentrations and components were 0.4 μM for each primer, 1× Promega GoTAQ Hot Start Master Mix (Promega, Madison, WI, USA), and water for a total reaction volume of 25 µl. The temperature protocol was performed as follows: 94 °C for 5 min, 35 cycles of 94 °C for 40 s, 56 °C for 1 min, 72 °C for 3 min, and final extension of 72 °C for 10 min. Amplification was confirmed using visualization of a 750 bp band with gel electrophoresis. PCR products were sequenced using Sanger technology with ABI BigDye ™ Terminator v3.1 chemistry (Thermo Fisher, Santa Clara, CA) according to the manufacturer's recommendations and run on an Applied Biosystems 3130 Genetic Analyzer (Thermo Fisher, Santa Clara, CA, USA). CytB sequences were trimmed and analyzed using CodonCode Aligner v. 8.0.2 (CodonCode Corporation, Centerville, MA, USA). To confirm amplification of the correct locus, sequences were submitted as queries to the National Center for Biotechnology Information's (NCBI) Basic Local Alignment Search Tool (BLAST) [31] against the nucleotide collection in the NCBI GenBank under default parameters [max high-scoring segment pairs (HSP) 250, expect threshold 10, word size 28, optimized for highly similar hits, not specific to any organism]. Sequences of the haplotypes identified in this study are available on the NCBI Nucleotide Database (Acces-sion# OK663479-OK663484, OK670743-OK670744).

Population genetic analysis
To estimate the level of diversity of the An. stephensi collection overall and within each site, we calculated the number of polymorphic (segregating) sites (s), number of haplotypes (h), haplotype diversity (H), nucleotide diversity (Pi), and average number of nucleotide differences (k) using the DnaSP version 5 program [32]. Genetic diversity statistics were also generated for each collection site subregion, designated "northern, " "central, " and "southern, " as listed in Table 1. Population differentiation between sites was determined through pairwise F st (differentiation based on haplotype frequencies only) and Φ st (differentiation accounting for genetic distances) in Arlequin version 3.5.2.2 software [33]. To test the significance of the derived pairwise F st , 110 permutations were performed and P-values generated. Significance was set at alpha < 0.00001.

Phylogenetic analysis
In order to determine the evolutionary relationships between the An. stephensi found in Ethiopia and to further elucidate the spread of the vector, we also performed phylogenetic analysis of the COI and concatenated COI+CytB An. stephensi sequences generated in this and previous studies.
Alignments were created with MAFFT version 7 [34] and uneven ends were trimmed using Mesquite 3.51 [35]. Phylogenetic relationships were inferred using RAxML (Randomized Axelerated Maximum Likelihood) [36], which is based on a maximum likelihood (ML) approach. The GTRGAMMA option that uses the general timereversible (GTR) model of nucleotide substitution with To provide some preliminary insight into the relationship between the haplotypes and other global haplotypes, we also performed phylogenetic analysis using the COI sequence data available in GenBank (Additional file 1: Table S1). Analyses were performed as above except that we only incorporated unique haplotypes into the final RAxML analysis. Trees were visualized in FigTree and symbols were added to represent the countries.

Minimum spanning networks
To evaluate the frequency and relationship between Ethiopian An. stephensi haplotypes observed, we generated minimum spanning networks [38] based on the concatenated COI-CytB sequences using PopART [39]. Similarly, we generated a network of global populations using COI sequences from population data sets available in GenBank. Population data sets were only available for Sri Lanka, Pakistan, and Saudi Arabia; analysis was limited to these sets.

Molecular blood meal analysis
DNA was extracted from abdomens of 59 wild-caught adult blood-fed An. stephensi using Qiagen DNeasy kits and was used for molecular identification of blood meal sources. We used a sequence-based approach based on the CytB gene and a universal vertebrate-specific primer set to first (i) confirm whether there was detectable vertebrate DNA present in the sample and then (ii) identify the vertebrate host based on querying the NCBI nucleotide sequence database. This primer set can be used to distinguish a broad range of vertebrate species including human, cow, and goat [40] (Kent and Norris 2005). The primers used were UNFOR403 5′TGA GGA CAA ATA TCA TTC TGAGG3′ and UNREV1025 5′GGT TGT CCT CCA ATT CAT GTTA3′. PCR was performed using the following final reagent concentrations and components: 0.4 μM for each primer, 1× Promega GoTAQ Hot Start Master Mix (Promega, Madison, WI, USA), and water for a total reaction volume of 25 µl. Amplification conditions were as follows: 95 °C for 5 min, 35 cycles of 95 °C for 1 min, 58 °C for 1 min, 72 °C for 1 min, and final extension of 72 °C for 10 min. PCR products were confirmed using gel electrophoresis as detailed above, and sequenced and compared with database sequences using BLAST for species identification.

Ethiopian An. stephensi are genetically diverse
We were interested in the number of haplotypes that would be detected in An. stephensi in our study. Analysis of COI sequences from 187 An. stephensi revealed four segregating sites (polymorphisms) across the sequence that contributed to six distinct COI-haplotypes. All polymorphisms were synonymous mutations. CytB had a single segregating site resulting in two haplotypes. Genetic diversity statistics were generated for each site including number of polymorphic (segregating) sites (s), number of haplotypes (h), haplotype diversity (H), nucleotide diversity (Pi), and average number of nucleotide differences (k) ( Table 1). Semera, located in the northern portion of eastern Ethiopia, was the most diverse (h = 4, H = 0.728) and Godey in the south was the least diverse (1 haplotype, H = 0). When comparing regions, northern sites had the greatest level of diversity (h = 5, H = 0.63) and the southern sites had the least (h = 3, H = 0.121).

Anopheles stephensi in Ethiopia exhibit some population differentiation
In addition to different levels of variation in the northern compared with the southern sites, haplotypes were distributed differently across the three designated subregions (Fig. 1). The most prevalent haplotype in the collection was CC-Hap B, and it was observed in all three subregions. CC-Hap B was also the predominant haplotype in the southern and central subregions (93.8% and 82.9%, respectively). However, in the northern subregion, where the highest number of distinct haplotypes was observed, the predominant haplotype was CC-Hap C (55.6%). Pairwise F st and Φ st reveal population differentiation among study sites (Additional file 2: Figure S1-S2). The highest differentiation (F st , Φ st > 0.80, P < 0.00001) was observed between sites in the north and sites in the other two subregions, notably Bati (northern) compared to Kebridehar (southern, F st = 0.893, Φ st = 0.964), Godey (southern, F st = 0.880, Φ st = 0.958), and Erer Gota (Central, F st = 0.837, Φ st = 0.904). Phylogenetic analysis supports population differentiation between the northern and southern sites with bootstraps > 90 for three major clades that carry haplotypes that vary in frequency across these subregions (Fig. 2a). We also constructed a minimum spanning networking based on the COI-CytB haplotypes to further evaluate the relationship between the haplotypes (Fig. 2b). The most central nodes (representing specific haplotypes) were CC-Hap A and CC-Hap B. Each haplotype in the network differed by one or two nucleotides.

Ethiopian An. stephensi share haplotypes with several countries
CytB sequences were only available for three countries so only COI sequences were used for global diversity comparisons. We compared the COI sequences from Ethiopian An. stephensi sequences to the sequences available in the NCBI GenBank representing countries in South Asia (India, Pakistan, Sri Lanka), the Middle East including Iran and the Arabian Peninsula (Saudi Arabia, United Arabic Emirates), and the HOA (Djibouti, Ethiopia) (see Additional file 1: Table S1 for sequence information). Of the six Ethiopian COI haplotypes detected, two were observed in other countries, designated COI-Hap1 (all CC-Hap A) and COI-Hap2 (all CC-Hap B). The minimum spanning network of the available population COI sequence datasets revealed that COI-Hap1 was the most central node, with the most proximal nodes representing country-specific haplotypes for Ethiopia, Sri Lanka, and Pakistan that differed from the central node by a single nucleotide (Fig. 3). The haplotype represented by the central node was also the predominant haplotype in Pakistan (26/28). Phylogenetic analysis of the global COI haplotypes revealed that the COI-Hap1 is the most widely dispersed haplotype, observed in most sites including Djibouti and other locations in the Arabian Peninsula, South Asia, and the Middle East (Fig. 4). Saudi Arabia, with the most basal sequences and strong differentiation from the other An. stephensi sequences (bootstrap = 90), lacked the COI-Hap1 haplotype and did not share any haplotypes with Ethiopia or any of the other countries ( Figs. 3 and 4).

Anopheles stephensi in eastern Ethiopia exhibit zoophilic feeding behaviors
Given the evidence of a recent spread of An. stephensi in eastern Ethiopia, we were very interested in whether An. stephensi exhibited zoophilic feeding behaviors that may encourage its range expansion through livestock movement. Of the 59 wild-caught adult An. stephensi mosquitoes with available DNA from abdomens,  36 (61.0%) were confirmed to be blood-fed based on the presence/absence PCR assay for vertebrate DNA. These originated in Semera (n = 27), Erer Gota (n = 4), Gewane (n = 2), Kebridehar (n = 2), and Godey (n = 1). Of the 36 blood-fed An. stephensi, 75.0% (27/36) had vertebrate DNA identifiable with sequencing. Of the 27 blood meals, 22 were from goat, three from cow, one from human, and one from dog. Of the 22 samples confirmed to have fed on goat, 68.2% (15/22) showed signs of intraspecies mixed feeding based on the presence of double peaks in sequencing data. Of the nine samples considered blood-fed but unidentifiable, four samples showed evidence of cross-species feedings that could not be resolved by sequence analysis, and five samples presented positive presence/absence PCR results for blood-feeding but produced unsuccessful sequencing results. Overall, we found evidence of both livestock and human feeding.

Discussion
Our analyses revealed multiple mitochondrial gene haplotypes in An. stephensi populations in Ethiopia. Higher genetic diversity was observed in the most northern sites, such as Semera, compared to the most southern, such as Godey. Lower genetic diversity can be a signature of a more recent population produced through range expansions or introduction [41][42][43]. Often, introductions start with a small population with a relatively small amount of genetic diversity, and variation is acquired over time through spontaneous mutation or gene flow. In this study, the observation of higher diversity in the northern sites and lower diversity in the southern sites may indicate that An. stephensi in the south represent a more recent population relative to the population in the north. The difference in the level of diversity may also reflect different degrees of gene flow between the An. stephensi origin outside of Ethiopia.
We also observed population differentiation between many sites, notably, differentiation of the northern sites from the central and southern sites. These differences may reflect landscape or other natural barriers that minimize gene flow between the populations. Notably, Semera, and Gewane are located in the Rift Valley, which may explain the within-subregion differentiation of Bati from Semera and Gewane. The population differentiation may also reflect geographical differences in An. stephensi introduction(s) into Ethiopia. One subregion may have stronger international connectedness which would allow for influx of additional diversity, while another region with lower international connectedness would have lower diversity overall. Further sequencing representative of the genomic variation and the addition of more sites can help identify the relevant demographic and geographical factors that shape the diversity of An. stephensi.
Phylogenetic and network analysis (Figs. 3, 4) revealed haplotypes unique to Ethiopia and others observed in other countries. Based on the sequences available, the An. stephensi in both Ethiopia and Djibouti are more closely related to An. stephensi from South Asia than those from the Arabian Peninsula (with the exception of one sequence from the United Arab Emirates). These results endorse greater support for South Asia as the place of origin for An. stephensi in the HOA. However, conclusions about the specific origin (i.e., country) require additional sampling and sequencing from An. stephensi populations from countries not well represented in the available database, including Afghanistan, Yemen, Oman, and China, as well as other underrepresented countries in East Africa including Sudan, Djibouti, Eritrea, and Somalia.
The distribution of mitochondrial DNA (mtDNA) haplotypes in Ethiopia may provide insight into how An. not represented in this study. Additional genetic analysis from more regions can help answer this question. These preliminary results provide a framework for continued investigation into the origin of An. stephensi in the HOA. Follow-up genetic studies should include the sites in this study with the strongest connection to S. Asia based on the mtDNA analyses completed here as potential sources for introduction into Ethiopia. More genetic analysis is needed that accounts for genome-wide variation and should also focus on underrepresented sites in the HOA and long-established An. stephensi populations outside the HOA. Increasing the number of sites will provide a basis for a formal association analysis between geographical location and the level of genetic diversity to test the hypothesis developed here that the An. stephensi population in the north is older than the population in the south. Also, additional samples from collections throughout the year could provide important information on seasonal differences in An. stephensi diversity.
Combining genetic analysis with relevant data related to anthropogenic and environmental factors would provide a holistic picture of how An. stephensi was introduced and could facilitate predicting how the vector could spread further. Studies should look into economic activities related to import and export practices via vehicle, aircraft, and maritime trade. In addition, pastoral activities may be relevant, given the high evidence of feeding on goats, which are common livestock in eastern Ethiopia. More investigations are needed to determine whether the high zoophilic pattern observed in our study is a trait of the HOA An. stephensi or is more likely shaped by the availability of livestock compared to humans as a feeding source. Still, the evidence for both zoophilic and anthropophilic feeding in this study supports the need for investigations into whether livestock movement plays a role in the spread of An. stephensi. While the livestock themselves are not likely to transport the mosquitoes, they may be an attractant, and the traveling water containers may serve as suitable and mobile breeding habitat. In addition, incorporating climate variables (e.g., rainfall, humidity, temperature, predominant wind pattern and speed) and landscape characteristics would provide additional information on environmental factors that contribute to gene flow.

Conclusion
Our data on Ethiopian An. stephensi genetic diversity suggest a South Asia origin of the HOA An. stephensi and a pattern of spread indicating that the southern population in Ethiopia has resulted from a more recent expansion than the northern and central populations. Future studies with expanded genomic analysis will further inform our understanding of migration rates and the role of local adaption on the spread of An. stephensi into and throughout the HOA. Collaboration across countries where this mosquito is well established and countries where it is emerging can facilitate a complete understanding of the spread of An. stephensi into Africa.