Tricia Kieffer, Emily Ellis, & Uwe Pott

Human Biology

 

How much heartworm prophylaxis is enough?

Canine heartworm disease, which is caused by the nematode Dirofilaria immitis, is a dangerous, and if left untreated sometimes lethal condition in dogs.  Dogs become infected with heartworm when they are bitten by mosquitoes that carry the infectious larval stage (L3) of the worm.  In the dog, these larvae develop into the adult worms, which migrate through the body and eventually reside in the heart and associated blood vessels.  The worms produce microfilaria which can be taken up by mosquitoes during another blood meal.  Development of the L1 larvae into the L3 stage in the insects at appropriate temperatures closes the life cycle of the parasite.

            The development of heartworm disease in dogs can be prevented by chemoprophylaxis with ivermectin (Heartgard®) or related substances.  These substances kill the larvae before they can develop into adult worms.  Many veterinarians recommend year-round prophylaxis with a monthly dose of ivermectin or, alternatively, treatment from April through December in colder climates as found in the state of Wisconsin.  Previous studies, however, have shown that the larvae in the mosquitoes need a sustained minimal temperature of 57 oF to develop into the infectious stage.  Therefore, the necessity of heartworm preventative treatment of dogs in Northeastern Wisconsin from April to December seems questionable.

            Our goal in this study is to re-evaluate the heartworm infection risk for dogs in the Green Bay area by focusing on the presence of infectious L3 larvae in the mosquito hosts.  To that end, we trapped thousands of mosquitoes during the warm weather season of 2005 and generated pools of about 100 mosquito heads each, the only region of the insects where the infectious larvae reside.  Currently we are isolating the DNA from these pools in order to test for the presence of the D. immitis specific 18 S rRNA gene using the polymerase chain reaction. Based on the actual occurrence of infectious larvae in the mosquito vectors, these data will enable us to recommend a more precise time window for heartworm prophylaxis in our area of the state.