“…Known mechanisms of resistance to multiple insecticide classes often involve increased activity of detoxification enzymes such as esterases, cytochrome P450s, and glutathione S-transferases (GSTs) (Lumjuan et al, 2005;Strode et al, 2008;Francis et al, 2017) and/or target site modifications, mainly in the sequence of acetylcholinesterase (Hemingway et al, 1989), the gamma-aminobutyric acid (GABA) receptor (Thompson et al, 1993), and the voltage-gated sodium channel (Brengues et al, 2003;Du et al, 2016). Although multiple nonsynonymous target site mutations were detected in strains of pyrethroidresistant A. aegypti from Puerto Rico, the Grand Cayman, Cuba, Thailand, French Guiana, Guadeloupe, New Caledonia, and Isla Mujeres (Mexico), these strains also exhibited high levels of cytochrome P450 gene expression (Strode et al, 2008;Bariami et al, 2012;Reid et al, 2014;Dusfour et al, 2015;Estep et al, 2017).…”