Significance
The parasite Cryptosporidium is a leading cause of diarrheal disease. While infection is common worldwide, young children experiencing malnutrition are impacted most profoundly, and the disease is an important contributor to early childhood mortality. This study experimentally demonstrates that different strains and even species of Cryptosporidium can recombine their genomes through sex. The progeny of such genetic crosses show combined features of both parents, with resistance to multiple drugs being one example. Sex thus provides the opportunity to rapidly explore genetic space to provide progeny capable of surviving changing environments and hosts. Genetic crosses as an experimental tool may also be harnessed in the future to discover the genes underlying differences in virulence, drug sensitivity, and immunogenicity between parasite isolates.
Keywords: parasite, diarrheal disease, Apicomplexa, sex, genetic cross
Abstract
Parasites and their hosts are engaged in reciprocal coevolution that balances competing mechanisms of virulence, resistance, and evasion. This often leads to host specificity, but genomic reassortment between different strains can enable parasites to jump host barriers and conquer new niches. In the apicomplexan parasite Cryptosporidium, genetic exchange has been hypothesized to play a prominent role in adaptation to humans. The sexual lifecycle of the parasite provides a potential mechanism for such exchange; however, the boundaries of Cryptosporidium sex are currently undefined. To explore this experimentally, we established a model for genetic crosses. Drug resistance was engineered using a mutated phenylalanyl tRNA synthetase gene and marking strains with this and the previously used Neo transgene enabled selection of recombinant progeny. This is highly efficient, and genomic recombination is evident and can be continuously monitored in real time by drug resistance, flow cytometry, and PCR mapping. Using this approach, multiple loci can now be modified with ease. We demonstrate that essential genes can be ablated by crossing a Cre recombinase driver strain with floxed strains. We further find that genetic crosses are also feasible between species. Crossing Cryptosporidium parvum, a parasite of cattle and humans, and Cryptosporidium tyzzeri a mouse parasite resulted in progeny with a recombinant genome derived from both species that continues to vigorously replicate sexually. These experiments have important fundamental and translational implications for the evolution of Cryptosporidium and open the door to reverse- and forward-genetic analysis of parasite biology and host specificity.
The gastrointestinal parasite Cryptosporidium is a leading cause of diarrheal disease around the world and responsible for frequent waterborne outbreaks in the United States (1, 2). Cryptosporidium is an AIDS-defining opportunistic infection and a severe threat to immunocompromised individuals (3). While the disease is typically self-limiting in healthy adults, more recent epidemiological studies revealed that young children, in particular those who are malnourished, are highly susceptible to severe disease, and cryptosporidiosis is an important cause of early childhood mortality (2) as well as growth and development stunting (4–6). Vaccines and fully effective treatments are lacking.
Initially, a single species, Cryptosporidium parvum, was recognized in a wide range of mammals including humans (7). Extensive population genetic analysis (8) led to the current model of numerous species, subspecies, and strains (9). While these organisms have very similar genome sequences (10), they show profound phenotypic differences in host specificity (11), virulence (12), antigen repertoire (13, 14), and drug susceptibility (15), which impacts the epidemiology (16, 17), treatment, and prevention of the disease.
Cryptosporidium has a single-host, obligate sexual lifecycle, and sex is hypothesized to drive parasite adaption to new hosts, and changing environments (17–19). However, the true boundaries for sex and recombination within and between Cryptosporidium species are unknown, and our mechanistic understanding of gamete compatibility, fertilization, and meiosis is limited. Genetic crossing experiments have been attempted, but technical challenges in isolating and typing progeny limited the conclusions that could be drawn (20–22).
Here, we sought to develop a rigorous model for genetic crosses in Cryptosporidium by using drugs to isolate recombinant progeny to the exclusion of parental organisms. However, thus far, only a single drug-selectable marker was available for this organism, neomycin phosphotransferase (neo) which confers resistance to paromomycin (23). Cryptosporidium is naturally resistant to the inhibitors of protein, nucleotide, and folate synthesis used in other apicomplexans due to its highly reduced metabolism (23–25). The necessity to propagate the parasite in animals excludes many resistance genes due to the toxicity of the drugs used in their selection. We therefore turned our attention to aminoacyl-tRNA synthetases, essential enzymes that have emerged as targets of anti-parasitic compounds (26–31). Among these, phenylalanyl tRNA synthetase (PheRS) was recently identified as a promising antimalarial target by phenotypic screening followed by genetic and biochemical validation studies (27, 32). The bicyclic azetidine BRD7929, an analog of the screening hits, was potent in multiple models of malaria. Cryptosporidium is susceptible to BRD7929 in vitro and in vivo, and a single-point mutation of the pheRS gene confers enhanced resistance (26). Building on this finding here, we design, test, and validate a dominant drug selection marker. We demonstrate that using mutated pheRS and neo as markers, recombinant progeny is readily isolated in genetic crossing experiments, and use this model to construct complex mutants and to explore the species boundaries of sex in Cryptosporidium.
Results
Mutation of Cryptosporidium pheRS Permits Selection for Transgenic Parasites.
Cryptosporidium modified to carry a mutation changing PheRS leucine 482 to valine showed enhanced resistance to BRD7929 (26). We hypothesized that this mutation could function as a dominant marker for transgenesis. We therefore engineered a template for homologous recombination to modify the endogenous pheRS locus that also introduces a nano luciferase/tdNeonGreen reporter cassette (Nluc/tdNG) (Fig. 1A). C. parvum sporozoites were electroporated with this construct along with a CRISPR/Cas9 plasmid targeting the pheRS locus (Fig. 1A). Ifnγ−/− mice infected with these parasites were treated with 10 mg/kg/day BRD7929. BRD7929 is not yet commercially available and we therefore synthesized 1 g of the compound; please refer to SI Appendix, Figs. S1–S3 for detail on optimized synthesis and documentation of structure and purity. Sustained luciferase activity was detectable in the feces of infected mice beginning on day 8 (Fig. 1B). Oocysts shed from day 9 to 17 were purified and subjected to flow cytometry, which showed green fluorescence in the transgenic parasites (pheRSr-Nluc-tdNG, Fig. 1C) but not in wild type (Cp WT, Fig. 1C). Genomic DNA was isolated from transgenic and wild-type oocysts and PCR mapping of the pheRS locus confirmed transgene integration (SI Appendix, Fig. S4A). Human colorectal (HCT-8) cells were infected and showed green fluorescent parasites at all time points and lifecycle stages observed (SI Appendix, Fig. S4B). We have since used this strategy numerous times and found it to reliably result in the isolation of stable transgenic organisms.
Fig. 1.
PheRS can be used as a selection marker for stable transgenesis. (A) Map of the pheRS locus targeted by insertion of a construct that includes the single base mutation that confers resistance to BRD7929, nano luciferase (Nluc), and the fluorescent protein reporter tdNeonGreen. (B) Ifnγ−/− mice were infected with transfected parasites and burden was monitored by fecal luciferase activity. (C) Oocyst were purified from the feces and subjected to flow cytometry and transgenic parasites were highly fluorescent (gray: Cp WT; green: Cp-pheRSr-Nluc-tdNG).
A Mutated pheRS Gene Cassette Can Be Used as a Selection Marker In Trans.
Mutating the pheRS locus is suitable to introduce transgenes but does not allow modification of other positions in the genome. We thus asked whether introducing a mutated copy of the pheRS gene into a different locus would allow selection in trans. We engineered a construct that consisted of the entire pheRS gene including its promoter and the resistance mutation (Fig. 2A) and Nluc and targeted three dispensable loci that we previously successfully modified using the Neo marker. However, we only observed luciferase activity in one of these experiments targeting the thymidine kinase (tk) locus (23), and noted much lower luciferase reads than in previous experiments (Fig. 2B). We collected feces and infected a second group of mice, this time omitting BRD7929 treatment, and observed 100-fold higher luciferase activity in this second passage (SI Appendix, Fig. S5A). PCR mapping showed integration of the mutated pheRS version into the TK locus (SI Appendix, Fig. S5B) and amplicon sequencing demonstrated that only the transgenic copy carried the resistance mutation, while the endogenous version was unchanged (SI Appendix, Fig. S5C). We conclude that pheRS can be used as a selection marker in trans to disrupt genes (pheRSr-TK-KO), but that the success rate appeared to be lower compared to modification of the endogenous locus.
Fig. 2.

Using pheRS as selection marker in trans. (A) Map of the TK locus targeted by insertion of a construct that includes the pheRS gene (the last 113 bp were recodonized and carry the resistance mutation) and nano luciferase (Nluc). (B) Fecal luciferase activity from mice infected with parasites transfected using the transgene shown in A. (C) Parasite growth in HCT-8 cells assessed by measuring luminescence in the presence of the indicated concentrations of BRD7929. Means and SD of 3 biological replicates are shown; the entire experiment was conducted twice with similar results. (D and E) Ifnγ−/− mice were infected with pheRSr-TK-KO (D) or pheRSWT (E), treated with the indicated doses of BRD7929 on days 4 to 8, and fecal nano luciferase activity was measured. (F) Parasites were transfected with construct shown in A. Infected Ifnγ−/− mice were treated with 5 mpk BRD7929, and fecal nano luciferase activity was measured. (G) PCR mapping using genomic DNA from transgenic parasites selected in F demonstrating integration into the TK locus.
We considered that pheRS modification in cis and trans might confer different levels of drug resistance. To test this, we compared the susceptibilities of the trans pheRSr-TK-KO (Fig. 2C, yellow), cis pheRSr-Nluc-tdNG (green), and pheRSWT (blue) selected with paromomycin. Sporozoites were used to infect HCT-8 cultures, and luciferase activity was measured after 48h over a range of BRD7929 concentrations (Fig. 2C). The IC50 for pheRS WT was 56.5 nM and 1,028 nM for pheRSr-Nluc-tdNG, respectively, similar to values previously reported for BRD7929 resistant and susceptible C. parvum (26). Interestingly, for the pheRSr-TK-KO strain, we determined an intermediate level of susceptibility (IC50 = 462.7 nM). We also measured susceptibility in animals. Ifnγ−/− mice were infected with the pheRSr-TK-KO strain and treated with 10 mg/kg, half that dose (5 mg/kg) to roughly match the difference in IC50, or carrier. Fecal luminescence measurements were normalized to the values measured on day 4 when treatment was initiated (Fig. 2D). Mice treated with the half dose showed values similar to untreated mice (Fig. 2D), treatment with 10 mg/kg resulted in reduced shedding. Both doses were equally effective in curing mice infected with pheRSWT (Fig. 2E). We conclude that introducing the pheRSr marker in trans confers resistance, yet at a lower level. We therefore conducted transfection experiments employing BRD7929 dosing reduced to half and found that transgenic parasites were readily isolated with a parasite burden matching those seen when modifying pheRS in cis, or using Neo and paromomycin (Fig. 2 F and G).
Drug Selection Enables Genetic Cross and Isolation of Recombinant Progeny in C. parvum.
Genetic exchange by sex has been reported for Cryptosporidium (33), but isolating recombinant progeny has been difficult. We therefore tested whether parasites resistant to different drugs can be crossed using a dual selection protocol. We constructed C. parvum strains with complementary drug markers, and fluorescent reporters: one BRD7929 resistant and green fluorescent (Cp-pheRSr-Nluc-tdNG), the other paromomycin resistant and red (Cp-Paror-tdTom) (Fig. 3A). Both strains carried the luciferase reporter to track the infection. Ifnγ−/− mice were infected with each strain individually or with both, and treatment with paromomycin and BRD7929 was initiated after 4 d (Fig. 3B). Mice infected with individual strains were cured by this treatment within 4 d (Fig. 3 C and D), and infection did not relapse when the drug treatment ended on day 8. In contrast, mice co-infected with both strains showed continued heavy shedding (Fig. 3E). We conclude that parasites, carrying a single marker, are fully susceptible to the drug cocktail, and that coinfection produced double-drug resistance, suggesting successful recombination and cross.
Fig. 3.

Establishment of highly efficient crosses in Cryptosporidium. (A) Maps of the loci used to mark each of the parental C. parvum lines. (B) Experimental set-up of the crossing experiment between pheRSr-Nluc-tdNG which is susceptible to BRD7929 and expresses tdNeonGreen and Paror -tdTom which is susceptible to paromomycin and expresses tdTomato. (C–E) Ifnγ−/− mice were infected with the indicated parasite strains, subjected to dual drug treatment, and parasite burden was measured by fecal luciferase assay. Note that single infected mice are cured while co-infected mice remain infected. BRD7929 treatment was stopped on day 8, paromomycin treatment was continued until the end of the experiment. (F–H) Flow cytometric analysis of oocysts isolated from E at the days indicated (days 11 and 14 were indistinguishable from ref. 8, see SI Appendix, Fig. S6 A and B). F shows a mixture of both parental strains. (I) PCR mapping of the marked TK and pheRS loci in the parental lines and the cross (numbers indicate primer pairs highlighted in A). Note that the progeny of the cross is recombined and inherited markers and reporters from both parents.
We next used fluorescence to phenotype the progeny at the single-oocyst level. Oocysts were purified from the feces and subjected to flow cytometry on days 4 and 8. Parental parasites were used to establish strain-specific cytometry gates, and we found exclusive staining of each strain (Fig. 3F). On day 4 of co-infection, we observed red, green, and importantly, double positive oocysts (Fig. 3G), which accounted for roughly half of the recorded events. Following the impact of treatment, we observed uniform red and green fluorescence (Fig. 3H and SI Appendix, Fig. S6 A and B). We note populations displaying intermediate fluorescence for either red or green on day 4 that are subsequently lost during selection (Discussion). When we PCR amplified transgenes using diagnostic primer pairs in the parental strains, single amplicons were detected in a strain-specific fashion; however, when using oocyst selected in crosses, both amplicons were present (Fig. 3I). We repeated this genetic cross with a similar outcome and thus conclude that applying the pressure of two drugs results in the selection of recombinant progeny to the exclusion of the parental strains.
Sexual Cross Permits Isolation of Conditionally Lethal Mutants.
The ease and efficiency of recombination led us to ask whether crosses may enable more complex genetic manipulations in C. parvum. We recently demonstrated the use of dimerizable Cre recombinase (DiCre) for rapamycin induced gene ablation; however, introducing loxP sites and recombinase in a single transfection is challenging (see extended technical discussion in ref. 34). To overcome this, we devised a model in which we cross a Cre driver and a floxed strain (Fig. 4A). We generated DiCre-expressing parasites using BRD7929 selection (pheRSr-Nluc-DiCre, Fig. 4A and SI Appendix, Fig. S7A), and a color switch reporter line (loxP-tdTom-loxP-tdNeon-Nluc-Paror, Fig. 4A and SI Appendix, Fig. S7A) using paromomycin selection. Introns harboring loxP sites were placed to allow Cre-mediated excision of the red marker to activate the green. The strains were crossed as described (Fig. 3A), and purified oocysts were used to infect HCT-8 cells. After 3 d, genomic DNA was isolated, and the floxed gene was amplified by PCR. Rapamycin treatment led to loss of the large amplicon and concomitant accumulation of a smaller molecule (Fig. 4B) consistent with Cre-mediated excision. We also noted some leaky Cre activity in the absence of rapamycin as previously described (34). Infected cultures grown in the presence or absence of rapamycin for 48 h, were fixed and imaged. Parasites not exposed to rapamycin expressed tdTomato, while those exposed to rapamycin expressed tdNeonGreen (Fig. 4C), and we quantified this switch using flow cytometry (Fig. 4D).
Fig. 4.

Conditional gene ablation in crossed progeny. (A) Illustration of the experimental set-up crossing a Cre driver with floxed strains and the respective phenotypic assays for gene excision. (B–D) Progeny of the loxP-tdTom-loxP-tdNeon-Nluc-Paror color switch cross was used to infect HCT-8 cells and cultures were treated with rapamycin (Rapa). (B) Genomic DNA was extracted from oocysts (cross) or from cultures infected for 3 d, and the floxed gene was amplified by PCR. Amplicons are 2,076 bp for the floxed, and 467 bp for the excised locus, respectively. (C) Representative micrographs of HCT-8 cells infected with cross progeny after 48 h with or without rapamycin. (Scale bar, 5 μm.) (D) HCT-8 cells infected with cross progeny were analyzed by flow cytometry after 72 h of rapamycin treatment and relative transgene expression is plotted as their portions of total fluorescent cells. Means and SDs of three biological replicates are shown. (E and F) Ifnγ−/− mice were infected with progeny of the cross between the DiCre and Cp-loxP-Paror -loxP strains. (E) Ifnγ−/− mice infected with the progeny of a cross between the DiCre and Cp-loxP-Paror-loxP lines, treated with rapamycin or vehicle, and genomic DNA was extracted from the feces at the indicated times. PCR analysis revealed amplicons for the floxed (1,269 bp) and excised locus (432 bp), respectively. Note strong rapamycin dependent induction. (F) Fecal nano luciferase measurements from these mice revealed paromomycin susceptibility as a consequence of in vivo Cre-mediated excision induced by rapamycin.
We next engineered a strain that carried a floxed drug resistance cassette (Cp-Nluc-loxP-Paror-loxP, Fig. 4A and SI Appendix, Fig. S7 A and B). This strain was again crossed with the DiCre driver and recombinant progeny was isolated. HCT-8 cells infected with these parasites were incubated in the presence or absence of rapamycin, and diagnostic PCR showed progressive excision under rapamycin (SI Appendix, Fig. S7C). To test the functional consequence of treatment we turned to in vivo experiments. Two groups of Ifnγ−/− mice were infected with the progeny, and all animals were treated with paromomycin. One group was also treated with rapamycin (10 mg/kg/day by gavage). PCR of the floxed locus demonstrated efficient rapamycin-dependent excision in vivo (Fig. 4E). Following fecal luminescence, we observed robust infection in the vehicle-treated group, confirming the progeny’s resistance to paromomycin. In contrast, mice receiving rapamycin showed dramatic reduction of parasite burden (Fig. 4F). We conclude that sexual cross permits modification of multiple independent loci and that applying this system to gene deletion results in conditional mutants allowing the study of essential genes in vivo.
Testing the Boundaries of Genetic Exchange between Cryptosporidium Species.
Numerous species of Cryptosporidium have been described largely defined by ecological isolation through host specificity (19), reflected in names like Cryptosporidium hominis, Cryptosporidium meleagridis, or Cryptosporidium canis. Whether they are reproductively isolated, is unknown, but of great epidemiological importance (23, 33, 35). We sought to test the species barrier experimentally using C. parvum and Cryptosporidium tyzzeri, two species with 95% identical genome sequence (36–38). C. tyzzeri naturally infects mice, and C. parvum cattle and humans, however, both can infect mice lacking interferon γ. We therefore engineered C. tyzzeri strain STL [(39), a kind gift from Dr. Chyi-Song Hsieh] to express red fluorescent protein using paromomycin selection (optimized dose of 32 g/L, Ct Paror-Nluc-tdTom, SI Appendix, Fig. S8A). PCR demonstrated transgenesis (SI Appendix, Fig. S8B), and purified oocysts showed homogenous red fluorescence (SI Appendix, Fig. S8C).
We next co-infected Ifnγ−/− mice with 2,000 oocysts of Ct Paror-Nluc-tdTom and 8,000 oocysts of Cp pheRSr-Nluc-tdNG and initiated dual drug selection on day 4 (we biased the inoculum toward C. parvum to balance C. tyzzeri’s superior ability to infect mice). Parasite burden rapidly declined upon treatment (Fig. 5A), however, rebounded and increased to 100-fold by day 21, indicating the emergence of dual drug resistance. When analyzed by flow cytometry the parents were either red or green (Fig. 5B). In contrast, oocyst isolated on day 21 of coinfection were exclusively double positive (Fig. 5C). We amplified segments of the progeny’s genome carrying the resistance markers as well as the 18S and gp60 loci, both commonly used in genotyping (40, 41). Sequencing these amplicons revealed C. tyzzeri–specific SNPs in TK and gp60 and C. parvum–specific sequences in the PheRS and 18S loci (Fig. 5D). To test this genome-wide, we conducted whole genome sequencing of both parents and the progeny and obtained ~75 fold coverage for the progeny (Fig. 5E). The Cp parent is near identical to the C. parvum reference genome (868 SNPs), while the Ct parent shows 186,218 SNPs. In Fig. 5F, the relative frequency of these Ct SNPs across all eight chromosomes of the progeny are plotted. This showed interspecies recombination for multiple chromosomes. The nanopore bulk sequencing shows that some chromosomes are largely derived from a single parent, and this is particularly noticeable (but not exclusive) for those chromosomes carrying the selection marker (3 for Cp and 5 for Ct). We also obtained long-read sequence for smaller portions of the genome from single oocysts isolated by flow cytometry; it is currently impractical to clone this organism. As one example on chromosome 8, we find sequences from both parents, and bridging cross-over points were supported by hundreds of long reads (Fig. 5G and SI Appendix, Fig. S9). SI Appendix, Fig S10 shows a more detailed comparison of bulk and single oocyst genome sequences for chromosomes 2, 5, and 4, contrasting preferential inheritance from a single parent with balanced ancestry, respectively. Zooming in to even higher resolution SI Appendix, Fig. S11 shows diversity among single oocysts and numerous apparent cross-over sites. To which degree these patterns reflect meiotic cross-over or meiotic gene conversion repair events requires further study, and they may be the product of both.
Fig. 5.
Testing the species boundaries of genetic exchange in Cryptosporidium. (A) Ifnγ−/− mice were infected with C. parvum pheRSr-Nluc-tdNG and C. tyzzeri Paror-tdTom and subjected to dual drug treatment over the time indicated by shading in yellow. Parasite burden was measured by the fecal nano luciferase assay. (B) Flow cytometry of a mixture of both parental oocysts, and (C), oocyst isolated on day 21 (arrow in A) following coinfection showing uniform double positive fluorescence. (D) The indicated loci were amplified by PCR from day 21 progeny oocysts, and amplicons were subjected to Sanger sequencing. Amplicons were genotyped using species-specific SNPs. C. tyzzeri SNPS are shown in red, those specific for C. parvum in green. Agarose gel shows the fragments that were sent in for sequencing. Red and green lines depict SNPs between C. parvum and C. tyzzeri. (E) Coverage of nanopore reads of the cross. The red line indicates median coverage for each chromosome. (F) Calculation of the common C. tyzzeri SNP position and frequency obtained from bulk sequencing of the crossed progeny plotted across all 8 chromosomes. (G) Progeny was also subjected to single-oocyst sequencing and a recombinant locus on chromosome 8 is depicted. The colors in the read coverage plot represent the nucleotide of SNPs, with adenine in green, cytosine in blue, guanine in yellow, and thymine in red (see SI Appendix, Fig. S9 for a multiple sequence alignment of long reads at this locus) and SI Appendix alignment of 50 randomly selected reads.
Discussion
Parasitism is one of the most powerful ecological drivers of speciation and parasites like braconid wasps, mites, or apicomplexans are among the most species-rich eukaryotic taxa (42, 43). The host–parasite arms race of restriction and evasion results in diversifying evolution and favors the emergence of host specificity (44). In turn, host specificity provides isolation by habitat, further accelerating speciation. This is evident in the genus Cryptosporidium where numerous different species and strains infect a variety of animals (45). C. parvum, one of the most important and best-studied species, alone comprises at least 20 subtypes (46), some appear in the process of speciation by adaptation to humans as exclusive host (47). Species boundaries are also maintained by reproductive isolation. What role such sexual incompatibility plays for parasites is largely unknown, but is an important question, as sexual recombination can result in hypervirulence and global expansion of new strains as documented for, e.g., Toxoplasma gondii (48).
Here, we develop an experimental model for genetic crosses in C. parvum in mice to study parasite sex. Using fluorescent parents, we show evidence of robust recombination by flow cytometry. Interestingly, early in infection, we observed oocysts with different fluorescence levels, which likely reflects maternal cytoplasmic inheritance (SI Appendix, Fig. S12). The female gamete is much larger and responsible for the bulk of the oocyst proteome (35, 49). In the first cross, maternal fluorescence thus outweighs the male, following selection both parents are double positive, yielding uniform highly fluorescent progeny. Highly fluorescent oocysts therefore are the product of at least two subsequent crosses, indicating that 4 d into the infection, some parasites already ran through their lifecycle twice. This may appear fast but matches the compact 48 h lifecycle recently established by time lapse microscopy (50). Using two mechanisms of drug resistance selects for recombinant progeny to the exclusion of their parents. This is very efficient, underscoring that Cryptosporidium oocysts are indeed autoinfective and continuously reset the lifecycle sustaining infection. This differs from other well-studied apicomplexans where infection is sustained by the continuous replication of an asexual form and sexual differentiation is linked to transmission to the next host (51).
Progeny are readily observed when crossing C. parvum strains, and maybe surprisingly, also when pairing C. parvum with a different species, C. tyzzeri. We rigorously documented genetic exchange using measurements of drug resistance, fluorescent protein expression, PCR mapping, and whole genome sequencing, which demonstrated the presence of SNPs from both species on the same DNA molecule. We conclude that, using selection and a host susceptible to both species [we used Ifnγ−/− mice here (38, 52)], the species barrier can be breached. Not all chromosomes showed equal levels of recombination and further studies are needed to determine whether this reflects strong selection (e.g., due to the presence of the marker) or local meiotic incompatibilities. Overall, our findings suggest that the current species concept and taxonomy rests largely on ecological and not reproductive isolation.
The availability of a second selection marker and the ease of crossing now permits modification or ablation of multiple loci. Crossing floxed parasites with Cre driver strains, resulted in highly penetrant conditional gene ablation, a critical tool to dissect essential phenomena in a haploid organism. Rapamycin induction can be used in vivo in animals, which is of particular interest for Cryptosporidium, where not all aspects of parasite biology are well modeled in tissue culture. Numerous additional methods have been developed to study essential genes in apicomplexans, allowing for ablation or modulation at the gene, transcript, or protein level, each with their own relative strengths and weaknesses (53). Most importantly, however, the model reported here enables forward genetic studies in Cryptosporidium. Genetic mapping revealed mechanisms of drug resistance and virulence in Plasmodium (54, 55) and Toxoplasma (56–59). Currently, it is not practical to clone individual progeny of Cryptosporidium crosses. However, bulk segregant analysis to map quantitative trait loci is well suited to this parasite, please refer to ref. 60 for a thoughtful review of recent technological advances. Cryptosporidium is well suited to this approach: It has a small genome, follows Mendelian rules of inheritance (33, 61), and strains that differ in host specificity, virulence, and drug susceptibility have been reported (12, 15, 62) that lend themselves to build the selection component inherent to quantitative trait mapping by bulk segregant analysis. Much of the biology of Cryptosporidium remains poorly understood, we expect the use of genetic crosses to discover gene function by mapping to be transformative.
Materials and Methods
Parasites and Mice.
C. parvum Iowa II (IIa) strain oocysts were obtained from Bunch Grass Farms. A C. tyzzeri strain isolated from laboratory mice at Washington University in St. Louis was kindly provided by Dr. Chyi-Song Hsieh, University of Washington (39). Parasites were maintained in 6- to 8-wk-old male and female Ifnγ−/− (Jackson Laboratory stock no. 002287) or C57BL/6 (Ct) mice bred in-house. Six- to eight-week-old mice were treated with antibiotics and infected as detailed in ref. 23. Feces were collected from each mouse and mixed, and 20 mg were used to measure parasite burden by luciferase assay.
Generation of Transgenic Parasites.
Guide oligonucleotides (Sigma-Aldrich) were introduced into the C. parvum Cas9/U6 plasmid (23) by restriction cloning (see ref. 63 for guide design) and repair templates were constructed by Gibson assembly (New England Biolabs). Excysted sporozoites were transfected as described (63). Details on the transgenic strains generated in this study can be found in SI Appendix.
To generate transgenic parasites, 5 × 107 oocysts were incubated at 37 °C for 1 h in 10 mM HCl followed by two washes with phosphate buffered saline (PBS) and an incubation at 37 °C for 1 h in 0.2 mM sodium taurocholate and 22 mM sodium bicarbonate to induce excystation (64). Excysted sporozoites were electroporated and used to infect mice as described in ref. 63. Integration was evaluated by PCR using primers detailed in SI Appendix, Table S2.
Cell Culture and Microscopy.
HCT-8 cells were purchased from ATCC (CCL-224TM) and maintained in RPMI 1640 medium (Sigma-Aldrich) supplemented with 10% Cosmic calf serum (HyClone). Cells were infected with bleached and washed oocysts and serum was reduced to 1%. Infected cells were fixed with 4% paraformaldehyde (Electron Microscopy Science) in PBS and stained with Hoechst (1 μg/mL). Coverslips were then mounted on glass slides with fluorogel (Electron Microscopy Science) mounting medium.
Cryptosporidium In Vitro Drug Assays and IC50 Determination.
HCT-8 cells were infected with 1,000 oocysts per well and incubated with drug. Medium was aspirated after 48 h, cells were lysed and mixed with NanoGlo substrate (Promega) and luminescence was measured using a Glomax reader (Promega) (63). IC50 values were calculated in GraphPad Prism software v9 (two experiments, each conducted with triplicate wells).
Rapamycin Treatment.
Rapamycin (LC Laboratories) was dissolved in 95% ethanol (50 mg/mL stock). Mice were weighed and treated daily by oral gavage with 100 μL of drug solution adjusted with water to deliver 10 mg/kg body weight.
Flow Cytometry.
Oocysts were enriched using a miniaturized sucrose floatation of feces from infected mice (see SI Appendix for a detailed protocol), resuspended in fluorescence activated cell sorting (FACS) buffer (1× PBS, 0.2% bovine serum albumin, 1 mM ethylenediaminetetraacetic acid). Infected HCT8 cells were trypsinized, washed in FACS buffer, blocked (99.5% FACS Buffer, 0.5% normal rat IgG, 1 µg/mL 2.4G2), washed, and stained with Hoechst (1 μg/mL) on ice. All samples were passed through a 35 μm filter prior to flow cytometry using a LSRFortessa or FACSymphony A3 Lite and analyzed with FlowJo v10 software (TreeStar).
Genome Sequencing.
DNA extraction, sequencing, and computational analyses including variant mapping are detailed in SI Appendix. In brief, 150-bp paired-end Illumina sequencing was used for parental strains, cross-progeny were subjected to multiple displacement amplification and Oxford Nanopore sequencing.
Supplementary Material
Appendix 01 (PDF)
Acknowledgments
This work was supported in part by the NIH with grants to B.S. (R01AI112427 and R01AI127798), J.C.K. and Travis Glenn (R01AI148667), a fellowship to I.S.C. (F30AI169744), support to F.A.-D. (T32GM142623), and fellowships from the Swiss NSF to S.S. (P2BEP3_191774 and P500PB_211097). We thank Chyi Hsieh for sharing C. tyzzeri oocysts, and Abhijit Kundu (TCGLS) for small molecule synthesis, and Travis Glenn for help with single oocyst sequencing and mentorship of F.A.-D.
Author contributions
S.S., G.X., B.M., and B.S. designed research; S.S., I.S.C., R.P.B., and F.A.-D. performed research; R.P.B., G.X., B.M., F.A.-D., and J.C.K. contributed new reagents/analytic tools; S.S., R.P.B., F.A.-D., J.C.K., and B.S. analyzed data; and S.S. and B.S. wrote the paper.
Competing interests
The authors declare no competing interest.
Footnotes
This article is a PNAS Direct Submission.
Data, Materials, and Software Availability
Raw sequence read data can be obtained from NCBI BioProject PRJNA1000584 (65) and BioSamples SAMN36772387, SAMN36772388, and SAMN36772389.
Supporting Information
References
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Appendix 01 (PDF)
Data Availability Statement
Raw sequence read data can be obtained from NCBI BioProject PRJNA1000584 (65) and BioSamples SAMN36772387, SAMN36772388, and SAMN36772389.


