Impact of mosquito gene drive on malaria elimination in a computational model with explicit spatial and temporal dynamics

December 27, 2016

Abstract: 

Significance
Gene drive mosquitoes have tremendous potential to help eliminate malaria, and multiple gene drive approaches have recently shown promise in laboratory settings. These approaches include population suppression through fertility disruption, driving-Y chromosomes, and population replacement with genes that limit malaria transmission. Mathematical modeling is used to evaluate these approaches by simulating realistic field settings with seasonality to determine constraints on construct parameters and release strategies.

The renewed effort to eliminate malaria and permanently remove its tremendous burden highlights questions of what combination of tools would be sufficient in various settings and what new tools need to be developed. Gene drive mosquitoes constitute a promising set of tools, with multiple different possible approaches including population replacement with introduced genes limiting malaria transmission, driving-Y chromosomes to collapse a mosquito population, and gene drive disrupting a fertility gene and thereby achieving population suppression or collapse. Each of these approaches has had recent success and advances under laboratory conditions, raising the urgency for understanding how each could be deployed in the real world and the potential impacts of each. New analyses are needed as existing models of gene drive primarily focus on nonseasonal or nonspatial dynamics. We use a mechanistic, spatially explicit, stochastic, individual-based mathematical model to simulate each gene drive approach in a variety of sub-Saharan African settings. Each approach exhibits a broad region of gene construct parameter space with successful elimination of malaria transmission due to the targeted vector species. The introduction of realistic seasonality in vector population dynamics facilitates gene drive success compared with nonseasonal analyses. Spatial simulations illustrate constraints on release timing, frequency, and spatial density in the most challenging settings for construct success. Within its parameter space for success, each gene drive approach provides a tool for malaria elimination unlike anything presently available. Provided potential barriers to success are surmounted, each achieves high efficacy at reducing transmission potential and lower delivery requirements in logistically challenged settings.

Introduction of a dual-germline homing gene drive construct as simulated for Namawala, Tanzania, in the 1990s, varying homing rate versus fecundity reduction. Red indicates collapse of the vector population; yellow, the absence of wild-type mosquitoes but the persistence of the population for at least 8 y after release; green, the disappearance of the gene drive construct; and black, the copresence of both wild type and introduced construct after 8 y. (Middle) One hundred trajectories for adult vector population randomly selected from the 1,000 points in the top panel, with matching color scheme. (Bottom) Corresponding 100 trajectories for fraction of mosquitoes that are wild type for the adult vector population traces plotted above.