Analyze Diet
Parasites & vectors2015; 8; 230; doi: 10.1186/s13071-015-0840-3

Identification of phlebotomine sand fly blood meals by real-time PCR.

Abstract: Phlebotomine sand flies are blood-feeding insects of great medical and veterinary significance acting as vectors of Leishmania parasites. Studying the blood-feeding pattern of these insects may help in the understanding of their interactions with potential reservoir hosts of Leishmania parasites. In this study, we developed real time PCR assays for the identification of sand fly blood meal. Methods: Six pairs of primers were designed based on cytochrome b gene sequences available in GenBank of the following potential hosts: dog, cat, horse, chicken, black rat, and human. Firstly, SYBR Green-based real time PCR assays were conducted using a standard curve with eight different concentrations (i.e., 10 ng, 1 ng, 100 pg, 10 pg, 1 pg, 100 fg, 10 fg and 1 fg per 2 μl) of DNA samples extracted from EDTA blood samples from each target animal. Then, DNA samples extracted from field-collected engorged female sand flies belonging to three species (i.e., Lutzomyia longipalpis, L. migonei and L. lenti) were tested by the protocols standardized herein. Additionally, female sand flies were experimentally fed on a black rat (Rattus rattus) and used for evaluating the time course of the detection of the protocol targeting this species. Results: The protocols performed well with detection limits of 10 pg to 100 fg. Field-collected female sand flies were fed on blood from humans (73%), chickens (23%), dogs (22%), horses (15%), black rats (11%) and cats (2%). Interestingly, 76.1% of the L. longipalpis females were positive for human blood. In total, 48% of the tested females were fed on single sources, 31% on two and 12% on three. The analysis of the time course showed that the real time PCR protocol targeting the black rat DNA was able to detect small amounts of the host DNA up to 5 days after the blood meal. Conclusions: The real time PCR assays standardized herein successfully detected small amounts of host DNA in female sand flies fed on different vertebrate species and, specifically for the black rats, up to 5 days after the blood meal. These assays represent promising tools for the identification of blood meal in field-collected female sand flies.
Publication Date: 2015-04-16 PubMed ID: 25889289PubMed Central: PMC4410465DOI: 10.1186/s13071-015-0840-3Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research focuses on identifying the animal sources of blood meals for sand flies, which transmit Leishmania parasites, using real-time PCR. The researchers used DNA testing to successfully identify the blood meals drawn from a wide range of animals and humans.

Overview of Research Process and Methodology

  • The study centered on developing real-time Polymerase Chain Reaction (PCR) assays in order to identify the source of sand fly blood meals.
  • For identification, the team designed six pairs of primers based on cytochrome b gene sequences. The selected sequences were from a dog, cat, horse, chicken, black rat, and human.
  • The team first conducted SYBR Green-based real-time PCR assays using a standard curve with eight diverse concentrations of DNA samples. These samples were derived from blood taken from each of the target animals.
  • The researchers then applied the standardized protocols to the DNA samples drawn from field-collected, blood-engorged female sand flies of three species (Lutzomyia longipalpis, L. migonei, L. lenti).
  • As an extra measure, female sand flies were also fed on a black rat experimentally. The duration of detection for this specific protocol was also evaluated.

Key Findings of the Research

  • The protocols developed in the study showed good performance in the detection limits between 10 picograms to 100 femtograms.
  • The research found that the female sand flies got their blood meals from humans (73%), chickens (23%), dogs (22%), horses (15%), black rats (11%), and cats (2%).
  • For L. longipalpis females, 76.1% were found to have consumed human blood.
  • Of all the tested female sand flies, 48% were found to have only one source of blood meal, 31% had two, and 12% three.
  • When examining the protocol targeting black rat DNA, the team found that they could detect small amounts of the host DNA up to five days after the blood meal.

Conclusion

  • The real-time PCR method was successful in detecting small amounts of host DNA in female sand flies, specifically for blood meals from different vertebrate species.
  • Importantly, the protocol for the black rat DNA demonstrated it could detect small amounts of DNA up to five days after the sand fly had a blood meal.
  • This research is significant because the tools developed represent promising aids for identifying blood meals in field-collected female sand flies.

Cite This Article

APA
Sales KG, Costa PL, de Morais RC, Otranto D, Brandão-Filho SP, Cavalcanti Mde P, Dantas-Torres F. (2015). Identification of phlebotomine sand fly blood meals by real-time PCR. Parasit Vectors, 8, 230. https://doi.org/10.1186/s13071-015-0840-3

Publication

ISSN: 1756-3305
NlmUniqueID: 101462774
Country: England
Language: English
Volume: 8
Pages: 230
PII: 230

Researcher Affiliations

Sales, Kamila Gaudêncio da Silva
  • Department of Immunology, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Pernambuco, 50740-465, Brazil. kamila@cpqam.fiocruz.br.
Costa, Pietra Lemos
  • Department of Immunology, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Pernambuco, 50740-465, Brazil. pietra@cpqam.fiocruz.br.
de Morais, Rayana Carla Silva
  • Department of Immunology, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Pernambuco, 50740-465, Brazil. rayanacarla_m@hotmail.com.
Otranto, Domenico
  • Department of Veterinary Medicine, Università degli Studi di Bari, Valenzano, Bari, 70010, Italy. domenico.otranto@uniba.it.
Brandão-Filho, Sinval Pinto
  • Department of Immunology, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Pernambuco, 50740-465, Brazil. sinval@cpqam.fiocruz.br.
Cavalcanti, Milena de Paiva
  • Department of Immunology, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Pernambuco, 50740-465, Brazil. mp@cpqam.fiocruz.br.
Dantas-Torres, Filipe
  • Department of Immunology, Centro de Pesquisas Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Pernambuco, 50740-465, Brazil. filipe.dantas@cpqam.fiocruz.br.
  • Department of Veterinary Medicine, Università degli Studi di Bari, Valenzano, Bari, 70010, Italy. filipe.dantas@cpqam.fiocruz.br.

MeSH Terms

  • Animals
  • Cats
  • DNA / genetics
  • DNA / isolation & purification
  • Dogs
  • Feeding Behavior
  • Female
  • Humans
  • Psychodidae / physiology
  • Rats
  • Real-Time Polymerase Chain Reaction / methods
  • Sensitivity and Specificity
  • Species Specificity

References

This article includes 32 references
  1. Maroli M, Feliciangeli MD, Bichaud L, Charrel RN, Gradoni L. Phlebotomine sandflies and the spreading of leishmaniases and other diseases of public health concern.. Med Vet Entomol 2013 Jun;27(2):123-47.
  2. Ready PD. Factors affecting egg production of laboratory-bred Lutzomyia longipalpis (Diptera: Psychodidae).. J Med Entomol 1979 Nov 23;16(5):413-23.
    doi: 10.1093/jmedent/16.5.413pubmed: 541814google scholar: lookup
  3. Shaw JJ, Lainson R. Leishmaniasis in Brazil: II. Observations on enzootic rodent leishmaniasis in the Lower Amazon Region--the feeding habits of the vector, Lutzomyia flaviscutellata in reference to man, rodents and other animals.. Trans R Soc Trop Med Hyg 1968;62(3):396-405.
    doi: 10.1016/0035-9203(68)90091-6pubmed: 5659233google scholar: lookup
  4. Guy MW, Killick-Kendrick R, Gill GS, Rioux JA, Bray RS. Ecology of leishmaniasis in the south of France. 19. Determination of the hosts of Phlebotomus ariasi Tonnoir, 1921 in the Cévennes by bloodmeal analyses.. Ann Parasitol Hum Comp 1984;59(5):449-58.
    pubmed: 6508140
  5. Ngumbi PM, Lawyer PG, Johnson RN, Kiilu G, Asiago C. Identification of phlebotomine sandfly bloodmeals from Baringo District, Kenya, by direct enzyme-linked immunosorbent assay (ELISA).. Med Vet Entomol 1992 Oct;6(4):385-8.
  6. Oliveira-Pereira YN, Moraes JL, Lorosa ES, Rebêlo JM. [Feeding preference of sand flies in the Amazon, Maranhão State, Brazil].. Cad Saude Publica 2008 Sep;24(9):2183-6.
  7. Baum M, Ribeiro MC, Lorosa ES, Damasio GA, Castro EA. Eclectic feeding behavior of Lutzomyia (Nyssomyia) intermedia (Diptera, Psychodidae, Phlebotominae) in the transmission area of American cutaneous leishmaniasis, state of Paraná, Brazil.. Rev Soc Bras Med Trop 2013 Sep-Oct;46(5):560-5.
    doi: 10.1590/0037-8682-0157-2013pubmed: 24270247google scholar: lookup
  8. Macedo-Silva VP, Martins DR, De Queiroz PV, Pinheiro MP, Freire CC, Queiroz JW, Dupnik KM, Pearson RD, Wilson ME, Jeronimo SM, Ximenes Mde F. Feeding preferences of Lutzomyia longipalpis (Diptera: Psychodidae), the sand fly vector, for Leishmania infantum (Kinetoplastida: Trypanosomatidae).. J Med Entomol 2014 Jan;51(1):237-44.
    doi: 10.1603/ME12131pmc: PMC4277188pubmed: 24605474google scholar: lookup
  9. Lainson R, Rangel EF. Lutzomyia longipalpis and the eco-epidemiology of American visceral leishmaniasis, with particular reference to Brazil: a review.. Mem Inst Oswaldo Cruz 2005 Dec;100(8):811-27.
  10. Haouas N, Pesson B, Boudabous R, Dedet JP, Babba H, Ravel C. Development of a molecular tool for the identification of Leishmania reservoir hosts by blood meal analysis in the insect vectors.. Am J Trop Med Hyg 2007 Dec;77(6):1054-9.
    pubmed: 18165521
  11. Nery LC, Lorosa NE, Franco AM. Feeding preference of the sand flies Lutzomyia umbratilis and L. spathotrichia (diptera: Psychodidae, Phlebotominae) in an urban forest patch in the city of Manaus, Amazonas, Brazil.. Mem Inst Oswaldo Cruz 2004 Oct;99(6):571-4.
  12. Afonso MM, Gomes AC, Meneses CR, Rangel EF. Studies on the feeding habits of Lutzomyia (N.) intermedia (Diptera, Psychodidae), vector of cutaneous leishmaniasis in Brazil.. Cad Saude Publica 2005 Nov-Dec;21(6):1816-20.
  13. Fonteles RS, Vasconcelos GC, Azevêdo PC, Lopes GN, Moraes JL, Lorosa ES, Kuppinger O, Rebêlo JM. [Blood feeding preference of Lutzomyia whitmani (Diptera, Psychodidae) in a transmission area for American cutaneous leishmaniasis in the State of Maranhão, Brazil].. Rev Soc Bras Med Trop 2009 Nov-Dec;42(6):647-50.
  14. Rossi E, Bongiorno G, Ciolli E, Di Muccio T, Scalone A, Gramiccia M, Gradoni L, Maroli M. Seasonal phenology, host-blood feeding preferences and natural Leishmania infection of Phlebotomus perniciosus (Diptera, Psychodidae) in a high-endemic focus of canine leishmaniasis in Rome province, Italy.. Acta Trop 2008 Feb;105(2):158-65.
  15. Afonso MM, Duarte R, Miranda JC, Caranha L, Rangel EF. Studies on the Feeding Habits of Lutzomyia (Lutzomyia) longipalpis (Lutz & Neiva, 1912) (Diptera: Psychodidae: Phlebotominae) Populations from Endemic Areas of American Visceral Leishmaniasis in Northeastern Brazil.. J Trop Med 2012;2012:858657.
    doi: 10.1155/2012/858657pmc: PMC3270439pubmed: 22315621google scholar: lookup
  16. Marassá AM, Galati EA, Bergamaschi DP, Consales CA. Blood feeding patterns of Nyssomyia intermedia and Nyssomyia neivai (Diptera, Psychodidae) in a cutaneous leishmaniasis endemic area of the Ribeira Valley, State of São Paulo, Brazil.. Rev Soc Bras Med Trop 2013 Sep-Oct;46(5):547-54.
    doi: 10.1590/0037-8682-0168-2013pubmed: 24270245google scholar: lookup
  17. Kent RJ. Molecular methods for arthropod bloodmeal identification and applications to ecological and vector-borne disease studies.. Mol Ecol Resour 2009 Jan;9(1):4-18.
  18. Costa PL, Dantas-Torres F, da Silva FJ, Guimarães VC, Gaudêncio K, Brandão-Filho SP. Ecology of Lutzomyia longipalpis in an area of visceral leishmaniasis transmission in north-eastern Brazil.. Acta Trop 2013 May;126(2):99-102.
  19. Young GD, Duncan MA. Guide to the identification and geographic distribution of Lutzomyia sand flies in Mexico, The West Indies, Central and South America (Diptera: Psichodidae). Mem Amer Ent Inst 1994;54:1–881.
  20. Too HP. Real time PCR quantification of GFRalpha-2 alternatively spliced isoforms in murine brain and peripheral tissues.. Brain Res Mol Brain Res 2003 Jun 10;114(2):146-53.
    doi: 10.1016/S0169-328X(03)00169-4pubmed: 12829325google scholar: lookup
  21. Abbasi I, Cunio R, Warburg A. Identification of blood meals imbibed by phlebotomine sand flies using cytochrome b PCR and reverse line blotting.. Vector Borne Zoonotic Dis 2009 Feb;9(1):79-86.
    doi: 10.1089/vbz.2008.0064pubmed: 18973440google scholar: lookup
  22. Garlapati RB, Abbasi I, Warburg A, Poché D, Poché R. Identification of bloodmeals in wild caught blood fed Phlebotomus argentipes (Diptera: Psychodidae) using cytochrome b PCR and reverse line blotting in Bihar, India.. J Med Entomol 2012 May;49(3):515-21.
    doi: 10.1603/ME11115pubmed: 22679858google scholar: lookup
  23. Tiwananthagorn S, Bhutto AM, Baloch JH, Soomro FR, Kawamura Y, Nakao R, Aoshima K, Nonaka N, Oku Y, Katakura K. Zoophilic feeding behaviour of phlebotomine sand flies in the endemic areas of cutaneous leishmaniasis of Sindh Province, Pakistan.. Parasitol Res 2012 Jul;111(1):125-33.
    doi: 10.1007/s00436-011-2808-3pubmed: 22246369google scholar: lookup
  24. Jiménez M, González E, Iriso A, Marco E, Alegret A, Fúster F, Molina R. Detection of Leishmania infantum and identification of blood meals in Phlebotomus perniciosus from a focus of human leishmaniasis in Madrid, Spain.. Parasitol Res 2013 Jul;112(7):2453-9.
    doi: 10.1007/s00436-013-3406-3pubmed: 23535889google scholar: lookup
  25. Daba S, Daba A, Shehata MG, El Sawaf BM. A simple micro-assay method for estimating blood meal size of the sand fly, Phlebotomus langeroni (Diptera: Psychodidae).. J Egypt Soc Parasitol 2004 Apr;34(1):173-82.
    pubmed: 15125525
  26. Clements AN. The biology of mosquitoes: development structure and reproduction. 1.. .
  27. Kent RJ, Norris DE. Identification of mammalian blood meals in mosquitoes by a multiplexed polymerase chain reaction targeting cytochrome B.. Am J Trop Med Hyg 2005 Aug;73(2):336-42.
    pmc: PMC4147110pubmed: 16103600
  28. Sant'Anna MR, Jones NG, Hindley JA, Mendes-Sousa AF, Dillon RJ, Cavalcante RR, Alexander B, Bates PA. Blood meal identification and parasite detection in laboratory-fed and field-captured Lutzomyia longipalpis by PCR using FTA databasing paper.. Acta Trop 2008 Sep;107(3):230-7.
  29. Valinsky L, Ettinger G, Bar-Gal GK, Orshan L. Molecular identification of bloodmeals from sand flies and mosquitoes collected in Israel.. J Med Entomol 2014 May;51(3):678-85.
    doi: 10.1603/ME13125pubmed: 24897862google scholar: lookup
  30. Lee JH, Hassan H, Hill G, Cupp EW, Higazi TB, Mitchell CJ, Godsey MS Jr, Unnasch TR. Identification of mosquito avian-derived blood meals by polymerase chain reaction-heteroduplex analysis.. Am J Trop Med Hyg 2002 May;66(5):599-604.
    pmc: PMC2586949pubmed: 12201598doi: 10.4269/ajtmh.2002.66.599google scholar: lookup
  31. Es-Sette N, Ajaoud M, Laamrani-Idrissi A, Mellouki F, Lemrani M. Molecular detection and identification of Leishmania infection in naturally infected sand flies in a focus of cutaneous leishmaniasis in northern Morocco.. Parasit Vectors 2014 Jul 2;7:305.
    doi: 10.1186/1756-3305-7-305pmc: PMC4094396pubmed: 24990497google scholar: lookup
  32. Maia C, Parreira R, Cristóvão JM, Freitas FB, Afonso MO, Campino L. Molecular detection of Leishmania DNA and identification of blood meals in wild caught phlebotomine sand flies (Diptera: Psychodidae) from southern Portugal.. Parasit Vectors 2015 Mar 23;8:173.
    doi: 10.1186/s13071-015-0787-4pmc: PMC4377202pubmed: 25889732google scholar: lookup

Citations

This article has been cited 21 times.
  1. Talebzadeh F, Ghadipasha M, Gharehdaghi J, Raoofian R, Azam K, Koosha M, Oshaghi MA. Efficiency of mitochondrial genes and nuclear Alu elements in detecting human DNA in blood meals of Anopheles stephensi mosquitoes: a time-course study.. Parasit Vectors 2023 Aug 14;16(1):284.
    doi: 10.1186/s13071-023-05884-0pubmed: 37580774google scholar: lookup
  2. Ratzlaff FR, Osmari V, da Silva D, de Paula Vasconcellos JS, Pötter L, Fernandes FD, de Mello Filho JA, de Avila Botton S, Vogel FSF, Sangioni LA. Identification of infection by Leishmania spp. in wild and domestic animals in Brazil: a systematic review with meta-analysis (2001-2021).. Parasitol Res 2023 Jul;122(7):1605-1619.
    doi: 10.1007/s00436-023-07862-ypubmed: 37154922google scholar: lookup
  3. de Souza DK, Addo SO, Desewu K, Nzelu CO, Mosore MT, Nimo-Paintsil S, Attram N, Appawu M, Wilson MD, Boakye DA. Investigating potential sand fly vectors after the first reported outbreak of cutaneous leishmaniasis in Ghana.. Parasit Vectors 2023 Apr 28;16(1):154.
    doi: 10.1186/s13071-023-05767-4pubmed: 37118766google scholar: lookup
  4. Silva CJD, Monteiro JFDCLS, Lima KPB, Silva CSAGE, Almeida ÉL, Souza SF, Medeiros ÂCR, Macedo FMR, Brandão-Filho SP, Santos SNCD, Brito MEF. Study on the zoonotic cycle of tegumentary leishmaniasis in an endemic area of a metropolitan region in the Northeastern region of Brazil.. Rev Inst Med Trop Sao Paulo 2022;64:e60.
    doi: 10.1590/S1678-9946202264060pubmed: 36197421google scholar: lookup
  5. Yetişmiş K, Mert U, Caner A, Nalçaci M, Töz S, Özbel Y. Blood Meal Analysis and Molecular Detection of Leishmania DNA in Wild-Caught Sand Flies in Leishmaniasis Endemic Areas of Turkey and Northern Cyprus.. Acta Parasitol 2022 Jun;67(2):932-942.
    doi: 10.1007/s11686-022-00542-4pubmed: 35384598google scholar: lookup
  6. Costa JCR, Marchi GH, Santos CS, Andrade MCM, Chaves Junior SP, Silva MAN, Melo MN, Andrade AJ. First molecular evidence of frogs as a food source for sand flies (Diptera: Phlebotominae) in Brazilian caves.. Parasitol Res 2021 May;120(5):1571-1582.
    doi: 10.1007/s00436-021-07154-3pubmed: 33852067google scholar: lookup
  7. Borland EM, Kading RC. Modernizing the Toolkit for Arthropod Bloodmeal Identification.. Insects 2021 Jan 6;12(1).
    doi: 10.3390/insects12010037pubmed: 33418885google scholar: lookup
  8. Salomon OD. Lutzomyia longipalpis, Gone with the Wind and Other Variables.. Neotrop Entomol 2021 Apr;50(2):161-171.
    doi: 10.1007/s13744-020-00811-9pubmed: 32840741google scholar: lookup
  9. Sales KGDS, Miranda DEO, da Silva FJ, Otranto D, Figueredo LA, Dantas-Torres F. Evaluation of different storage times and preservation methods on phlebotomine sand fly DNA concentration and purity.. Parasit Vectors 2020 Aug 6;13(1):399.
    doi: 10.1186/s13071-020-04270-4pubmed: 32762709google scholar: lookup
  10. Elaagip A, Ahmed A, Wilson MD, Boakye DA, Abdel Hamid MM. Studies of host preferences of wild-caught Phlebotomus orientalis and Ph. papatasi vectors of leishmaniasis in Sudan.. PLoS One 2020;15(7):e0236253.
    doi: 10.1371/journal.pone.0236253pubmed: 32692759google scholar: lookup
  11. Sales KGDS, Miranda DEO, Paiva MHS, Figueredo LA, Otranto D, Dantas-Torres F. Fast multiplex real-time PCR assay for simultaneous detection of dog and human blood and Leishmania parasites in sand flies.. Parasit Vectors 2020 Apr 21;13(1):131.
    doi: 10.1186/s13071-020-3994-6pubmed: 32312319google scholar: lookup
  12. Pareyn M, Kochora A, Van Rooy L, Eligo N, Vanden Broecke B, Girma N, Merdekios B, Wegayehu T, Maes L, Caljon G, Lindtjørn B, Leirs H, Massebo F. Feeding behavior and activity of Phlebotomus pedifer and potential reservoir hosts of Leishmania aethiopica in southwestern Ethiopia.. PLoS Negl Trop Dis 2020 Mar;14(3):e0007947.
    doi: 10.1371/journal.pntd.0007947pubmed: 32196501google scholar: lookup
  13. Keven JB, Artzberger G, Gillies ML, Mbewe RB, Walker ED. Probe-based multiplex qPCR identifies blood-meal hosts in Anopheles mosquitoes from Papua New Guinea.. Parasit Vectors 2020 Feb 28;13(1):111.
    doi: 10.1186/s13071-020-3986-6pubmed: 32111232google scholar: lookup
  14. Owino BO, Matoke-Muhia D, Alraey Y, Mwangi JM, Ingonga JM, Ngumbi PM, Casas-Sanchez A, Acosta-Serrano A, Masiga DK. Association of Phlebotomus guggisbergi with Leishmania major and Leishmania tropica in a complex transmission setting for cutaneous leishmaniasis in Gilgil, Nakuru county, Kenya.. PLoS Negl Trop Dis 2019 Oct;13(10):e0007712.
    doi: 10.1371/journal.pntd.0007712pubmed: 31626654google scholar: lookup
  15. Asfaram S, Fakhar M, Teshnizi SH. Is the cat an important reservoir host for visceral leishmaniasis? A systematic review with meta-analysis.. J Venom Anim Toxins Incl Trop Dis 2019;25:e20190012.
  16. Sales KGDS, de Oliveira Miranda DE, Costa PL, da Silva FJ, Figueredo LA, Brandão-Filho SP, Dantas-Torres F. Home sweet home: sand flies find a refuge in remote indigenous villages in north-eastern Brazil, where leishmaniasis is endemic.. Parasit Vectors 2019 Mar 26;12(1):118.
    doi: 10.1186/s13071-019-3383-1pubmed: 30909958google scholar: lookup
  17. Mejía Á, Matamoros G, Fontecha G, Sosa-Ochoa W. Bionomic aspects of Lutzomyia evansi and Lutzomyia longipalpis, proven vectors of Leishmania infantum in an endemic area of non-ulcerative cutaneous leishmaniasis in Honduras.. Parasit Vectors 2018 Jan 5;11(1):15.
    doi: 10.1186/s13071-017-2605-7pubmed: 29304878google scholar: lookup
  18. Guimarães-E-Silva AS, Silva SO, Ribeiro da Silva RC, Pinheiro VCS, Rebêlo JMM, Melo MN. Leishmania infection and blood food sources of phlebotomines in an area of Brazil endemic for visceral and tegumentary leishmaniasis.. PLoS One 2017;12(8):e0179052.
    doi: 10.1371/journal.pone.0179052pubmed: 28837565google scholar: lookup
  19. Wijerathna T, Gunathilaka N, Gunawardana K, Rodrigo W. Potential Challenges of Controlling Leishmaniasis in Sri Lanka at a Disease Outbreak.. Biomed Res Int 2017;2017:6931497.
    doi: 10.1155/2017/6931497pubmed: 28630867google scholar: lookup
  20. Azizi K, Askari MB, Kalantari M, Moemenbellah-Fard MD. Molecular detection of Leishmania parasites and host blood meal identification in wild sand flies from a new endemic rural region, south of Iran.. Pathog Glob Health 2016 Oct-Dec;110(7-8):303-309.
    doi: 10.1080/20477724.2016.1253530pubmed: 27854189google scholar: lookup
  21. Karshima SN, Lawal IA, Okubanjo OO. Feeding Patterns and Xenomonitoring of Trypanosomes among Tsetse Flies around the Gashaka-Gumti National Park in Nigeria.. J Parasitol Res 2016;2016:1591037.
    doi: 10.1155/2016/1591037pubmed: 26981275google scholar: lookup