Culex quinquefasciatus plays an important role in transmission of vector-borne diseases of public health importance, including lymphatic filariasis (LF), as well as many arboviral diseases.Currently, efforts to tackle C. quinquefasciatus vectored diseases are based on either mass drug administration (MDA) for LF, or insecticide-based interventions. Widespread and intensive insecticide usage has resulted in increased resistance in mosquito vectors, including C. quinquefasciatus. Herein, the transcriptome profile of Ugandan bendiocarb-resistant C. quinquefasciatus was explored to identify candidate genes associated with insecticide resistance.Resistance to bendiocarb in exposed mosquitoes was marked, with 2.04% mortality following 1h exposure and 58.02% after 4h. Genotyping of the G119S Ace-1 target site mutation detected a highly significant association (p<0.0001; OR=25) between resistance and Ace1-119S. However, synergist assays using the P450 inhibitor PBO or the esterase inhibitor TPP resulted in markedly increased mortality (to ≈ 80%), suggesting a role of metabolic resistance in the resistance phenotype. Using a novel, custom 60K whole-transcriptome microarray 16 genes significantly overexpressed in resistant mosquitoes were detected, with the P450 Cyp6z18 showing the highest differential gene expression (>8-fold increase vs unexposed controls). These results provide evidence that bendiocarb-resistance in Ugandan C. quinquefasciatus is mediated by both targetsite mechanisms and over-expression of detoxification enzymes. 10,11 . Consequently, identification and monitoring of resistance patterns, and understanding the underlying mechanisms is crucial for extending the lifespan of currently available insecticides, as well as for planning more effective vector control programmes.Insensitivity to insecticides in arthropods is thought to result mainly through mutations in target-site genes and/or overproduction of detoxifying enzymes 12,13 . Susceptibility studies in C. quinquefasciatus from diverse geographical regions have associated two main target-site mutations to resistant phenotypes. The L1014F mutation in the voltage-gated sodium channel gene, conferring kdr (knockdown resistance), has been associated with pyrethroid and DDT resistance, whilst the G119S mutation in the acetylcholinesterase (Ace-1) gene is linked to resistance to carbamates and organophosphates [13][14][15][16] . Metabolic resistance, which involves the over-expression, or increased catalytic capability of metabolic enzymes, is a less tractable mechanism since members of diverse gene families including carboxy/cholinesterases, glutathione S-transferases (GSTs) and cytochrome P450 monooxygenases (P450s) have previously been associated with resistance to different classes of insecticide in a range of vector species [17][18][19] . Over-expression of detoxification genes can be triggered by a range of mechanisms including gene duplication 20 , as observed for the resistance to organophosphates in C. quinquefasciatus mediated by esterases 21 , ...