Acetylcholinesterase (AChE) is an essential enzyme with an evolutionary conserved function: to terminate nerve signaling by rapid hydrolysis of the neurotransmitter acetylcholine. AChE is an important target for insecticides. Vector control by the use of insecticide-based interventions is today the main strategy for controlling mosquito-borne diseases that affect millions of people each year. However, the efficiency of many insecticides is challenged by resistant mosquito populations, lack of selectivity and off-target toxicity of currently used compounds. New selective and resistance-breaking insecticides are needed for an efficient vector control also in the future. In the work presented in this thesis, we have combined structural biology, biochemistry and medicinal chemistry to characterize mosquito AChEs and to develop selective and resistance-breaking inhibitors of this essential enzyme from two disease-transmitting mosquitoes.We have identified small but important structural and functional differences between AChE from mosquitoes and AChE from vertebrates. The significance of these differences was emphasized by a high throughput screening campaign, which made it evident that the evolutionary distant AChEs display significant differences in their molecular recognition. These findings were exploited in the design of new inhibitors. Rationally designed and developed thiourea- and phenoxyacetamide-based non-covalent inhibitors displayed high potency on both wild type and insecticide insensitive AChE from mosquitoes. The best inhibitors showed over 100-fold stronger inhibition of mosquito than human AChE, and proved insecticide potential as they killed both adult and larvae mosquitoes.We show that mosquito and human AChE have different molecular recognition and that non-covalent selective inhibition of AChE from mosquitoes is possible. We also demonstrate that inhibitors can combine selectivity with sub-micromolar potency for insecticide resistant AChE.

Dengue fever is a debilitating, viral, mosquito-borne disease occurring in tropical and subtropical areas in the world. The majority of dengue cases in the United States were acquired in endemic areas by travelers or immigrants. However, in recent years, autochthonous (locally acquired) dengue cases have been diagnosed in Florida. The purpose of this study was to find an association between potential risk factors and the expansion of dengue fever in the United States. Guided by the eco-bio-social framework, which offers a broad assessment of risk factors for the illness, a retrospective design was used with archival data to correlate changes in climatic variables and imported dengue cases with autochthonous dengue cases in Southeast Florida from 1980 to 2013. A Spearman correlation indicated weak correlations between temperature and autochthonous dengue cases (rs = .999, p = 000) and imported dengue cases with autochthonous dengue cases (rs = .162, p = 000). A negative binomial multivariate regression was used to analyze the expansion of dengue to each monthly unit of temperature, rainfall, and imported dengue cases over 34 years. The results indicated that temperature (IRR = 2.198; 95% CI [1.903, 2.538]) and precipitation (IRR = .991; 95% CI [.988, .994]) were predictors for the geographic expansion of dengue fever in Southeast Florida. The positive social changes include the use of the results to develop an understanding of how climatic variables and migration may influence the expansion of dengue fever to nonendemic regions. The results can be used by public health authorities to address risk factors and to formulate evidence-based decisions in regard to prevention and education concerning dengue fever.

Several vector-borne and zoonotic diseases have emerged or re-emerged in Europe over these last decades. Besides climate change that influences disease risk at a regional scale, landscape changes could be responsible for local heterogeneities in disease risk. Spatial epidemiology tries to understand and predict spatial variations in disease risk by using spatial tools and spatially-explicit modelling methods. This study investigated the impact of fine-grained landscape patterns on the transmission of vector-borne and zoonotic infections in terms of habitat suitability for vectors and/or hosts and of exposure of people to infectious agents. This was studied through three human diseases emerging or at risk of re-emergence in Europe: the rodent-borne Puumala hantavirus, the tick-borne Lyme borreliosis and the mosquito-borne malaria infections. Statistical models were first used to study the relationships between environmental variables and host abundance, host prevalence, and human cases of Puumala hantavirus. Environmental factors were also combined with socio-economic factors to explain Puumala hantavirus and Lyme borreliosis incidence rates. The combination of factors explaining disease transmission and the complexity of such systems led to the development of an innovative, spatially-explicit modelling method: multi-agent simulation (MAS). The MALCAM simulation model was developed to assess the risk of malaria re-emergence in southern France and simulates spatial and temporal variations in contact rate between people and potential malaria vectors. The effect of changes in potential drivers of malaria re-emergence was also simulated. The different case studies showed that fine-grained landscape patterns influence the presence and abundance of vectors and hosts. Moreover, environmental conditions may also influence disease transmission through pathogen dispersal and the exposure of people to infectious agents. Finally, this study showed that people-vector contacts not only depend on the spatial distribution of people and potential vectors, but also on their behaviours and interactions.

Bacterial genomes provide records of the molecular processes associated with emergence and evolution of different bacterial lifestyles. This thesis is based on whole-genome comparisons within the genus Bartonella, an excellent model system for studies of host- and vector-specificity and infection outcome in animal-associated bacteria. The louse-borne human specialist and trench fever agent Bartonella quintana was contrasted to the flea-borne generalist relatives Bartonella henselae and Bartonella grahamii, which cause asymptomatic infection in cat and mouse respectively. While B. henselae is commonly isolated from humans, and causes cat scratch disease, there is only one reported case of B. grahamii human infection. The gene complements of the three species are nested like Russian dolls with the smaller genome (B. quintana) being entirely contained in the medium sized (B. henselae), which in turned is contained in the largest (B. grahamii). Size differences reflect differences in the horizontally and vertically acquired gene content, and in the number of genus- and species- specific genes, owing to differential impact of bacteriophages and plasmids, and to different degrees of genome decay. These processes can be attributed to the three distinct lifestyles. Comparisons with other alpha-proteobacteria suggest that the Bartonella genus as a whole evolved from plant-associated species, and that horizontal transfer, in particular of genes involved in interaction with the host, played a key role in the transition to animal intracellular lifestyle. The long-term genome decay associated with this lifestyle is most advanced in the host-restricted B. quintana. The broad host-range species B. grahamii has the largest genome and the largest proportion of auxiliary DNA of the three, probably because it has access to a larger gene pool. In encodes all the known pathogenicity determinants found in the genomes of B. henselae and B. quintana, suggesting that these genes primarily evolved to facilitate colonization in the reservoir host.

Harris County Mosquito Control Division (HCMCD) is responsible for surveillance of mosquito species that are vectors of St. Louis Encephalitis (SLE) virus and West Nile Virus (WNV) within Harris County, Texas, including the Houston metroplex. The metroplex area has some unique attributes and a vast variety of environmental habitats that are attractive to vectors of arboviruses and for the transmission of arboviruses to the human population. Data describing the efficacy of Gravid (GV) and Underhouse (UH) CO2 traps were analyzed to determine if there is a significant difference between these two trap types with respect to the number of mosquitoes and the variety of mosquito species caught. This study was conducted during the off-peak HCMCD trapping season, to gain information in preparation for a yearround trapping program utilizing Underhouse CO2 traps for WNV and SLE virus surveillance. Adjusting for the week of collection, results suggest that Gravid traps caught significantly (P = 0.009) more mosquitoes (mean = 23.134 per trap) in the study area than Underhouse traps (mean = 3.616 per trap), and that Underhouse Traps caught a larger variety of mosquito species (n = 13) than Gravid Traps (n = 11), out of 15 total different species caught. Gravid and Underhouse traps caught 9 out of 15 of the same mosquito species during the study period. Culex quinquefasciatus mosquito catches in Gravid traps and temperature were strongly correlated (Spearman's Correlation Coefficient = 0.707, P = 0.005). Geographic Information System spatial analysis indicated clustering of Culex quinquefasciatus mosquito catches in both Gravid traps, week 9 and 21 (Moran's I = 0.69, P = 0.040 and 0.74, P = 0.021, respectfully ) and Underhouse traps, week 13 and 19 (Moran's I = 0.92, P = 0.002, and 0.89, P = 0.011, respectfully). It is recommended that Harris County Mosquito Control Division continue to utilize gravid traps as a primary method of surveillance. Gravid traps (16,194) caught 85% more mosquitoes than Underhouse traps (2,531) over the fourteen week study period. Their overall success far outweighs the additional materials or labor required for their use in a successful surveillance program.

Dengue fever is a debilitating, viral, mosquito-borne disease occurring in tropical and subtropical areas in the world. The majority of dengue cases in the United States were acquired in endemic areas by travelers or immigrants. However, in recent years, autochthonous (locally acquired) dengue cases have been diagnosed in Florida. The purpose of this study was to find an association between potential risk factors and the expansion of dengue fever in the United States. Guided by the eco-bio-social framework, which offers a broad assessment of risk factors for the illness, a retrospective design was used with archival data to correlate changes in climatic variables and imported dengue cases with autochthonous dengue cases in Southeast Florida from 1980 to 2013. A Spearman correlation indicated weak correlations between temperature and autochthonous dengue cases (rs = .999, p = 000) and imported dengue cases with autochthonous dengue cases (rs = .162, p = 000). A negative binomial multivariate regression was used to analyze the expansion of dengue to each monthly unit of temperature, rainfall, and imported dengue cases over 34 years. The results indicated that temperature (IRR = 2.198; 95% CI [1.903, 2.538]) and precipitation (IRR = .991; 95% CI [.988, .994]) were predictors for the geographic expansion of dengue fever in Southeast Florida. The positive social changes include the use of the results to develop an understanding of how climatic variables and migration may influence the expansion of dengue fever to nonendemic regions. The results can be used by public health authorities to address risk factors and to formulate evidence-based decisions in regard to prevention and education concerning dengue fever.

abstract: The role of climate change, as measured in terms of changes in the climatology of geophysical variables (such as temperature and rainfall), on the global distribution and burden of vector-borne diseases (VBDs) remains a subject of considerable debate. This dissertation attempts to contribute to this debate via the use of mathematical (compartmental) modeling and statistical data analysis. In particular, the objective is to find suitable values and/or ranges of the climate variables considered (typically temperature and rainfall) for maximum vector abundance and consequently, maximum transmission intensity of the disease(s) they cause. Motivated by the fact that understanding the dynamics of disease vector is crucial to understanding the transmission and control of the VBDs they cause, a novel weather-driven deterministic model for the population biology of the mosquito is formulated and rigorously analyzed. Numerical simulations, using relevant weather and entomological data for Anopheles mosquito (the vector for malaria), show that maximum mosquito abundance occurs when temperature and rainfall values lie in the range [20-25]C and [105-115] mm, respectively. The Anopheles mosquito ecology model is extended to incorporate human dynamics. The resulting weather-driven malaria transmission model, which includes many of the key aspects of malaria (such as disease transmission by asymptomatically-infectious humans, and enhanced malaria immunity due to repeated exposure), was rigorously analyzed. The model which also incorporates the effect of diurnal temperature range (DTR) on malaria transmission dynamics shows that increasing DTR shifts the peak temperature value for malaria transmission from 29C (when DTR is 0C) to about 25C (when DTR is 15C). Finally, the malaria model is adapted and used to study the transmission dynamics of chikungunya, dengue and Zika, three diseases co-circulating in the Americas caused by the same vector (Aedes aegypti). The resulting model, which is fitted using data from Mexico, is used to assess a few hypotheses (such as those associated with the possible impact the newly-released dengue vaccine will have on Zika) and the impact of variability in climate variables on the dynamics of the three diseases. Suitable temperature and rainfall ranges for the maximum transmission intensity of the three diseases are obtained. / Dissertation/Thesis / Doctoral Dissertation Applied Mathematics 2018

La présence de Leishmania infantum et Toxoplasma gondii en Provence Alpes Côte d’Azur (PACA) est connue depuis plus d’un siècle. Depuis, leur distribution évolue, l'environnement change, les populations touchées se déplacent, et de nouveaux outils techniques et statistiques permettent de mieux les saisir. Une réactualisation de nos connaissances paraissait donc nécessaire. Nous avons d’abord mené une revue de la littérature sur les leishmanioses viscérales. Ensuite, nous avons montré que la leishmaniose muqueuse à L. infantum est marquée par un probable sous-diagnostic, un caractère peu invasif localement et un risque de viscéralisation significatif. Puis une étude éco-épidémiologique a montré que les deux foyers de leishmaniose en PACA impliquaient des biotopes différents, avec une transmission en zone urbanisée dans le foyer marseillais. Enfin, une étude entomologique a confirmé cette transmission urbaine.Nous avons ensuite étudié la toxoplasmose congénitale. D’abord, nous avons essayé d'améliorer les performances techniques du dépistage en montrant l’intérêt pour le diagnostic moléculaire anténatal d’une extraction optimisée de l’ADN parasitaire sur liquide amniotique en utilisant NucliSENS easyMAG plutôt qu’une extraction manuelle utilisant QIAamp DNA minikit. Nous avons également montré l’apport pour le diagnostic néonatal de la toxoplasmose congénitale des IgM ciblant des antigènes de haut poids moléculaire lors de la comparaison des sera des mères et des enfants par Western Blot. Enfin, nous avons rapporté l’évolution sur 16 ans de 127 patients traités pour toxoplasmose congénitale et montré que 19% des enfants présentaient une choriorétinite au cours du suivi. / The epidemiology of Leishmania infantum and Toxoplasma gondii in the Mediterranean basin has been studied for more than a century. Yet, our understanding of these diseases must be updated because ongoing environmental modifications impact their distribution, because affected population change, and because new technical and statistical tools have become available. We first reviewed scientific literature about visceral leishmaniasis. Then, we conducted a clinical study about autochtonous mucosal leishmaniasis due to L. infantum: we showed that this disease was characterized by underrecognition, low local invasiveness, and risk of visceral spreading. Afterwards, an eco-epidemiological study showed that foci of leishmanisis involved different biotopes in South-Eastern France: we specifically highlighted a urban transmission in the Marseille focus. Finally, an entomological survey confirmed this urban transmission and addressed cocirculation with phleboviruses.Then, we studied congenital toxoplasmosis. We contributed to improve technical performances of current screening strategy: we first showed that an optimized extraction of Toxoplasma DNA from amniotic fluid using NucliSENS easyMAG proved superior to manual extraction using QIAamp DNA minikit. Then, we found that comparison of mother and child antibodies that target high-molecular-mass Toxoplasma gondii antigens by immunoblotting improves neonatal diagnosis. Finally, we reported the 16-year long evolution of 127 children congenitally infected with T. gondii and showed that despite early treatment 19% of children finally developed chorioretinitis.

Les répulsifs sont des molécules naturelles ou synthétiques dont le but estd’empêcher l’approche des arthropodes afin de prévenir la transmission demaladies vectorisées. Un exemple type est celui de la transmission de Leishmaniainfantum responsable de la Leishmaniose canine, qui est contractée après la piqûre d’un chienpar un phlébotome. Divers répulsifs d’arthropodes sont commercialisés pour une applicationtopique, ils ont tous une durée d’action courte, imposant des applications répétées deformulations basiques de type solution.La formulation de molécules actives à propriétés répulsives incorporées dans des systèmesnanoparticulaires et présentant une action prolongée dans le temps a été retenue. Lesnanoparticules sont des vecteurs colloïdaux intéressants dans le domaine de la technologiepharmaceutique vu leur capacité à former des complexes avec des molécules hydrophobes,telles que la plupart des molécules répulsives (DEET, Picaridin®, IR3535®…). Le ciblage, laprotection contre la dégradation et le contrôle de la libération sont les avantages principauxapportés par les nanoparticules contenant une matière active.Les caractéristiques physico-chimiques des nanoparticules (taille et potentiel zêta) permettantleur stockage dans les couches supérieures de la peau et une accroche le long des fibrespileuses ont été déterminées. Ainsi des nanoparticules cationiques de 200 nm de diamètre ontété formulées. Cette formulation originale inspirée du procédé de nanoprécipitation a permisl’obtention en une seule étape de suspensions concentrées en matière active (concentrationsupérieure à 10%) et sans ajout d’agents stabilisants. Une corrélation entre les profils delibération et l’efficacité sur insecte modèle (la drosophile) a été vérifiée. De ce fait, lepourcentage en polymère régule la libération de la molécule active encapsulée. Une efficacitérépulsive de formulations nanoparticulaires supérieure à 15 jours a été validéeexpérimentalement. La transposition d’échelle du procédé de nanoprécipitation permetd’envisager un développement industriel pour la formulation d’un répulsif d’arthropodeinnovant à longue durée d’action. / The repellents are natural or synthetic molecules whose aim is to prevent theapproach of arthropods to avoid transmission of vector-borne diseases. A typicalexample is the transmission of Leishmania infantum responsible for canineLeishmaniasis, which is contracted after a sandfly bite on a dog. The arthropod repellentsmarketed for topical application have all a short action duration, requiring repeatedapplications of basic formulations (solution).The formulation of active molecules having repellent properties, incorporated intonanoparticle systems and having a prolonged action in time was selected. Nanoparticles arecolloidal carriers interesting in the pharmaceutical technology field due to their ability to formcomplexes with hydrophobic molecules, such as repellent molecules (DEET, Picaridin®,IR3535®...). Targeting, protection against degradation and control of the release are the mainadvantages provided by the nanoparticles containing an active ingredient.The nanoparticle physicochemical characteristics (size and zeta potential) permitting theirstorage in the upper dog skin layers and a along the hairs were determined. For that reasoncationic nanoparticles of 200 nm in diameter were formulated. This original formulationinspired from the nanoprecipitation process has allowed us to obtain one single stepconcentrated suspensions (above 10% of active molecules in the final product) and withoutstabilizer addition. A correlation between the release profiles and the effectiveness of modelinsect (Drosophila) has been verified. Therefore the percentage of polymer regulates therelease of encapsulated active molecules. Repellent efficacy of nanoparticulate formulationgreater than 15 days has been validated experimentally. The scale transposition of thenanoprecipitation process makes conceivable an industrial development for the formulation ofan innovative arthropod repellent having a long lasting effect.

Les MVs sont un problème majeur de santé publique. L'émergence des MVs nécessite de nouveaux outils pour la surveillance de ces maladies. Ce projet s’intéresse aux deux familles de vecteurs: Ixodidae (R. sanguineus, D. reticulatus et I. ricinus) et Anophèles (An. gambiae s.l. et An. funestus). Une revue synthétise les données actuelles des MTTs et leur vectors, avant de présenter des méthodes de surveillance de ces maladies. La partie expérimentale s'est concentré sur l'élaboration de méthodes pour la sélection des utiles protéines salivaires pour l'évaluation du contact hôte-vecteur. Pour Ixodidae, la stratégie antigénique utilisée a permis d’identifier des protéines salivaires antigéniques communes et spécifiques d’espèce de ces tiques. Ces protéines pourraient servir pour l’évaluation de l’exposition de l’hôte aux Ixodidae. Pour Anophèles, la stratégie candidate utilisée a révélé une protéine salivaire antigénique d’Anopheles (f-5’nuc) pouvant être marqueur prometteur distinguant l'exposition aux Anophèles au niveau de l'espèce. Pour conforter ces résultats, l’établissement d’une relation entre la cinétique des réponses d'anticorps de l’hôte contre ces candidats salivaires, la faune Culicidienne et la variation de densité des populations de moustiques est en cours. Ce projet a souligné que tous les deux vectors peuvent induire une réponse immunitaire chez leur hôte contre des protéines salivaires antigéniques injectées. Il a permis également d’identifier des protéines salivaires permettant la discrimination de l'exposition d'hôte aux vecteurs au niveau du genre ou de l’espèce, offrant de nouvelles stratégies pour la surveillance des MVs. / Vector-borne diseases (VBD) are a major health problem worldwide. The emergence of VBD requires novel monitoring tools. The present project focused on two vector families: Ixodidae (R. sanguineus, D. reticulatus and I. ricinus) and Anopheles (An. gambiae s.l. and An. funestus). A review updates the repartition of TBD, their vectors in Europe, prior to present the different tools for monitoring of TBD transmission. The experimental part focused on establishing methods for selection of useful vector salivary proteins for host-vector contact assessment. Concerning Ixodidae, the studied antigenic strategy successfully identified the shared and discriminant tick salivary antigenic proteins. These identified proteins could be an useful tool to measure host exposition to Ixodidae bites. Concerning Anopheles, the studied candidate strategy revealed an salivary antigenic protein ( f-5’nuc) that could be a promising antigenic marker to distinguish malaria vector exposure at the species level. To comfort these results, the relationship between the kinetic host antibody response against anopheline salivary candidates and the Anopheles fauna population and density variations is under progress. The present work underlined that both two studied vector families following blood meal can elicit a host antibody response against injected vector salivary antigenic proteins. This project proposed for the first time some vector salivary proteins allowing discriminating host exposure to vector bites from genus to species level, opening new strategies for VBD monitoring at the individual and population levels.