
Mosquitoes beware – your next meal could be your last
A drug used to treat rare genetic disorders also makes human blood lethal to mosquitoes, research has shown, raising hopes for a new weapon against malaria.
Nitisinone is already used to slow the effects of tyrosinemia type 1, a hereditary condition that can cause severe liver disease and kidney failure, and other diseases.
But it also makes any mosquitoes that ingest it unable to digest the blood they feed on, killing them rapidly, research led by the Liverpool School of Tropical Medicine (LSTM) found.
The study, published in Science Translational Medicine this week, showed that the drug blocks an essential enzyme mosquitoes need to break down their food.
Tests showed a small amount of the drug was even able to kill mosquitoes that have developed the ability to resist conventional insecticides – an increasingly widespread problem that has slowed efforts to combat malaria and other mosquito-borne diseases.
'What makes nitisinone so exciting is its novel mode of action against blood-feeding insects like mosquitoes,' said Dr Lee Haines, an Honorary Fellow at LSTM and one of the authors of the study.
'Unlike conventional insecticides that target the mosquito's nervous system, nitisinone targets an entirely different biological pathway in mosquitoes, which offers a new option for managing the growing problem of insecticide resistance.'
'A very versatile molecule'
The study followed earlier research which first validated the theory that nitisinone could be used to kill insects that feed on blood. It proved highly effective at killing tsetse flies that spread sleeping sickness.
While the drug does not prevent a feeding mosquito from infecting someone with a virus, it could provide a new tool to combat the spread of disease by thinning out their populations, the researchers believe.
Several insecticides are already widely used in this way, such as ivermectin, a medicine usually used to treat parasitic infections in animals and people and which shortens the lifespan of any insect that ingests it.
But ivermectin, while abundant, is toxic in the environment and insects can also develop resistance to it when it is overused.
'Billions of doses have been given to people for the worming campaigns,' said Professor Álvaro Acosta Serrano, another of the study's co-authors. 'Ivermectin is obviously a very popular veterinary drug, so in farms it is polluting the soil and that has some ecological issues.'
As well as being much less harmful to other insects or animals in the ecosystem, nitisinone has the added advantage of lasting much longer in the body, he told The Telegraph.
'Nitisinone, because it has a much longer half life in blood – 54 hours compared to Ivermectin which is only 18 hours max – it has much better performance.'
As well as helping to suppress mosquito populations by killing those that unwittingly feed on humans carrying nitisinone, the drug could be used against mosquitoes in numerous other applications.
It could be used in the sugar-based bait traps currently being tested around the world which lure in mosquitoes and poison them, or it could be sprayed on to bed netting and buildings to get into mosquitoes that way.
The researchers are already planning to investigate whether the drug could be given to cows and other livestock animals to turn them into unwitting reservoirs of death for the insects that feed on them.
'This is a very versatile molecule,' Prof Acosta Serrano said.
'Not a silver bullet'
Because it was originally developed to be a herbicide, it has many properties that make it ideal for use in these kinds of applications, including good resistance to UV light, he added.
Before all this though the researchers say more work is needed, including safety studies looking at different dosages. They are also yet to study how the drug interacts with antimalarials.
Another major challenge is cost.
While ivermectin has been produced cheaply by generic drug manufacturers for decades and has been donated in vast quantities to tackle diseases like river blindness, nitisinone – despite being off-patent – remains expensive.
'We need to convince a company to drop the prices because, for vector control use, interventions have to be really cost effective,' said Prof Acosta Serrano.
And while nitisinone promises to provide another tool with which to combat mosquito-borne disease, we are still waiting for scientific breakthroughs before we will be able to beat malaria.
'It's important to know that there is not a silver bullet to control any of the vector borne diseases, especially malaria,' he said. 'We still need to come out with better drugs. There is a huge problem with parasites that become drug resistant. We still don't have a completely efficacious vaccine available.'
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NBC News
2 days ago
- NBC News
As ivermectin goes over the counter, some pharmacists worry about a lack of guidance
Boise, Idaho, pharmacist Matt Murray has no choice but to disappoint the handful of people who call him every day asking for a drug used to treat parasitic worms. He could give them the medication, called ivermectin, but only with a doctor's note. The callers aren't in the throes of an active intestinal worm infestation, Murray said. They simply want access to the pills without having to see a doctor first. 'A lot of people are calling, asking, 'Do you guys have it for sale? Can I buy it? How do I get it?'' said Murray, the director of operations for the independent Customedica Pharmacy. 'Not so much, 'How does it work? What is it for?'' The volume of such calls has increased sharply since mid-April, when Idaho Gov. Brad Little, a Republican, signed a bill into law mandating that ivermectin be available to anyone who wants it over the counter. While the law technically says that pharmacists like Murray can sell the drug over the counter, the Food and Drug Administration hasn't approved it to be used this way. 'I don't feel that we could just sell prescription ivermectin,' Murray said. 'It's not designed or packaged for retail sale.' That hasn't stopped frenzied social media claims about ivermectin's supposed 'miraculous' abilities to cure everything from Covid to cancer. 'Ivermectin eliminated the cancer on the skin of my shoulder and it only took 3 weeks,' one person wrote on X. 'It's also working wonders on my eczema,' another wrote on the platform. Ivermectin has never been formulated or labeled specifically for over-the-counter use, like aspirin or an antacid. Without proper guidance, there is concern that people could overdose on the medication. Interest in using drugs or experimental treatments in unapproved ways has gained steam with Robert F. Kennedy Jr.'s appointment as head of the Department of Health and Human Services. Kennedy recently said on a podcast that people should have access to controversial alternative therapies like stem cells and chelation therapy to remove heavy metals from the body. The FDA has warned that neither should be used without oversight from a doctor. The hype has prompted lawmakers in 16 states, including Idaho, to propose and in some cases pass legislation to make the pills readily available for anyone without a prescription. While health insurance covers many prescription drugs, including ivermectin, it doesn't cover over-the-counter medicines. This year, two other GOP-led states — Arkansas and Tennessee — passed over-the-counter ivermectin laws. NBC News called 15 independent pharmacies in those states, plus Idaho, to ask whether pharmacists could provide ivermectin without a prescription. Not a single one said they'd sell the drug over the counter, despite the new laws. All, however, appeared to be sympathetic to the request. One pharmacist in Arkansas took the time to explain that he needed to wait until the FDA provided guidance on over-the-counter ivermectin. Until then, he and all the others said, over-the-counter access to ivermectin would have to wait. Pharmacists say that just because over-the-counter ivermectin is written into law doesn't mean it should be made available to anyone who asks for it. They still rely on federal health guidance. 'Most over-the-counter drugs, especially ones that were prescriptions at one point, go through some FDA approval process,' Murray said. 'In that process, it gets decided what the labeling is going to say,' including warnings and directions. Republican lawmakers in Alabama, Georgia, Kentucky, Louisiana, Maine, Minnesota, Mississippi, New Hampshire, North Carolina, North Dakota, Pennsylvania, South Carolina and West Virginia have also proposed bills to make ivermectin available over the counter. Nearly all would simply permit health care providers and pharmacists to distribute ivermectin without a prescription. Most, like the one proposed in Alabama, would also protect pharmacists from any possible disciplinary action such as fines or license suspension from pharmacy licensing boards for dispensing it. Maine's proposed legislation specifically permits ivermectin to be sold to people who want to try it for Covid, cancer or the flu. Mississippi's bill would limit over-the-counter ivermectin to anyone 18 and older. The drug likely wouldn't be placed on store shelves, but be kept behind pharmacy counters, much like some cold medicines. Even if states do pass laws protecting pharmacists from disciplinary action, like the proposed legislation in Alabama, Murray said that he and his colleagues remain concerned. 'If you dispense something that doesn't have directions or safety precautions on it, who's ultimately liable if that causes harm?' Murray said. 'I don't know that I would want to assume that risk.' The Food and Drug Administration warns that taking large doses of ivermectin 'can be dangerous' and cause vomiting, diarrhea, low blood pressure, seizures, coma and even death. The drug could also interact with other medications like blood thinners, the FDA says. A spokeswoman for CVS Health said that while its pharmacies are able to dispense ivermectin with a prescription, they are 'not currently selling ivermectin over the counter' in any state. Walgreens declined to comment. What ivermectin is — and isn't Ivermectin was discovered by Japanese biochemist Satoshi Ōmura in the 1970s, first as a veterinary drug and then as a groundbreaking treatment for dangerous and disfiguring tropical diseases such as river blindness, as well as tapeworms, scabies and other worm-related infections. Hundreds of millions of people in mostly underdeveloped countries have used it safely with minimal side effects, such as fatigue or diarrhea, for decades. During the pandemic, the true benefit of the drug got twisted and distorted amid a social media frenzy. When mainstream doctors and scientists insisted that ivermectin didn't treat Covid, mostly conservative groups embraced it in direct opposition to public health officials. Podcaster Joe Rogan told his tens of millions of followers that ivermectin worked to cure him of Covid in 2021, prompting many people to seek out the drug as a way to treat mild or moderate cases of the virus. While there was early hope that ivermectin could ease Covid symptoms, it didn't treat respiratory viruses. It still doesn't. Ivermectin has also been touted as a cancer cure. On the same podcast, actor Mel Gibson claimed ivermectin had wiped out Stage 4 cancer in three of his friends. Gibson offered no proof. Some cancer patients believed the promises, with potentially devastating results. 'I tried that last year,' Scott Adams, the creator of the 'Dilbert' comic strip, wrote on X, 'to no effect.' Adams, a vocal Donald Trump supporter, revealed in May that he'd been diagnosed with advanced prostate cancer. 'There are claims of it working, but I am aware of no patient who benefitted from it.' Adams asked his social media followers to stop inundating him with advice to take ivermectin. Adams wrote that his 'odds of survival have probably jumped from zero to 30%' because he decided on a different treatment and will be 'working with top doctors in the field.' When one person pleaded with him in the comments not to discourage people from trying ivermectin, the cartoonist didn't play around: 'Your advice could kill people if they delay other treatments.' There's simply no evidence that ivermectin treats cancer, said Dr. Harold Burstein, a breast oncologist at Dana-Farber Cancer Institute in Boston. He knows because he's looked for it, without success. Since the Rogan podcast featuring Gibson aired, Burstein has had an uptick in patients asking him about ivermectin. He scoured the medical literature looking for any shred of indication that the drug could be useful to his patients. 'There are exactly zero published clinical trials in a human being on whether ivermectin does or doesn't treat cancer,' Burstein said. 'I can assure you that if any oncologist in America had seen' a benefit to ivermectin, he said, 'they would have been eager to write it up.' Some scientists are indeed trying to figure out whether ivermectin has any impact on cancer outcomes. Researchers at Cedars-Sinai Medical Center in Los Angeles have begun a preliminary study combining ivermectin with an immunotherapy drug for patients with metastatic triple-negative breast cancer. Final results aren't expected anytime soon. Doctors tried to make ivermectin 'work' Ivermectin is manufactured in the U.S. by Merck. The company said in a statement that ivermectin should only be used within the approved FDA framework. 'The use of ivermectin is not supported beyond the doses and populations indicated in the regulatory agency-approved prescribing information,' a Merck spokesperson wrote in an email. Despite the growing push for over-the-counter ivermectin, there's no sales data available for how many people are buying the pills. Focusing on making ivermectin available without a doctor's prescription is the latest in a trend of mostly conservative politicians sidestepping expert medical advice. Utah and Florida, for example, recently banned community water fluoridation, despite decades of widespread evidence that it drastically reduces tooth decay. Dr. Hugh Cassiere, director of critical care services for South Shore University Hospital, part of Northwell Health in New York, said, 'This is about constituents who either heard, read or saw something on social media and now have an idea that this is something good. They're going right to their congressman or senator to demand access.' 'That's not how medicine should work,' he said. Scientists did, in fact, study whether ivermectin helped people with Covid. Dr. Adrian Hernandez, a cardiologist with the Duke Clinical Research Institute in Durham, North Carolina, led a large research project that ultimately showed ivermectin had no benefit in treating acute Covid. 'It's always great that legislators care about the health of the state,' Hernandez said. 'But ivermectin didn't help patients get better any faster.' Hernandez's study was posted on a preprint server called medRxiv in 2022. Studies posted on the site are considered preliminary because they haven't been peer-reviewed. A second 2022 paper published by the New England Journal of Medicine found that Covid patients treated with ivermectin weren't any less likely to be hospitalized than people who didn't get the drug. A third study that did suggest a benefit was later retracted because it contained fraudulent data, according to the publisher. None of this stopped many from demanding access to the drug. During the pandemic, hospitals reported a spike in patients who had been poisoned after taking veterinary-grade ivermectin intended for livestock. Two deaths in New Mexico were linked to the drug. Even the FDA warned that high doses of ivermectin can cause seizures, coma and death. 'You are not a horse. You are not a cow. Seriously, y'all. Stop it,' the FDA tweeted on Aug. 21, 2021. The controversial post was later deleted but can still be accessed through web archives. A Merck spokesperson said the drug shouldn't be used for anything other than clearing parasitic infestations. Northwell Health's Cassiere said medications, especially ivermectin, should only be used after talking with a qualified health care provider, no matter how politicians vote. 'If you're not an expert, if you did not go to medical school, nurse practitioner school, physician assistant school, and don't have the proper training, then you should not be recommending therapies outside of that expertise,' he said. 'Are you going to get a bank loan at the deli on the corner? I don't think so.'


BBC News
28-05-2025
- BBC News
Kent 'perfect place' for new mosquitos to enter UK, academic says
A virology researcher says Kent is a "perfect place" for new mosquito species to become established in the Jonathan Ball from the Liverpool School of Tropical Medicine told BBC Radio Kent that more exotic mosquito species are making "a northward charge"."We suspect that as our climate warms, these mosquitos will increase their range and that will include southern parts of Britain," he Ball was speaking after the UK Health Security Agency (UKHSA) said on 21 May it found West Nile virus fragments in mosquitoes captured in Nottinghamshire in 2023. The UKHSA says the risk to the general public of West Nile virus is "very low" and there is "no evidence to suggest ongoing circulation of the virus" in UK mosquitos or Nile virus typically causes either very minor symptoms or none at all, but can sometimes make people seriously virus - found in many parts of the world, including Africa, South America, and mainland Europe - can kill in rare cases through serious brain human cases of West Nile virus have been acquired in the UK, but seven cases of the disease linked to travel abroad have been recorded since specific treatment or vaccines exist for virus fragments were found in Aedes vexans mosquitos, which Prof Ball says is "that pesky mosquito that you sometimes find in woodlands next to small shallow puddles".He added: "We know that these virus can often replicate in different insect species. They're pretty promiscuous in terms of the insects that they can replicate in." Prof Ball urged the public to "try and avoid" mosquito bites, which can happen at all times of day, by "covering up or using a good insect repellent".Howard Carter, the creator of Incognito insect repellent, said "a lot of people do get bitten" in Kent and that Brits "do not take enough precautions when they go abroad" either."Kent residents, more than any other county" need to take precautions, he told BBC Radio Kent on Wednesday, because "one day either Dengue or West Nile virus will be in the UK and that's an outbreak".


Times
08-05-2025
- Times
‘You are not a horse': Alarm as antivaxers buy worm paste to cure cancer
When vaccine-sceptic Americans began ingesting an anti-worm paste designed for farm animals in an attempt to ward off Covid-19, regulators issued a sharp rebuke. 'You are not a horse. You are not a cow. Seriously, y'all. Stop it,' the Food and Drug Administration (FDA) posted on social media at the time. Four years later, the drug ivermectin is again being widely touted on social media, once more without hard evidence, as a cure for a different deadly disease: cancer. Google searches for 'ivermectin' rose to their highest level since the pandemic in January, days after the actor Mel Gibson joined The Joe Rogan Experience podcast to espouse the merits of the drug. The Oscar-winning actor and director claimed that a cocktail of ivermectin and other