Plasmodium vivax is responsible of the majority of malaria infections outside Africa. Its closer genetic relative, Plasmodium vivax--like, was discovered in African great apes and suggested to have given rise to P. vivax in humans. We generated two newly P.vivax--like reference genomes and 9 additional P. vivax--like genotypes, to unravel the evolutionary history of P. vivax. We showed a clear separation between the two clades, a higher genetic diversity of P. vivax--like parasites in comparison to the P. vivax ones, and the potential existence of two sub--clades of P. vivax--like. We dated the relative split between P. vivax and P. vivax--like as three times shorter than the split between P. ovale wallikeri and P. ovale curtesi and 1.5 times longer than the split between Plasmodium malariae. The sequencing of the P. vivax--like genomes is an undeniable advance in the understanding of P. vivax biology, evolution and emergence in human populations. not peer-reviewed) is the author/funder. All rights reserved. No reuse allowed without permission.
Significance statementsThe copyright holder for this preprint (which was . http://dx.doi.org/10.1101/205302 doi: bioRxiv preprint first posted online 3
Main text.Plasmodium vivax, the most prevalent human malaria parasite outside Africa, is responsible for severe and incapacitating clinical symptoms in humans 1 . Traditionally, P. vivax has been neglected because of its lower mortality in comparison to Plasmodium falciparum 2,3 . Its ability to produce a dormant liver--stage form (hypnozoite), responsible of relapsing infections, makes it a challenging public health issue for malaria elimination.The recent emergence of antimalarial drug resistance 4 as well as the discovery of severe and even fatal human cases 2,5,6 has renewed the interest for this enigmatic species, including its evolutionary history and its origin in humans.Earlier studies placed the origin of P. vivax in humans in Southeast Asia ("Out of Asia" hypothesis) based on its phylogenetic position in a clade of parasites infecting Asian monkeys 7 . At that time, the closest known relative of P. vivax was considered to be Plasmodium cynomolgi, an Asian monkey parasite 8 . However, this hypothesis was recently challenged with the discovery of another Plasmodium species, genetically closer to P. vivax than P. cynomolgi, circulating in African great apes (chimpanzees and gorillas) 9,10 . This new lineage (hereafter named Plasmodium vivax--like) was considered by certain authors to have given rise to P. vivax in humans following a transfer of parasites from African apes 10 , but this "Out of Africa" hypothesis still remains debated.Moreover, a transfer of P. vivax--like parasites has been documented, thus making possible the release of new strains in new hosts species, specifically in human populations 9 . In such a context, it now seems fundamental to characterize the genome of the closest ape--relative to the human P. vivax parasite in order to get a better understanding of the evolution of this para...