Sand flies are the exclusive vectors of the protozoan parasite Leishmania1, but the mechanism of transmission by fly bite has not been determined nor incorporated into experimental models of infection. In sand flies with mature Leishmania infections the anterior midgut is blocked by a gel of parasite origin, the promastigote secretory gel (PSG)2,3. Here, we analyse for the first time the inocula from Leishmania mexicana infected Lutzomyia longipalpis sand flies. This revealed the size of the infectious dose, the underlying mechanism of parasite delivery by regurgitation, and the novel contribution made to infection by filamentous proteophosphoglycan (fPPG), a component of PSG found to accompany the parasites during transmission. Collectively, these results have important implications for understanding the relationship between parasite and its vector, the pathology of cutaneous leishmaniasis in humans and also the development of effective vaccines and drugs. These findings emphasise that to fully understand transmission of vector-borne diseases the interaction between all three participants must be considered.Leishmaniasis is a parasitic disease that currently infects some 12 million people worldwide, causing severe morbidity and mortality4. Infection is initiated by distinct life cycle stages, metacyclic promastigotes, that are introduced into the skin by fly bite along with sand fly saliva5-7. Leishmania are known to express various "virulence factors" in the sand fly, which may facilitate transmission to and infection of the mammalian host8-12. However, despite these discoveries our knowledge of parasite molecules that facilitate sand fly transmission is still limited. Furthermore, a number of key issues of transmission remain unresolved, such as the true infective dose, the mechanism of parasite delivery and the biological consequences of these upon infection. Significantly, in all Leishmania-vector combinations examined to date a gel-like plug, the parasite-derived PSG, blocks the anterior parts of the midgut coincident with the accumulation of metacyclic promastigotes2,3. An important structural component of PSG is fPPG, an unusual mucin-like glycoprotein unique to Leishmania13,14. Here we address these issues regarding transmission and reveal a novel contribution made by L. mexicana PSG to the infection process.Correspondence and requests for materials should be addressed to P. A.B. (pbates@liv.ac.uk To begin to understand the nature of the infective inoculum, the number and composition of L. mexicana parasites delivered during transmission was determined. A membrane feeding system was adapted to collect parasites egested by infected sand flies, revealing an average of 1086 parasites delivered per bite, highly enriched in metacyclic promastigotes (86-98%) ( Table 1). The only previous investigations quantitating egested parasites have been made using microcapillary forced feeding15,16. When this method was employed on L. mexicanainfected sand flies an average of 105 promastigotes were collected per...