主要由埃及斑蚊(Aedes aegypti)傳播的登革熱是台灣公衛議題最嚴重的蟲媒疾病。除登革熱之外,埃及斑蚊亦能傳播黃熱病(yellow fever)、茲卡病毒感染症(Zika virus infection)與屈公病(Chikungunya fever),是為台灣最具威脅性的病媒昆蟲。台灣的埃及斑蚊族群對於多種除蟲菊酯類殺蟲劑已產生抗藥性,並在與之相關的電壓門控鈉離子通道蛋白(voltage-gated sodium channel, VGSC)上被測得S989P、V1016G、F1534C以及D1763Y四種胺基酸置換。當埃及斑蚊VGSC同時帶有S989P+V1016G+F1534C三處胺基酸置換時,其對除蟲菊精除蟲菊酯殺蟲劑的抗藥性將會遽升。目前在台灣埃及斑蚊族群發現的VGSC基因型有六種,但尚未偵測到S989P+V1016G+F1534C的基因型,不過該基因型可在S989P+V1016G以及F1534C兩VGSC型別之間經由一次的染色體互換事件生成,而此兩型別已現存於台灣埃及斑蚊族群,當攜帶有S989P+V1016G+F1534C的個體產生並且被環境施藥所汰選下來時,對於埃及斑蚊的防治與相關疾病的預防將會更加困難。就目前台灣地區埃及斑蚊族群VGSC基因的組成現況,本文建議在施藥防治埃及斑蚊的策略上更需謹慎行事,以免汰選出對除蟲菊酯類殺蟲劑具有超高抗性的個體,讓台灣在登革熱或其他蚊媒疾病的防治更為棘手。
Yellow fever mosquitoes (Aedes aegypti) are the primary transmitter of dengue fever in Taiwan, and they exhibit strong resistance to several pyrethroids and possess four amino acid substitutions in voltage-gated sodium channels (VGSCs)-S989P, V1016G, F1534C, and D1763Y. Ae. aegypti VGSCs carrying the S989P+V1016G+F1534C triple amino acid substitution exhibit extremely high resistance. Although six VGSC haplotypes have been identified in the Ae. aegypti population of Taiwan, the S989P+V1016G+F1534C haplotype has not yet been detected. However, this ultra-resistant haplotype may be generated through a single crossover event between the S989P+V1016G and F1534C haplotypes, both of which exist currently in Taiwan. Furthermore, individual mosquitoes carrying S989P+V1016G+F1534C might be selected by the frequent use of pyrethroid insecticides in Taiwan. Considering the current status of VGSC haplotypes in the Ae. aegypti population in Taiwan, a high amount of caution must be exercised in the use of pyrethroid insecticides to control Ae. aegypti, which is also a vector of yellow fever, Zika virus infection, and chikungunya.