Evidence map›Paper›PMID 41894285›Full record

SynthesisMedicine2026

Mechanisms of insecticide resistance in mosquitoes: A systematic review of biochemical and physiological perspectives for sustainable vector control.

Ebrahim Abbasi

Abstract readSystematic Review
In one paragraph

Synthesis in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Ebrahim AbbasiResearch Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0003-1861-5321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMosquito resistance to insecticides presents a major obstacle to the global control of vector-borne diseases, such as malaria, dengue, and Zika virus. Understanding the biochemical and physiological mechanisms underlying resistance is critical for sustaining the effectiveness of vector-control strategies.

objectivesThis systematic review aimed to synthesize current knowledge on the biochemical and physiological mechanisms of insecticide resistance in mosquitoes, assess the geographic and species-specific distribution of resistance, and identify research gaps to inform sustainable vector control approaches.

methodsA systematic literature search was conducted using the PubMed, Web of Science, and Scopus databases from inception to December 31, 2024. Eligible studies included original articles and reviews that reported biochemical or physiological resistance mechanisms in Anopheles, Aedes, and Culex mosquitoes. Data extraction and quality assessment were performed using the modified Joanna Briggs Institute checklist. Narrative synthesis was conducted only because of the heterogeneity across studies, and no meta-analysis was performed.

resultsOf the 1432 identified records, 147 full-text articles were assessed for eligibility, and 11 studies met the inclusion criteria and were included in the final qualitative synthesis. The most common resistance mechanisms were metabolic detoxification (cytochrome P450 monooxygenases, glutathione S-transferases, and carboxylesterases) and target-site mutations (notably knockdown resistance mutations). Physiological adaptations such as cuticle thickening and behavioral avoidance also contributed to resistance. Pyrethroid resistance was the most frequently reported pattern, with increasing evidence of cross-resistance across multiple regions, particularly Africa, Southeast Asia, and Latin America.

conclusionsMosquitoes exhibit multiple mechanisms of insecticide resistance that threaten the efficacy of current vector control interventions. Integrated vector management, development of novel insecticides, biological control methods, and resistance surveillance are essential for mitigating the evolution of resistance and maintaining public health gains.

Indexed as

CulicidaeInsecticide ResistanceInsecticidesMosquito ControlMosquito VectorsAedesAnimalsAnophelesHumansMosquito-Borne DiseasesInsecticidescuticle thickeningInsecticide resistancemetabolic detoxificationmosquitoespyrethroidstarget site mutationsvector control

Identifiers

PMID41894285
PMCPMC13034918

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.