Evidence map›Paper›PMID 42406843›Full record

ArticlePLoS biology2026

Engineering resilient gene drives for sustainable malaria control by predicting, testing and overcoming target site resistance in Anopheles gambiae.

Ioanna Morianou, Lee Phillimore, Bhavin S Khatri, Louise Marston, Matthew Gribble, Austin Burt, Federica Bernardini, Andrew M Hammond, Tony Nolan, Andrea Crisanti

Abstract read
In one paragraph

Article in PLoS biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Modeling Control of Invasive Fire Ants by Gene Drive.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Engineering drive-selection balance for localized population suppression with neutral dynamics.Proceedings of the National Academy of Sciences of the United States of America · 2025
    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

10 authors.

Ioanna MorianouDepartment of Life Sciences, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-3472-6032
Lee PhillimoreDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Bhavin S KhatriDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Louise MarstonDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Matthew GribbleDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Austin BurtDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Federica BernardiniDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Andrew M HammondDepartment of Life Sciences, Imperial College London, London, United Kingdom.ORCID https://orcid.org/0000-0002-1757-5009
Tony NolanDepartment of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Andrea CrisantiDepartment of Life Sciences, Imperial College London, London, United Kingdom.

Funding

Bill & Melinda Gates Foundation INV-006610
6 · The paper itself

Abstract

CRISPR-based gene drives are selfish genetic elements with the potential to spread through entire insect populations for sustainable vector control. Gene drives designed to disrupt the reproductive capacity of females can suppress laboratory populations of the malaria mosquito, Anopheles gambiae. However, any suppressive intervention will inevitably exert an evolutionary pressure for resistance, and the likelihood of resistance emerging at natural population scales remains poorly defined. Here, we present a pipeline to quantify the evolutionary space for resistance, enabling accelerated discovery, engineering, and testing of both natural and drive-induced variants that could reverse gene drive spread. We applied our approach to stress-test a best-in-class suppression gene drive that has evaded resistance in all laboratory-contained releases to date, known as Ag(QFS)1. We showed that previously undetected resistant alleles can arise at low frequency, including a novel type of partially resistant alleles that can perturb drive-invasion dynamics. Integrating experimentally derived resistance rates with population genetic modeling shows that single-target suppression drives are unlikely to be robust at natural mosquito population sizes, even at highly constrained loci. Here, we engineer and validate multiplexed gene drives in Anopheles gambiae, that target multiple conserved sites, actively removing resistant alleles. Our models predict that such gene drives could supress large natural mosquito populations in the field.

Indexed as

AnophelesGene Drive TechnologyInsecticide ResistanceMalariaMosquito ControlAllelesAnimalsCRISPR-Cas SystemsFemaleMosquito Vectors

Identifiers

PMID42406843
PMCPMC13395382

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.