24Despite ongoing malaria control efforts implemented throughout sub-Saharan Africa, 25 malaria remains an enormous public health concern. Current interventions such as indoor 26 residual spraying with insecticides and use of insecticide-treated bed nets are aimed at 27 targeting the key malaria vectors that are primarily endophagic and endophilic. While these 28 control measures have resulted in a substantial decline in malaria cases and continue to 29 impact indoor transmission, the importance of alternative vectors for malaria transmission 30 has been largely neglected. Anopheles coustani, an understudied vector of malaria, is a 31 species previously thought to exhibit mostly zoophilic behavior. However, recent studies 32 from across Africa bring to light the contribution of this and ecologically similar 33 anopheline species to human malaria transmission. Like many of these understudied 34 species, An. coustani has greater anthropophilic tendencies than previously appreciated, is 35 often both endophagic and exophagic, and carries Plasmodium falciparum sporozoites.
36These recent developments highlight the need for more studies throughout the geographic 37 range of this species and the potential need to control this vector. The aim of this study was 38 to explore the genetic variation of An. coustani mosquitoes and the potential of this 39 Anopheles species to contribute to malaria parasite transmission in high transmission 40 settings in Nchelenge District, Zambia, and the Kashobwe and Kilwa Health Zones in 41 Haut-Katanga Province, the Democratic Republic of the Congo (DRC). Morphologically 42identified An. coustani specimens that were trapped outdoors in these study sites were 43 analyzed by PCR and sequencing for species identification and blood meal sources, and 44 malaria parasite infection was determined by ELISA and qPCR. Fifty specimens were 45 confirmed to be An. coustani by the analysis of mitochondrial DNA cytochrome c oxidase 46 subunit I (COI) and ribosomal internal transcribed spacer region 2 (ITS2). Further, 47 maximum likelihood phylogenetic analysis of COI and ITS2 sequences revealed two 48 distinct phylogenetic groups within this relatively small regional collection. Our findings 49 indicate that both An. coustani groups have anthropophilic and exophagic habits and come 50 into frequent contact with P. falciparum, suggesting that this potential alternative malaria 51 vector might elude current vector controls in Northern Zambia and Southern DRC. This 52 study sets the groundwork for more thorough investigations of bionomic characteristics and 53 genetic diversity of An. coustani and its contribution to malaria transmission in these 54 regions.55 56