Literature DB >> 28922357

Analysis of nuclear and organellar genomes of Plasmodium knowlesi in humans reveals ancient population structure and recent recombination among host-specific subpopulations.

Ernest Diez Benavente1, Paola Florez de Sessions2, Robert W Moon1, Anthony A Holder3, Michael J Blackman1,3, Cally Roper1, Christopher J Drakeley1, Arnab Pain4, Colin J Sutherland1, Martin L Hibberd1,2, Susana Campino1, Taane G Clark1,5.   

Abstract

The macaque parasite Plasmodium knowlesi is a significant concern in Malaysia where cases of human infection are increasing. Parasites infecting humans originate from genetically distinct subpopulations associated with the long-tailed (Macaca fascicularis (Mf)) or pig-tailed macaques (Macaca nemestrina (Mn)). We used a new high-quality reference genome to re-evaluate previously described subpopulations among human and macaque isolates from Malaysian-Borneo and Peninsular-Malaysia. Nuclear genomes were dimorphic, as expected, but new evidence of chromosomal-segment exchanges between subpopulations was found. A large segment on chromosome 8 originating from the Mn subpopulation and containing genes encoding proteins expressed in mosquito-borne parasite stages, was found in Mf genotypes. By contrast, non-recombining organelle genomes partitioned into 3 deeply branched lineages, unlinked with nuclear genomic dimorphism. Subpopulations which diverged in isolation have re-connected, possibly due to deforestation and disruption of wild macaque habitats. The resulting genomic mosaics reveal traits selected by host-vector-parasite interactions in a setting of ecological transition.

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Year:  2017        PMID: 28922357      PMCID: PMC5619863          DOI: 10.1371/journal.pgen.1007008

Source DB:  PubMed          Journal:  PLoS Genet        ISSN: 1553-7390            Impact factor:   5.917


Introduction

Plasmodium knowlesi, a common malaria parasite of long-tailed Macaca fascicularis (Mf) and pig-tailed M. nemestrina (Mn) macaques in Southeast Asia, is now recognized as a significant cause of human malaria. A cluster of human P. knowlesi cases were reported from Malaysian Borneo in 2004 [ but now human infections are known to be widespread in Southeast Asia [ and have been reported in travellers from outside the region [. Clinical symptoms range from asymptomatic carriage to high parasitaemia with severe complications including death [ As rapid human population growth, deforestation and encroachment on remaining wild macaque habitats potentially increases contact with humans [, in Southeast Asian countries P. knowlesi is now coming to the attention of national malaria control and elimination programmes that have hitherto focused on P. vivax and P. falciparum [. P. knowlesi commonly displays multi-clonality in humans and macaques, and analysis of microsatellite markers, csp, 18S rRNA, and mtDNA sequences indicates no systematic differences between human and macaque isolates from Malaysian Borneo [. Whole genome-level genetic diversity among P. knowlesi from human infections in Sarikei in Sarawak demonstrates substantial dimorphism extending over at least 50% of the genome [ This finding is supported by analysis of microsatellite diversity in parasites from Mf, Mn and human infections across Peninsular and Borneo Malaysia [. It also provides evidence that the two distinct genome dimorphs reflect adaptation to either of the two host macaque species, although no evidence of a complete barrier in primate host susceptibility was found [ A third genome cluster has been described from geographically distinct Peninsular Malaysia [ Studies of mtDNA have revealed that ancestral P. knowlesi predates the settlement of Homo sapiens in Southeast Asia, the evolutionary emergence of P. falciparum and P. vivax, and underwent population expansion 30–40 thousand years ago [ Diversity at the genomic level is thus likely to reflect host- and geography-related partitioning during this expansion, as well as additional recent complexity due to contemporary changes in host and vector distributions during ongoing ecological transition in the region [ Several Anopheles species, all from the Leuchosphyrus group, are capable of transmitting P. knowlesi malaria, including A. latens and A. balbacensis in Malaysian Borneo [ A. hackeri and A. cracens in Peninsular Malaysia [ and A. dirus in southern Vietnam [ It is thus likely that patterns of genome diversity in natural populations of P. knowlesi reflect partitioning among both Dipteran and primate hosts occurring on varying time-scales through the evolutionary history of the species. Such partitioning can plausibly prevent or reduce panmictic genetic exchange. Genomic studies of P. knowlesi to date have considered nuclear gene diversity and dimorphism among naturally-infected human hosts, and macaque-derived laboratory-maintained isolates from the 1960s [. However, these studies did not consider non-nuclear organellar genomes in the mitochondrion and apicoplast of malaria parasites, which are non-recombinant and uniparentally inherited, and can provide evidence of genome evolution on a longer timescale [ Recombination barriers among insect and primate hosts may have less impact on sequence diversity in the organellar genomes of P. knowlesi. Utilising a new P. knowlesi reference genome generated using long-read technology [ we performed a new analysis of all available nuclear and non-nuclear genome sequences. Patterns of polymorphisms were analysed to identify evolutionary signals of both recent and ancient events associated with the partitioning of the di- or tri-morphic genomes previously reported.

Results

Sequence data reveals multiplicity of infection

Raw short-read sequence data from all available P. knowlesi isolates ( were mapped to a new reference genome [ from the human-adapted P. knowlesi line A1-H.1 genome [, yielding an average coverage of ~120-fold across 99% of the reference genome (), and 1,632,024 high quality SNPs. The high density of point mutations (1 every 15bp) in P. knowlesi compared to P. vivax and P. falciparum has been previously noted [ Seven macaque-derived isolates were found to have high multiplicity of infection (), and were excluded, leaving an analysis set of 60 isolates.

Population structure analysis reveals new natural genetic exchange

SNP-based neighbour-joining tree analysis revealed three subpopulation groups that coincide with isolates presenting the Mf-associated P. knowlesi genotype (Mf-Pk, Borneo Malaysia, Cluster 1), the Mn-associated P. knowlesi genotype (Mn-Pk, Borneo Malaysia, Cluster 2) [, and older Peninsular Malaysia strains (Cluster 3) (). Within Cluster 1 we observed two geographic sub-groups that coincide with Kapit and Betong regions in Malaysian Borneo. The samples from Sarikei region (DIM prefix), geographically located equidistant between Kapit and Betong, fall into either cluster (). Overall, the regional clusters from Kapit and Betong were more genetically similar to each other (mean fixation index F 0.03, ) than were the host-associated clusters (Cluster 1 vs. 2, mean F 0.21). However, a significant chromosomal anomaly was identified that differentiated the Kapit and Betong Mf-Pk subgroups; this occurred in a multi-gene region on chromosome 8 (~500 SNPs with F values >0.4; ).

Whole genome population structure and evidence of genetic exchange in chromosome 8.

A) Neighbour joining tree constructed using 1,632,024 genome-wide SNPs across the 60 P. knowlesi (Pk) samples. The tree shows two levels of resolution involved in the clustering of genotypes. The first level differentiates Peninsular Malaysia samples (Cluster 3, purple) from the Malaysian-Borneo host-related Pk genotypes (Cluster 1, M. fascicularis macaques (Mf-Pk), blue; Cluster 2, M. nemestrina macaques (Mn-Pk), green). The second level differentiates within Cluster 1, where Mf-Pk genotypes fall in subgroups from Betong (light blue) and from Kapit (dark blue). Samples from Sarikei have been highlighted using orange arrows. B) Allele frequency differences between Betong and Kapit regional subgroups of the Mf-Pk genotype in chromosome 8 SNPs using the population differentiation measure F There is high differentiation (F > 0.4) in several regions across chromosome 8 (0.85-1Mb, 1.2Mb-1.35Mb, and 1.6–1.7Mb), and these signals overlap with strong evidence of recent positive selection, measured by the average XP-EHH calculated in 1kbp windows (red trace above). C) Haplotype plots for all samples (y-axis) at common SNP positions (MAF >5%, x-axis) highlighting the regions with abnormally high F values (0.85-1Mb, 1.2Mb-1.35Mb, and 1.6–1.7Mb), as well as the low Fst region spanning from 0.1 to 0.2Mb for comparison. The black arrows indicate samples with the Mf-Pk genotype from Betong present with a Mn-Pk Cluster 2-like haplotype. These patterns are indicative of genetic exchange between the Mf-Pk and Mn-Pk genotype clusters, which is supported by the neighbour joining trees included in D). Missing calls are coloured in black and mixed calls are coloured in yellow. D) Neighbour joining trees constructed using SNPs in each of the regions in C). The trees show clear clustering of Mf-Pk Betong samples with the Mn-Pk genotype cluster in the genetic regions of abnormal F (2nd, 3rd and 4th trees) compared to the 1st tree where only sample DIM2 presents introgression.

Signatures of introgression events in chromosome 8

To explore the anomaly in chromosome 8, individual haplotypes and neighbour-joining trees were constructed across several loci () revealing two very distinct patterns. The first pattern was observed in the chromosomal sections with low genetic diversity between the two Mf-Pk regional clusters (F < 0.2, . The tree structure for these genomic regions ( 1st tree) mimics that of the genome-wide tree in Strong haplotype differentiation between the host-associated Clusters 1 (Mf-Pk) and 2 (Mn-Pk) was confirmed in the SNP-based profiles ( 1st column). A second pattern was observed in regions of chromosome 8 with distinct genetic differentiation between Kapit and Betong subgroups (F > 0.4). Many Mf-Pk Betong subgroup isolates presented segments almost identical to chromosome 8 sequences of the Mn-Pk genotype from Cluster 2 ( 2nd, 3rd and 4th trees). This exchange is supported by the SNP-based haplotype patterns, where a distinct haplotype in the Betong samples is Cluster 2-like (, 2nd, 3rd and 4th columns, black arrows), suggesting the introgression of large chromosomal regions (up to 200Kb) between Mf-Pk (Cluster 1) and Mn-Pk (Cluster 2). This is consistent with a very recent event of natural genetic exchange between these subgroups of P. knowlesi recently isolated from human infections. The high frequency of the new haplotype (73%) in the Betong subgroup suggests that it is under (recent) strong selection pressure in this region. The presence of differences in extended haplotype homozygosity between the recombinant and non-recombinant regional Mf-Pk subpopulations provides additional evidence of recent positive selection (XP-EHH peak, P<0.0001) in a region of increased population differentiation (F > 0.4, ). The functional nature of genes in chromosome 8 involved in these putative introgression events was investigated (F > 0.4, ), and found to include loci that are important in the vector component of the Plasmodium life cycle. For example, cap380 (PKNH_0820800, 101 SNPs with F > 0.4) encodes a protein expressed in the external capsule of the oocyst. This gene is essential in the maturation from ookinete into oocyst in P. berghei, and is assumed to assist in evasion of mosquito immune mechanisms [ Another gene, PKNH_0826900 (19 SNPs) encodes for the circumsporozoite- and TRAP-related protein (CTRP), which has an established role in ookinete motility in P. berghei and is essential for binding to and invading the mosquito midgut [ Further, homologues of PKNH_0826400 (21 SNPs) display increased transcription levels in ookinete and gametocyte V sexual stages in both P. falciparum [ and P. berghei [ compared to the asexual ring stage (fold change of at least 2). The transcriptomic profiles of these strongly selected genes are shown in . * Cells in green (with “Yes”) imply that the P. falciparum orthologue (Column 4) of the P. knowlesi gene (Column 2) has at least a two-fold change difference in the transcriptional signals from P. falciparum when comparing Ring vs. Ookinete stages ** similar to *, but refers to the P. berghei orthologue (Column 5) having at least a two-fold change difference in the transcriptional signals; bolded genes have >10 SNPs with FST > 0.4.

Genome-wide evidence of genetic exchange events in P. knowlesi

By applying a combination of neighbour joining trees and SNP diversity analysis across 50 Kbp windows, we identified that 33/60 isolates show clear evidence of genetic exchange between Clusters 1 and 2 (). Regions involved in exchange (recombination) (137/494 regions, 86% contained an ookinete related gene) showed evidence of enrichment for ookinete-expressed genes compared to other (non-recombinant) chromosome regions (357/494 regions, 77% contained an ookinete related gene) (Chi Square P = 0.03). One such region in chromosome 12 included the Pf47-like (PKH_120710) gene, where the orthologue in P. falciparum is a known mediator of the evasion of the mosquito immune system [. Furthermore, it has been shown that a change in haplotype in this gene in a P. falciparum isolate is sufficient to make it compatible to a different mosquito species [. Nearly half (45%) of isolates from Betong presented with a recombinant profile in PKH_120710. In general, the genetic exchanges generated differing levels of mosaicism in each population and among individual isolates across all chromosomes (). One isolate from Sarikei with the Mf genome dimorph type (DIM2) appeared to harbour Mn-type introgressed sequences in 8% of the genome, occurring across 6 chromosomes (6, 7, 8, 9, 11 and 12), including an almost complete Mn-type chromosome 8. Of the 33 samples with evidence of exchanges, 13 were from the Betong region, 14 from Kapit and 6 from Sarikei, which indicates that the events are not geographically restricted. Although, the majority of genetic exchange events involve the integration of Mn-type motifs into Mf-type genomes, introgression in the opposite direction was also observed, but on a smaller scale and at lower frequency.

Organellar genomes also reflect genetic exchange events

The mitochondrial and apicoplast genomes of each P. knowlesi isolate was interrogated for signals of evolutionary history over longer time-scales, as in previous studies [ Combining the mitochondrial sequence data from the 60 P. knowlesi isolates from this study together with 54 previously published mitochondrial sequences including human and both Mn and Mf samples [, we generated a phylogenetic tree ( This tree shows four clades (shown in purple, red, blue and green). To interpret these clades, they were cross-referenced to the previously defined 3 nuclear genotypes (Clusters 1 to 3) and the host contributing the sample (human, macaque-type). The red and purple clades possess similar mitochondrial haplotypes as highlighted by their inter-cluster average F (red vs. purple: average F = 0.16), which is lower than comparisons including the other two clusters (red or purple vs. blue or green: average F > 0.18). The purple clade consists of cultured isolates from Peninsular Malaysia, and is associated with the Peninsular nuclear genotype (Cluster 3). The red and green clades each contain a mixture of Borneo Malaysia samples from both humans and macaques with nuclear genotypes from Clusters 1 and 2. The green clade also includes the only sequence sourced from a M. nemestrina host. The blue clade contains samples from humans and macaques, all with Cluster 1 nuclear genotypes. The divergence of these mitochondrial clades from their common ancestor was estimated to be 72k years ago, and younger than the previous the estimate of 257k but within error [. Furthermore, the presence of monkey-derived sequences spread across the tree seems to indicate that none of the mitochondrial genotypic groups found is human-specific as all have also been observed in macaques, also consistent with previous findings [

Phylogenetic tree constructed from P. knowlesi mitochondrial sequences for the 60 whole genome sequenced samples and 54 published others [6] sourced from human, M. nemestrina (Mn) and M. fascicularis (Mf) samples.

The mitochondrial genotype groups defined here are cross-referenced to the nuclear genotypes in (pentagons in the outer ring, missing pentagons relate to the 54 samples with only mitochondrial sequence data [). Samples sourced from the different macaques are highlighted in the tree branches. The tree shows three main subpopulations: (i) two clades including Peninsular Malaysia (Peninsular nuclear genotype, Cluster 3, purple) and Borneo Malaysia (mix of Mf-Pk and Mn-Pk nuclear genotypes, Cluster 1 and 2, red) presenting a very similar mitochondrial haplotype; (ii) the majority of the samples with a Mn-Pk nuclear genotype together with the only sequence obtained from a Mn sample (Cluster 2, green); (iii) samples with a Mf-Pk nuclear genotype (Cluster 1, blue). These clusters are consistent with microsatellite-based trees [ The presence of monkey samples spread throughout the tree indicates that none of the mitochondrial genotypes groups are human-specific, consistent with microsatellite-based analysis [. Black arrows indicate the presence of samples with mismatched nuclear and mitochondrial subtypes. Using the common SNPs (280/425 with MAF > 5%: apicoplast 252, mitochondria 28 SNPs) in the 60 isolates with the sequence data we confirmed that the organellar genomes are co-inherited (mean pairwise organellar linkage disequilibrium D’ = 0.99). SNP-based haplotype profile analysis ( revealed clustering that is consistent with the three main clusters seen in . Similarly, a phylogenetic tree constructed using only apicoplast SNPs () is congruent with the mitochondrial based tree (). The presence of mismatched nuclear and organellar type genomes in two of the three clusters (black arrows in and the presence of such mismatched samples with little or no evidence of nuclear genome recombination suggests ancient genetic exchange events between distinct lineages. The nuclear footprints of such exchanges are likely to have been broken down by recombination over time. We observed a significant incongruence between the robust phylogenetic tree topologies based on organellar and nuclear genome SNPs (Shimodaira-Hasegawa test P = 0.001; Templeton test P = 0.003) (). These results from organellar and nuclear genomes, in a small but geographically diverse set of P. knowlesi, indicate that there have been several genetic exchanges between the host-associated clusters in Malaysian Borneo.

Discussion

P. knowlesi is now the major cause of malaria in Malaysian Borneo, but the biology of the parasite [], host and vector interactions, and disease distribution and epidemiology [ are not well understood. The availability of a new high-quality reference sequence and a more robust approach to MOI were used to re-evaluate the previously described peninsular and macaque-associated subpopulations of P. knowlesi parasites. We report two major new findings. First, clear evidence of natural genetic exchanges between the divergent Mf- and Mn-associated subpopulations of P. knowlesi, including a major segment of introgression on chromosome 8, is presented. Second, the presence of haplotype sub-divisions in the organellar genomes that do not map onto the subpopulations implied by nuclear genome analysis indicate that exchange events have previously occurred in non-recent history. A similar multi-tiered pattern of evolution among nuclear and organellar genomes has been found in Trypanosoma cruzi, an unrelated protozoan parasite with a mammalian host-insect vector life cycle [ Unexpectedly, observed mosaicism and population differentiation signals were not encountered equally across the P. knowlesi nuclear genome, but were particularly prominent on chromosome 8, with genes expressed in mosquito stages over-represented. For example, the majority (73%) of Mf-associated isolates from Betong harboured the Mn-associated allele of the oocyst-expressed cap380 gene, which differs at 101 positions from the allele found in the Mf-associated cluster. This is essential for ookinete to oocyst maturation and therefore for the transmission of the parasite during the vector stage [ here, we identify signals of recent selective pressure on this locus (). Other vector-related genes were identified within the introgressed segment, and point towards strong evolutionary selection pressure on the parasites driven by the transmitting Anopheles vector species. Such effects have been found in P. falciparum [ and P. vivax genomes [ and highlight the importance of understanding the distribution of the different Anopheles vector species, their host feeding preferences, and their interactions with the parasite in highly dynamic and complex environments such as the ecological niche of P. knowlesi. Nearly 80% of Malaysian Borneo has undergone deforestation or agricultural expansion, which have driven habitat modification affecting both macaque and Anopheles host species, and the proximity of humans to both [ Furthermore, studies have predicted that Mn predominantly inhabits forested areas while Mf reside in more cosmopolitan areas, which include croplands, vegetation mosaics, rubber plantations and forested areas [ The main genomic exchange event on chromosome 8 involves essential vector-related genes and is pin-pointed geographically to the Betong area. This region has undergone significant forest degradation due to expansion of industrial plantations in the recent years [. These types of environmental changes have been previously related to alterations in the vector species distribution in Malaysia, leading to malaria epidemics [. Environmental changes also affect macaque habitats, and increase the opportunities for human-macaque interaction [ but selection events highlighted in this study seem to primarily reflect adaptation of the parasite to changes in mosquito distribution or to recent changes in the vectorial capacity of the existing vectors. The depth, breadth and spread of the genetic exchanges observed in three different areas (Betong, Kapit and Sarikei) in Sarawak highlight the potential importance of these events for parasite adaptation in both vertebrate and invertebrate species. Although, the level of genetic diversity between Mf- and Mn-associated P. knowlesi has some similarity to that observed between P. ovale curtisi and P. o. wallikeri, now considered separate species [ the evidence of recombination and genetic exchanges observed in this study precludes species designation, as reproductive isolation is not complete. Nevertheless, better understanding of P. knowlesi population structure could aid future studies across the regions where human populations have been identified at risk of infection including both symptomatic and asymptomatic cases [ This would assist with characterising and tracking subpopulations and genetic exchanges, and provide a flexible framework for better understanding P. knowlesi diversity across the region. Our work has provided insight into Plasmodium parasite evolution. It has been suggested that malaria parasites have survived using either adaptive radiation where host switching plays a key role [ or alternatively adaptation to complex historical and geographical environments leading to speciation [ Plasmodium species in non-human natural conditions in the absence of drug selection pressure have a wide range of possible hosts [ The P. knowlesi data has shown that geographical or ecological isolation of the different hosts over an extended time can generate subgroups of parasites with substantial genetic differentiation, but capable of recombining when in contact [. This pattern has a major impact on the parasite genome, as illustrated by the profound chromosome mosaicism observed among our study isolates. Our data suggest that the broad host specificity of some of the Plasmodium species are important drivers of parasite genomic diversity. In P. knowlesi this means that genetic divergence is enabled not only by long-term geographic isolation, as is the case between Peninsular and Bornean isolates, but also via the isolation afforded by extended transmission cycles within different primate hosts. The genetic trimorphism suggests that the separate macaque hosts provides sufficient genetic isolation to allow for host specific adaptations to occur, even within relatively small geographic areas. Furthermore, the possibility of recombination between partially differentiated parasite genomes increases opportunities for new adaptation, including further host transitions, and can only make malaria control more difficult. Genome-level studies on P. knowlesi isolates from Mf and Mn across the parasite’s geographic range are now needed to test the generalizability of this remarkable conclusion.

Materials and methods

P. knowlesi sequence data

Raw sequence data were downloaded for 48 isolates from Kapit and Betong in Malaysian Borneo [ 6 isolates from Sairikei in Malaysian Borneo ( and 6 long-time isolated lines, maintained in rhesus monkeys sourced originally from Peninsular Malaysia and Philippines [. The sequence data accession numbers can be found in . The samples were aligned against the new reference for the human-adapted line A1-H.1 (pathogenseq.lshtm.ac.uk/knowlesi_1, accession number ERZ389239, []) using bwa-mem [ and SNPs were called using the Samtools suite [ and filtered for high quality SNPs using previously described methods [ In particular, the SNP calling pipeline generated a total of 2,020,452 SNP positions, which were reduced to 1,632,024 high quality SNPs after removing those in non-unique regions, and in low quality and coverage positions. Samples were individually assessed for detecting multiplicity of infection (MOI) using: (i) estMOI [ software, and (ii) quantifying the number of positions with mixed genotypes (if more than one allele at a specific position have been found in at least 20% of the reads [). The measures led to correlated results (r = 0.8), which highlighted the robustness of these two methods. Samples were classified into three subcategories: (i) single infections (> = 98% genome showing no evidence of MOI and < = 1/10,000 SNP positions with mixed genotypes), (ii) low MOI (>85% genome showing no evidence of MOI and < = 4/10,000 SNPs positions with mixed genotypes); (iii) high MOI (<85% genome showing no evidence of MOI, and > 4/10,000 SNPs positions with mixed genotypes). Samples with high MOI were removed from subsequent analyses.

Population genetics analysis

For comparisons between populations, we first applied the principal component analysis (PCA) and neighbourhood joining tree clustering based on a matrix of pairwise identity by state values calculated from the SNPs. We used the ranked F statistics to identify the informative polymorphism driving the clustering observed in the PCA [ Finally, we created haplotype plots using only SNP positions with MAF > 0.05 over all the populations, and displayed each sample as a row to allow closer inspection of the chromosome regions where interesting recombination events are observed. The XP-EHH metric [ implemented within the rehh R package was used to assess evidence of recent relative positive selection between regional clusters from Kapit and Betong. The results were smoothed by calculating means in 1 Kbp windows, where windows overlapped by 250bp. The raXML software (v.8.0.3, 1000 bootstrap samples) was used to construct robust phylogenetic trees (90% bootstrap values > 95) for nuclear and organellar SNPs. Estimates of divergence times for subpopulations was based on a Bayesian Markov Chain Monte Carlo (MCMC) (BEAST, v.1.8.1) approach applied to mitochondrial sequences, with identical parameters settings to those described elsewhere [ The Shimodaira-Hasegawa [ and the Templeton [ tests were used to detect incongruence between the tree topologies.

Identification of introgressed regions in the different chromosomes

In order to identify regions that have undergone introgression we calculated the pairwise SNP diversity (π) of each sample against all the Borneo samples using a 50 Kbp sliding window. This window size was sufficient to include the required number of SNPs for the robust identification of introgression events. The average π in the M. nemestrina associated (Mn-Pk) and M. fascicularis associated (Mf-Pk) clusters was calculated, leading to two diversity values for each sample (Mf and Mn) and thereby a measure of genetic distance to the average of the two clusters. For Mf samples, an increase in the Mf and a decrease in Mn would mean the sample is more similar to the Mn-Pk cluster than the average; vice versa for the Mf samples. In order to avoid the identification of spurious events, we applied a threshold of a 0.001 increase in the deviation from the original cluster.

Characterization of genes under strong selection after recombination

For P. knowlesi genes of interest, orthologues in P. falciparum and P. berghei genomes were identified using PlasmoDB (plasmodb.org). Gene expression data (including from the RNAseq platform) for these genes across different stages of the life cycle of the parasite were considered [. In particular, we compared the average of the asexual blood stages and the sexual ookinete stage, highlighting the genes upregulated with a two-fold change (P<0.000001), for P. falciparum [ and P. berghei [.

Study samples.

* Multiplicity of infection (MOI) is % of genome presenting multiplicity of infection; **Group established by whole Genome PCA: Mf M. fascicularis, Mn M. nemestrina, Penin. Peninsular; Rh mac Rhesus macaque, *** evidence of genetic exchange (ExΔ) (DOCX) Click here for additional data file.

50 Kb regions in the P. knowlesi genome that present genetic exchanges in the full set of samples.

(XLSX) Click here for additional data file.

Geographical source of the P. knowlesi isolates: Betong (n = 14), Kapit (n = 33) and Sarikei (n = 6).

(TIFF) Click here for additional data file.

Evaluation of multiplicity of infection (MOI) using mixed genotype calls (x-axis) and the estMOI read-pair haplotype counting approach [45] (y-axis) reveals seven highly non-clonal samples.

(TIFF) Click here for additional data file.

Principal components analysis of the M. fascicularis P. knowlesi genotype group (Mf-Pk, Cluster 1) confirms that the subgroups from Kapit and Betong are separated.

The Mf-Pk Sarikei samples (DIM code in orange) cluster with either one of the two groups, which is consistent with the geographic location of Sarikei as an equidistant region between Kapit and Betong. There is increased diversity of Betong samples compared to the Kapit samples. (TIFF) Click here for additional data file.

Genome-wide differences in allele frequencies (measured using the fixation index (F)) between M. fascicularis P. knowlesi genotype groups (Mf-Pk) from Kapit and Betong.

The comparison shows clear abnormalities in several genomic regions in chromosome 8 shown to be a result of genetic exchange with the Mn-Pk genotype. (TIFF) Click here for additional data file.

Transcriptomic profiles for the orthologues of the introgressed genes under selection pressure.

The transcriptomic profiles of the orthologues in P. falciparum [ and P. berghei [ for the three genes found to be under strong selection pressure were extracted from PlasmoDB (http://plasmodb.org/plasmo/), including the percentile and the Fragments Per Kilobase of transcript per Million mapped reads (FPKM) plots. These included data for 5 P. berghei stages (4-hour Ring, 16-hour Trophozoite, 22-hour Schizont, Gametocyte and Ookinete) and 7 P. falciparum stages (Ring, early Trophozoite, late Trophozoite, Schizont, Gametocyte stage II, Gametocyte stage V and Ookinete), and showing a clear increased expression in mosquito related stages, particularly the ookinete stage. (TIFF) Click here for additional data file.

Genome distribution of introgression events for each chromosome estimated using SNP diversity in 50Kb sliding windows.

(Left panel) location of introgressions from M. nemestrina P. knowlesi (Mn-Pk) genotype into M. fasciscularis P. knowlesi (Mf-Pk) genotypes, a dashed shaded region has been added where at least 1 gene related with the ookinete life stage of the parasite has been identified based on gene expression for the orthologue genes in P. berghei and/or P. falciparum. (Right panel) location of introgressions from Mf-Pk genotype into Mn-Pk genotypes. (TIFF) Click here for additional data file. Analysis of organellar mitochondria (MIT) and apicoplast (Api) SNPs confirms clustering into three core haplotype groups a) Haplotype plot for the 36 samples with sufficient coverage across the organellar genomes. Three clearly defined clusters are present. The first cluster represents the mitochondrial genotype found in the Peninsular strains (purple, n = 5) and a set of 10 samples with a highly related haplotype with the smallest inter-cluster average FST (average FST = 0.16) from Borneo Malaysia (represented in red in The second cluster (green in ) includes the majority of M. nemestrina P. knowlesi (Mn-Pk) nuclear genotype isolates. The third cluster (blue in ) consists only of isolates with Mf-Pk nuclear genotypes. The presence of samples in the other two clusters with mismatched nuclear and organellar genomes indicates that these two subpopulations have undergone genetic exchange. b) Phylogenetic tree generated using 362 apicoplast SNPs. The tree shows a very similar pattern of clustering to (TIFF) Click here for additional data file.
Table 1

Genes located within the chromosome 8 regions of genetic exchange and transcriptional changes.

No. SNPs*Gene name(PKNH_)ProductP.falcipOrtholog (PF3D7_)P. bergheiortholog (PBANKA_)P.falcip (Ring vs. Ookinete)*P.berghei (Ring vs. Ookinete)**
218Non-genic-----
1010820800oocyst capsule protein (Cap380)03204001218100YesYes
210826400conserved Plasmodium membrane protein03157000413500YesYes
190826900circumsporozoite- & TRAP-related (CTRP)03152000412900YesYes
150819600N-acetylglucosaminephosphotransferase03212001217300YesNo
110820300nicotinamidase03205001218000YesNo
90828500conserved Plasmodium protein03137000411400YesNo
70819500conserved Plasmodium protein03213001217200NoNo
70820200conserved Plasmodium protein03206001217900YesNo
70828400conserved Plasmodium protein03138000411500YesNo
70837200conserved Plasmodium protein03055000404000NoNo
60822900conserved Plasmodium protein03185000806700YesNo
50836500activator of Hsp90 ATPase (AHA1)03062000404600YesNo
50839000inner membrane complex protein 1e03041000402700YesNo
40819700conserved Plasmodium protein03211001217400YesNo
40820100signal peptidase complex subunit 2 (SPC2)03207001217800YesNo
40823100conserved Plasmodium protein03183000806900NoNo
40836000membrane magnesium transporter03067000405100NoNo
40839100inner membrane complex protein 1a03040000402600NoYes
30820900T-complex protein 1 subunit epsilon (CCT5)03203001218200NoNo
30828300conserved Plasmodium protein,03139000411600YesNo
30838400conserved Plasmodium protein,--NoNo
20821000CPW-WPC family protein03202001218300YesNo
20821500ABC transporter I family member 1 (ABCI3)03197001218800NoNo
20822800cleavage and polyadenylation factor03186000806600NoNo
20824500conserved Plasmodium protein03173000807900NoNo
20825900conserved Plasmodium protein03162000414000YesYes
20827400zinc finger protein03147000412400YesYes
20828700conserved Plasmodium protein03135000411200YesNo
20837600conserved Plasmodium protein03051000403600YesNo
20838500circumsporozoite (CS) protein (CSP)03046000403200NoYes
20838800conserved Plasmodium protein03043000402900NoYes
20839200phosphatidylethanolamine-binding protein03039000402500YesNo
10819100conserved Plasmodium protein03217001216800YesNo
10819200ATP-dependent RNA helicase03216001216900YesNo
10819400protein kinase, putative03214001217100YesNo
10819900histone H2A variant, putative (H2A.Z)03209001217600NoNo
10820000ATP-dependent RNA helicase DDX6 (DOZI)03208001217700YesNo
10821200protein phosphatase inhibitor 203200001218500YesNo
10821400conserved Plasmodium protein03198001218700NoYes
10821600elongation factor 1-1218900NoNo
10821700RNA-binding protein03195000805800NoNo
10823000conserved Plasmodium protein03184000806800YesYes
10823500DNA-directed RNA polymerase II subunit13290000807000NoNo
108247006-cysteine protein03171000808100YesYes
10824900E3 ubiquitin-protein ligase, putative03169000808300NoNo
10825200formate-nitrite transporter, putative (FNT)03166000414400NoNo
10826700conserved Plasmodium protein03154000413200YesNo
10827000eukaryotic translation initiation factor 4E03151000412800NoNo
10827300conserved Plasmodium protein,03148000412500NoYes
10836300FAD-dependent glycerol-3-phosphate03064000404800YesNo
10836600conserved Plasmodium protein03061000404500NoNo
10838900EH (Eps15 homology) protein03042000402800YesNo
10839300IBR domain protein03038000402400NoNo

* Cells in green (with “Yes”) imply that the P. falciparum orthologue (Column 4) of the P. knowlesi gene (Column 2) has at least a two-fold change difference in the transcriptional signals from P. falciparum when comparing Ring vs. Ookinete stages

** similar to *, but refers to the P. berghei orthologue (Column 5) having at least a two-fold change difference in the transcriptional signals; bolded genes have >10 SNPs with FST > 0.4.

  48 in total

1.  Natural transmission of Plasmodium knowlesi to humans by Anopheles latens in Sarawak, Malaysia.

Authors:  I Vythilingam; C H Tan; M Asmad; S T Chan; K S Lee; B Singh
Journal:  Trans R Soc Trop Med Hyg       Date:  2006-05-24       Impact factor: 2.184

2.  Impact of deforestation and agricultural development on anopheline ecology and malaria epidemiology.

Authors:  Junko Yasuoka; Richard Levins
Journal:  Am J Trop Med Hyg       Date:  2007-03       Impact factor: 2.345

3.  PbCap380, a novel oocyst capsule protein, is essential for malaria parasite survival in the mosquito.

Authors:  Prakash Srinivasan; Hisashi Fujioka; Marcelo Jacobs-Lorena
Journal:  Cell Microbiol       Date:  2008-02-01       Impact factor: 3.715

4.  CTRP is essential for mosquito infection by malaria ookinetes.

Authors:  J T Dessens; A L Beetsma; G Dimopoulos; K Wengelnik; A Crisanti; F C Kafatos; R E Sinden
Journal:  EMBO J       Date:  1999-11-15       Impact factor: 11.598

5.  A large focus of naturally acquired Plasmodium knowlesi infections in human beings.

Authors:  Balbir Singh; Lee Kim Sung; Asmad Matusop; Anand Radhakrishnan; Sunita S G Shamsul; Janet Cox-Singh; Alan Thomas; David J Conway
Journal:  Lancet       Date:  2004-03-27       Impact factor: 79.321

6.  Big bang in the evolution of extant malaria parasites.

Authors:  Toshiyuki Hayakawa; Richard Culleton; Hiroto Otani; Toshihiro Horii; Kazuyuki Tanabe
Journal:  Mol Biol Evol       Date:  2008-08-04       Impact factor: 16.240

7.  Genome-wide detection and characterization of positive selection in human populations.

Authors:  Pardis C Sabeti; Patrick Varilly; Ben Fry; Jason Lohmueller; Elizabeth Hostetter; Chris Cotsapas; Xiaohui Xie; Elizabeth H Byrne; Steven A McCarroll; Rachelle Gaudet; Stephen F Schaffner; Eric S Lander; Kelly A Frazer; Dennis G Ballinger; David R Cox; David A Hinds; Laura L Stuve; Richard A Gibbs; John W Belmont; Andrew Boudreau; Paul Hardenbol; Suzanne M Leal; Shiran Pasternak; David A Wheeler; Thomas D Willis; Fuli Yu; Huanming Yang; Changqing Zeng; Yang Gao; Haoran Hu; Weitao Hu; Chaohua Li; Wei Lin; Siqi Liu; Hao Pan; Xiaoli Tang; Jian Wang; Wei Wang; Jun Yu; Bo Zhang; Qingrun Zhang; Hongbin Zhao; Hui Zhao; Jun Zhou; Stacey B Gabriel; Rachel Barry; Brendan Blumenstiel; Amy Camargo; Matthew Defelice; Maura Faggart; Mary Goyette; Supriya Gupta; Jamie Moore; Huy Nguyen; Robert C Onofrio; Melissa Parkin; Jessica Roy; Erich Stahl; Ellen Winchester; Liuda Ziaugra; David Altshuler; Yan Shen; Zhijian Yao; Wei Huang; Xun Chu; Yungang He; Li Jin; Yangfan Liu; Yayun Shen; Weiwei Sun; Haifeng Wang; Yi Wang; Ying Wang; Xiaoyan Xiong; Liang Xu; Mary M Y Waye; Stephen K W Tsui; Hong Xue; J Tze-Fei Wong; Luana M Galver; Jian-Bing Fan; Kevin Gunderson; Sarah S Murray; Arnold R Oliphant; Mark S Chee; Alexandre Montpetit; Fanny Chagnon; Vincent Ferretti; Martin Leboeuf; Jean-François Olivier; Michael S Phillips; Stéphanie Roumy; Clémentine Sallée; Andrei Verner; Thomas J Hudson; Pui-Yan Kwok; Dongmei Cai; Daniel C Koboldt; Raymond D Miller; Ludmila Pawlikowska; Patricia Taillon-Miller; Ming Xiao; Lap-Chee Tsui; William Mak; You Qiang Song; Paul K H Tam; Yusuke Nakamura; Takahisa Kawaguchi; Takuya Kitamoto; Takashi Morizono; Atsushi Nagashima; Yozo Ohnishi; Akihiro Sekine; Toshihiro Tanaka; Tatsuhiko Tsunoda; Panos Deloukas; Christine P Bird; Marcos Delgado; Emmanouil T Dermitzakis; Rhian Gwilliam; Sarah Hunt; Jonathan Morrison; Don Powell; Barbara E Stranger; Pamela Whittaker; David R Bentley; Mark J Daly; Paul I W de Bakker; Jeff Barrett; Yves R Chretien; Julian Maller; Steve McCarroll; Nick Patterson; Itsik Pe'er; Alkes Price; Shaun Purcell; Daniel J Richter; Pardis Sabeti; Richa Saxena; Stephen F Schaffner; Pak C Sham; Patrick Varilly; David Altshuler; Lincoln D Stein; Lalitha Krishnan; Albert Vernon Smith; Marcela K Tello-Ruiz; Gudmundur A Thorisson; Aravinda Chakravarti; Peter E Chen; David J Cutler; Carl S Kashuk; Shin Lin; Gonçalo R Abecasis; Weihua Guan; Yun Li; Heather M Munro; Zhaohui Steve Qin; Daryl J Thomas; Gilean McVean; Adam Auton; Leonardo Bottolo; Niall Cardin; Susana Eyheramendy; Colin Freeman; Jonathan Marchini; Simon Myers; Chris Spencer; Matthew Stephens; Peter Donnelly; Lon R Cardon; Geraldine Clarke; David M Evans; Andrew P Morris; Bruce S Weir; Tatsuhiko Tsunoda; Todd A Johnson; James C Mullikin; Stephen T Sherry; Michael Feolo; Andrew Skol; Houcan Zhang; Changqing Zeng; Hui Zhao; Ichiro Matsuda; Yoshimitsu Fukushima; Darryl R Macer; Eiko Suda; Charles N Rotimi; Clement A Adebamowo; Ike Ajayi; Toyin Aniagwu; Patricia A Marshall; Chibuzor Nkwodimmah; Charmaine D M Royal; Mark F Leppert; Missy Dixon; Andy Peiffer; Renzong Qiu; Alastair Kent; Kazuto Kato; Norio Niikawa; Isaac F Adewole; Bartha M Knoppers; Morris W Foster; Ellen Wright Clayton; Jessica Watkin; Richard A Gibbs; John W Belmont; Donna Muzny; Lynne Nazareth; Erica Sodergren; George M Weinstock; David A Wheeler; Imtaz Yakub; Stacey B Gabriel; Robert C Onofrio; Daniel J Richter; Liuda Ziaugra; Bruce W Birren; Mark J Daly; David Altshuler; Richard K Wilson; Lucinda L Fulton; Jane Rogers; John Burton; Nigel P Carter; Christopher M Clee; Mark Griffiths; Matthew C Jones; Kirsten McLay; Robert W Plumb; Mark T Ross; Sarah K Sims; David L Willey; Zhu Chen; Hua Han; Le Kang; Martin Godbout; John C Wallenburg; Paul L'Archevêque; Guy Bellemare; Koji Saeki; Hongguang Wang; Daochang An; Hongbo Fu; Qing Li; Zhen Wang; Renwu Wang; Arthur L Holden; Lisa D Brooks; Jean E McEwen; Mark S Guyer; Vivian Ota Wang; Jane L Peterson; Michael Shi; Jack Spiegel; Lawrence M Sung; Lynn F Zacharia; Francis S Collins; Karen Kennedy; Ruth Jamieson; John Stewart
Journal:  Nature       Date:  2007-10-18       Impact factor: 49.962

8.  Differential prevalence of Plasmodium infections and cryptic Plasmodium knowlesi malaria in humans in Thailand.

Authors:  Chaturong Putaporntip; Thongchai Hongsrimuang; Sunee Seethamchai; Teerayot Kobasa; Kriengsak Limkittikul; Liwang Cui; Somchai Jongwutiwes
Journal:  J Infect Dis       Date:  2009-04-15       Impact factor: 5.226

9.  Bionomics of Anopheles latens in Kapit, Sarawak, Malaysian Borneo in relation to the transmission of zoonotic simian malaria parasite Plasmodium knowlesi.

Authors:  Cheong H Tan; Indra Vythilingam; Asmad Matusop; Seng T Chan; Balbir Singh
Journal:  Malar J       Date:  2008-03-31       Impact factor: 2.979

10.  Plasmodium knowlesi in humans, macaques and mosquitoes in peninsular Malaysia.

Authors:  Indra Vythilingam; Yusuf M Noorazian; Tan Cheong Huat; Adela Ida Jiram; Yusof M Yusri; Abdul H Azahari; Ismail Norparina; Abdullah Noorrain; Sulaiman Lokmanhakim
Journal:  Parasit Vectors       Date:  2008-08-19       Impact factor: 3.876

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  12 in total

Review 1.  The Role of Ecological Linkage Mechanisms in Plasmodium knowlesi Transmission and Spread.

Authors:  Gael Davidson; Tock H Chua; Angus Cook; Peter Speldewinde; Philip Weinstein
Journal:  Ecohealth       Date:  2019-01-23       Impact factor: 3.184

2.  Genome-wide mosaicism in divergence between zoonotic malaria parasite subpopulations with separate sympatric transmission cycles.

Authors:  Paul C S Divis; Craig W Duffy; Khamisah A Kadir; Balbir Singh; David J Conway
Journal:  Mol Ecol       Date:  2018-02-13       Impact factor: 6.185

Review 3.  Plasmodium knowlesi malaria: current research perspectives.

Authors:  Amirah Amir; Fei Wen Cheong; Jeremy Ryan de Silva; Jonathan Wee Kent Liew; Yee Ling Lau
Journal:  Infect Drug Resist       Date:  2018-08-10       Impact factor: 4.003

Review 4.  Defining the ecological and evolutionary drivers of Plasmodium knowlesi transmission within a multi-scale framework.

Authors:  Gael Davidson; Tock H Chua; Angus Cook; Peter Speldewinde; Philip Weinstein
Journal:  Malar J       Date:  2019-03-08       Impact factor: 2.979

5.  Whole genome sequencing of amplified Plasmodium knowlesi DNA from unprocessed blood reveals genetic exchange events between Malaysian Peninsular and Borneo subpopulations.

Authors:  Ernest Diez Benavente; Ana Rita Gomes; Jeremy Ryan De Silva; Matthew Grigg; Harriet Walker; Bridget E Barber; Timothy William; Tsin Wen Yeo; Paola Florez de Sessions; Abhinay Ramaprasad; Amy Ibrahim; James Charleston; Martin L Hibberd; Arnab Pain; Robert W Moon; Sarah Auburn; Lau Yee Ling; Nicholas M Anstey; Taane G Clark; Susana Campino
Journal:  Sci Rep       Date:  2019-07-08       Impact factor: 4.379

6.  A molecular barcode to inform the geographical origin and transmission dynamics of Plasmodium vivax malaria.

Authors:  Ernest Diez Benavente; Monica Campos; Jody Phelan; Debbie Nolder; Jamille G Dombrowski; Claudio R F Marinho; Kanlaya Sriprawat; Aimee R Taylor; James Watson; Cally Roper; Francois Nosten; Colin J Sutherland; Susana Campino; Taane G Clark
Journal:  PLoS Genet       Date:  2020-02-13       Impact factor: 5.917

7.  Is there evidence of sustained human-mosquito-human transmission of the zoonotic malaria Plasmodium knowlesi? A systematic literature review.

Authors:  Pablo Ruiz Cuenca; Stephanie Key; Kim A Lindblade; Indra Vythilingam; Chris Drakeley; Kimberly Fornace
Journal:  Malar J       Date:  2022-03-17       Impact factor: 2.979

Review 8.  Malaria in the 'Omics Era'.

Authors:  Mirko Pegoraro; Gareth D Weedall
Journal:  Genes (Basel)       Date:  2021-05-30       Impact factor: 4.096

9.  Genetic diversity and natural selection of Plasmodium knowlesi merozoite surface protein 1 paralog gene in Malaysia.

Authors:  Md Atique Ahmed; Muh Fauzi; Eun-Taek Han
Journal:  Malar J       Date:  2018-03-14       Impact factor: 2.979

10.  Global genetic diversity of var2csa in Plasmodium falciparum with implications for malaria in pregnancy and vaccine development.

Authors:  Ernest Diez Benavente; Damilola R Oresegun; Paola Florez de Sessions; Eloise M Walker; Cally Roper; Jamille G Dombrowski; Rodrigo M de Souza; Claudio R F Marinho; Colin J Sutherland; Martin L Hibberd; Fady Mohareb; David A Baker; Taane G Clark; Susana Campino
Journal:  Sci Rep       Date:  2018-10-18       Impact factor: 4.379

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