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We recently showed that the transmission of <jats:italic>Plasmodium falciparum<\/jats:italic> parasites can be efficiently blocked when exposing <jats:italic>Anopheles gambiae<\/jats:italic> females to antimalarials deposited on a treated surface, with no negative consequences on major components of mosquito fitness. Here, we demonstrate this approach can overcome the hurdles of insecticide resistance in mosquitoes and drug resistant in parasites. We show that the transmission-blocking efficacy of mosquito-targeted antimalarials is maintained when field-derived, insecticide resistant <jats:italic>Anopheles<\/jats:italic> are exposed to the potent cytochrome b inhibitor atovaquone, demonstrating that this drug escapes insecticide resistance mechanisms that could potentially interfere with its function. Moreover, this approach prevents transmission of field-derived, artemisinin resistant <jats:italic>P<\/jats:italic>. <jats:italic>falciparum<\/jats:italic> parasites (<jats:italic>Kelch13<\/jats:italic> C580Y mutant), proving that this strategy could be used to prevent the spread of parasite mutations that induce resistance to front-line antimalarials. Atovaquone is also highly effective at limiting parasite development when ingested by mosquitoes in sugar solutions, including in ongoing infections. These data support the use of mosquito-targeted antimalarials as a promising tool to complement and extend the efficacy of current malaria control interventions.<\/jats:p>","DOI":"10.1371\/journal.ppat.1010609","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T17:43:28Z","timestamp":1654883008000},"page":"e1010609","update-policy":"https:\/\/doi.org\/10.1371\/journal.ppat.corrections_policy","source":"Crossref","is-referenced-by-count":39,"title":["Using an antimalarial in mosquitoes overcomes Anopheles and Plasmodium resistance to malaria control strategies"],"prefix":"10.1371","volume":"18","author":[{"given":"Douglas G.","family":"Paton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra S.","family":"Probst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey L.","family":"Adams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. 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