Chikungunya virus (CHIKV) is an arthritogenic alphavirus of the Togaviridae family originally from Africa, assigned to three distinct genotypic lineages: Asian, East/Central/South African (ECSA), and West African. The ECSA genotype of CHIKV was responsible for a large-scale epidemic within the Indian Ocean region in 2005-06. This epidemic was unique in that the principal vector was Aedes albopictus, instead of the traditional Aedes aegypti. Sequence analysis of epidemic CHIKV strains from the region revealed that this dramatic shift in vector species was driven by a single amino acid substitution -alanine to valine at position 226 of the CHIKV E1 glycoprotein – which resulted in a 50-fold increase in transmission efficiency by Aedes albopictus. (Schuffenecker et al. 2006; Vazeille et al. 2007). Our subsequent research showed that this mutation greatly enhanced the virus ability to penetrate the midgut barrier (Arias-Goeta et al. 2013). In addition, infected females sustained high levels of viral replication with almost 109 viral particles in infected females at 3 days post-infection. It was also shown that infectious viral particles were present in mosquito saliva within 48 hours post-infection (Dubrulle et al. 2009). Therefore, to be effective, vector control must be implemented less than 2 days after detection of human cases, which is technically difficult.
Aedes albopictus is now present in more than 28 European countries and was responsible for the first reported CHIKV outbreaks in Europe, in Italy in 2007 and 2017. These two outbreaks, with more than 300 CHIKV autochthonous cases reported, stressed the urgent need for a risk assessment of arboviral diseases in European countries. Using vector competence data and vector distribution, we built a prediction risk map for arboviruses and demonstrated that South Europe was more threatened by CHIKV than by dengue virus (DENV) and Zika virus (ZIKV) (Mariconti et al. 2019).

(Mariconti et al. 2019)
Autochthonous cases of CHIKV were also reported in south-eastern France in 2010. We showed that French Ae. albopictus were as efficient as the tropical Ae. aegypti to experimentally transmit both CHIKV and DENV (Vega-Rua et al. 2013), and that European populations were capable of transmitting CHIKV even at low temperatures highlighting the potential for future outbreaks in Europe (Zouache et al. 2014; Bellone et al. 2023; Mercier et al. 2022).
In October 2013, nine years after the emergence in the Indian Ocean, CHIKV arrived in the Americas. This CHIKV emergence was expected as we showed through a Pan-American evaluation of vector competence that American Ae. aegypti and Ae. albopictus were experimentally susceptible to different CHIKV genotypes (Vega-Rua et al. 2014). Against all expectations, Ae. aegypti was the main vector and the emerging strain belonged to the Asian genotype of CHIKV (Vega-Rua et al. 2015). CHIKV and DENV-endemic regions often overlap and reports of co-infection in human populations are increasing. We confirmed that Ae. albopictus orally infected with both viruses are able to simultaneously deliver infectious particles of both DENV and CHIKV in saliva (Vazeille et al. 2010). CHIKV has acquired a wide range of distribution which overlaps large forested areas in South America. CHIKV can potentially spill back into the forest, initiating a sylvatic cycle, as the yellow fever virus (YFV) did in the past. We demonstrated that two sylvatic neotropical mosquito species were susceptible to two CHIKV lineages circulating in the Americas (Lourenço-de-Oliveira & Failloux 2017) stressing the high risk for CHIKV to establish a sylvatic transmission cycle and then becoming another zoonotic infection difficult to eradicate from the continent.
Except vaccination as a preventive measure, chikungunya control is mainly based on vector control. As insecticide resistance of mosquitoes increases, environmentally-friendly vector control strategies are urgently needed. Ae. albopictus is naturally infected by two strains of the bacterium Wolbachia (wAlbAand wAlbB), thought to have spread via manipulation of host reproduction. Infection of Ae. albopictus rid of wAlbAand wAlbB by antibiotic treatments, with Wolbachia isolated from Drosophila melanogaster (wMel) led to complete inhibition of transmission for both CHIKV and DENV (Blagrove et al. 2012, 2013), highlighting its potential as a novel technique to control mosquito-borne diseases. Antivirals are also available to treat CHIKV-infected patients. If drug-resistant viruses emerge, particular attention must be paid to the risk of spreading drug resistance by mosquitoes; we showed that some antiviral-resistant CHIKV strains can be transmitted by Ae. albopictus limiting our arsenal of weapons against chikungunya (Delang et al. 2018).
In anticipation of the Olympic Games Paris 2024, which attracted people from many nations, we assessed the vector competence of Ae. albopictus from Greater Paris to five arboviruses and showed that Ae. albopictus transmitted CHIKV 3-7 days after an infectious blood meal (Bohers et al. 2024). If we assume that a large number of imported cases from the Indian Ocean region are expected next summer, enhanced surveillance of Ae. albopictus must be put in place in mainland France.
Our contributions to chikungunya outbreak in 2005-06 on La Réunion Island
- Ae. albopictus has selected a CHIKV variant highly transmissible (Vazeille et al. 2007)
- Ae. albopictus becomes infectious 2 days after an infectious blood meal (Dubrulle et al. 2009)
- European populations of Ae. albopictus are capable of transmitting CHIKV at temperatures lower than 28°C (Zouache et al. 2014; Bellone et al. 2023)
- CHIKV has the potential to spill back into the forest initiating a sylvatic cycle (Lourenço-de-Oliveira & Failloux 2017)
- Controlling chikungunya using Ae. albopictus inoculated with Wolbachia of Drosophila melanogaster (wMel) could be one of the solutions (Blagrove et al. 2013).
Collaborations with the Pasteur Network on chikungunya
- Centre Pasteur du Cameroun
- Fiocruz
- IP Alger
- IP Cayenne
- IP Guadeloupe
- IP Iran
- IP Madagascar
- IP Maroc
- IP Nouvelle-Calédonie
- IP Tunis
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