The landscape of inherited and de novo copy number variants in a plasmodium falciparum genetic cross
© Samarakoon et al; licensee BioMed Central Ltd. 2011
Received: 14 January 2011
Accepted: 22 September 2011
Published: 22 September 2011
Copy number is a major source of genome variation with important evolutionary implications. Consequently, it is essential to determine copy number variant (CNV) behavior, distributions and frequencies across genomes to understand their origins in both evolutionary and generational time frames. We use comparative genomic hybridization (CGH) microarray and the resolution provided by a segregating population of cloned progeny lines of the malaria parasite, Plasmodium falciparum, to identify and analyze the inheritance of 170 genome-wide CNVs.
We describe CNVs in progeny clones derived from both Mendelian (i.e. inherited) and non-Mendelian mechanisms. Forty-five CNVs were present in the parent lines and segregated in the progeny population. Furthermore, extensive variation that did not conform to strict Mendelian inheritance patterns was observed. 124 CNVs were called in one or more progeny but in neither parent: we observed CNVs in more than one progeny clone that were not identified in either parent, located more frequently in the telomeric-subtelomeric regions of chromosomes and singleton de novo CNVs distributed evenly throughout the genome. Linkage analysis of CNVs revealed dynamic copy number fluctuations and suggested mechanisms that could have generated them. Five of 12 previously identified expression quantitative trait loci (eQTL) hotspots coincide with CNVs, demonstrating the potential for broad influence of CNV on the transcriptional program and phenotypic variation.
CNVs are a significant source of segregating and de novo genome variation involving hundreds of genes. Examination of progeny genome segments provides a framework to assess the extent and possible origins of CNVs. This segregating genetic system reveals the breadth, distribution and dynamics of CNVs in a surprisingly plastic parasite genome, providing a new perspective on the sources of diversity in parasite populations.
The once dominant focus on single nucleotide polymorphisms (SNPs) has given way to the recognition of a wide variety of abundant structural variants, including large and small copy number variations (CNVs) in DNA from human and chimpanzee [1–3], a range of vertebrate [4–14] and invertebrate species such as Candida albicans, Saccharomyces cerevisiae[16, 17], as well as the malaria parasite, Plasmodium falciparum[18–24]. CNVs range from relatively small (≤ 1 kb or less) to more than a megabase, and include deletions, insertions, duplications/amplifications, gene conversions, and products of non-allelic homologous recombination (NAHR); affecting more total base pairs than SNPs . Studies in humans and other mammals demonstrate the critical role of CNVs in generating phenotypic diversity, and disease [26, 27] emphasizing the need to assess, catalogue, and understand the full spectrum of these variants. Recent studies comparing CNVs between various primate species support a contribution of CNVs to human evolution [3, 28, 29]; however, the role of CNVs as a source for selection has traditionally been overshadowed by the assumption that CNVs carry a high fitness cost due to altered gene dosages [30–32]. In addition to altered gene dosage, CNVs can impact genome function by disrupting coding sequences and by exerting long range (trans) influence on gene expression .
Although the earliest evidence for the impact of a CNV linked to phenotypic variation was discovered seventy years ago in Drosophila melanogaster, CNVs have been understudied largely due to the difficulties in identifying large structural polymorphisms and the presumed significance of SNPs in generating phenotypic diversity. The advent of comparative genomic hybridization (CGH)  and the expansion of this technique with new microarray platforms [36, 37] provide rapid discovery and high-resolution, genome-wide views of CNVs.
It is well known that an abundance of structural polymorphisms in malaria parasites contribute to phenotypic diversity. Chromosome size polymorphisms have been identified in various geographical isolates, in vitro drug selections and controlled genetic crosses by pulse field gel electrophoresis (PFGE) [38–41]. Duplications and inter-chromosomal transpositions of chromosome segments are thought to contribute to novel phenotypes [42–46]; chromosomal anomalies, e.g. the amplification of the pfmdr1 (PFE1150w) locus on chromosome (Chr) 5 , and the deletion of the KAHRP (PFB0100c) locus on Chr 2  have been studied widely for their key roles in drug resistance and cytoadherence, respectively. More recently, CNVs in P. falciparum have been studied in field isolates and laboratory adapted lines using various CGH platforms [18–20, 22–24]. These initially relied on expression microarray designs targeting open reading frames (ORFs), while more recent experiments use densely tiled probe sets across the genome .
Despite the growing catalog of CNVs for various organisms, relatively little is known about their origins, stability, and inheritance. The rate at which new variants arise and/or revert to their original state, and their distribution in the genome remain largely unknown . CNVs arising de novo are postulated to occur frequently in mammalian genomes [49–53], sometimes at higher rates than point mutations  and account for a more significant amount of human genetic variation . A deeper understanding of CNVs, including their origins and maintenance as well as their phenotypic effects, will improve our understanding of their adaptive relevance to parasite phenotypes such as drug resistance and virulence.
Haploid progeny parasite clones derived from a genetic cross between two parent clones (HB3 × Dd2) with distinct drug-selection histories was central to mapping the molecular determinant of chloroquine (CQ) resistance  and several other complex trait loci [57–64]. Inheritance of traits and associated variant loci can be tracked genetically using a dense linkage map . Here we examine genome structure using CGH with a custom, 385,585 feature microarray hybridized with genomic DNA from parents and 35 progeny of the cross. We use relative co-hybridized signal intensities between each progeny and the HB3 parent DNA to identify CNVs and to track their inheritance or emergence as de novo events within progeny lines. Many CNVs segregated in the expected Mendelian fashion, while a surprising number of CNVs appeared as de novo events in one or more progeny clones. Notably, these structural genome variants spanned many genes. We assessed their potential impact on genome-wide transcription, highlighting the likely important role for CNVs in parasite evolution and adaptation.
Genome-wide frequency of copy number variants
We investigated genome wide distribution, frequency and characteristics of CNVs within a segregating population of progeny derived from a genetic cross between a multidrug resistant and a generally drug sensitive parasite . We focused on CNVs of approximately 1 kb or larger, with at least 3 probe signals supporting the CNV call.
Categories of CNVs detected within the HB3 × Dd2 progeny clone population.
Total number of bases effected (kb)
Average size of CNV (kb)
Median size of CNV (kb)
Minimum size (kb)
Maximum size (kb)
Number of progeny
3 - 35
1 - 22
1 - 35
Number of CNVs with polymorphic genes
Number of genes within CNVs
Number of polymorphic genes within CNVs
Categories of CNVs
Forty-five segregating CNVs ranging from 1 kb to 161 kb affecting 4.3% of the genome (999 kb) and 170 genes were identified (Table 1 and Figure 2A); 42 of these 170 genes were members of polymorphic gene families. In addition to the expected segregating genomic CNVs, 124 de novo CNVs were identified (Table 1): 64 singleton (Figure 2B), and 60 recurrent in which the same or similar breakpoints were called in at least 2 progeny (Figure 2B and 2C). Thirty-nine of 60 recurrent de novo CNVs were scored in 2 or 3 progeny. Four CNVs were observed in 10 or more progeny and their inheritance pattern indicated that they are probably segregating CNVs (described below).
CNV Chromosomal locations
Previous studies proposed amplification/deamplification hotspots [20, 67] and fragile genomic regions  in P. falciparum. We evaluated this possibility by examining distribution of the CNV boundaries in our dataset, assuming a random distribution model. A 10 kb non-overlapping window analysis was used to scan the genome-wide distributions of all 340 breakpoints (each boundary of 170 CNVs). Under random expectation, 3 or more breakpoints within a 10 kb region was highly significant (Poisson model; p = 0.00001). This analysis revealed 9 candidate hotspots for CNV breakpoints: one each in Chrs 2, 4, 5, 11, 13, and two each in Chrs 3 and 12 (Additional file 8). All candidate hotspots coincided with regions containing polymorphic gene family members (PfEMP1, rifin, stevor, PHIST, DnaJ domain encoding, and cytoadherence linked asexual protein genes). Given that all hotspots were detected in the telomeric/subtelomeric regions, we also looked specifically for hotspots in other regions of the genome. We did not identify additional candidate hotspots in the non-telomeric/subtelomeric regions at high stringency, but did observe 70 positions with two or more breakpoints per 10 kb (p = 0.0047).
Linkage and inheritance of CNVs
A population of segregating sibling parasite clones provides a unique opportunity to track the inheritance patterns of amplifications and deletions. We examined CNVs for Mendelian inheritance, in which case the CNV would be expected to behave as any genetic marker by being inherited in approximately half the progeny clones along with the local allele of its parent of origin, i.e. statistically linked to neighboring markers and mapping to that unique genome location. Using the microsatellite (MS) linkage map  CNVs were evaluated for co-inheritance with known markers throughout the genome. In addition, we used the relative hybridization signals of each CNV as a phenotype for quantitative trait loci (QTL) mapping (see methods for details). All 45 segregating CNVs were detected at a minimum score of LOD 2 (logarithm of odds), localizing each to its expected parental allele segment. Twenty-seven of 45 segregating CNV display a highly significant cis QTL signal (LOD ≥ 5) mapping to a nearby MS marker (Additional file 9 illustrates cis QTL signals for a deletion on Chr 2 and an amplification in Chr 5). Furthermore, by scoring CNVs in the context of their linkage relationships we were able to discover complex subclasses of CNVs (Additional file 100 Additional file 11). Closer examination of the segregating CNVs that were detected only at the lower significance threshold (LOD < 5) revealed several reasons for weaker signal: CNVs with highly skewed inheritance in the progeny population (e.g. Chr 9  - Additional file 10B and Chr 11 ); loci with overlapping or neighboring CNVs in the parents (Additional file 10A-i); and complex multiallelic CNVs, i.e. region overlapping a mixture of amplified as well as deleted regions in the parent genomes or de novo CNV region overlapping a segregating CNV region in at least a single progeny (Additional file 11B and 11C).
Inferring mechanisms and CNV origins
We inferred from local allele inheritance patterns that several CNVs in the progeny were generated as complex products of recombination. Two segregating CNVs previously implicated in parasite drug resistance, on Chrs 5 and 12, were mapped to their expected reference genome position. However, in the case of the CNV overlapping the Chr 5 pfmdr1 locus, not all progeny inheriting the Dd2 pfmdr1 allele carry the same number of copies as the Dd2 parent (Figure 5). Of 15 progeny inheriting the Dd2 pfmdr1 allele, only 2 have the same 3 copies as the parent; most (87%) progeny with the Dd2 allele have lost at least one copy (4 have a single copy and 9 have 2 copies). One progeny with the HB3 allelic background gained a copy of this locus. In two progeny it could be determined from the parental MS markers allele inheritance pattern that a copy was lost during homologous recombination in meiosis (Figure 6). However, most progeny did not display complex recombination products at this locus that would confirm a meiotic homologous recombination origin. It is probable that in the absence of homologous allele exchange, sister chromatid exchange in mitosis or meiosis could have generated the changes in copy number.
The Chr 12 amplification carrying the gch1 locus also demonstrated a complex inheritance pattern in the progeny. Each parent carries a different version of an amplified locus (Figure 7A): the Dd2 parent harbors a ~5 kb amplicon (Figure 7B), while HB3 harbors a ~161 kb amplicon (Figure 7C). All progeny were amplified at this locus, and one progeny clone, CH3-61, uniquely inherited a mixture of the different parental CNVs (Figure 7D). Linkage analysis of the CNV region in CH3-61 shows that a broad HB3 genome segment surrounds a small Dd2 allelic segment, indicating that either a double crossover or gene conversion could have generated this segment (Figure 7E). Given the genome-wide recombination rate (17 kb/cM, ) and the size of the physical genome segment affected (maximum distance between nearest markers = 19.2 kb), gene conversion is more likely than a double crossover.
As demonstrated for the recombination products of the pfmdr1 and gch1 locus, in some cases it is possible to demonstrate meiotic origin by examining the distribution of allelic genetic markers across the genome region of the CNV for its parental origins. Such diagnostic genetic markers require that the parent lines differ for the particular genomic region and that a mapped MS is present in that region, which is often not the case given the genome-wide MS density of 1 marker per 25.5 kb. When parental alleles are not distinct, it is not possible to distinguish the specific type of recombination event that led to the CNV change. Higher marker density provides the resolution to observe local genetic exchange that results in CNV. To investigate the origin of de novo CNVs in meiosis, we checked all de novo CNVs for their underlying allelic inheritance using the genotype information in the published linkage map . To improve the resolution to 1 marker per 3 kb, we also used our recently published SNP allele dataset derived from sequencing the progeny clone 7C126  to search for evidence of homologous crossover or gene conversion at regions of de novo CNV. With this high SNP allele resolution analysis, we characterized two examples of de novo CNVs (Figure 8, Additional file 12) in 7C126, and confirmed gene conversion as one potential mechanism by which de novo CNVs are generated. The elucidation of precise mechanism(s) will require sequence analysis at CNV breakpoints. For example, whole genome sequencing can systematically identify CNV breakpoints and determine the source of the template for the repair and resolution of genetic exchange events.
Given the large fraction of recurrent CNVs, we examined these more closely to confirm this classification. At the resolution revealed by CGH, exact breakpoints cannot be determined. Consequently, we considered various ways recurrent CNVs can be present; for example some of these may be segregating CNVs that were not detected in the parent CGH. We checked the hybridization signal profiles of all recurrent CNV regions in the parents and assessed all previous work in the parents for CNVs which were not detected in our data but were detected in previously published work that used a range of microarray platforms and probe densities [21–23]. Using this approach we identified 22 de novo CNVs that upon visual inspection exhibited characteristics of segregating CNVs. They were missed by our CNV calling algorithm because of their complex nature: for example, presence of overlapping or closely neighboring CNVs in both parents in the CNV region (Additional file 10C). These loci are detected as de novo CNVs by the CNV calling software due to variation in hybridization signal in the progeny. In seven of the recurrent CNVs, progeny inherited a mixture of a de novo CNV adjoining a segregating CNV (Additional file 11B and 11C), and therefore was classified as a de novo CNV.
Recurrent mutations could also occur from low-level subclones within the parent lines used to generate gametes for the cross. This was tested by assessing whether certain de novo CNVs co-occur in specific progeny lines reflecting the simultaneous introgression of several CNVs in association with their underlying genetic markers. We did not observe any examples of simultaneous introgression of a subset of de novo CNVs that would indicate co-inheritance from a parent subclone. In 37/60 of recurrent de novo CNVs, surrounding segments from each parental genome was detected among the progeny with CNV, indicating independent origins (Additional file 11). Twenty-three of the 60 recurrent CNVs were in the context of a single parental genome segment, suggesting either: 1) the CNV is actually a segregating CNV that was missed (or lost) in one of the parent lines; 2) a subclone exists in the parent population that carries the particular CNV and thus 'partially' segregates; or 3) the particular genome segment specific to one parent is a hotspot for de novo CNVs. It is important to note that for all 23 cases at least one progeny clone inheriting that parent genome segment did not carry the CNV.
The emergence of CNVs in the asexual phase of the parasite life cycle establishes that CNVs can be generated during mitosis in P. falciparum. To assess if some of the de novo CNVs could have occurred during culture adaptation or cloning during the generation of the genetic cross, we compared genes in de novo CNVs with those previously reported from field isolates, laboratory adapted lines or culture adapted lines (Additional file 13). We observed 68 genes in common with previous studies. Incidentally we do not observe Rh1, commonly observed to emerge during culture adaptation. We note membrane protein genes (PfEMP1, Pfmc-2TM), duffy binding-like merozoite surface protein gene, Plasmodium exported protein genes (PHIST), an ABC transporter (putative), hexose transporter, DNA/RNA-binding protein Alba (putative), Gbph2, histidine-rich protein (hrp) iii, antigen proteins (acyl-CoA ligase antigen, S-antigen) and members of polymorphic gene families (rifin, stevor, surfin) among the genes that are common with the de novo CNVs.
We also explored the use of QTL to map mechanisms that regulate copy number in the progeny of the genetic cross. This approach used the CNVs as traits with the expectation that QTL loci can reveal gene variants that influence the tendency for different progeny to generate CNVs. For this analysis, we considered de novo amplifications and deletions, calculated as a percentage of the total number of events per progeny as distinct phenotypes. We did not detect any QTL loci at the lowest threshold associated with de novo amplifications. However, for de novo deletions we detected a suggestive QTL on Chr12 (34.3 cM, LOD = 2.39). The locus includes a putative transcription factor Tfb2 (PFL2125c), a subunit of transcription/DNA repair factor TFIIH, that has been implicated in DNA damage response, nucleotide excision repair  and chromosome fragility .
Segregation distortion of CNV regions
More than half of the segregating CNVs were inherited in the expected 1:1 Mendelian ratio among the progeny. Segregation distortion was observed for 20 of the 45 segregating CNVs (p < 0.05). This included 6 CNVs (4 deletions and 2 amplifications) that were highly skewed: 1) Chr 2 sub-telomeric deletion of the kharp (PFB0100c) locus, deleted in Dd2 and 86% of progeny; 2) Chr 9 sub-telomeric locus, deleted in HB3 and all progeny; 3) Chr 12 sub-telomeric locus, deleted in HB3 and 77% of progeny; 4) Chr 13 locus, deleted in HB3 and 91% of the progeny); 5) Chr 11 sub-telomeric CNV, amplified in HB3 and 86% of the progeny; and 6) Chr 12 amplification of the gch1 locus, amplified in both parents, and higher copy number than HB3 in 97% of the progeny, at the gch1 locus (see Figure 7A). Five of these agree with the previously reported regions of segregation disparity proposed to reflect the survival advantage of favored haplotypes during the generation of the HB3 × Dd2 cross .
Impact of CNVs on gene expression
We integrated a previously generated gene expression data set for the HB3 × Dd2 genetic cross with the current CGH data to assess the impact of CNV on gene expression. QTL mapping of transcript abundances as quantitative traits identified both local regulatory effects (e.g. cis-regulation) and distant effects (trans-regulation) . Both segregating and de novo CNVs showed an impact on the expression of resident genes (Additional file 14). Of the 539 genes impacted by CNVs, 170 resided in segregating CNV. These CNVs extensively influenced the inherited levels of transcription of the genes residing within the CNV (Figure 5D), as well as distant (unlinked) genes, than would be expected by chance. For example, 77 of the genes residing in 8 segregating CNVs were differentially regulated locally, indicating strong local regulation due to altered gene dosage. An additional 353 genes scattered throughout the genome were regulated in trans by loci that coincided with segregating CNVs. This implies that a gene(s) residing in the CNV has an effect on downstream transcripts either directly as a regulatory protein, or indirectly through physiological or signaling role. Amplifications were the predominant CNV that influenced transcription via both cis and trans mechanisms. Several loci influenced the expression of a large number of genes, and were identified as regulatory hotspots . Five of the 12 eQTL hotspots aligned with segregating CNVs: three in Chr 5, one in Chr 7 and one in Chr 12. One of the hotspots in Chr 5 (65.9 cM) and one in Chr 12 (103.3 cM) correspond to amplifications implicated in resistance to known antimalarial drugs.
Recent studies of P. falciparum demonstrated the widespread prevalence of CNVs in populations and their likely adaptive influence on important traits such as drug resistance [75, 76]. Large scale amplification and deletions have been known for several decades [39–42]. However, a precise understanding of genome plasticity, origins of CNVs and their stability, including transient and reversible fluctuations in a generational time-frame is deficient not only for the malaria parasite, but for other organisms as well . For example, little is known about the behavior of copy number variant regions, the rate of reversion to an original state, the rate at which new variants arise, and the uniformity of the distribution of new variants in a sibling population. The segregating population examined in this study provides an ideal context in which to view the inheritance and stability, and occasionally to infer the origin of a CNV. We report extensive plasticity and segregation complexity of CNVs within the progeny.
Three different classes of CNVs - segregating, singleton de novo and recurrent de novo - were prominent in this study and are contrasted here for their inheritance patterns among progeny clones (Table 1, Figure 2, Additional files 4 and 5). Among these three classes, we observed duplications, deletions and multiallelic complex loci, as has been described for CNVs in human [25, 49] and chicken  (Additional files 4, 5 and Figure 7). We observed many de novo CNVs (Table 1). Information on de novo CNVs has been scarce because previous studies did not examine parent-progeny populations. With the availability of suitable genetic systems along with high-throughput technologies which enable genome wide discovery of CNVs, it is clear that de novo CNVs are an important source of genetic variation [49, 53, 77]. Furthermore, de novo events are not unprecedented in P. falciparum. Duplication of subtelomeric sequence has been documented previously in progeny of different genetic crosses including the HB3 × HB3 self cross . Previous development of the MS linkage map revealed non-canonical MS markers in the HB3 × Dd2  and non-parental sequence products in the HB3 × 3D7  as well as the HB3 × Dd2  genetic crosses, further emphasizing the genome plasticity of the parasite both at smaller (< 1 kb) as well as larger (> 1 kb) scales of sequence.
Our data provide clear evidence for copy number differences from the parent lines within the segregating progeny population. Most of the previously known segregating CNVs exhibited a Mendelian segregation pattern at a broad scale and mapped to markers close to their genome positions (Additional file 9). However, finer scale scrutiny of two segregating CNVs implicated in drug resistance revealed unique structural changes resulting from meiotic recombination events. The Chr 5 Pfmdr1 amplification which has been associated with Mefloquine resistance [79, 80] and is widely detected in natural parasite populations , exhibited both loss and gain of copies compared to the parental state (Figure 5). This highlights that both amplification and deamplification mechanisms have affected the locus. Similarly, the gch1 locus, postulated to be associated with antifolate resistance  and widely detected in parasite populations , also exhibited complex multiallelic copy number within a single meiotic generation (Figure 7). These examples illustrate the highly dynamic nature of CNV regions during a single meiotic generation that would not be recognized in a standard population-based CNV survey.
Four mechanisms can generate CNVs and lead to fluctuation of copy number in the CNV regions: homologous recombination (HR), non-allelic homologous recombination (NAHR), non-homologous end joining (NHEJ) and the replication based mechanism, microhomology-mediated break-induced replication (MMBIR) - which includes Fork Stalling and Template Switching (FosTes) . The absence of factors in the malaria parasite genome required for NHEJ combined with evidence for HR and NAHR from both laboratory genetic crosses and field isolates argue that recombination mechanisms play a central role in generating genetic diversity in the parasite. Consistent with previous reports, we demonstrate that recombination generates amplifications and deamplifications of both segregating and de novo CNVs. We show evidence of recombination detected by local allelic changes that resulted in copy number loss (Figure 6) and gain (Figure 6 and 7) in segregating CNVs and gain of de novo CNV (Figure 8, Additional file 12). While Chr 5 CNVs in two progeny clearly indicate HR origins, lack of evidence for reciprocal allele exchange in other progeny implies that most CNVs may appear due to unequal HR between sister chromatids. Unequal sister chromatid exchange is postulated as a mechanism that generated the multiple independent events of the pfmdr1 CNVs within parasite isolates . MS allelic changes at the Chr 12 locus (gch1) in our data indicate copy number fluctuation by sister chromatid exchange, a double crossover or gene conversion. Gene conversion has been reported to generate diversity within multigene families in P. falciparum. Duplication of chromosomal segments by gene conversion, including duplicative translocation, has been described in genetic crosses  and parasite clones . Alternatively, complex multiallelic/mosaic regions can result from gene conversion which can change the CN profile from that of the parents , an observation consistent with the several examples of de novo CNVs described in this study (Figure 8 and Additional file 12).
In general, it is difficult to establish CNV origins. The steps involved in generating a genetic cross include many opportunities for both sexual and asexual (in meiosis and mitosis) genetic exchanges [42, 47, 78, 83]. A more precise inference of mechanisms would benefit from knowledge of the number of mitoses that each parent lineage underwent prior to the generation of gametes for the cross, as well as the number of mitotic replication cycles that the parent and progeny parasites underwent after meiosis. Although allelic marker co-inheritance can pinpoint homologous recombination as one origin of CNVs when sufficient sequence differences can distinguish the parental allele segments, this method cannot differentiate the CNVs generated in asexual replication or in genomic regions that are identical (or very similar) in the parents.
While unlikely, it cannot be ruled out that recurrent mutation reflects parent subclone populations (i.e. gamete mixtures). Although parasites were cloned by micromanipulation or limiting dilution, and it is generally accepted that this method would produce true single-clone parent lines, we are necessarily dealing with these 'individuals' as populations expanded in culture. Therefore, it is possible that genetic changes arising in these cultured lines in preparation of gametes for the cross could contain mixed genotypes that are represented in the gametes which segregate into some subset of progeny clones. We found some recurrent de novo CNVs residing in both parent allele backgrounds that suggested independent origin. Furthermore, we did not find evidence for simultaneous introgression of CNV, which should be readily apparent in the presence of two or more distinct parent subclones. Overlap of several single as well as recurrent de novo CNVs with CNVs reported to have arisen under culture adaptation and/or in vitro culture, suggests that several de novo CNV regions may have emerged in culture adaptation (Additional file 13) but cannot be precisely determined at CGH resolution.
We noted a preponderance of CNV breakpoints within narrow genomic regions, including recurrent de novo CNVs that impacted the same genome segments. Genomic regions that show a high propensity for segmental duplications also have been suggested in isolates  and laboratory lines  of P. falciparum. Additionally, previous work has also demonstrated extensive occurrence of deletions particularly in the subtelomeric sequences [44, 46, 48, 84, 85], indicating that the subtelomeric regions may be highly unstable and represent fragile sites [85, 86]. It has been postulated that specific sequence features may underlie the fragility of the subtelomeric regions . Recurrent structural mutation has been observed in mice  and humans  during inheritance. Similarly, recurrent duplication has been detected previously in P. falciparum; especially in association with the subtelomeric regions in progeny of both the HB3 × Dd2 and HB3 × 3D7 genetic crosses , while recurrent subtelomeric deletions have been detected in independent clones of a field isolate . Several recent studies have demonstrated recurrent mutations as a key mechanism by which gene copy number fluctuations take place within short generational time scales . These studies have emphasized that recurrent CNVs may be an important biological process in evolution, as well as human disease [7, 53].
Skewed inheritance was observed for a majority of the segregating CNVs. Skewed inheritance was expected to an extent, given that skewed inheritance of parental alleles were previously noted within this population for seven regions, mostly located in the sub-telomeres, during construction of the MS linkage map . Consistent with the expectation from MS linkage analysis, five of the CNV regions overlapped with the skewed allele distributed regions in the MS map, emphasizing the role of CNVs in parasite selection. The skewed regions overlap with genes associated with parasite pathogenicity , gametogenesis [44, 46] and drug resistance . Regions of skewed inheritance have been observed not only in the HB3 × Dd2 genetic cross [42, 65], but also in other independent genetic crosses [42, 88, 89]. It has been suggested that the skewed inheritance may be related to the selection of alleles beneficial for parasite viability, growth and proliferation in a splenectomized chimp during the generation of the genetic cross and/or in parasite growth under in vitro growth conditions . If deletions are eliminated by selection, populations that emerge in culture should carry more amplifications than deletions. This trend was observed in the progeny clones carrying more gains than losses (69%, Additional file 3).
The stability and fitness of CNV loci is postulated to play an important role due to their implication in resistance to antimalarials . Previous work supported a co-adaptive role of pfmdr1 copy number with the CQ resistance gene pfcrt. Inheritance of these loci in the progeny clones of the HB3 × Dd2 has suggested an influence on fitness due to the presence of specific combinations of alleles that exist among the progeny. It was observed that high pfmdr1 copy number is maintained only in the context of its co-selected mutant pfcrt partner and CQ sensitive pfcrt is never paired with 3 copies of pfmdr1. Two groups indirectly evaluated the in vitro dynamics and possible fitness effects of CNV in P. falciparum[67, 90]. Both attempted to address the fitness effects at a single CNV locus, in the presence and absence of drug pressure, using a single strain of P. falciparum. Each proposed a fitness cost associated with carrying the multicopy CNV as indicated by the out-growing of the single copy over the multicopy parasite in a mixture of parasites. Mathematical modeling of in vitro based experimental data suggested a CNV emergence rate of 1 in 108 parasites . The rate of emergence in the population is ultimately a reflection of the rate of de-amplification as well as parasite growth dynamics due to fitness costs associated with carrying higher copy numbers.
Emergence of CNV under in vitro conditions have been reported widely in P. falciparum with laboratory adaptation [68, 91, 92], under long term laboratory culture [19–22] and under drug pressure [21, 23, 67, 90, 93]. It has been widely postulated that parasites have fewer constraints during in vitro culture conditions such that growth advantages can be gained from decreased investment in activities such as protein exportation, knob construction, display of cytoadhesive molecules and variant antigens, and production of gametocytes . The overlap we observed of de novo CNVs with some of these genes is consistent with the interpretation that culture adaptation and cloning could be associated with lost functions via deletions.
Along with extensive chromosomal size variation identified previously by PFGE [38, 42, 43], our data demonstrate a highly plastic genome with strong potential to influence function through gene dosage effects. We explored the potential functional impact of CNVs. Functional enrichment analysis of the de novo CNVs revealed genes involved in carbohydrate metabolism, recombination and gametogenesis; while segregating CNVs involved drug response, fat metabolism, aromatic compound biosynthetic processes and regulation of DNA replication in P. falciparum. In both segregating and de novo CNVs, functions of polymorphic gene families were represented. The presence of functional gene families has been taken as an indication of positive selection on gene duplications over time [25, 94]. Gene duplication is now recognized as an important mechanism for evolution of new biological functions in organisms . CNVs in humans are enriched for genes involved in molecular interactions to specific environmental stimuli including drug detoxification, immune response, cell surface integrity and surface antigens. It has also been postulated that CNVs could carry genes that contribute to inter-individual variation and can play a role in the differences in drug response and immune defense , but not in intracellular processes such as biosynthetic and metabolic pathways . The genome wide distribution of CNVs and the abundance and breadth of genes overlapping CNV regions, as well as their widespread involvement in local and distant gene regulation, indicate the extensive contribution of CNVs in phenotypic variation, similar to that observed in human studies .
We describe the breadth and distribution of genome-wide CNVs detected in a segregating parasite population and a more dynamic genome structure than has been reported previously for malaria parasite populations. We highlight CNVs arising de novo in the progeny clones. The classical genetic framework provided a unique opportunity to examine the Mendelian behavior of CNV regions, including the identification of allele segregation patterns that indicate mechanisms that generate CNVs. We also directly tested the impact of CNVs on gene expression by overlaying eQTL and report widespread effects of local and distant regulation. By using a segregating genetic system to study the breadth, distribution and dynamics of CNVs, we reveal an extremely plastic parasite genome in which CNVs are a prominent source of diversity and maybe an overlooked substrate for selection.
Parasite culturing and DNA isolation
Parents and progeny of the HB3 × Dd2 genetic cross were obtained from the original cloned stocks. The HB3 × Dd2 genetic cross consists of 35 haploid progeny, mimicking, in effect, recombinant inbred lines for linkage analysis. Each progeny was previously genotyped for 901 restriction fragment length (RFLP) and MS markers spanning the 14 chromosomes (~23 Mb) at a resolution of one crossover every 40 kb . All parasites used in this experiment were cultured in human erythrocytes (RBCs) by standard methods [96, 97] utilizing leukocyte-free human RBCs (Indiana Regional Blood Center, Indianapolis, Indiana) suspended in complete medium (CM) [RPMI 1640 with L-glutamine (Invitrogen Corp.), 50 mg/L hypoxanthine (Sigma-Aldrich), 25 mM HEPES (Cal Biochem), 0.5% Albumax II (Invitrogen Corp.), 10 mg/L gentamicin (Invitrogen Corp.) and 0.225% NaHCO3 (Biosource)] at 5% hematocrit. Cultures were maintained independently in sealed flasks at 37°C under an atmosphere of 5% CO2, 5% O2, and 90% N2. Parasitemias were monitored and generally maintained at 5-7%. DNA was extracted from each parasite culture using standard phenol/chloroform protocols and concentrated using salt precipitation for labeling and hybridizing to CGH microarrays.
Comparative genome hybridizations
A high resolution CGH microarray, designed with 385,585 probes representing the entire P. falciparum 3D7 reference genome by NimbleGen Systems, Inc. (Madison, Wisconsin) was used . Probes were isothermally designed (Tm-balanced) and adjusted in length to maintain an optimal fixed hybridization temperature. Probes are on average 56 bp in length and spaced at a median of 21 bp across the genome. Probes overlapped at a median of 31 bp with 58.3% of the probes having some overlap. The remaining had either no overlap (1.4%) or gaps between probes (40.3%). Probe coverage density and the frequency of probe overlap were dependent on the complexity of the DNA sequence. Regions with long tracts of repetitive DNA are not well represented on the microarray and resulted in probe gaps.
Genomic DNA (gDNA) from the 35 progeny and the Dd2 parent parasite line were co-hybridized to CGH microarrays with the parent line HB3 as a common reference using the standard NimbleGen CGH protocol . Briefly, genomic DNA fragmentation, labeling, hybridization, washing, and scanning were carried out using the standard NimbleGen CGH protocol at the NimbleGen Service Laboratory. For each spot on the microarray, log2 (Cy3/Cy5) were calculated for Cy3 and Cy5 labeled test and reference samples, respectively. Normalization of the Cy3/Cy5 signal was performed for each microarray using the Qspline algorithm (normalize.qspline, http://www.bioconductor.org).
Each probe was blasted (NCBI BLAST 2.1.1, without low complexity filtering) against the 3D7 Plasmodium falciparum reference genome (PlasmoDB v5.4, ) and non-unique probes were discarded. A total of 383,333 probes were used for CNV analysis. The microarray data were visualized via scatter plots and heat maps using Spotfire DecisionSite v8.2 (TIBCO Spotfire; Somerville, Massachusetts) and R language .
CNV detection criteria
The filtered set of unique probes was used for CNV detection. Segmentation analysis for identification of CNV regions and further visualization was performed using Nexus Copy Number 3.0 software (BioDiscovery, Inc.; El Segundo, California). The CNV detection was performed using the rank segmentation algorithm of Nexus with significance threshold of 1.0E-10 and a Max Contiguous Probe Spacing (Kbp) of 1000. Because P. falciparum is a haploid organism, relatively low single value cutoffs of log2ratio of normalized Cy3/Cy5 values of 0.5 and -0.5 were used to call CNVs. Additionally for a region to be considered a CNV, we required the region to carry three or more probes, and the distribution of the log2ratio value of the normalized Cy3/Cy5 values of all the probes spanning a CNV region was compared to the normalized Cy3/Cy5 values of a selected set of probes that are known to be non-polymorphic in both parental and the 3D7 genomes. The skewedness of the signal distribution across the CNV regions was compared against the expected normal distribution of a non-CNV region (mean = median = log2ratio = 0).
As the reference genome 3D7 was used for the design of the probe sequences, sequence segments present uniquely in the parental genomes which are absent in 3D7 will be unrepresented in the array design. Therefore CNVs which may overlap with these regions will remain undetected in this study. Although the semi-tiled array design used in this study enables large scale detection of most of the CNV regions, due to the highly repetitive nature of the parasite genome, certain regions which contain no or very low probe density will also remain undetected. Thirdly, the CNVs were identified by comparison to parental genome HB3. Segments amplified in HB3 will appear as losses in the test samples, or may be completely missed as CNV regions if both parental genomes carry it and is inherited in the progeny.
Quantitative PCR (qPCR)
Quantitative PCR was carried out with SYBR green PCR Master Mix (Applied Biosystems) using an ABI 7900HT sequence Detection System. For selected CNVs, primers were designed using Primer Design software (ABI) with standard parameters in each gene spanning the CNV region as well as two genes outside the region. For each primer pair, 4 reactions were set up for the test DNA, and the reference DNA. For quantification and comparison across samples, each qPCR plate included a control locus (beta tubulin gene) known to be a single copy gene in both the test and the reference sample. Relative copy number was calculated using the ΔΔCT method.
GO enrichment analysis
GO enrichment for genes within the different categories of CNVs was calculated using MADIBA , a web source for biological analysis of Plasmodium genes. Plasmodium falciparum genome 2007 release was used for enrichment analysis. The p-value is calculated using a hypergeometric test which determines if the number of times that a GO term appears in the cluster is significant, relative to its occurrence in the genome. The result is significant if the p-value is less than 0.05 (at a 95% confidence level) .
Identification of regional and location biases of CNVs
Each chromosome was divided into 5 equal regions. The frequency of segregating, singleton de novo and recurrent de novo CNVs observed in each regions was calculated to identify regional biases in CNV distribution. A non-overlapping 10 kb chromosome-wide window analysis was used to investigate 'hotspots' of CNV using the breakpoints of all CNVs (170 CNVs, 340 unique breakpoints). A random Poisson model was used to locate significant windows of CNV hotspots (X > 2, λ = 1). To identify other hotspots which may exist in the non-subtelomeric/telomeric regions a finer-level analysis was carried out, given a random Poisson model, after the removal of the telomeric/subtelomeric regions. The telomeric/subtelomeric regions were defined as in Mok et al. .
Investigation of allele identity, linkage and CNV
QTL analysis was performed for log2 signal intensity ratios for each probe on a DNA microarray for the progeny of the HB3 × Dd2 (co-hybridized with the HB3 reference DNA). Probes that overlap a DNA polymorphism in the test or reference DNA sample are detected as deviations from the log2ratio = 0. If a particular polymorphism segregates among the progeny, QTL associated with the probe will be localized with the respective MS marker position in the linkage map. QTL analysis was carried out by computational approaches described previously  using Pseudomarker (Version 2.04, http://churchill.jax.org/software/archive/pseudomarker.shtml). A high significance threshold (LOD ≥ 5) as well as lower LOD thresholds of LOD ≥ 3 and LOD ≥ 2 was used for QTL analysis.
Chi square test was used to test for uniformity in allele identity overlapping CNV regions in segregating as well as recurrent de novo CNVs using the MS linkage map . Probe signal overlapping the CNV regions were used as a 'trait' and mapped as a QTL to identify strong segregating CNVs for identification of candidate markers. CNVs deviating from expected observations were investigated individually using scatter plots and heat maps (Spotfire DecisionSite v8.2, and R language ).
The mechanisms of copy number change were inferred by investigating the copy number (qPCR) of one or more genes within the CNV with the pattern of allele distribution of MS markers adjoining and overlapping CNV regions. A previously generated high density SNP map for progeny clone 7C126  was used to specifically look for signs of gene conversion or crossover in de novo CNV regions to infer mechanism(s) of de novo CNV.
To deduce genes that underlie the inherited differences in the machinery that influence the tendency to generate CNVs, copy number was mapped as a trait in QTL mapping. The frequency of de novo amplifications and de novo deletions were calculated as a percentage of the total number of CNVs per progeny. QTL analysis was carried out by computational approaches described previously.
Segregation disparities of CNV regions
Skewed inheritance of segregating CNVs were assessed using a Fischer's exact test comparing the observed number of progeny with an event to the expected number of progeny with the same event assuming a 1:1 Mendelian inheritance at each locus in the genome.
Gene expression and eQTL analysis
A previously generated gene expression data set (at approximately 18 hrs in the life cycle) for the progeny of the HB3 × Dd2 genetic cross  was integrated with the current CGH data to assess the impact of CNV on the expression of genes that reside within the event. Similar to the CGH microarrays used here, Dd2 and progeny cDNA samples were co-hybridized with a common reference, HB3 cDNA sample. Gene expression of CNV regions was compared to the expression of non-CNV regions for both segregating as well as de novo CNVs, using Welch's t-test (p < 0.05) . The genome-wide analysis of expression QTL (eQTL) loci and hotspots was integrated to assess the impact of CNVs in gene expression changes that have occurred in the progeny population . Random genome-wide expectation for eQTL was calculated by computing the number of eQTL associated with a random set of 537 genes (the number of genes which overlap CNV regions). An average was calculated under 1000 iterations (cis = 23.01 ± 4.4 genes, trans = 72.5 ± 7.5 genes), and compared with observed eQTL associated with CNVs. eQTL loci were assessed for segregating CNV regions spanning from 50 kb (~3 cM) upstream to 50 kb (~3 cM) downstream of the CNV breakpoints.
We thank Dr. Thomas Wellems for providing the progeny clones. We are grateful to Dr. John C. Tan (Genomics and Bioinformatics core facilities, University of Notre Dame) for advice on data analysis. This work was supported by NIH Grants AI055035 and AI071121, and subcontract from AI075145 to MTF.
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