BACKGROUND The transmission routes for American cutaneous leishmaniasis (ACL) are in flux, so studies examining its transmission in humans, mammalian hosts, and sand fly vectors are urgently needed. OBJECTIVES The aim of this work was understand the epidemiological cycles of Leishmania spp., which causes ACL in the Andean Region of Venezuela, by identifying the Leishmania and the sand fly species involved in human and dog infections. METHODS Thirty-one biopsies from patients in Mérida and Táchira states with suspected ACL were studied by both parasitological tests (cultures and hamster inoculation) and a molecular test [Internal transcribed spacer 1 (ITS1) nested polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP)]. We also conducted a survey to detect Leishmania infection in dogs (Immunifluorescence antibody test and ITS1 nested PCR-RFLP) and sand flies (ITS1 nested PCR-RFLP) from El Carrizal, a highly endemic focus of ACL in Venezuela. FINDINGS Three different Leishmania species were identified in the clinical samples from humans (Leishmania braziliensis, L. guyanensis, and L. mexicana) and dogs (L. guyanensis and L. mexicana). The predominant sand fly species found were those from the Verrucarum group (infected with L. mexicana) and Lutzomyia migonei (infected with L. guyanensis and L. mexicana). MAIN CONCLUSIONS We show that Lu. migonei may be the putative vector in two ACL epidemiological cycles, involving L. guyanensis and L. mexicana. We also report for the first time the presence of L. guyanensis in domestic animals.

Se estudiaron algunos aspectos de la bionomía de vectores de leishmaniasis cutánea en la localidad El Carrizal, Municipio Tovar, Venezuela: Lutzomyia youngi, Lutzomyia spinicrassa y Lutzomyia migonei. Las capturas mensuales se realizaron a lo largo del año 2008 usando trampas CDC y Shannon. Se investigó: (i) riqueza de especies, (ii) relaciones riqueza-trampa-hábitat (doméstico, peri-doméstico y selvático), (iii) fluctuaciones mensuales y relación con variables climáticas, (iv) relación factores climáticos-casos de leishmaniasis cutánea en El Carrizal y Tovar (2000-2008). Predominaron las hembras del grupo Verrucarum y los machos de Lu. youngi. Las capturas con CDC revelaron el predominio de Lu. migonei en el habitat peridoméstico donde probablemente mantienen la transmisión, mientras que las hembras del grupo Verrucarum contribuirían a mantenerla dentro de las casas. La mayor abundancia de las tres especies ocurrió en noviembre después del pico más alto de lluvias. La correlación especie-clima para Lu. migonei indicó que la temperatura parece ser un factor limitante y la precipitación un factor favorecedor, lo cual coincidió con los resultados obtenidos a través de la Modelación de Nichos Ecológicóos de esta especie sobre 23 registros a nivel nacional. La correlación de incidencia de leishmaniasis cutánea-clima mostró que el mayor número de casos tiende a ocurrir, con un mes de retraso, en los meses de mayor precipitación. Estos datos pueden ser utiles al Ministerio de Salud ya que proveen información sólida sobre "cuándo", "dónde" y "cómo" implementar métodos de control de vectores en la Región Andina de Venezuela.

We studied some aspects of the bionomics of phlebotomine vectors of cutaneous leishmaniasis (CL) at El Carrizal, Municipality Tovar, Venezuela: Lutzomyia youngi, Lutzomyia spinicrassa and Lutzomyia migonei. Monthly catches were performed throughout 2008 using CDC and Shannon traps. We investigated: (i) species richness, (ii) relationships richness-traps-habitats (domestic, peri-domestic and forest), (iii) monthly fluctuations and relationship with climatic variables, (iv) relationship climatic factors-cutaneous leishmaniasis cases at El Carrizal and Municipality Tovar (2000-2008). Females in the Verrucarum group and males of Lu. youngi prevailed. Catches with CDC revealed the predominance of Lu. migonei outdoors where probably they maintains cutaneous leishmaniasis transmission, while females in the Verrucarum group would contribute to maintain it indoors. The greatest abundance of the three species occurred in November after the heaviest peak of rains. The correlation species-climate for Lu. migonei indicated that temperature seems a limiting factor and precipitation a favouring factor, which agreed with results obtained through Ecological Niche Modelling of this species over 23 records at national level. The correlation cutaneous leishmaniasis incidence-climate showed that the greatest number of cases tends to occur, with a month lag, in the months of most rainfall. These data may support the Ministry of Health, since they provide robust information about "when", "where" and "how" to implement target phlebotomine vectors control methods in the Andean Region of Venezuela.