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Imputation-Based Population Genetics Analysis of Malaria Parasites


Characterizing genetic diversity and function in Plasmodium falciparum, including identifying determinants of emerging drug resistance, is crucial to informing public health strategies to contain and eliminate this malaria parasite. The lack of a robust framework to handle missing P. falciparum genotypes arising from next-generation sequencing efforts, impedes genome-wide methods that depend on complete genotype information, and often leads to analysis that discards entire regions of the genome. This study is the first to evaluate the performance of missing data imputation or “filling in” in the P. falciparum genome, where the correlation between genetic markers is generally lower than in the human genome. We considered 86k markers in 459 clinical isolates from 4 malaria-endemic populations of Africa and Southeast Asia. Although low genotype missingness per SNP (<10%) results in complete datasets for only 25% of SNPs, imputation is accurate. This finding is corroborated by the ability of imputed haplotype analysis to recover several well-established vaccine candidates and drug resistance loci, including kelch13—a recently-validated gene involved in artemisinin resistance. Our work demonstrates that imputation can assist the application of genome-wide methods to identify the determinants of P. falciparum diversity, including those involved in drug resistance, immune evasion, and host virulence.


Published in the journal: . PLoS Genet 11(4): e32767. doi:10.1371/journal.pgen.1005131
Category: Research Article
doi: https://doi.org/10.1371/journal.pgen.1005131

Summary

Characterizing genetic diversity and function in Plasmodium falciparum, including identifying determinants of emerging drug resistance, is crucial to informing public health strategies to contain and eliminate this malaria parasite. The lack of a robust framework to handle missing P. falciparum genotypes arising from next-generation sequencing efforts, impedes genome-wide methods that depend on complete genotype information, and often leads to analysis that discards entire regions of the genome. This study is the first to evaluate the performance of missing data imputation or “filling in” in the P. falciparum genome, where the correlation between genetic markers is generally lower than in the human genome. We considered 86k markers in 459 clinical isolates from 4 malaria-endemic populations of Africa and Southeast Asia. Although low genotype missingness per SNP (<10%) results in complete datasets for only 25% of SNPs, imputation is accurate. This finding is corroborated by the ability of imputed haplotype analysis to recover several well-established vaccine candidates and drug resistance loci, including kelch13—a recently-validated gene involved in artemisinin resistance. Our work demonstrates that imputation can assist the application of genome-wide methods to identify the determinants of P. falciparum diversity, including those involved in drug resistance, immune evasion, and host virulence.

Introduction

Malaria is a major global health burden, with drug resistance in Plasmodium falciparum a major impediment to disease containment and eradication. A deeper understanding of the biology of this parasite and the epidemiology of the disease it causes is needed to inform public health responses, including the timely development of new therapeutics and vaccines [1,2]. Interrogating the genetic determinants of P. falciparum virulence has become a crucial aspect of malaria surveillance and control strategies [2,3]. A large catalogue of high-density single nucleotide polymorphisms (SNPs) in P. falciparum has been identified through whole-genome sequencing studies, enabling population genetics analysis to characterize global parasite diversity [2,4]. This advance has also facilitated the discovery of putative genetic determinants of drug resistance phenotypes and candidate vaccine antigens [3,57]. These and additional SNPs discovered in expanding collections of global P. falciparum clinical isolates [2,4] may provide new insights into the diversity and pathogenicity of contemporary parasite populations.

The ability to locate naturally-selected regions of this parasite’s genome is critical in uncovering the genetic determinants of drug resistance or candidate vaccines. Several SNPs in P. falciparum genes are known to confer resistance to antimalarial drugs such as chloroquine (crt [8]), sulfadoxine-pyrimethamine (dhps [9], dhfr [10]), and artemisinin derivatives (kelch13 [3]). Statistically significant signatures of recent positive selection, such as long-range haplotypes and extended-haplotype homozygosity (EHH), have been used to identify genetic mutations contributing to drug resistance in parasite populations. Similarly, the detection of signatures of balancing selection facilitates the identification of parasite targets of acquired immunity. As immunity to the commonest alleles rises in malaria-endemic areas, rarer alleles confer parasites a selective advantage and correspondingly increase in frequency, thereby displacing previously common alleles. This process maintains a balance of alleles in the population, with neither the common alleles moving to fixation nor the rare alleles moving to extinction. Balancing selection is detected using statistics such as Tajima’s D [11] and is evident in vaccine targets, including that encoded by ama1 [12].

P. falciparum has a complex life cycle comprising a haploid phase in humans and a diploid phase in Anopheles mosquitoes, which involves gamete fertilization and sexual recombination [13]. Genetic variants in the P. falciparum genome (23 Mb, 14 chromosomes, 81% AT content, ~5500 genes) were initially surveyed using Sanger sequencing on a limited set of laboratory-adapted clones [14,15]. Although recent genomic scans use next-generation sequencing technologies [4,6], high AT content and technological limitations lead to uneven genomic coverage; thus, a proportion of SNP genotypes may be called as missing, which compromises downstream analysis. For example, typical approaches exclude SNPs and parasite isolates with high rates (>10%) of missingness from subsequent analysis [4]. Harnessing the full potential of fine-scale population genetics methods, such as haplotype scans for signatures of natural selection, requires complete genotype data on a dense set of SNPs in a large number of samples. The standard approach of restricting analysis only to SNPs without missing data may be problematic. Low levels of individual SNP missingness, for example, can result in small numbers of SNPs with complete genotypes across all samples, leading to loss of statistical power and introduction of potential bias.

Imputation methods that reconstruct haplotypes using linkage disequilibrium (LD) patterns have become routine ways of handling missing genotypes in human genome-wide studies [1619]. However, these methods may be compromised in low LD settings, where high rates of recombination in P. falciparum lead to decay in inter-SNP correlation within 500 bp [2,16]. Validating the imputation of missing genotypes in whole-genome sequences could enable population genetics methods to scale more appropriately with increasing sequences and SNPs, without having to resort to customized missing data strategies. Here we present a novel evaluation of LD-based imputation applied to a large number of global P. falciparum samples and demonstrate its utility in population genetics analysis. Two state-of-the-art methods, IMPUTE [17] and Beagle [18], were assessed by masking known genotypes and measuring the accuracy of imputed genotypes using an allelic r2 statistic [18]. Briefly, IMPUTE is based on the LD framework of Li and Stephens [19], with the haplotype to be imputed modelled as a sampled path through all possible underlying states defined by a hidden Markov model (HMM) constructed from a set of complete haplotypes. Externally inferred recombination rates determine the transition probabilities from one haplotype position to the next, while a mutation rate parameter controls the emission probabilities determining fidelity from hidden to observed states. Beagle constructs an HMM by clustering observed haplotypes at each marker position such that hidden states correspond to groups of haplotypes [18], with each group representing haplotypes with similar transition probabilities for nearby downstream alleles. Recombination is implicit within the modelled transition probabilities and no mutation parameter is incorporated.

We took advantage of the structure of IMPUTE software to test LD-based recombination rates derived from 2 high-quality parasite genetic crosses (7G8-Brazil × GB4-Ghana [20]; DD2-Indochina × HB3-Honduras [21]) and a coalescent-based model of LD in LDhat software [22]. This was complemented by evaluating the empirical model of LD in Beagle software based on its haplotype clustering algorithm [18].

By completing multiple SNP datasets using these methods, we performed genome-wide scans for signatures of natural selection using EHH-type [23] and Tajima’s D [11] metrics, and a complementary analysis of parasite population structure. P. falciparum populations are geographically dispersed and undergo regional adaptation due to selection pressures from antimalarial drugs, and human and mosquito immune responses. The effect of imputation on patterns of population structure was assessed using principal components analysis (PCA) and pairwise population Fst [24]. All results were compared to a “complete-case analysis,” where SNPs with missing genotypes were excluded. We demonstrate that currently available LD-based imputation methods used previously in human populations can be extended to sequence data from P. falciparum populations, with imputed genotypes reliably capturing known and potentially novel loci encoding drug resistance phenotypes and candidate vaccine antigens.

Results

P. falciparum SNP datasets

Sequencing reads from 2 Southeast Asian (Thailand, n = 91; Cambodia, n = 253) and 2 African (Gambia, n = 55; Malawi, n = 60) populations of P. falciparum clinical isolates [2] were aligned to the P. falciparum 3D7 reference genome (version 3) [25]. A total of 85,967 biallelic SNPs (“86k set”) across these 459 isolates were identified, representing a marker density of 1 SNP every 270 bp. The 86k set represents 4,799 genes (SNPs per gene: median, 4; 90th percentile, 17) and was dominated by markers that are monomorphic in at least 1 population (Thailand, 50,087 (58%); Cambodia, 34,049 (40%); Gambia, 53,539 (62%); Malawi, 50,287 (59%)). The Southeast Asian populations share 26,551 (31%) SNPs while the African populations share 24,089 (28%) SNPs. Only 7,855 (9.1%) SNPs are shared between all populations.

Excluding SNPs that are monomorphic in each population, low-frequency SNPs predominate in the 86k set (minor allele frequency (MAF)<5%: Thailand, 62%; Cambodia, 72%; Gambia, 45%; Malawi, 59%) (Fig 1), and the overall MAF is low (median 0.8%; 90th percentile 11%). Using common SNPs (MAF≥5%), there was evidence that LD decayed rapidly within a few hundred base pairs in the African populations, and reached a baseline within 500 bp. Compared to the Southeast Asian populations, LD decayed more rapidly in the African populations (Fig 2), consistent with their higher recombination rates (S1 Table). The estimated recombination rates are especially high in Malawi, resulting from high levels of outcrossing associated with relatively high transmission intensity and multiplicity of infection [6].

Fig. 1. Distribution of SNPs according to minor allele frequency (MAF).
Distribution of SNPs according to minor allele frequency (MAF).
In all parasite populations, there is an overabundance of low-frequency SNPs (MAF<5%).

Fig. 2. Linkage disequilibrium (LD) decay as a function of genomic distance in each population, using r2 between pairs of markers with MAF≥5% and within 1000 bp of each other.
Linkage disequilibrium (LD) decay as a function of genomic distance in each population, using <i>r</i><sup><i>2</i></sup> between pairs of markers with MAF≥5% and within 1000 bp of each other.
The plotted r2 is the mean calculated for pairwise distances binned in 5-bp increments. LD decays to r2 = 0.2 within approximately 187 bp for Cambodia, 162 bp for Thailand, 102 bp for Gambia, and 67 bp for Malawi.

Isolates and SNPs had less than 10% of their genotypes missing, reflecting the current practice of analysing only high-quality samples (median, 0.3%; 90th percentile, 3.1%; maximum, 8.9%) and markers (median, 0.4%; 90th percentile, 2.4%; maximum, 8.3%). The number of SNPs with complete genotypes varied by population (Thailand, 56,797 (66%); Cambodia, 47,482 (55%); Gambia, 53,469 (62%); Malawi, 54,419 (63%); Table 1). Restricting analysis to those SNPs with complete genotypes across the 459 samples led to severe data depletion, reducing the number of SNPs from 85,967 to 21,077 (24.5%). A strong positive correlation between SNP-wise rate of missingness and MAF (S1 Fig) would have excluded most common SNPs from a complete-case analysis of these 21,077 SNPs (MAF: median, 0.4%; 90th percentile, 1.5%). This correlation could be an artefact of genotype calling from sequencing reads. In particular, because the genotypes were called using ratios of coverage, genotypes from SNPs with a higher minor allele frequency are less likely to pass the calling threshold due to more balanced coverage ratios. If the threshold was lowered, more of those genotypes are likely to be called erroneously.

Tab. 1. The accuracy and minor allele concordance rate of imputed genotypes.
The accuracy and minor allele concordance rate of imputed genotypes.
Accuracy is consistently high with Beagle when only population-specific haplotypes are used as references; improves with IMPUTE when a cosmopolitan reference panel is used; and is highest with IMPUTE when LDhat-inferred recombination rates are used. ALL refers to a cosmopolitan panel including populations from the listed countries (n = 459) and Vietnam (n = 12).

Imputation accuracy

SNPs in chromosome 13 were chosen to compare imputation strategies, since this is the second-to-longest chromosome containing correspondingly large numbers of SNPs, and it contains the kelch13 locus recently associated with artemisinin resistance in Southeast Asia [3]. Using a leave-one-out cross-validation approach, marker genotypes were masked and the accuracy of imputed calls to the true allele was measured using an allelic correlation metric r2 (Table 1). The imputation accuracy of Beagle was consistently high (mean r2, 0.87–0.96), reaching levels seen in a human genome-wide setting [19]. However, there was substantial variation in IMPUTE results across populations, with near-perfect mean r2 values in Gambia (0.99) and high values in Cambodia (0.77–0.84), contrasting with lower values in Thailand (0.51–0.56) and Malawi (0.30–0.69). Using a cosmopolitan panel of reference haplotypes from all 4 populations (including 12 Vietnamese samples with complete genotypes), the accuracy of IMPUTE was improved in Thailand (mean r2, 0.70–0.71) and Cambodia (0.82–0.90) but degraded in Malawi (0.25–0.26). Using the same cosmopolitan panel, the accuracy of Beagle was substantially degraded in all 4 populations including Thailand (mean r2, 0.27). For IMPUTE, recombination rates inferred from LDhat were marginally more accurate than those inferred from analysing 2 genetic crosses. In Malawi, accuracy was substantially improved when using a reference panel specific to this population (mean r2, 0.30–0.69). Using a lower mutation rate parameter (θ = 0.001) or effective population size (Ne = 10,000) led to only marginal improvements in accuracy in the Thai (mean r2, 0.62–0.64), but not Gambian (mean r2, 0.99) population (S2 Table). Rates of minor allele concordance, defined as the agreement between absolute genotype calls (made on a threshold of ≥0.9 on posterior probabilities) and true minor alleles, tracked the measured r2 closely (Pearson’s correlation = 0.75).

The accuracy of LD-based imputation increases with MAF in the Southeast Asian populations, with most improvement occurring in the low-frequency range (Fig 3). This increasing trend is also observed in studies imputing human genotypes [16]. In Gambia, the accuracy of Beagle is generally high except for one SNP at MAF 47% with r2~0. In contrast, the near-perfect accuracy of IMPUTE in Gambia is maintained across the allele-frequency spectrum. In Malawi, because of the limited range (3–23%) of MAF values and paucity of SNPs with higher frequencies, a trend for r2 could not be clearly discerned in any of the imputation designs. Across all designs there was no systematic change in MAF post-imputation (S2 Fig).

Fig. 3. Relationship between imputation accuracy and minor allele frequency (MAF), tested on chromosome 13 SNPs.
Relationship between imputation accuracy and minor allele frequency (MAF), tested on chromosome 13 SNPs.
MAF-wise means are used to infer the trend in r2. Only designs using LDhat-inferred recombination rates are considered for IMPUTE. Use of a cosmopolitan reference panel improves accuracy across both common and low-frequency SNPs in IMPUTE; however, accuracy decreases substantially in Beagle. SNPs in Malawi have a maximum MAF = 0.23.

Cross-validation experiments indicated that the optimal imputation accuracy of Beagle occurs when a population-specific reference panel is used, and that for IMPUTE occurs when LDhat-derived recombination rates and a cosmopolitan reference panel are used. For each imputation design, a set of 10 SNP datasets was completed by filling in missing data using sampling of posterior genotype probabilities (Materials and Methods). To assess the effect of imputation strategies, we focused on selection metrics that require complete SNP datasets, namely those that detect long-range haplotypes and extended-haplotype homozygosity, both within (|iHS|) and between (Rsb, a version of XP-EHH [26]) populations. These metrics were computed on each dataset, and results pooled using a multiple imputation approach to provide overall estimates. Pearson’s r correlation of the selection metrics between Beagle- and IMPUTE-derived haplotypes was very high across the 4 populations, for both |iHS| (range, 0.93–0.98) and Rsb (range, 0.98–0.99, using Malawi as the reference population). IMPUTE-derived haplotypes systematically resulted in higher Rsb values compared to Beagle-derived haplotypes (S3 and S4 Figs). The correlation between selection metrics from Beagle-imputed versus complete-case genotypes was much lower (e.g., |iHS| r<0.60; S5 and S6 Figs). Given the arguably superior performance of Beagle and its ease of use, we proceeded by comparing the top selection hits (overall 1% of threshold across populations, |iHS|>2.45, Rsb>4) between Beagle-imputed and complete-case haplotype analyses.

Recent positive selection

Evidence for selective sweeps due to drug pressure or other mechanisms was investigated using the |iHS| and Rsb metrics applied to Beagle-imputed haplotypes. Intra-population analysis revealed signals downstream of crt, including cg1 and cg2, in the African populations, but not in the Southeast Asian populations in which mutant alleles are already fixed (Fig 4 and S3 Table). Other strong |iHS| hits included genes encoding vaccine candidates (e.g., ama1 and trap) and other membrane and surface proteins (e.g., clag2 and msp4). In contrast, analysis of complete-case haplotypes only identified ama1 (S4 Table). Inter-population analysis using the Rsb metric has the potential to detect positively-selected alleles that have already achieved fixation. With Malawi as the reference population, crt and neighbouring cg1 and cg2 were strongly identified across the other 3 populations (Fig 5 and S5 Table). Whilst sulfadoxine-pyrimethamine resistance genes were not directly identified, there were strong signals in regions proximal to dhfr (e.g., PF3D7_0417400, S7 Fig) and dhps (e.g., PF3D7_0809800, S8 Fig) in Southeast Asian populations. This phenomenon of signal ‘shifting’ is due to the beneficial allele sweeping up in parallel in the Malawian reference population, giving rise to long-range haplotypes that attenuate the inter-population differences in the EHH at regions close to the SNP conferring drug resistance. Rsb analysis also confirmed positive selection in ama1 and trap in Southeast Asian populations.

Fig. 4. The top |iHS| hits in 4 global P. falciparum populations.
The top |<i>iHS</i>| hits in 4 global <i>P</i>. <i>falciparum</i> populations.
Dashed lines indicate the top 1% of |iHS| values (median threshold across 4 populations) for Beagle-imputed (above zero) and complete-case (below zero) data. The positions of genes known to confer drug resistance or encode vaccine candidates are annotated.

Fig. 5. The top Rsb hits for Thailand, Cambodia, and Gambia, using Malawi as the reference population.
The top <i>Rsb</i> hits for Thailand, Cambodia, and Gambia, using Malawi as the reference population.
Dashed lines indicate the top 1% of Rsb values (median threshold across 3 populations) for Beagle-imputed (above zero) and complete-case (below zero) data.

Analysis of complete-case haplotypes failed to detect crt, dhfr, and dhps effects (S6 Table). Rsb analysis of these haplotypes did, however, confirm positive selection in ama1 and trap in Southeast Asian compared to Malawian populations. Importantly, this analysis also identified positive selection in kelch13 [3] in Cambodian compared to Thai populations (S7 Table), as well as in 2 other loci: a ~600kb region downstream of kelch13 (Fig 6); and PF3D7_0104100, in a region upstream of pfubp1 [5], detected previously in a selecton scan of Kenyan parasites [5]. In this instance, analysis of complete-case haplotypes also managed to identify a signal in kelch13 (S7 Table), indicating that the sweep is young and the signal has not yet been lost through recombination. The complete-case haplotype analysis also detected pfs45/48 and pfs47 that mediate evasion of the mosquito immune system, and are a signature of highly-structured populations resulting from inter-continental differences in the prevalence of Anopheles vector species [27].

Fig. 6. The top Rsb hits for Cambodia using Thailand as the reference population.
The top <i>Rsb</i> hits for Cambodia using Thailand as the reference population.
Dashed lines indicate the top 1% of Rsb values for imputed (above zero) and complete-case (below zero) data.

Balancing selection

Using Beagle-imputed haplotypes, Tajima’s D was calculated by population for each of the 3,517 (of 4,799) genes with 3 or more SNPs. The vast majority of Tajima’s D values were negative (Thailand, 85%; Cambodia, 89%; Gambia, 86%; Malawi, 93%), indicating a demographic history of recent population expansion [6,28,29] or purifying selection. The malaria parasite life cycle itself can also lead to a skewed frequency spectrum toward low frequency alleles and negative Tajima’s D [29]. Amongst the genes with high Tajima’s D values (>1) based on at least 10 SNPs (Table 2), several encode well-described targets of acquired immunity such as ama1 (all populations, 1.16–1.79) and msp1 (Southeast Asia, 2.23–2.29). Other genes previously found to have high Tajima’s D values [7] were also identified, including eba175 (all populations, 1.02–1.55), dblmsp (non-Malawi, 1.22–2.11), and clag2 (non-Malawi, 1.35–1.71). Both ama1 and msp1 have been previously identified to be under positive or balancing selection in certain parasite populations [5,29]. Using the set of unimputed SNPs, nearly all of the 3,517 Tajima’s D values were negative (Thailand, 99.5%; Cambodia, 100%; Gambia, 99%; Malawi, 100%), reflecting the exclusion of common SNPs and inability to calculate pairwise nucleotide differences between haplotypes in a population with missing genotypes. The exclusion of common SNPs may also lead to an overestimate of population expansion.

Tab. 2. Genes (n = 62) with ≥10 SNPs having Tajima’s D (TD) values >1 in populations from Thailand (total 793 genes), Cambodia (1208 genes), Gambia (723 genes), and Malawi (812 genes).
Genes (n = 62) with ≥10 SNPs having <i>Tajima’s D</i> (TD) values &gt;1 in populations from Thailand (total 793 genes), Cambodia (1208 genes), Gambia (723 genes), and Malawi (812 genes).
Median TD values obtained from 10 imputed datasets are shown.

Population structure

Principal components analysis using both unimputed or imputed data revealed similar well-defined population structure, namely clustering firstly at a continental level (S9 Fig), and secondarily at regional and population levels. The extent to which SNPs drive these inter-population differences was quantified using the Fst differentiation metric. As expected, greater mean Fst values were attained between (range: unimputed, 0.260–0.273; imputed, 0.259–0.267) than within (range: unimputed, 0.035–0.057; imputed, 0.040–0.058) continents (S8 Table). As the Fst implementation was SNP- rather than haplotype-based, there was little appreciable difference between unimputed and imputed results (P>0.05), further supporting the robustness of population structure analysis of datasets with low frequencies of missing genotypes.

Discussion

The ability to monitor for signatures of selection in P. falciparum is being revolutionised by whole-genome sequencing of large numbers of global clinical isolates. One unintended consequence of this effort, however, is that sequencing greater numbers of parasite genomes will increase the number of missing genotypes, presenting new challenges to haplotype-based population genetics analysis that requires complete SNP datasets. Imputation approaches have been successfully applied to human genomes, but high rates of recombination and rapid LD decay challenge their application to P. falciparum genomes. To help meet these challenges, our study shows that readily available software (Beagle and IMPUTE) produce accuracy levels comparable to those in human studies, and identify known P. falciparum loci involved in drug resistance and immune evasion. Application of Beagle with a population-specific panel of reference haplotypes provided consistently high levels of imputation accuracy across 4 parasite populations, suggesting that its estimation of local haplotype clusters reliably reproduces LD structure in each population. In contrast, accuracy with IMPUTE varied between populations using a similar population-specific referencing strategy.

Recombination maps were derived from genetic crosses of parental strains from Honduras, Indochina, Brazil, and Ghana. These are unlikely to represent haplotype configurations that accurately characterise LD structure in other populations, and therefore led to lower accuracy of samples from geographically-distant countries (e.g., Thailand) in our study. Inferring recombination maps from population haplotypes via LDhat marginally improved the performance of IMPUTE. There were differences in recombination rates between inferred and experimentally derived maps (S10 Fig). The near-perfect accuracy in Gambian samples observed for IMPUTE was replicated consistently across different recombination maps, due in part to lower levels of missing genotypes, but this was the exception. Adopting an ancestrally-diverse reference or cosmopolitan panel within IMPUTE, however, significantly increased accuracy across the allele-frequency spectrum. Using a cosmopolitan panel unconstrains the IMPUTE algorithm to choose the most similar set of haplotypes, including those where the parasites of origin may be genealogically distant [30]. However, use of such a panel worsened Beagle’s performance in all populations, due in part to its less flexible haplotype clustering and LD modelling on all haplotypes supplied [18].

While useful to test the validity of LD models via recombination maps derived from different sources, the design of the IMPUTE software is such that LD is modelled independently of missing genotypes using a complete reference panel [17], suggesting that the sporadic missingness of sequencing data may be problematic to the construction of such a model. In addition, the necessity of many free parameters required as inputs made it a less robust imputation strategy for P. falciparum. Newer methods of LD inference such as LDhelmet [31] may improve the underlying model of recombination; however, IMPUTE is intrinsically not very amenable to imputing sporadically missing genotypes. In contrast, Beagle infers LD by jointly modelling the missing and observed genotypes. Rather than making hard genotype calls, genotype probabilities inferred from the Beagle and MACH [32] methods could improve the handling of uncertainty at the SNP discovery phase and potentially enable more SNPs to be imputed and used in downstream analyses.

The top gene hits using EHH-based metrics computed from imputed haplotypes suggest that imputation is successful in reproducing signatures of positive selection, even when large numbers of haplotypes with initially extensive missingness are used. As in previous haplotype scans for signatures of positive selection in P. falciparum [5,3336], we confirmed the crt signal using the inter-population metric Rsb. Signals from the intra-population metric |iHS| (with MAF≥5%) were likely to miss evidence of near or full selective sweeps, as in Southeast Asia where beneficial crt alleles and their associated long-range haplotypes have reached fixation. More-recent selective sweeps were observed in regions close to the sulfadoxine-pyrimethamine (SP) resistance genes dhfr and dhps in the Thai, Cambodian, and Gambian populations. Unlike chloroquine resistance that spread out of Southeast Asia, SP resistance arose independently across continents. The Rsb metric highlighted the known independent sweep in dhps in Malawi, leading to signal ‘shifting’ in other populations. This metric also identified the artemisinin resistance gene kelch13 within a ~600kb region in Cambodian parasites, with Thai parasites as the reference population. This study is the first to detect kelch13 using a phenotype-independent, whole-genome scan for signatures of positive selection. Since kelch13 mutations have evolved only recently, this finding suggests that global surveillance of whole-genome P. falciparum sequence data may successfully detect entirely new forms of resistance to future drugs and vaccines.

Analysis of complete-case haplotypes also detected the kelch13 signature of selection, likely because this gene had relatively high coverage (1.5-fold greater than the genome average). However, these haplotypes could not validate known drug resistance loci and, overall, their correlation with Beagle-imputed results was low. The absence of known loci was primarily due to exclusion of disproportionately more-common SNPs with missing genotypes. EHH-based methods depend on accurately measuring LD decay around a core SNP. There was a trade-off between inflation of EHH due to lower allele frequencies, and deflation of EHH due to a 75% reduced marker density (i.e., the closest markers are less likely to be in LD). A shift in allelic-frequency spectra towards rare alleles inflates negative Tajima’s D values, indicating directional selection. By applying a Tajima’s D approach to the imputed data, genes under balancing selection as putative antigenic determinants were identified. For example, ama1, msp1, and msp7 encoding well-characterized parasite antigens were detected in multiple populations, although msp3.8 and trap previously detected in Malawi [6] and Gambia [37], respectively, did not exceed the stringent Tajima’s D threshold of 1. Complete-case genotypes failed to produce robust hits, as ≥99% of Tajima’s D values were negative across all populations. The skew towards low-frequency SNPs in the complete-case dataset biases the nucleotide diversity and therefore the Tajima’s D statistic. Similarly, the effective sample size is smaller than the analysable sample size after imputation, and may bias variation estimation and Tajima’s D. Some loci thought to be under balancing selection were found to be under recent positive selection, highlighting that some loci may be under dual selective pressures depending on where and when parasite samples are collected. Although such loci have signatures similar to incomplete sweeps of positive selection [38], evidence for dual selection pressures on ama1 and trap corroborated similar findings in other populations [5,18].

In summary, we have outlined a viable strategy for imputing missing genotypes in large numbers of global P. falciparum isolates, taking into account differences in LD and population structure. Specifically, we recommend using Beagle as the preferred algorithm for imputing whole-genome sequences, and population-specific haplotypes as references. This approach may be useful for imputing genome data from other Plasmodium spp., with resultant datasets being more complete, better able to identify evidence of natural selection by antimalarial drugs and host immunity, and more likely to lead to new insights and applications for disease control.

Materials and Methods

P. falciparum SNPs and samples

Sequencing reads from 3 Southeast Asian (Cambodia, n = 253; Thailand, n = 91; Vietnam, n = 12) and 2 African populations (Gambia, n = 55; Malawi, n = 60) of P. falciparum clinical isolates [2] were aligned to the P. falciparum 3D7 genome (version 3) using smalt (described in [2]). For all samples the average coverage across the whole genome was at least 35-fold. Variants were called using samtools [39] and vcftools [40] with default settings. Genotypes at SNP positions were called using ratios of coverage, with heterozygous calls converted to the majority genotype on a 70:30 or greater coverage ratio [4]. SNPs that reflected possible multiplicity of infection were removed as the imputation methods under evaluation cannot tolerate haploid and mixed genotypes simultaneously. Low-coverage var and subtelomeric regions (S9 Table) were discarded. The 85,967 biallelic and non-singleton SNPs with less than 10% missing genotypes were retained, which is approximately the inflection point beyond which SNPs experience a rapid increase in missingness (S11 Fig). Allowing more missing data by relaxing the threshold would lead to a decrease in imputation accuracy [17].

Cross-validation experiments for imputation accuracy

Performance of the imputation methods was evaluated with a leave-one-out cross-validation approach using markers on chromosome 13, where 215 (~2%) SNPs were masked in each haplotype and imputed using the others as references. This procedure produces an accuracy measure based on the squared Pearson correlation (allelic r2) between the true and imputed allele probability for each marker [18]. To prevent sampling bias from choosing only markers with completely known genotypes, each population panel was split into several subpopulations of 25–30 isolates each, and independent rounds of cross-validation were performed on a distinct set of markers in each subpopulation. This procedure introduced representation of markers at varying levels of missingness, and increased the total number of validated markers. A concordance rate between true and best-guess genotypes on a calling threshold ≥0.9 was also calculated. Only the concordance of minor alleles is considered to mitigate the possibility of near-monomorphic SNPs inflating overall concordance rates.

IMPUTE and Beagle

Imputation software established primarily for human genotype analysis were adapted to enable their application to parasite sequence data. Beagle v3.3 [18] does not require recombination rates to inform its LD model and processes sporadically missing genotypes, but only imputes diploid genotypes. Therefore, we duplicated all positions to make sequences homozygous diploid before each imputation round, then heterozygous imputed genotype probabilities were allocated equally between the 2 alternative alleles when computing allelic dosage. For IMPUTE v2.0, controls allowing haploid imputation (-chrX, -use_prephased_g, -known_haps_g) were activated. Previously published recombination maps from 2 high-quality genetic crosses between laboratory clones GB4x7G8 [6,21,38,41] and HB3xDD2 [6,22,38,41] were used to supply 2 sets of experimentally informed rates. These two maps were considered separately, and not combined. An alternative set of population recombination rates (2Ner) was inferred using the coalescent-based LDhat program, interval [42]. Pre-supplied likelihood lookup files with a population mutation rate (θ) value of 0.01 were used. The effective population size (Ne = 30,000) was derived by re-scaling the compound map distance for Gambian isolates inferred from interval, to match the empirical map distance estimated from the GB4x7G8 cross. The scaling factor was treated as a pseudo-Ne used to adjust compound rates uniformly on the other populations. To test the robustness of assuming the above parameter values for θ and Ne, we computed accuracy using different values for one African (Gambia) and one Southeast Asian (Thailand) population (S2 Table).

Population genetics metrics

Multiple haplotype sets were sampled from the marginal posterior genotype distribution under the best-performing imputation designs. This procedure allowed the computation of population genetics metrics under a multiple imputation-like schema, accounting for uncertainty in the true identity of genotypes. Ten SNP datasets were completed for each imputation strategy through sampling from posterior genotype probabilities, and relevant population genetics metrics at each SNP or gene were computed and averaged across the sets. Two metrics were used to infer recent positive selection, the integrated haplotype score (iHS) and Rsb. iHS is the standardized log ratio of the integrated extended-haplotype homozygosity (EHH) between the ancestral and derived allele at a core SNP [43], capturing evidence of unusually long haplotypes surrounding a particular allele within the population. The ancestral and derived alleles were defined to be the major and minor allele at Malawian SNPs, as this population is ancestrally ancient [6,16] and the rapid LD decay made it a natural reference point for detecting extended haplotype homozygosity in other populations. Absolute values of iHS were used to capture long haplotypes centred around either type of allele, using a minimum MAF filter of 5%. Rsb is the standardized log ratio of the integrated site-specific EHH between populations at a core SNP, where site-specific EHH refers to the weighted average of EHH surrounding a core SNP according to squared-allele frequencies [26]. Because site-specific EHH does not require markers to be polymorphic within the population, it can detect selective sweeps for alleles that have risen to fixation. Both iHS and Rsb were calculated using the scan_hh program in the R package rehh [44], which excludes markers with any missing data. The allele frequency-based Tajima's D approach [11] was used to detect balancing selection at each gene, with greater evidence from increasing values from zero. Whilst different populations have different demographic histories, it is difficult to account for this and establish multiple thresholds for the different null distributions of Tajima’s D. To negate any confounding effects of population expansion and difficulties in establishing significance levels, we report genes with Tajima’s D values in excess of one [6]. The function neutrality.stats from the R package PopGenome was used [45]. Parasite population structure was analysed using principal components analysis, implemented via the classical multidimensional scaling method using the function cmdscale in R. In addition, pairwise population Fst with 95% bootstrap confidence intervals was computed using the function stamppFst in the R package StAMPP [46].

Supporting Information

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