Abstract
Cryptosporidium parvum is an apicomplexan parasite that infects a wide range of hosts including humans. Due to the parasite's quasi-intracellular, intermembrane location on the host cell, it is difficult to purify parasites from in vitro and in vivo infections for molecular studies. We have developed a method to greatly enrich in vitro C. parvum merozoites from host cells. The efficiency of the protocol was assessed with C. parvum (KSU-1 isolate) parasites of different developmental stages isolated following a synchronized infection of HCT-8 host cells. Total RNA was extracted from the samples and used to evaluate the quantity of host cell contamination in enriched parasite fractions. The quality of the RNA was verified using an Agilent BioAnalyzer. cDNA libraries of RNA isolated from 24 and 48 h C. parvum in vitro preparations isolated via this protocol were sequenced at the Broad Institute via an NIH Microbial Sequencing (GSCID) Contract. Cryptosporidium sequences comprised 30% of the cDNA reads, demonstrating significant enrichment.
Keywords: Cryptosporidium, merozoite, tissue culture, enrichment, in vitro
Graphical abstract

1. Introduction
Parasites of the genus Cryptosporidium are zoonotic and have been shown to be the second leading cause of diarrhea in infants in many countries [1, 2]. Cryptosporidium is spread via the oral fecal route in water and food [3]. Cryptosporidium parasites have proven difficult to culture continuously in vitro leading to the use of animal models (cow and immunosuppressed mouse) for propagation and study [4-6]. Although C. parvum can infect human ileocecal (HCT-8) cells and other intestinal epithelial cell lines in vitro, it does not complete its life cycle and produce infective oocysts when cultured in a typical cell culture monolayer [7]. Following in vitro infection of a host cell monolayer, Cryptosporidium parvum progresses through asexual (type I and II merozoites) and sexual (microgamont and macrogamont) life stages, yet no viable infective oocysts are produced [8].
The molecular biology of these asexual and sexual life stages is poorly understood because each stage exists as only a fraction of the overall Cryptosporidium infection, and these fractions are dwarfed in size by the host cell. For reference, the infectious form of Cryptosporidium, the oocyst, is roughly spherical, contains four sporozoites and is ∼5 μM in diameter or approximately 65 μM3 [5]. For reference, the volume of a fibroblast is 2000 μM3 and a HeLa cell is 3000 μM3 [9]. To facilitate the study of Cryptosporidium life cycle stages that occur following host-cell infection, an enrichment protocol was developed to isolate post-infection (non-sporozoite) stages from infected host cells. Enrichment is further complicated by the cellular localization of C parvum parasites in quasi-intracellular, intermembrane location on the host cell which suggests that C parvum parasites, unless released as merozoites or gamonts, might pellet with cellular membrane fractions. In this study, cellular membrane fractions were avoided and the focus was on enrichment of liberated, or free, merozoite stages. Enriched fractions were subjected to RNA isolation and subsequent sequence generation. Based on the data obtained, at 24 and 48 h post-infection time points, merozoites were easily enriched. However, enrichment at 72 h post infection, was limited. Parasite RNA yield was increased by using a large number of tissue culture flasks (4-8 T75) and high multiplicity of infection (MOI).
When this enrichment protocol for in vitro C. parvum developmental stages was developed in late 2005, only limited EST data (567 EST reads total) from non- in vitro/in vivo stages, e.g. sporzoites, were available for C. parvum [10]. Shortly thereafter, 27,498 EST reads for C. muris RN66 were generated from oocysts (Da Silva et al., 2008, unpublished) and 10,110 full-length ESTs from C. parvum HNJ-1 oocysts (Watanabe et al, 2009, unpublished) were deposited in the GenBank EST archive [11]. The EST sequence data described here, were generated from C. parvum KSU-1 sporozoites and in vitro enriched life cycle stages (24-48 h post-infection) and they were submitted to the GenBank in 2009. Like many EST studies, they were shared with the community but were unpublished.
RNA-Seq data are now being generated from in vitro or in vivo C. parvum infections (Hehl et al., unpublished, CryptoDB; Widmer unpublished, CryptoDB) [12-14], but the efficiency of recovery of post-infection parasites stages is very poor, ranging from 1-4% of total transcripts (Sateriale, personal communication; [15]. The protocol described here provides yields of up to 30% parasite transcripts. Given the large number of new researchers entering the Cryptosporidium field this enrichment protocol is being shared to help facilitate research on the biology of this important pathogen.
2. Materials and Methods
2.1 Parasites and host cells utilized
Cryptosporidium parvum parasites were the KSU-1 strain maintained at Kansas State University. Oocysts less than 3 months of age were used. Host cells were Human colon ileocecal cells, HCT-8 [HRT18] (ATCC® CCL244™ American Type Culture Collection, Rockville, MD).
2.2 Media utilized
Infection media: RPMI 1640 (Thermo Fisher) with 10% Opti-MEM (Gibco), 10% heat inactivated Fetal Bovine Serum (HyClone) and 2mM L-glutamine (Thermo Fisher).
Growth Media: RPMI 1640, 10% Opti-MEM (Gibco), 50 mM glucose, 35 μg/ml ascorbic acid, 2.0 μl/ml folic acid, 4.0 μg/ml 4-amino benzoic acid, 2.0 μg/ml calcium pantothenate, 250 μM sodium butyrate (Alfa Aesar Cat# A11079), 250 μM sodium propionate (Alfa Aesar Cat# A17440), 20 μM beta-mercaptoethanol, 0.02% w/v bovine bile salts. The pH is adjusted to 7.4.
2.3 Oocyst sterilization
C. parvum KSU-1 oocysts were sterilized by treatment with 10% bleach (sodium hypochlorite) in ddH2O for 10 min at room temperature as described previously [16, 17]. The oocysts were then washed twice with PBS and resuspended in 980 μl of infection media. A small aliquot of resuspended oocysts was then counted at a 1:100 dilution in H2O on a hemocytometer to determine their concentration.
2.4 Sporozoite excystation for use in tissue culture monolayer infections
Oocysts were added to infection media supplemented with 100 μl of a freshly-prepared 2.5% bovine bile salt solution (Sigma, B-3883; syringe filtered (0.22 μM filter)) to reach a total volume of 5 ml and induce excystation. If tissue culture monolayers were to be infected, 107 oocysts were used for cultures to be harvested at 24 h, 106 for harvests at 48 h and 105 for harvests at 72 h). 5 ml of excystation preparation per T75 flask to be infected were prepared. Six to Twelve T75 flasks per time period (24, 48 or 72 h) were prepared. The excystation mixture was added to flasks as described below. An extra aliquot (not added to a flask) was prepared in 1 ml of infection media and used to monitor excystation progress at 37 °C.
2.5 In vitro tissue culture
HCT-8 cells were seeded in T75 flasks (a 1:2 split) the day before the planned in vitro infection and allowed to grow until they reached approximately 90% confluency at 37°C with 5% CO2 in Growth Media [18, 19]. When the HCT-8 cells were almost confluent, the tissue culture growth media was removed and replaced with 5 ml of the oocyst excystation mixture described above and the flasks were incubated at 37 °C with 5% CO2 for 2 h. Any remaining oocysts or free sporozoites were removed after the 2 h infection period via media removal and 2 washes with 5 ml of pre-warmed PBS. 20 ml of infection media was then added to each flask and the flasks were incubated at 37°C with 5% CO2. Infected monolayers were harvested at 24, 48 and 72 h post-infection. The target infection rate for 24 h in vitro cultures was an MOI of 15 C. parvum parasites per host cell.
2.6 Harvest and enrichment of post-infection parasites
C. parvum post-infection parasites were harvested by removal of the media from the infected tissue culture monolayer followed by a rinse with 5 ml of PBS to remove cell debris. A Pasteur pipet was used to remove any remaining media. 4 ml of trypsin/EDTA (Gibco) was added to the monolayer and the flasks were returned to 37 °C for 15-20 min or until the cells detached from the flask surface.
In preparation for a subsequent step, Percoll reagent (Sigma P1644) was warmed to room temperature and used to prepare 1 ml of a 30% Percoll solution in PBS. 0.5 ml of the solution was placed into each of two, 2 ml low adhesion/retention microfuge tubes and they were set aside at room temperature.
The trypsinized cells were collected in a 50 ml conical tube (6 flasks/tube) and an equal volume of ddH2O was added. The cells were pelleted by centrifugation at 350 × g for 10 min. The supernatant was removed and 0.5 ml PBS was added without resuspension. The HCT-8 cell pellet + PBS solution was then drawn up through a 22 gauge needle and dispensed into a fresh 2 ml low adhesion microfuge tube. The dispensed HCT-8 and PBS mixture was then drawn and ejected two more times through the same 22 gauge needle to further disrupt the cells. The total volume was then brought up to 1.5 ml in the 2.0 ml tube with the addition of PBS. 0.5 ml of room temperature Percoll was added to the tube make a total of 2ml and the tube was vigorously mixed with a vortex for 10 sec. 1 ml of this mixture was then carefully layered over each of the pre-prepared room temperature 0.5 ml 30% Percoll cushions by dripping the mixture slowly down the side of the tubes. The layered tubes were then centrifuged for 5 min at 10,000 × g with a “soft stop” to not disturb the Percoll gradient. The Cryptosporidium parasites form a faint cloud in the bottom 100 μl fraction of the tube gradient. This layer can be difficult for the untrained eye to see. All cells floating on the upper layers and along the sides of the tube were carefully removed with aspiration down to the level of the parasite “cloud”, beginning around the 100 μl mark. While being careful to not touch the sides of the tube (to avoid host cell contamination) the parasite fraction from the two tubes were transferred into a single new tube. 1 ml of PBS was added to resuspend the parasite fraction and the tube was then centrifuged for 3 min at 2,000 × g to pellet the C. parvum parasites. The pellet was used immediately for RNA extraction.
2.7 Sporozoite excystation for generating purified sporozoites
When purified sporozoites (oocyst-free) were needed for RNA preparation, the excystation volume (Section 2.4) was reduced to 2 ml. Excysted sporozoites were pelleted by centrifugation at 5,000 × g for 3 min. Following removal of the liquid supernatant, the parasite pellet was carefully resuspended in 0.5 ml PBS. The suspension was then carefully over-layered on 0.5 ml of a 10% Percoll in PBS solution. The tube was then centrifuged for 5 min at 5,000 × g. Following centrifugation, the sporozoites are located in the pellet and the oocyst walls are located at the interface. The upper phase and interphase were removed. The remaining supernatant over the sporozoite pellet was carefully removed. The sporozoite pellet was resuspended in 1 ml PBS and centrifuged again at 5,000 × g for 3 min. The supernatant was removed and the sporozoites were carefully resuspended in 0.5 ml PBS and the suspension was carefully layered onto 0.5 ml of 40% Percoll in PBS solution. The layered tube was centrifuged at 5,000 × g for 5 min. Under these conditions, the sporozoites are now located at the interface and the pellet contains unexcysted oocysts. The upper phase was carefully removed. The sporozoites at the interface were carefully removed and resuspend in 1 ml PBS and pelleted by centrifugation at 5,000 × g for 3 min. The supernatant was removed and the sporozoite pellet was immediately utilized for RNA preparation.
2.8 RNA and cDNA library preparation
Excysted sporozoites, 24 h or 48 h C. parvum enriched pellets from in vitro purifications (4 T75 flasks per time point) were resuspended in RLT buffer (Qiagen RNeasy kit 74104) and total RNA was purified according to manufacturer's directions and assessed on an Agilent Bioanalyzer (Santa Clara, CA) using their Agilent RNA 6000 Nano Kit and ladder. Two excystation preparations followed by sporozoite purification yielded at total of 65 μg of total RNA for construction of a sporozoite library. Yields were variable for the in vitro purifications and ranged between 0.5 μg and 3 μg per preparation and bioanalyzer RNA integrity Numbers (RIN) of 0 to 10. Higher values of RIN are preferable and indicate greater integrity of 18S and 28S RNA. The 24 h sample that was used for library preparation contained 2.2 μg of total RNA with a RIN of 5.3 and the 48 h sample had 3.08 μg of total RNA and a RIN of 9.2.
Total RNA samples were provided to Express Genomics (Frederick, MD) for cDNA library generation. The vector was pExpress-1 and the Eco RV and Not I sites were utilized. The libraries were not strand-specific. One normalized library (highly-redundant mRNAs removed via digestion of rapidly self-hybridized cDNA to maximize the recovery of sequence diversity) was prepared from excysted sporozoites with an average insert size of 2.1 kb. 15,000 inserts were bi-directionally sequenced generating ∼30,000 paired-end Sanger sequences. The 24 and 48 h in vitro total RNA preparations were combined and one non-normalized (no mRNAs removed) nano-scale library was created. The average insert size was 500 bp. Approximately 65,000 Sanger single-read only sequences were generated due to the short insert size. The cDNA libraries were sequenced by the Broad Institute (Cambridge, MA) using Sanger sequencing.
3. Results and Discussion
3.1 Culture and purification protocol
A protocol was developed that permitted the enrichment of C. parvum developmental stages from in vitro culture in HCT-8 cells (Figure 1). HCT-8 host cells reached an average multiplicity of infection, MOI of 14 as determined by light microscopy at 24 h (Figure 2). It was possible to visually follow the parasites through the purification protocol up until lysis for RNA preparation (Figure 2). The size of the large and small subunit rRNA molecules are different in C. parvum and humans. C. parvum bands are smaller, especially for the LSUrRNA. As a result, an electrophoretic analysis of total RNA permitted a quick determination of the quality of an RNA preparation (Figure 3). Agilent's Bioanalyzer technology permitted analysis of very small volumes of total RNA to visualize the ratios of LSU and SSUrRNA bands for C. parvum with respect to host and quantify the total RNA and its integrity. As can be seen in Figure 3, the results were variable with enrichments working the best for 24 and 48 h post-infection samples. The two best in vitro total RNA preparation time points, indicated by an “*” in Figure 3 (24 h (2.2 μg/4 flasks) and 48 h (3.08 μg/4 flasks)), were selected for cDNA and library generation. Excysted sporozoites (Figure 3, *ExSp lane) yielded 65 μg of total RNA that was used for the generation of a normalized sporozoite library.
Figure 1. Cryptosporidium oocyst sterilization, excystation, sporozoite and in vitro parasite purification workflows.

Two workflow scenarios are presented. Following oocyst sterilization, sporozoites are excysted and purified for total RNA extraction (grey workflow) or sporozoites are excysted and used to infect HCT-8 monolayers in T75 flasks for subsequent parasite harvest and enrichment (blue workflow). This figure is a schematic only and additional information is provided in the detailed materials and methods.
Figure 2. Microscopic images of Cryptosporidium pre- and post-enrichment.

(a) 24 h post infection C. parvum KSU-1 infection of Human HCT-8 cells demonstrating high multiplicity of infection. C. parvum parasites are in the focal plan with the monolayer below. (b & c) microscopic images of an aliquot of enriched C. parvum KSU parasites 48 h post-infection. At 48 hours, type I and type II meronts, free merozoites and few macrogametes are observed.
Figure 3. Bioanalyzer electrophoresis analysis of various total RNA preparations.

Total RNA from 24-, 48- or 72-hour enriched fractions from in vitro C. parvum culture in Human colon ileocecal (HCT-8) cells; L = RNA ladder, size in bp; C. parvum excysted and purified sporozoites (ExSp) were used as a control for C. parvum SSUrRNA and LSUrRNA size); Hs = human total RNA (prepared from uninfected HCT-8 cells) to use as a control for host cell total RNA contamination by following the differently sized SSU- and LSUrRNA bands; * = total RNA preparations used to generate cDNA libraries; SSUrRNA = Small Subunit ribosomal RNA; LSUrRNA = Large Subunit ribosomal RNA.
3.2 Sequence generation
29,571 C. parvum KSU-1 sporozoite paired-end reads were generated and 63,580 24-48 h reads were generated from two cDNA libraries. Analysis of the reads from the pooled 24-48 h library, revealed that 39,049 reads represented genes encoded in the human nuclear genome and 5,350 reads were derived from human mitochondrial RNA leaving a total of 19,181 reads from the 24-48 h in vitro developmental stages of C. parvum, a 30% recovery rate. Considering the difference in cell volume, this is a considerable enrichment.
The 19,181 C. parvum KSU-1 ESTs were assembled with cap3 [20] and resulted in 3,644 transcript assemblies. At the time, this was a three-fold increase in the number of available transcript assemblies. These transcripts, when mapped to the C. parvum genome sequence, revealed a number of introns that were missing from annotated genes and validated a large number of predicted genes. The mapped sequences also suggest the presence of many overlapping transcripts. This finding is not unexpected given the very compact genome sequence with an estimated size of only 9.1 Mb. Confirmation of overlapping transcripts can only be verified with strand-specific RNA sequence data. If this protocol were to be utilized today to generate mRNA for RNA-Seq analysis, the sequence information obtained would be both quantitative and more complete.
An assembly of the available C. parvum oocyst and sporozoite sequences prior to the addition of the data described here yielded only 1,261 EST assemblies, about 1/3 of all predicted genes. Clustering of the EST sequence data generated in this study yielded 3,644 EST assemblies, only 650 of which overlapped with the previous EST assemblies, demonstrating the valued added by including post-infection life cycles stages. 399 of the new EST assemblies mapped to the genome sequence but did not overlap with any currently annotated gene, suggesting many genes had been missed in the initial annotation. This finding was understandable as almost no expression data for C. parvum was available at the time. 114 EST assemblies provided evidence of introns that were either missed or improperly located in the existing annotation.
As the sporozoite EST library presented here was normalized, analyses of expression levels were not possible. However, in 2012 a brute force effort led by another group determined the relative expression levels for 3,302 genes at 2-72 h post-infection time points via semi-quantitative real-time PCR [21].
Yields are best at the 24-48 h post-infection time point suggesting success in capturing merozoites. However, Figures 2b and 2c demonstrate that the major stage that is enriched is merozoites that have not yet been released. It is hoped that modifications to the protocol presented here might lead to enrichment of micro- and macrogametocytes by altering the Percoll gradient or centrifugation conditions as gametes should be formed by 48 h.
It is important to note that comparison of Human and Cryptosporidium rRNA bands in total RNA preparations did not reflect the levels of host contamination observed in the mRNA sequence results. rRNA band comparisons suggested a host contamination rate of ∼10% (Figure 3). However, the mRNA sequence results revealed a 70% host contamination rate, so users are cautioned to get host rRNA levels as low as possible. This said, a 30% recovery rate for C. parvum in vitro represents significant enrichment, but primarily of merozoite stage parasites. RNA preparations from 72 h infections were poor in quality (Figure 3).
3.3 Data dissemination
All sequence data generated in this project were submitted to the NCBI GenBank EST and Trace Archive repositories. C. parvum KSU-1 sporozoite sequences (LIBEST_024208) have accession numbers GH611761.1 - GH582316.1. Pooled 24-48 h C. parvum KSU-1 sequences (LIBEST_025356) have accession numbers GT555582.1 - GT494278.1. Additionally, they were submitted to CryptoDB.org (http://cryptodb.org).
Highlights.
A new method is presented for the enrichment of 24-48 h in vitro Cryptosporidium parvum parasites.
EST sequences derived from an enriched C. parvum fraction revealed that 30% of the sequences obtained originated from the parasite.
In the absence of enrichment, only 1-4% of RNA sequences from in vitro culture represent the parasite.
Acknowledgments
This project was supported by the National Institutes of Health, NIAID Contract # HHSN26620040001C, Genome Sequencing Centers for Infectious Diseases (GSCID) program. The mRNA sequences for sporozoites were generated under the project name lib G1297 and the 24-48 h under lib G1457 at the Broad Institute (www.broadinstitute.org) with the assistance and oversight of: S. Young, Q. Zeng, M. Koehrsen, Brian Haas, Chad Nusbaum, Matt R. Henn and Bruce Birren. We thank Adam Sateriale for a critical reading of the manuscript.
Footnotes
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