Vector control particularly the use of bed nets treated with pyrethroids has had an impact on entomological parameters, such as reducing infection rate in the vector population, vector abundance, and parity rate [1, 2] leading to a decline in malaria morbidity and mortality in sub-Saharan Africa as a result of a decline in vectorial capacity [3–5]. Despite these successes, malaria resurgence and outbreaks have been reported in various transmission settings in sub-Saharan Africa where ITNs were deployed [6–9]. Hence, the effectiveness of the primary vector control methods with regard to insecticide resistance needs continuous monitoring and probing of the resistance mechanisms.
In contrast to other major vectors, Anopheles funestus sensu stricto (hereafter An. funestus) has received very scant attention owing to the difficulty in colonizing this species under laboratory conditions. An. funestus is distributed throughout Africa similar to the distributed union of An. gambiae. After developing resistance and exhibiting behavioural adaptability, An. funestus has a higher ability to colonize a niche [10, 11]. It is one of the most ubiquitous and efficient malaria vectors in the world; highly susceptible to the P. falciparum parasite, highly anthropophagic and endophilic [12–14]. The significance of studying this mosquito is highlighted by its versatility in ecological adaptation and the emergence of resistance to recommended public health insecticides for vector control [10, 15].
Increased resistance to pyrethroids used for bed net impregnation has led to low efficacy of conventional LLINs against An. funestus [16]. Resistance monitoring focuses on transmission foci, hotspots of localized outbreaks, or after spikes in disease cases in pre-elimination and elimination settings [17]. For effective insecticide resistance management, it is essential to genetically characterize insecticide resistance profiles and mechanisms in the vector populations. Metabolic resistance poses the biggest threat to the control of malaria vectors [18]. Cytochrome P450s, Glutathione S-transferases (GSTs) and carboxylesterases (COEs) are well-established enzyme families in malaria vectors known to confer resistance to pyrethroids [19, 20]. These detoxification genes are pivotal in the molecular mechanism of insecticide resistance.
Non-coding RNAs (ncRNAs) form a vast class of RNAs that do not code for protein. Examples of ncRNAs include transfer RNA (tRNA), ribosomal RNA (rRNA), small nuclear RNA (snRNA), small nucleolar RNA (snoRNA), microRNA (miRNA), PIWI-interacting RNA (piRNA), endogenous small interfering RNA (siRNA), circular RNA (circRNA), long non-coding RNA (lncRNA), protein functional effector small ncRNA (pfeRNA), and other ncRNAs whose functions remain unknown [21, 22]. They can control the expression of genes at the chromosomal, transcriptional, post-transcriptional, and translational levels and play a role in the entire developmental process. ncRNAs have been demonstrated in studies on arthropods to be essential for several physiological and developmental processes, including molting, reproduction, immunity, wing development, and insecticide resistance [23]. ncRNAs can modify signalling pathways involved in these biological processes by targeting both DNA and RNA substrates. Sequences of regulatory ncRNAs can also help establish epigenetic alterations such as histone acetylation/deacetylation, DNA/histone methylation, etc. within the nucleus by bringing in chromatin remodelling agents that are known to change transcriptional activity [24, 25]. Based on their length, ncRNAs are arbitrarily divided into two groups: small ncRNAs (scnRNAs, < 200 nts) and long ncRNAs (lncRNAs, > 200 nts)[26]. Depending on where they are in relation to genes that code for proteins, lncRNAs can also be categorized as sense, antisense, intronic, or intergenic [27]. With regards to insecticide resistance in insects, lncRNAs that were found to be differentially expressed during the larval stage development of resistant Plutella xylostella genotypes [28] and uniquely differentially expressed during the egg to adult moth stages in Bt-toxin resistant strains of the same insect [29]. Similarly, the expression of the lncRNAs in P. xylostella was linked to the expression of the cytochrome P450, the ATP-binding cassette (ABC) transporter and the esterase genes involved in resistance to chlorantraniliprole insecticide [27]. Moreover, some long intergenic non-coding RNAs were overexpressed in deltamethrin-resistant larvae of Plutella xylostella exposed to deltamethrin [28]. ncRNAs are intriguing candidates to study when organisms are exposed to insecticides and other toxicants since they are involved in pathways linked to responses to cellular stress [28, 30]. The genes for ribosomal proteins, such as L39 [31], S4 [32], L22 [33], and S29 [34], have been found to be associated with the resistance mechanism of Culex mosquitoes.
In the malaria-endemic region of western Kenya, there has been a resurgence of endophilic An. funestus and increased 20-fold over a decade ago [9, 35]. The resurgence of this vector was partly attributed to resistance to pyrethroids used in ITN impregnation [36]. As the country is aiming to achieve the malaria elimination goal by 2030, it is very crucial to have a comprehensive understanding of the resistant profile of this important, re-emerged vector to inform stakeholders of the right choice of control strategy to adopt. To date, there have been few investigations on An. funestus susceptibility to insecticides in Kenya. The initial study on An. funestus susceptibility to insecticides from two study areas in western Kenya was reported in 2007 [37] and even though the species were not identified using molecular techniques, previously identified Anopheles species from the same areas revealed that only An. funestus was present [38]. Later in western Kenya, seven adults An. funestus were sampled and their F1 progenies' susceptibility to insecticides revealed that they were susceptible to DDT but resistant to permethrin [39]. Further study in Kisumu in the lowland area of western Kenya has shown that An. funestus is resistant to pyrethroids (deltamethrin and permethrin) with overexpression CYP6P9a and CYP6P9b responsible for pyrethroid resistance [15]. A recent study in the same Kisumu, using microarray for transcriptome analysis has revealed that overexpression of cytochrome P450s notably, CYP4H18, CYP6M7, CYP9K1, CYP4C36 and CYP4H17 in pyrethroid-resistant An. funestus population [40]. The use of microarrays can only be used with the gene families that have been identified on the array, and they only give information on relative expression levels. The RNA-seq technology offers single nucleotide level resolution, absolute rather than relative gene expression profile, and a comprehensive view of the transcriptome in a specific state [41].
In this study, we examined the insecticide resistance profile of An. funestus across five sites in four counties in western Kenya and elucidated the molecular mechanisms of resistance using RNA-seq. Our results provide new novel insights into insecticide resistance at the molecular level in this important malaria vector, which has received limited attention, and could help in designing effective control strategies.