Culex quinquefasciatus Say from Saudi Arabia (JPal-per) showed high levels of resistance (2,500-fold) to permethrin. A major contribution of cytochrome P450 monooxygenases as a mechanism of resistance was suggested by the large synergistic effects of oxidase inhibitors such as 2-propynyl 2,3,6-trichlorophenyl ether (PTPE) and piperonyl butoxide (PBO) on the toxicity of permethrin in the resistant strain. Contents of cytochrome P450 and b 5 were about 2.5 times higher in the JPal-per strain than those in the susceptible strain. P450 monooxygenase in the microsomes of gut and other parts of the body metabolized permethrin to 4´-HO-permethrin and other metabolites. Degradation of permethrin by microsomal P450 enzymes was much greater in the resistant JPal-per strain and was inhibited by PBO and PTPE. In addition to a kdr type mechanism which seems to work in the larvae, cytochrome P450 monooxygenase is clearly shown to play an important role as a mechanism of permethrin resistance in JPal-per strain larvae. Arch. Insect Biochem. Physiol. 37:47-56, 1998. © 1998 Wiley-Liss, Inc.Key words: resistance; pyrethroid; permethrin; mosquito; Culex quinquefasciatus; metabolismAbbreviations used: DEF = S-S-S-tributylphosphorotrithioate; DMC = 1,1-bis (p-chlorophenyl) ethanol; DTT = threo-1,4-dimercapto-2,3-butanediol; p-APMSF = p-amidinophenyl-methanesulfonyl fluoride hydrochloride; PB acid = 3-phenoxy-benzyl acid; PB alc. = 3-phenoxy-benzyl alcohol; PBO = piperonyl butoxide; PTPE = 2-propynyl 2,3,6-trichlorophenyl ether; PTU = 1-phenyl-2-thiourea.