Publications by authors named "Sofia Balaska"

Background: Development of insecticide resistance (IR) in sand fly populations is an issue of public health concern, threatening leishmaniasis mitigation efforts by insecticide-based vector control. There is a major knowledge gap in the IR status of wild populations worldwide, possibly attributed to the unavailability of specialized tools, such as bioassay protocols, species baseline susceptibility to insecticides and molecular markers, to monitor such phenomena in sand flies.

Methodology/principal Findings: Sand fly populations from (semi-)rural regions of Greece, Turkey and Iran were sampled and identified to species, showing populations' structure in accordance with previously reported data.

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The goal of this study is to test a novel device and methodology based on the "Pebble" platform and real-time quantitative colorimetric loop-mediated isothermal amplification (qcLAMP) during SARS-CoV-2 detection using crude samples and extracted RNA. The new method employs an inexpensive lightweight device aimed toward rapid point-of-care testing. An extensive evaluation was performed consisting of 1,693 clinical samples across five independent clinical testing centers.

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Sand flies infect more than 1 million people annually with Leishmania parasites and other bacterial and viral pathogens. Progress in understanding sand fly adaptations to xenobiotics has been hampered by the limited availability of genomic resources. To address this gap, we sequenced, assembled, and annotated the transcriptomes of 11 phlebotomine sand fly species.

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Background: Armenia is considered particularly vulnerable to life-threatening vector-borne diseases (VBDs) including malaria, West Nile virus disease and leishmaniasis. However, information relevant for the control of the vectors of these diseases, such as their insecticide resistance profile, is scarce. The present study was conducted to provide the first evidence on insecticide resistance mechanisms circulating in major mosquito and sand fly populations in Armenia.

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Article Synopsis
  • The distribution of sand flies in Europe, particularly in Italy, is increasing, raising public health concerns due to their role as vectors for diseases like visceral leishmaniasis (VL).
  • In Emilia-Romagna, while insecticides are commonly used for agriculture and mosquito control, they are not specifically targeted against sand flies, which were found to have a high presence of a dominant vector species.
  • Research showed no significant resistance mutations in sand flies and indicated that nearly 40% tested positive for pathogens, highlighting the need for ongoing monitoring of both insecticide resistance and pathogen circulation to improve public health responses.
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Health care workers are at increased risk of acquiring SARS-CoV-2 infection due to different exposures in the community and in hospital settings. Interventions implemented to avoid nosocomial outbreaks include preventive testing strategies. In this report, we present results from the mass screening program applied in our hospital to all professionals, irrespective of symptoms or risk of exposure.

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Attractive Toxic Sugar Baits (ATSB) deployed outdoors are likely to be particularly effective against outdoor biting mosquitoes and, if they contain insecticides with a different mode of action, mosquitoes resistant to pyrethroids. One such ATSB based on the neonicotinoid dinotefuran is currently under evaluation in Africa. As with any insecticide-based intervention, it will be important to monitor for the possible emergence of vector resistance.

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  • - Greece faces significant public health risks from vector-borne diseases (VBD), especially the West Nile virus (WNV), particularly affecting tourist-heavy regions like Crete, where over 5 million tourists visit annually.
  • - A comprehensive surveillance network was set up in Crete from 2018 to 2020 to study mosquito populations, pathogen presence, and insecticide resistance, utilizing both traditional and molecular diagnostic methods.
  • - Key findings revealed the presence of major disease-carrying mosquito species, with Culex pipiens being the most prevalent, and while no flavivirus pathogens were detected in mosquitoes, a small percentage of sentinel chickens had WNV antibodies, indicating early signs of virus activity that could precede human infections.
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is unable to synthesize purines de novo, instead salvages them from its environment, inside the host cell, for which they need high affinity carriers. Here, we report the expression of a Equilibrative Nucleoside Transporter, Tg244440, in a strain from which nucleobase transporters have been deleted. Tg244440 transported hypoxanthine and guanine with similar affinity ( ~1 µM), while inosine and guanosine displayed values of 4.

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Mutations resulting in amino-acid substitutions of the SARS-CoV-2 spike protein receptor-binding domain (RBD) have been associated with enhanced transmissibility and immune escape of the respective variants, namely Alpha, Beta, Gamma or Delta. Rapid identification of the aforementioned variants of concern and their discrimination of other variants is thus of importance for public health interventions. For this reason, a one-step real-time RT-PCR assay employing four locked nucleic acid (LNA) modified TaqMan probes was developed, to target signature mutations associated with amino-acid substitutions at positions 478, 484 and 501 present in the receptor-binding motif (RBM) of the spike protein RBD.

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Nasopharyngeal swab specimen (NPS) molecular testing is considered the gold standard for SARS-CoV-2 detection. However, saliva is an attractive, noninvasive specimen alternative. The aim of the study was to evaluate the diagnostic accuracy of Advanta Dx SARS-CoV-2 RT-PCR saliva-based assay against paired NPS tested with either NeumoDx SARS-CoV-2 assay or Abbott Real Time SARS-CoV-2 assay as the reference method.

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Article Synopsis
  • Phlebotomine sand flies are major vectors for Leishmania parasites, causing significant fatalities second only to malaria worldwide, leading to a focus on insecticide-based control methods in the absence of human vaccines.
  • Current interventions include indoor residual spraying and treated bed nets, but there is growing insecticide resistance identified in some regions, particularly in India.
  • To effectively manage leishmaniasis, standardized diagnostic methods and integrated vector management programs are essential, alongside the exploration of novel biotechnology-based control strategies.
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The emergence of SARS-CoV-2 mutations resulting in the S protein amino-acid substitutions N501Y and E484K, which have been associated with enhanced transmissibility and immune escape, respectively, necessitates immediate actions, for which their rapid identification is crucial. For the simultaneous typing of both of these mutations of concern (MOCs), a one-step real-time RT-PCR assay employing four locked nucleic acid (LNA) modified TaqMan probes was developed. The assay is highly sensitive with a LOD of 117 copies/reaction, amplification efficiencies >94 % and a linear range of over 5 log copies/reaction.

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  • Culex quinquefasciatus mosquitoes are key vectors for diseases but lack sufficient data on their biology and resistance to insecticides.
  • A study in Yaoundé, Cameroon, found that most populations of Cx. quinquefasciatus showed significant resistance to multiple insecticides, with mortality rates between 0-89%.
  • The resistance is linked to genetic mutations and overexpression of certain genes, indicating a complicated biological response that could reduce the effectiveness of existing pest control methods and highlights the need for new integrated strategies.
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Background: Aedes albopictus has a well-established presence in southern European countries, associated with recent disease outbreaks (e.g. chikungunya).

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  • - The study assesses the risk of vector-borne diseases (VBD) in temporary refugee camps in Greece, focusing on mosquito and sand fly populations and their implications for disease control programs
  • - A surveillance network was established to collect samples from these insects, using traps over several months, analyzing species composition and pathogen infection rates
  • - Key disease vectors were found, including various species of mosquitoes and sand flies, with high Leishmania infection rates observed, but no evidence of certain mosquito-borne pathogens; additionally, resistance mutations against insecticides were noted in some populations
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Through Minos transposon mutagenesis we obtained A. nidulans mutants resistant to 5-fluorouracil due to insertions into the upstream region of the uncharacterized gene nmeA, encoding a Major Facilitator Superfamily (MFS) transporter. Minos transpositions increased nmeA transcription, which is otherwise extremely low under all conditions tested.

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