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Lineage-informative microhaplotypes for recurrence classification and spatio-temporal surveillance of Plasmodium vivax malaria parasites

Abstract:
Challenges in classifying recurrent Plasmodium vivax infections constrain surveillance of antimalarial efficacy and transmission. Recurrent infections may arise from activation of dormant liver stages (relapse), blood-stage treatment failure (recrudescence) or reinfection. Molecular inference of familial relatedness (identity-by-descent or IBD) can help resolve the probable origin of recurrences. As whole genome sequencing of P. vivax remains challenging, targeted genotyping methods are needed for scalability. We describe a P. vivax marker discovery framework to identify and select panels of microhaplotypes (multi-allelic markers within small, amplifiable segments of the genome) that can accurately capture IBD. We evaluate panels of 50–250 microhaplotypes discovered in a global set of 615 P. vivax genomes. A candidate global 100-microhaplotype panel exhibits high marker diversity in the Asia-Pacific, Latin America and horn of Africa (median HE = 0.70–0.81) and identifies 89% of the polyclonal infections detected with genome-wide datasets. Data simulations reveal lower error in estimating pairwise IBD using microhaplotypes relative to traditional biallelic SNP barcodes. The candidate global panel also exhibits high accuracy in predicting geographic origin and captures local infection outbreak and bottlenecking events. Our framework is open-source enabling customised microhaplotype discovery and selection, with potential for porting to other species or data resources.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/s41467-024-51015-3

Authors


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Role:
Author
ORCID:
0000-0002-1458-4348
More by this author
Role:
Author
ORCID:
0000-0003-2436-8283
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Role:
Author
ORCID:
0000-0001-8633-9221


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Funder identifier:
https://ror.org/029chgv08
Grant:
204911/Z/16/Z
200909/Z/16/Z
204911
More from this funder
Funder identifier:
https://ror.org/03x94j517
Grant:
MR/M006212/1


Publisher:
Springer Nature
Journal:
Nature Communications More from this journal
Volume:
15
Issue:
1
Article number:
6757
Place of publication:
England
Publication date:
2024-08-08
Acceptance date:
2024-07-25
DOI:
EISSN:
2041-1723
Pmid:
39117628


Language:
English
Pubs id:
2020839
Local pid:
pubs:2020839
Deposit date:
2024-08-19

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