Dengue virus (DENV), the etiologic agent of dengue fever, is transmitted during probing of human skin by infected-mosquito bite. The expectorated viral inoculum also contains an assortment of mosquito salivary proteins that have been shown to modulate host hemostasis and innate immune responses. To examine the potential role of mosquito probing in DENV establishment within the vertebrate host, we inoculated mice intradermally with DENV serotype 2 strain 1232 at sites where Aedes aegypti had or had not probed immediately prior. We assayed these sites 3 h postinoculation with transcript arrays for the Toll-like receptor (TLR), RIG-I-like receptor, and NOD-like receptor signaling pathways of the innate immune system. We then chose TLR7, transcription factor p65 (RelA), gamma interferon (IFN-␥), and IFN-␥-inducible protein 10 (IP-10) from the arrays for further investigation and assayed these transcripts at 10 min, 3 h, and 6 h postinoculation. The transcripts for TLR7, RelA, IFN-␥, and IP-10 were significantly downregulated between 2-and 3-fold in the group subjected to mosquito probing relative to the virusonly inoculation group at 3 h postinoculation. A reduction in these transcripts could indicate reduced DENV recognition and antigen presentation and diminished inhibition of viral replication and spread. Further, mosquito probing resulted in viremia titers significantly higher than those in mice that did not receive probing. A. aegypti probing has a significant effect on the innate immune response to DENV infection and generates an early immune environment more permissive to the establishment of infection.
Dengue virus (DENV), the etiologic agent of dengue fever, is an enveloped, positive-sense, single-stranded RNA virus of the genus Flavivirus. DENV prevalence has increased in recent decades and now infects an estimated 50 to 100 million humans worldwide annually of approximately 2.5 billion at risk of infection (1). The increased risk of infection can be attributed, in part, to the continued growth and urbanization of human populations and an expanded global distribution of the primary vectors of DENV, the mosquitoes Aedes aegypti and A. albopictus (2). Feeding by these vectors on vertebrate hosts is initiated by probing that results in physical damage to the epithelium and vasculature, as well as the simultaneous introduction of virus and saliva into host tissues (3-6). This saliva contains many pharmacologically important proteins that modulate host hemostasis and innate immune responses, which in turn facilitate blood feeding and virus transmission (7-9). As exogenous antigens, both the salivary proteins and the virus encounter the vertebrate host immune system and consequently could have an effect on the environment of the bite site during viral establishment.To investigate the impact of the vector on mosquito-borne viral infection, researchers have analyzed viral titers and/or immunological response markers by using various methods of mosquito involvement, including salivary gland extract (SGE) (10-16), i...