Functional Validation of Endogenous Redox Partner Cytochrome P450 Reductase Reveals the Key P450s CYP6P9a/-b as Broad Substrate Metabolizers Conferring Cross-Resistance to Different Insecticide Classes in Anopheles funestus

The versatility of cytochrome P450 reductase (CPR) in transferring electrons to P450s from other closely related species has been extensively exploited, e.g., by using An. gambiae CPR (AgCPR), as a homologous surrogate, to validate the role of An. funestus P450s in insecticide resistance. However, genomic variation between the AgCPR and An. funestus CPR (AfCPR) suggests that the full metabolism spectrum of An. funestus P450s might be missed when using AgCPR. To test this hypothesis, we expressed AgCPR and AfCPR side-by-side with CYP6P9a and CYP6P9b and functionally validated their role in the detoxification of insecticides from five different classes. Major variations were observed within the FAD- and NADP-binding domains of AgCPR and AfCPR, e.g., the coordinates of the second FAD stacking residue AfCPR-Y456 differ from that of AgCPR-His456. While no significant differences were observed in the cytochrome c reductase activities, when co-expressed with their endogenous AfCPR, the P450s significantly metabolized higher amounts of permethrin and deltamethrin, with CYP6P9b-AfCPR membrane metabolizing α-cypermethrin as well. Only the CYP6P9a-AfCPR membrane significantly metabolized DDT (producing dicofol), bendiocarb, clothianidin, and chlorfenapyr (bioactivation into tralopyril). This demonstrates the broad substrate specificity of An. funestus CYP6P9a/-b, capturing their role in conferring cross-resistance towards unrelated insecticide classes, which can complicate resistance management.


Introduction
Malaria, one of the deadliest diseases, infects 249 million people annually and killed 608,000 people in 2022 alone, 94% of these in sub-Saharan Africa [1].Malaria control relies heavily on controlling the mosquito vectors which transmit the malaria parasite.Insecticide resistance in the major malaria vectors is threatening to derail the progress so far made in malaria control [2,3].The resistance is mediated primarily through metabolic mechanisms [4], with Anopheles P450s from the CYP6 family taking the front seat in the detoxification of diverse insecticides from several public health classes [5][6][7][8][9][10].For example, in the major malaria vector An.gambiae, several P450s have been shown to confer multiple resistance to more than one insecticide, e.g., CYP6P3, which alone confers resistance to pyrethroids, bendiocarb and pyriproxyfen [11][12][13]; CYP6M2, which alone confers resistance to pyrethroids, DDT, malathion, and pyriproxyfen [12][13][14][15]; and CYP6Z2, a P450 with broad substrate specificity, known to confer resistance to the primary products of pyrethroid hydrolysis [16,17], as well as pyriproxyfen [13].
A key approach to validating the role of P450s in insecticide resistance has been through in vitro heterologous co-expression together with CPR in Escherichia coli, followed by HPLC-metabolism assays.This approach has been extensively exploited in An. gambiae and An.funestus, for example in the references cited above.
Cytochrome P450 reductase (CPR, EC 1.6.2.4) is an obligatory flavoprotein that plays a significant role in the metabolism of endogenous compounds and detoxification of exogenous xenobiotics such as drugs and pesticides/insecticides.Its pivotal public health importance is evident in its obligatory role for CYP450s, which are the most important superfamily of metabolic detoxification enzymes, mediating insecticide resistance [7,[25][26][27], including in the Anopheles mosquitoes.The electron transfer from NADPH to CYP450s is facilitated by the CPR, which drives the rate-limiting step in many of the P450 enzymecatalysed reactions [28].The CPR shuttles electrons from NADPH through the FAD and FMN cofactors into the central heme iron of the P450s [29,30].
Previous studies have documented the contribution of CPR to insecticide resistance.For instance, in the malaria mosquito An. gambiae, an increase in the transcriptional levels of CPR has been observed in insecticide-resistant strains [8,12], in correlation with increased activity of known metabolic resistance-conferring P450s.Studies that silenced CPR in insects have documented reduced resistance, providing evidence for the direct role of CPR in insecticide resistance.For example, RNA interference (RNAi) silencing of CPR was shown to increase pyrethroid susceptibility in resistant populations of An. gambiae [31].RNAi has been shown to significantly reduce the transcript levels of the CPR mRNA and increase adult susceptibility to malathion in the Oriental fruit fly, Bactrocera dorsalis [32].Also, this approach has been shown to increase carbaryl susceptibility in the migratory locust, Locusta migratoria [33].
The ability of CPR to transfer electrons to P450s from closely related species has been exploited in several studies to establish the role of P450s in resistance.For example, An. gambiae CPR, hereafter AgCPR (sharing 96.5% percentage similarity to An. funestus CPR, hereafter AfCPR) has been utilised extensively as a homologous surrogate for in vitro functional validation of the role of An. funestus P450s in resistance towards pyrethroids [19,20,[22][23][24]36,37], and recently bendiocarb [21].However, it was observed recently that the two-spotted spider mite (Tetranychus urticae) CYP392A16 (a P450 whose overexpression was shown to be linked with abamectin resistance) can only confer abamectin resistance in vivo (using transgenic Drosophila melanogaster flies) if co-expressed with its endogenous CPR [38].This suggests that using surrogate CPR from other species may result in failure to detect potential metabolic activities toward specific insecticides/pesticides.Though a recent study has described the co-expression of AfCPR together with CYP6P9a and CYP6P9b in a Baculovirus system [39], it investigated the ability of these P450s to metabolise only deltamethrin.The study did not investigate the metabolism of non-pyrethroid insecticides or the risk of cross-resistance between unrelated insecticide classes that could potentially be conferred by these duplicated P450s.In contrast with An. gambiae P450s, the An.funestus P450s have not been shown to confer cross-resistance to more than three insecticide classes, probably due to the non-optimal metabolism assay conditions, e.g., utilization of AgCPR as a homologous electrons supply redox partner, even though the CPRs from these two species differs by 24 amino acids.We hypothesise here that CYP6P9a/-b, which are currently massively selected in field populations across Africa, could pose a greater risk to vector control by exhibiting a broad metabolic activity towards multiple insecticides, and that using the endogenous AfCPR could better capture and reveal this phenomenon.
Therefore, in this study, the key pyrethroid-metabolizing P450s, An. funestus CYP6P9a and CYP6P9b, were recombinantly co-expressed with endogenous AfCPR, alongside the homologous AgCPR in E. coli cells.The purified membranes were utilised for HPLC-based metabolism assays, showing that in the presence of endogenous AfCPR, these P450s can metabolise the pyrethroids deltamethrin and permethrin with higher depletion.In addition, membranes expressing CYP6P9b and AfCPR (hereafter CYP6P9b-AfCPR) metabolise αcypermethrin.Of importance is the finding that the presence of AfCPR confers upon CYP6P9a the ability to significantly metabolise non-pyrethroid insecticides, including DDT (producing a hydroxylation product, dicofol/kelthane), clothianidin, and chlorfenapyr (which is bioactivated into insecticidally toxic primary metabolite tralopyril).

Patterns of Genetic Variability of AfCPR
Analysis of the polymorphism patterns of full-length cDNA sequences of AfCPR (2040 bp) showed high homogeneity in sequences from Malawi and FANG (Angola), with their haplotypes clustering in the maximum likelihood phylogenetic tree (Figure S1a).In contrast, unusually high polymorphisms were observed in Uganda CPR, with its haplotype clustering separately, as an offshoot.
Except for the Uganda sequences, AfCPR exhibited low polymorphism, with only two haplotypes, one each in Malawi and FANG (Figure S1b and Table 1).Overall, from the 15 sequences, there were only four haplotypes, with only two haplotypes for Uganda sequences despite its unusually high polymorphism compared to the other sequences (Figure S1c).Four amino acid substitutions were observed in Uganda.Haplotype diversity is high (H d = 0.77), from 14 haplotypes out of 15 sequences.The very low H d in the sequences from Malawi and FANG (Hd = 0.00, π = 0.00 for both) suggests a selective pressure and is consistent with the high sequence conservation known in CPR.The neutrality test of all sequences revealed Tajima's D and Li and Fu's D* as positive and statistically significant.The statistic was also positive for Uganda sequences, with Li and Fu's D* significant, suggesting rare polymorphism and lack of background selection.
Comparative mapping of the various Anopheles CPR sequences to the rat CPR, and Pfam server predictions revealed high conservation in the structural and functional domains.Initial prediction of the transmembrane domain using DeepTMHMM predicted Anopheles CPR residues 25-40 as the membrane-spanning amino acids (Figure S2).These sequences are identical between AfCPR and AgCPR.Within the hydrophobic terminal membrane binding domain, the uniquely sensitive trypsin-cleavable Lys 56 /Ile 57 bond purported to demarcate the membrane-binding segment from the catalytic portion of the CPR [40] is conserved as Ser 56 /Ile 57 in all Anopheles CPR sequences (Figure 1).The FMN-binding domain is also highly conserved between the Anopheles species, with the FMN-binding polypeptide fragments T 141 Y 142 G 143 E 144 G 145 D 146 P 147 and N 178 K 179 T 180 Y 181 E 182 H 183 F 184 N 185 [41] being identical.The phenolic rings of the two critical tyrosine residues, Y 140 (Y 143 in Anopheles sequence) at the re-side and Y 178 (Y 181 in Anopheles) at the si-side, which sandwich the juxtaposed flavin isoalloxazine rings and are known to be critical to FMN-binding and catalysis [41,42], are conserved in all Anopheles, as in the rat CPR.Additionally, the loop between strand 5 and helix F (containing the docking site acidic residues 210-2014, D 210 D 211 D 212 A 213 N 214 ) described as being involved in binding to P450s and cytochrome c [43,44], is conserved in all the Anopheles species.In short, within the 70-225 residues encompassing the FMN-binding region, no major changes in co-factor binding regions were observed, with phosphate moiety, FMN ring (re face), and si face identical in the Anopheles sequences.
However, major variations were observed in the connecting domain (encompassing residues 240-270 and 325-450), which is situated between the FMN-binding domain and the FAD-and NADPH-binding domains and which is responsible for orienting these two domains, ensuring proper alignment of the two flavin moieties necessary for electron transfer [41].For example, within the first connecting domain, G 257 in An. funestus and An.minimus is replaced with Ser in An. gambiae and An.stephensi.In addition, within the highly conserved second connecting domain, 7 amino acid variations (residues 344, 346, 348, 356, 396, 414, and 427) were observed, with AfCPR remarkably different from AgCPR.For example, G 396 in An. gambiae is T 396 in An. funestus, while Ser occupies this position in the rest of the sequences.Serine residue occupies position 427 (S 427 ) in An. funestus, while the rest of the sequences have Cysteine in this position.
Subtle variations between AfCPR and AgCPR were also observed in the FAD binding domain (encompassing residues 450-520).The re face of the FAD ring (R 672 Y 673 S 674 A 674 D 675 V 676 W 677 S 678 ) is stacked with the indole ring of W 678 , a residue conserved in all species, and the Y 459 aromatic ring (Y 459 Y 460 S 461 I 462 S 463 S 464 fragment), a residue which stacks the FAD ring in the si face, and which is identical in rat CPR, AstCPR, and AfCPR but replaced with H 459 in AgCPR and S 459 in AmCPR [41].The pyrophosphate is stabilized by the side chain of T 494 and R 454 which are conserved in all species.The phenolic ring of Y 481 (immediately downstream of the V 474 T 475 A 476 V 477 L 478 V 479 fragment encompassing the FAD), which stacks on one side of the adenine ring, is conserved in all species.
For the NADP binding domain (residues 522-679), the loop S 518 Q 519 F 520 R 521 L 522 P 523 P 524 K 525 P 526 E 527 purported to be a membrane binding domain is conserved in all the Anopheles.However, residue variations were observed within this domain.For example, S 552 in AfCPR and AmCPR, with Cys in the same position in AgCPR and AstCPR; position 572, where all sequences have Ser while AfCPR has T 572 ; position 590, with AfCPR having V 590 while all other sequences have I 590 ; and N 619 in all sequences except for AgCPR with Ser in the same position.The conserved residues associated with 2'-phosphate binding in human CPR (S 597 , R 598 , K 603 and K 635 [45][46][47]) are identical in all the Anopheles species.

Comparative Prediction of AfCPR and AgCPR 3D Folding and Interaction with AfCYP6P9a
To investigate differences in the 3D folding conformation of AfCPR and AgCPR, models of the proteins were created.A total of 12 models were generated for each sequence, and Figure S3 summarizes the internal structure assessments with DOPE in tabular form (panels a and d), as well as the comparative DOPE energy profile between the template 1AMO and the models with the highest quality (panels b and e).Ramachandran energetic validation revealed that 489 residues (90.6%), 46 residues (8.5%), and 2 residues (0.4%) were in the most favoured regions, additionally allowed regions and generously allowed regions for AfCPR model number 2 (panel c), with only 3 residues (0.6%) in disallowed regions.For AgCPR model number 7, 497 residues (92%), 39 residues (7.2%) and 1 residue (0.2%) were in the most favoured regions, additionally allowed regions, and generously allowed regions, with only 3 residues (0.6%) in the disallowed regions (panel f).External assessments using Errat revealed overall quality scores of 74.21% and 74.38% for the AfCPR model 2 and AgCPR model 7, respectively (Figure S4).The AfCYP6P9a model has an overall Errat quality score of 49.48% (Figure S5d) and Ramachandran assessment predicted that 366 residues (85.3%), 46 residues (10.7%), and 8 residues (1.9%) were in the most favoured regions, additionally allowed regions, and generously allowed regions, with 9 residues (2.1%) in disallowed regions (Figure S5c).
Overall, the two CPR models exhibited similar folding patterns, with the critical aromatic residues known to stack and stabilize the FMN and FAD rings in close proximity to their cofactors (Figure S6).However, the overlay of the two models revealed subtle differences that could potentially lead to differences in catalysis between the two proteins.For example, while the FMN-sandwiching residue Y 140 (Y 143 in Anopheles) exhibits similar coordinates, the coordinates of the aromatic ring of the second FMN-stacking residue Y 178 (Y 181 in Anopheles sequences) differ between the AfCPR and AgCPR models (Figure 2a,b).Also, while the coordinate of the indole ring of the critical W 677 residue (W 678 in Anopheles sequences), known to stack the FAD ring, is similar, the coordinate of the second FAD stacking residue Y 456 (Y 459 in AfCPR) differs from the coordinate of His 456 in the AgCPR model (Figure 2a,c).
To investigate potential variations in interactions between insecticide resistanceconferring P450s and the redox partners AfCPR and AgCPR, comparative docking simulations were conducted with the CPR models and a model of a well-known metabolic resistance P450, CYP6P9a.Docking established that AfCPR and CYP6P9a interaction produces 80 cluster members in its most productive pose, with a lowest weighted energy score of −958.7,compared with the interaction of AgCPR with CYP6P9a, with 66 cluster members and a weighted energy score of −810.2 (Figure 3a,c).Protein-protein interaction analysis revealed a striking difference between the intermolecular interactions of the two CPR models with the CYP6P9a model.A total of 47 residues and 44 residues were predicted to be involved in interactions in CYP6P9a and AfCPR, respectively (the productive cluster with the lowest weighted energy score), with 7 salt bridges and 11 hydrogen bonds predicted, within 612 non-bonded contacts (Figure 3b).A total of 49 residues and 43 residues were predicted to be involved in interactions in CYP6P9a and AgCPR, respectively, with 4 hydrogen bonds predicted, within 564 non-bonded contacts (Figure 3d).No salt bridges were predicted in this interaction.Residues involved in the 11 hydrogen bonds between CYP6P9a and the AfCPR models include R 169 , located downstream of the α-helix of AfCPR, and hydrogen bonded to E 398 and E 399 , which are two residues located within the J helix in the connecting domain of AfCPR (Figure 3b).N 111 , which is a second residue within the substrate recognition site 1 of CYP6P9a [refer to [19] for the topology of the structurally conserved regions of CYP6P9a], is hydrogen bonded to E 205 (β sheet 5), an amino acid located 5 residues downstream of the DDAN motif of CPR (composed of acidic residues known to be the docking site of P450s and cytochrome c).Also, another residue involved in hydrogen bonding is D 245 , located within SRS-3 of CYP6P9a and hydrogen bonded to C 231 , another residue located downstream of the DDDAN motif.
The same residue above, CYP6P9a-R 169 , was predicted to be involved in salt bridges to AfCPR-E 398 and -E 399 .Other interactions from the seven predicted salt bridges include a bridge between CYP6P9a-K 492 to AfCPR-D 217 , located two residues downstream of the DDDAN motif; and CYP6P9a-K 223 , located five residues downstream of SRS-2, bridged to D 192 , a residue located within the FMN ring (si face).
For the AgCPR model, five hydrogen bonds were predicted, including between K 223 (located five residues downstream CYP6P9a SRS-2) and H 183 (located within the FMN ring, si face) (Figure 3d); between I 219 located within CYP6P9a SRS-3 and R 202 (located between the FMN ring, si face, and the DDDAN motif); and R 207 , located three residues upstream of the CYP6P9a SRS-2, hydrogen bonded to AgCPR-F 233 , and located within the first connecting domain separating the FMN-from the FAD-binding domains.

Comparative Assessment of the Role of AfCPR on Insecticide Metabolism by Recombinant CYP6P9a/-b
Substrate depletion assays conducted with permethrin and deltamethrin revealed high metabolism in CYP6P9a and -b membranes co-expressed with both CPRs, with the recombinant CYP6P9b depleting higher amount of both pyrethroids.For example, CYP6P9b-AfCPR and -AgCPR depleted 90% and 93% of permethrin (p < 0.05) compared with 73% and 62% in CYP6P9a-AfCPR and -AgCPR, respectively (Figure 5a).A similar pattern was seen in the case of deltamethrin, with depletion of 99% by the CYP6P9b-AfCPR, which is significantly higher than the 72% obtained with CYP6P9a-AgCPR (p < 0.05).Low depletion was observed towards α-cypermethrin, less than 5% for both membranes of CYP6P9a and CYP6P9b when co-expressed with AgCPR.This depletion significantly increased to 14% and 21% in the CYP6P9a-AfCPR and CYP6P9b-AfCPR membranes (p < 0.05).
While no appreciable metabolism of DDT was observed (depletion of less than 15%) from CYP6P9b membranes co-expressed with either AfCPR or AgCPR, depletion of 17% was obtained from CYP6P9a-AgCPR, and a significant depletion of 51% (p < 0.001) by the recombinant CYP6P9a membrane co-expressed with the AfCPR.The CYP6P9a DDT metabolism proceeds with the oxidation of trichloromethyl carbon to produce dicofol (Figure 5c).Metabolism of DDT follows Michaelis-Menten fashion (Figure 5d), with a maximal velocity of 5.12pmol/min, K cat of 0.112 min −1 and K m of 1.59 µM, translating into catalytic efficiency of 0.07 min −1 µM −1 .
A similar pattern was observed with respect to bendiocarb, with CYP6P9a-AfCPR and CYP6P9a-AgCPR significantly depleting 47% (p < 0.01) and 18% of this carbamate insecticide compared to less than 15% depletion obtained from CYP6P9b membranes.CYP6P9a metabolism of bendiocarb is like previous observations with other An.funestus P450s, e.g., recombinant CYP6Z1 and CYP9J11, which generate polar metabolites eluting at the beginning of the chromatogram [22,36].
For neonicotinoids, no metabolism was observed with acetamipirid for all membranes, and less than 5% of imidacloprid was depleted by all membranes.However, for clothianidin, significant depletion was obtained from both CYP6P9a (27% depletion, p < 0.01) and CYP6P9b (19.6%, depletion, p < 0.01) membranes co-expressing AfCPR, compared to the membranes expressing the same P450s but with AgCPR, which depleted less than 5% of this insecticide.

Discussion
Understanding the mechanisms of resistance and the patterns of cross-resistance between unrelated insecticide chemistries is critical to designing suitable resistance management plans, with the potential to reduce malaria burden.In this respect, deciphering the interactions of CPR and major metabolic resistance P450s, such as CYP6P9a/-b in An. funestus, is essential to better implement insecticide-based interventions.
The critical role of CPR is evident in its public health clinical importance.For example, in humans, CPR is involved in steroidogenesis, bone formation, and drug metabolism [48], and mutations in the human CPR result in reduced activities of steroid metabolising enzymes, CYP17A1 (17, α-hydroxylase)/17,20 lyase), and CYP19A1 (aromatase), causing a rare form of congenital adrenal hyperplasia characterised by adrenal insufficiency, genital anomalies, and bony malformations resembling Antley-Bixler syndrome [49,50].
Within the context of vector-borne diseases burden, CPR from the major malaria vectors have been implicated in contributing to insecticide resistance in several genomewide transcriptional and functional validation studies [8,12,31].

Evidence of High Homology in AfCPR Sequences
Very low polymorphism was observed in the CPR sequences from FANG and Malawi.This is not surprising as CPR, occurring as a single copy, is a conserved protein whose functional domains are known to be highly conserved even across species, as even single mutations can lead to debilitating diseases in eukaryotes [51].Despite the unusually high polymorphism observed in the Uganda sequences, only four amino acids substitution was observed, suggesting a high conservation in An. funestus despite the high cDNA polymorphism.However, more AfCPR sequences from across Africa need to be analysed to fully capture this pattern.

Homologous CPR May Not Reconstruct Full Detoxification Potentials of Certain P450s
The redox partner promiscuity of CPR has been exploited in several studies to investigate the role of P450s in metabolic resistance in the major malaria vectors.A typical example is AgCPR, which has been utilised extensively as a surrogate since it was first reported in 2006 [16] for in vitro functional validation of the role of An. funestus P450s in insecticide resistance [19][20][21][22][23][24]36,37].However, the observation that CYP392A16 can only confer abamectin resistance in vivo using transgenic D. melanogaster flies if it is expressed with its endogenous Tetranychus urticae (two-spotted spider mite) CPR [38], and the fact that studies have shown that even a single amino acid change (e.g., P280L in humans) can affect CPR stability, reducing activity and leading to lower testosterone levels [52], suggests that utilization of surrogate CPR from other species may result in failure to detect potential metabolic activities toward many substrates which can potentially be metabolised by P450s if co-expressed with their endogenous CPR.This means that there is a possibility that even a single amino acid variation, e.g., Y 456 (AfCPR)/H 456 (AgCPR), a critical residue which stacks and stabilises the FAD ring, could potentially modify activities.Indeed, in humans, the Y 456 /H 456 mutation [53] has been shown to disrupt the binding of FAD and impair CYP4A4 activity in patients afflicted with Antley-Bixler syndrome [54].Also, a single amino acid change in rat liver CPR has been shown to modify the molecular weight of the recombinantly expressed CPR protein.For example, in SDS-polyacrylamide gels, wild-type rat CPR migrated as a single band of approximately 80,000 daltons, but replacement of the key residues Y 140 to D 140 (established as a requirement for FMN binding and catalysis) re-sulted in detectable alterations in the electrophoretic mobilities, with the protein exhibiting an anomalous molecular weight of 84,000 to 85,000 daltons [42].This strongly suggests that even a single amino acid change can possibly alter the folding pattern, conformation, and/or activity of Anopheles CPR.

Recombinant AfCPR and AgCPR Exhibits Comparable Cytochrome c Reductase Activities
Comparative assessment of the metabolism of cytochrome c by the recombinant AfCPR and AgCPR revealed comparable activities between the four membranes (within the range of 29 and 34 nmol/min/mg).These values are within ranges established for other organisms.For example, CPR activities of 43.6-162.5 nmol/min/mg protein have been described for co-expressed CYP450/CPR membranes from Culex quinquefasciatus [55].Another study which co-expressed An. minimus CYP6AA3 with its endogenous AmCPR has described membranous activity of 41.16 nmol/min/mg protein [56], which was comparable to a follow-up study in the same species with CPR expressed singly as a membrane protein [57].While 61 nmol/min/mg activity has been described for AgCPR previously [11], specific activity of up to 23.9 µmol/mg/min has been described for a purified AgCPR [47].However, this ∆2-63 truncated protein (the membrane anchor sequence was deleted by removal of amino acids 2-63) was expressed singly and in soluble form.
Steady-state kinetic analysis of cytochrome c reduction revealed comparable catalytic constants for all membranes, in ranges of 2787 min −1 for CYP6P9a-AfCPR membrane to 3109 min −1 for CYP6P9b-AfCPR membrane.These values are very similar to 56.77 s −1 /3.40 min −1 described for AmCPR [57], but are on average half the turnovers of 105 s −1 described for AgCPR and human CPR (88 s −1 ) [47].
For both recombinant AfCPR and AgCPR, cytochrome c K m values (17-21 µM) were very similar to the previously established values for Anopheles CPRs.For example, in the above studies, Lian and colleagues [47] reported K m values of 19 µM and 23 µM, respectively, for recombinant AgCPR and human CPR.Two other studies have independently confirmed K m values of 19.07 µM [57] and 27.39 µM [58] for AmCPR, further confirming similar binding affinities for cytochrome c.However, deviations from these include low K m values, including 2.58 µM described for AmCPR [56], and 1-4 µM described for housefly [59] and rat [60] CPRs.Overall, the recombinant AfCPR exhibited slightly higher catalytic efficiencies compared with those obtained with AgCPR, suggesting that both CPR catalyse cytochrome c reduction with similar profiles.

Endogenous CPR Confers Non-Pyrethroid Metabolising Abilities in CYP6P9a and -b
Pyrethroid metabolism assays reveal high depletion, especially with CYP6P9b, which metabolised more than 90% of deltamethrin and permethrin regardless of the reductase it was co-expressed with, consistent with our previous observations [19,20,37].
Assays with α-cypermethrin revealed no activity towards this type II pyrethroid, except for the marginal depletion of 21% obtained with CYP6P9b-AfCPR membranes.We considered the 20% substrate depletion cut-off value as significant since it is normally applied in drug screening to rule out metabolic activity from uncertain metabolism, potential binding, and baseline variability [61].
The finding of recombinant CYP6P9b metabolising α-cypermethrin is of grievous importance, as this insecticide is currently the bedrock of the most insecticidal next-generation, combination, long-lasting insecticidal bed nets, such as Interceptor G2 (composed of αcypermethrin and chlorfenapyr) and Royal Guard (α-cypermethrin plus pyriproxyfen).Indeed, An. gambiae CYP6P3 has been recently shown to deplete >80% of α-cypermethrin [62], and CYP6P5 from the New World malaria vector An.albimanus has been shown to deplete 57.4% of this insecticide, metabolising it with high turnover and high efficiency [63].The fact that CYP6P9b-AfCPR membrane can metabolise α-cypermethrin, in contrast with the lack of significant metabolism when co-expressed with AgCPR, suggests that the amino acid variations between the two CPRs could be playing a role in the docking and interaction of this P450 with the endogenous CPR.Indeed, studies have established the role of individual CPR amino acids in the metabolism of pyrethroids.For example, the L 86 F (FMNbinding domain) and L 219 F (4 residues downstream the DDAN motif) mutants of AmCPR were shown to exhibit increased FMN retention in the AmCPR and significantly increased deltamethrin degradation [57].Similar changes in metabolic profiles were observed upon the introduction of additional mutations into the AmCPR.These findings strongly suggest that the 24-amino-acid difference between AfCPR and AgCPR could potentially lead to marked differences in metabolic profiles.
Our previous studies have shown that the recombinant CYP6P9a and -b co-expressed with AgCPR cannot metabolise non-pyrethroid insecticides, including DDT and bendiocarb [22,37].However, the significant depletion obtained upon co-expression of CYP6P9a with its endogenous AfCPR indicates this P450 can biotransform these indoor residual spraying insecticides.Indeed, other studies have shown that P450s from the CYP6 family can detoxify DDT.For example, An. gambiae CYP6M2 has been shown to metabolise DDT, though producing DDE, in addition to dicofol [14], in contrast to our observation with CYP6P9a, which generated dicofol only.Also, a recent study has demonstrated moderate DDT resistance in transgenic Drosophila flies expressing An. albimanus CYP6P5 [63].
CYP6P9a can metabolise bendiocarb as well, but only in the presence of its endogenous AfCPR.In our previous studies, using AgCPR as a surrogate, we have shown that An. funestus CYP6Z1 [22], CYP6AA1 [23] and CYP9J11 [36] can metabolise bendiocarb.Also, we have shown recently that CYP6P9a can metabolise bendiocarb when co-expressed with AgCPR, but with a depletion of only 18% [21].CYP6P3, an ortholog from An. gambiae, has been demonstrated to confer a moderate bendiocarb resistance in transgenic Drosophila flies [12].
Several studies have vouched for the insecticidal efficacy of chlorfenapyr, especially against natural populations of An. funestus.These include, for example, a semi-field assessment using cone bioassays and experimental hut trials, which have shown the high efficacies of Interceptor G2 in killing both An.gambiae and An.funestus in several African countries [64][65][66].However, a recent multi-country study has established a reduced susceptibility of chlorfenapyr in the field populations of An. gambiae from DRC, Ghana, and Cameroon, while full susceptibility was reported in An. funestus [67].Other studies have also established chlorfenapyr resistance, for example in An. gambiae populations from several sites in Côte d'Ivoire [68].Given that chlorfenapyr is primarily bioactivated by P450s into the insecticidally active ingredient tralopyril [69], which induces death in insects, it should be expected that An. gambiae populations should be highly susceptible to this insecticide through P450 bioactivation.However, the recent contrasting observation that key An.gambiae P450s, CYP6P3 and CYP9K1, ubiquitously overexpressed across African populations of An. gambiae (shown in several studies above to be resistant to chlorfenapyr) bioactivate this pro-insecticide into its tralopyril toxic intermediate [62] calls for more in-depth characterisation of the role of An. gambiae P450s and/or other metabolic detoxification enzyme classes in chlorfenapyr biotransformation.Nevertheless, our finding that An. funestus CYP6P9a bioactivates chlorfenapyr into insecticidally active tralopyril is consistent with the widespread susceptibility of field populations of An. funestus toward this pyrrole insecticide, e.g., [64,70,71].
Clothianidin has found utility as a front-line indoor residual spraying ingredient, for example in Fludora Fusion (clothianidin and deltamethrin) and Sumishield (clothianidin).Multi-country field trials performed across Africa have confirmed the long-lasting effects of Fludora Fusion and Sumishield on various sprayed surfaces and their efficacy against pyrethroid-resistant malaria vectors, as well as the efficacy of their non-pyrethroid ingredients [72][73][74][75].However, the recent observations of resistance towards neonicotinoids (e.g., clothianidin and acetamipirid) in Cameroonian An. gambiae populations exposed to agricultural clothianidin and acetamiprid [76,77] suggest that it is only an issue of time before neonicotinoid resistance spreads and is established.The recent detection of potential clothianidin resistance in the field populations of An. funestus across Africa and the recov-ery of more susceptibility using piperonylbutoxide synergist assay [78] is in line with our finding that CYP6P9a metabolises this insecticide.
Taken together, this evidence, along with the previous studies suggests that these duplicated P450s, CYP6P9a and CYP6P9b, are the major insecticide resistance-conferring detoxification genes in the major malaria vector, An. funestus.Together, they can biotransform insecticides from four different classes in use for public health control of malaria vectors.

Polymorphism Analysis of Full-Length An. funestus CPR cDNA
The genomic samples utilized in this study were from blood-fed, female An.funestus caught resting indoors in Malawi, Southern Africa [79] and Uganda, Eastern Africa [80].The resistance profiles of these mosquitoes have been described in the above publications.To investigate potential genetic variability, AfCPR sequences from the above countries were compared to that of the fully susceptible laboratory colony, FANG, which originated from Angola [81].
Total RNA was extracted from five replicates each of 10 female An.funestus, which survived deltamethrin exposure, as well as from the female FANG of the same age.The RNA was extracted using the Applied Biosystems Arcturus PicoPure RNA isolation kit (Applied Biosystems, Waltham, MA, USA) according to the manufacturer's instructions.RNA concentration and integrity were established using Agilent Tape Station (Agilent Technologies, Santa Clara, CA, USA).Complementary DNA (cDNA) was synthesised by reverse transcription, from 1 µg of the extracted RNA, using the SuperScript III (Invitrogen, Waltham, MA, USA) with oligo-dT20 and RNAse H (New England Biolabs, Ipswich, MA, USA).Full-length open reading frames of AfCPR were amplified from each cDNA separately using the Phusion Hot Start II High-Fidelity DNA Polymerase (ThermoFisher Scientific, Waltham, MA, USA), with the Agam_AfunCPR primer sets listed in Table S1.In a total volume of 14 µL PCR mix composed of 5X Phusion HF Buffer (containing 1.5 mM MgCl 2 in final reaction), 85.7 µM dNTP mixes, 0.34 µM each of forward and reverse primers, 0.015 U of Phusion Hot Start II High-Fidelity DNA Polymerase (ThermoFisher Scientific, Waltham, MA, USA).and 10.71 µL of ddH 2 0, 1 µL cDNA was added.Thermocycling conditions were 98 • C for 1 min; followed by 35 cycles each of 98 • C for 20 s (denaturation), 63 • C for 30 s (annealing), extension at 72 • C for 3 min, and a final extension at 72 • C for 10 min; and a hold at 10 • C. The PCR products were gel purified with QIAquick ® Gel Extraction Kit (QIAGEN, Hilden, Germany) and ligated into pJET1.2/bluntcloning vector using the CloneJET PCR Cloning Kit (ThermoFisher Scientific, Waltham, MA, USA).These were then cloned into the E. coli, DH5α and miniprepped using a QIAprep ® Spin Miniprep Kit (QIAGEN, Hilden, Germany).Minipreps were sequenced on both strands using the pJET1.2/bluntforward and reverse sequencing primers.cDNA polymorphisms were detected through manual examination of sequence traces using BioEdit version 7.7.1 [82] and sequence differences in multiple alignments using CLC Sequence Viewer 6.9, http://www.clcbio.com/(accessed on 5 October 2023).Different haplotypes were compared by constructing a phylogenetic maximum likelihood tree using MEGAXI [83].The genetic parameters of polymorphism, including the number of haplotypes (h) and their diversity (Hd), number of polymorphic sites (S), and nucleotide diversity (π), were computed using DnaSP 6.12.03 [84].
In addition, putative binding domains and catalytic residues were predicted using the InterPro Pfam 36.0 server [87].Transmembrane-spanning regions were predicted by using the deep learning neural network online tool Deep TransMembrane Hidden Markov Model [DeepTHMM, (DTU/DeepTMHMM-BioLib)].

Comparative Prediction of CPR 3D Folding and Interaction with AfCYP6P9a
To investigate differences in the 3D conformation of AfCPR and AgCPR, models of the proteins were created.The homology models were built and energy minimised using PyMod 3.0.2[88], a Schrödinger PyMOL 2.5.8 [89] plugin for MODELLER 10.5 [90].The models were generated utilizing as a template the crystal structure of rat CPR (PDB ID: 1AMO) [41], sharing ~58.15% and ~58.33% similarities, respectively, for AfCPR and AgCPR, with optimization and refinement levels set as default, objective function, colouring and random seed set to default, and the number of parallel jobs suppressed.A total of 12 models were generated for each sequence, and in addition to internal structural assessments with DOPE and Ramachandran energetic validation, the models were assessed externally using Errat (version 2) to identify the best model from statistical patterns of non-bonded interaction between different atom types [91].
To predict the potential amino acid residues involved in binding to cytochrome P450s, a web-based protein-protein docking server, ClusPro [92] was used to dock the AfCPR and AgCPR models onto the CYP6P9a model.CYP6P9a was amplified from Malawi An. funestus populations described in the previous study [93] and its amino acid sequence utilized alongside the crystal structure of human CYP3A4 (36.5% similarity), as a template, to generate its models utilizing PyMod, followed by Errat assessment to select the best 3D structure.

Preparation of Recombinant AfCPR for Heterologous Expression
The predominant cDNA of AfCPR was prepared for protein expression following the established protocols of Pritchard and colleagues [95,96], with some modifications.Details of the cloning approach are outlined below and presented in Figure 6.

Fusion of AfCPR cDNA to pelB Leader
The AfCPR sequence was prepared by fusing the bacterial pelB leader sequence to the NH 2 -terminus of the AfCPR coding sequence, in frame with its initiation codon.In this primary PCR, the forward primer pelB-red-F2, composed of 22 bases of the pelB leader and bearing an NdeI restriction site (Table S1), was utilised.This targets the 66 nucleotides (22 amino acids) leader peptide from the pelB gene encoding pectate lyase B of Erwinia carotovora EC [97].The reverse primer, pelB-red-CPRlinker2, comprises sequences complementary to 20 bases of the AfCPR cDNA (5' end) joined to the last 18 bases (3' end) of the leader sequence, which allows fusion of the AfCPR fragment to the pelB leader (Figure 6).The pelB leader was copied using pET-22b (+)-Novagen (Merck KGaA, Darmstadt, Germany) as a genomic DNA source.The PCR reaction mix and thermocycling conditions were identical to the protocol outlined in Section 4.1, except the extension and final extension at 72 • C were set to 1 min and 5 min, respectively, and 5X GC buffer was utilised instead of 5X HF buffer.
The linker amplicon was cleaned with a QIAquick ® PCR Purification Kit (QIAGEN, Hilden, Germany) and used in a limiting concentration (50 ng) in a secondary PCR, together with CPR cDNA, to create the BamHI-NdeI-pelB-CPR-XbaI-HindIII construct, in the presence of pelB-red-F2 primer and a reverse primer (CPR-XbaI-HindIII-R).The PCR mix comprises 5X Phusion HF Buffer, 85.7 µM of dNTP mixes, 0.34 µM each of the above forward and reverse primers, 0.015 U of Phusion Hot Start II High-Fidelity DNA Polymerase (Ther-moFisher Scientific, Waltham, MA, USA), 9.21 µL of ddH 2 0, 1 µL of CPR cDNA, and 0.5 µL of the linker.Thermocycling conditions were identical to Section 4.1.The PCR products were cleaned with a QIAquick ® PCR Purification Kit (QIAGEN, Hilden, Germany) and ligated into the pJET1.2/bluntcloning vector using the CloneJET PCR Cloning Kit (Ther-moFisher Scientific, Waltham, MA, USA).These were cloned into E. coli DH5α, positive colonies miniprepped with the QIAprep ® Spin Miniprep Kit (QIAGEN), and plasmids sequenced on both strands using the pJET1.2primers.

Cloning of tac-tac Promoter into pelB-AfCPR Construct
Because the target expression vector pACYC-184 [98,99] does not harbour an IPTGinducible promoter for the expression of the CPR, this promoter must first be added to the pelB-reductase via intermediate subcloning into pCWOri+ [95,96].However, in contrast to the approach of Pritchard and colleagues (where the pelB-CPR constructs cloned into pCWori+ were released from this vector by a BclI-BglII double digest and inserted into the BamHI site of pACYC-184, abolishing its tetracycline resistance gene), we opted for subcloning of the pelB-CPR constructs into the pCWori+ via NdeI and XbaI, followed by PCR amplification of a fragment flanking the construct plus tac-tac promoter [100] of the pCWori+.

Subcloning of tac-tac-pelB-AfCPR Construct into pACYC-184 Expression Vector
To facilitate copying of the above construct for downstream cloning into the expression vector pACYC-184 (Nippon Gene Co. Ltd., Fujifilm, Wako Chemicals, Osaka, Japan), primer sets pcw-2-pacyc-184-F and -R, bearing unique restriction sites (SphI and SalI), were created.The primers copied the pB13(tac-tac)::pelB-CPR fragments from the constructs in Section 4.4.2 for downstream subcloning into the pACYC-184 vector.The PCR conditions are identical to Section 4.1, except for the final extension which was set to 15 min at 72 • C, to allow enough time for the amplification of this 2786 bp fragment.The PCR amplicon was purified as described above, digested successfully with FastDigest SphI and SalI, gel extracted, and ligated overnight with pACYC-184 vector linearized with the same restriction enzymes.Ligation products were transformed into DH5α.Colonies were screened successfully with two sets of primers.In addition to PCR screening with the above pcw-2-pacyc-184 primers, which confirm a fragment of ~2800 bp (insertion in pCWori+), additional PCR was carried out using seqCPRF2 (an internal primer designed within the CPR gene, to amplify the 1133 bp fragment) and seqpACYC-184R (a reverse complement internal primer designed within the pACYC-184 vector, 73 bp downstream the SalI restriction site).Positive colonies screened with these second primers produced a gel band of 1206 bp, confirming the presence of CPR within pACYC-184.These plasmids were then miniprepped.

Heterologous Co-Expression of Recombinant AfCYP6P9a/-b with AfCPR and AgCPR
The above pACYC-AfCPR plasmid construct was co-transformed together with either An.funestus CYP6P9a (CYP6P9a) or An.funestus CYP6P9b (CYP6P9b) into E. coli JM109.These two pyrethroid-metabolizing specialist P450s were amplified from cDNA from mosquitoes described above [93], and prepared as detailed in our previous studies [19,20].Membrane expression and preparation follow the procedure of Pritchard [95], with the modifications we have published in several studies [19,20].To compare the potential impact of the endogenous AfCPR on the metabolism of insecticides, the above P450s were also co-expressed together with the AgCPR, as we have done previously [19,20,37].The recombinant CYP450s expressed optimally at 21 • C and 150 rpm, 36-40 h after induction with 0.5 mM δ-ALA and 1 mM IPTG to the final concentrations.The membrane contents of the P450s were determined spectrally [101].
To account for potential differences in metabolic activities which can be attributed to differences in the concentrations of P450s and CPRs in the membranes, protein concentrations were established using Bradford assays [102].Following the Bradford assays, the protein contents of the membranes were normalized by dilution in 1X TSE buffer, adjusting the concentrations of all four membranes to 20.8 mg/mL, followed by determination of spectral activity again.

Comparative Determination of CPR Activities Using Model Substrate Cytochrome c
The activities of the recombinant CPR proteins in the purified membranes were assayed by monitoring increased absorbance at 550 nm in the presence of electron acceptor cytochrome c.Briefly, for each membrane, a 300 µL reaction mixture containing 0.1 mM horse heart cytochrome c (dissolved in potassium phosphate buffer, pH 7.7) and 2 µL of purified recombinant membrane were added into a 96-well ELISA plate.The reactions were initiated by adding 0.1 mM NADPH (dissolved in the same buffer).The time-dependent absorption increase in samples was monitored on a BioTek Epoch 2 microplate reader (Agilent, Santa Clara, CA, USA).The recombinant CPR activities were calculated from the cytochrome c reduced using the formula of Guengerich and colleagues [103].Reactions were performed in triplicates both for +NADPH and -NADPH (controls).Kinetic parameters K m and V max were calculated from the Michaelis-Menten plot using the least squares, nonlinear regression in the GraphPad Prism 5.0 (GraphPad Inc., La Jolla, CA, USA).Kinetic analyses were carried out using the same protocol as above but with eight serially diluted cytochrome c concentrations (6.25-300 µM).

Comparative Determination of Insecticides Metabolizing Activities
To investigate the potential impact of indigenous AfCPR on CYP6P9a and CYP6P9b metabolism of public health insecticides, in vitro assays were carried out using the recombinant proteins co-expressing the P450s and their AfCPR, side-by-side with the same P450s co-expressed with AgCPR.Substrate depletion assays were conducted with type I pyrethroid (permethrin), type II pyrethroids (deltamethrin and α-cypermethrin), an organochloride (DDT), a carbamate (bendiocarb), neonicotinoids (clothianidin, imidacloprid and acetamipirid), and a pyrrole (chlorfenapyr).The protocols for incubation and high-performance liquid chromatography (HPLC) analyses for the above insecticides followed procedures previously published [21,23,63,104], with some modifications.
The assay mix comprised 0.45 µM membrane expressing recombinant proteins, 1.8 µM reconstituted cytochrome b 5 protein (4:1 ratio), and 20 µM insecticide, diluted in 100 µL water.Membranes containing the recombinant proteins, cytochrome b 5, and insecticides were added to the side of the tubes.The reactions were started by adding 100 µL of 1 mM final concentration of NADPH regeneration buffer.The NADPH regeneration buffer contained 1 mM glucose-6-phosphate, 0.1 mM NADP + , 0.25 mM MgCl 2, and 1 unit/mL glucose-6-phosphate dehydrogenase prepared in 50 mM phosphate buffer, pH 7.4.Negative reactions contained the above regeneration buffer mix but without the NADP + (equal volume of buffer added in place of the amount of the buffer containing NADP + ).Reactions were conducted in triplicate for positive and negative incubations for each insecticide.Following incubation for 2 h at 30 • C and 1200 rpm, reactions were quenched with 200 µL of ice-cold acetonitrile and samples were incubated for an additional 10 min to dissolve the insecticides, before centrifugation at 20,000× g for 20 min.The supernatants (100 µL each) were loaded into the HPLC vials and 50 µL injected into the isocratic mobile phase, with a flow rate of 1 mL/min, and peaks separated with 250 mm C18 column (Acclaim 120 TM , Dionex) on Agilent 1260 Infinity.
For pyrethroids, peaks were separated at 23 • C and 226 nm, with a 70:30 acetonitrile:water mobile phase, and retention times set to 30 min.For DDT, 1 mM of solubilizing factor sodium cholate was added to the incubation mix [14,104] and peaks were separated at 23 • C and 232 nm, with a retention time of 20 min.For bendiocarb, separation was achieved with a 65:35 acetonitrile:water mobile phase, at 205 nm, with retention time set to 20 min and column temperature set to 40 • C [21,23].For neonicotinoids, separations were achieved at a wavelength of 260 nm for clothianidin, 272 nm for imidacloprid, and 220 nm for acetamiprid, on 15:85 acetonitrile:water (containing 0.1% H 3 P0 4 ), with retention time set to 20 min and column temperature set to 40 • C. Chlorfenapyr was detected at 23 • C and a wavelength of 260 nm, using 70:30 methanol:water (containing 0.1% H 3 P0 4 ), with retention time set to 20 min and a column temperature of 35 • C. Enzyme activity was calculated as percentage depletion (the difference in the amount of insecticide(s) remaining in the +NADPH tubes, compared with the -NADPH) and a Student's t-test was used to test for statistical signification.
Steady-state kinetic parameters were determined with DDT by measuring the rate of reaction under linear conditions for 1 h while varying the substrate concentrations (1.25-20 µM) in the presence of 45 pmol each of the recombinant AfCYP6P9a-AfCPR.For each DDT concentration, the reactions were performed in triplicate both for +NADPH and -NADPH.K m and V max were established from the plot of substrate concentrations against the initial velocities and fitting of the data to the Michaelis-Menten module using least squares non-linear regression in GraphPad Prism 6.03 Software (GraphPad Inc., La Jolla, CA, USA).

Conclusions
Resistance risk assessment is important in public health insecticide evaluation schemes, and knowledge of resistance dynamics of novel insecticide-based control tools is essential for anticipating and strategizing to manage resistance, thereby extending the lifespan of insecticides.
An important toolbox to characterise resistance and its molecular basis is in vitro functional genomics.This approach has been applied to characterise resistance genes, particularly the CYP450s from the Anopheles malaria vectors.
In this study, we have shown that the endogenous AfCPR not only increased pyrethroid metabolism by the two key resistance-associated genes, CYP6P9a and -b but also enabled the former P450 to metabolise non-pyrethroid insecticides.This includes DDT and bendiocarb (important ingredients in use for indoor residual spraying), as well as chlorfenapyr and clothianidin, which are novel insecticides in use for impregnation of next-generation long-lasting insecticidal bed nets and indoor residual spraying, respectively.Future studies which seek to validate the role of P450s in An. funestus, other Anopheles mosquitoes, and other insects should endeavour to characterise the P450s in tandem with their endogenous P450 reductases.

Figure 1 .
Figure 1.Comparison of Anopheles CPR amino acid sequences.Af, Ag, Am, and Ast refer to An. funestus, An. gambiae, An. minimus, and An.stephensi, respectively.Predicted membrane-spanning domains are in solid green boxes; the cofactor-binding regions are in solid blue boxes; and critically important residues are in red, dashed boxes.Variable amino acids are in red.

Figure 2 .
Figure 2. Three-dimensional folding of AfCPR and AgCPR models.(a).Overlay of AfCPR and AgCPR models.Conserved critical residues and cofactors are in stick format and labelled.Residues are in warm pink and blue in AfCPR, and in orange and yellow in AgCPR.The DDAN-P450/cytochrome c binding sequence residues are highlighted in blue in AfCPR and yellow in AgCPR models.(b).Close shot of the FMN stacking residues showing a contrasting coordinate in Y 178 between AfCPR and AgCPR models.(c).Close shot of the FAD stacking residues showing the contrasting coordinates of Y 456 in AfCPR and H 456 in AgCPR models.

Figure 3 .
Figure 3. ClusPro docking scores and PDBsum prediction of residues involved in CPR−P450 interactions.Note: The crystal templates of 1TQN for CYP6P9a and 1AMO for CPR lack residues 1-22 and 1-66, respectively.Amino acid counts are thus +22 for Chain A (CYP6P9a) and +66 for Chain C (AfCPR/AgCPR).Blue lines are hydrogen bonds, and red lines are salt bridges.

Figure 4 .
Figure 4. Comparative reductase activity of recombinant CPR proteins.(a).Initial assessment of cytochrome c reductase activity.(b).Michaelis-Menten plot of cytochrome c reduction by recombinant AfCPR and AgCPR co-expressed side-by-side with CYP6P9a and CYP6P9b.

Figure 6 .
Figure 6.Preparation of recombinant AfCPR with pelB leader and tac-tac promoter for expression in pACYC-184.

Table 1 .
Summary statistics for polymorphisms of AfCPR.