RDL mutations in Guangxi Anopheles sinensis populations along the China-Vietnam border: distribution frequency and evolutionary origin of A296S resistance allele.

The resistance A296S allele was present at high frequencies in the An. sinensis populations along the China-Vietnam border, indicating a risk of resistance to insecticides targeting RDL. The double mutations (A296S + V327I) may have evolved from alleles carrying the A296S mutation by scaffolding the additional mutation V327I, and A296S allele may have multiple evolutionary origins. These findings will help inform strategies for vector control and malaria prevention.