dRecent studies have revealed extensive genetic variation among isolates of Cryptosporidium parvum, an Apicomplexan parasite that causes gastroenteritis in both humans and animals worldwide. The parasite's population structure is influenced by the intensity of transmission, the host-parasite interaction, and husbandry practices. As a result, C. parvum populations can be panmictic, clonal, or even epidemic on both a local scale and a larger geographical scale. To extend the study of C. parvum populations to an unexplored region, 173 isolates of C. parvum collected in Italy from humans and livestock (calf, sheep, and goat) over a 10-year period were genotyped using a multilocus scheme based on 7 mini-and microsatellite loci. In agreement with other studies, extensive polymorphism was observed, with 102 distinct multilocus genotypes (MLGs) identified among 173 isolates. The presence of linkage disequilibrium, the confinement of MLGs to individual farms, and the relationship of many MLGs inferred using network analysis (eBURST) suggest a predominantly clonal population structure, but there is also evidence that part of the diversity can be explained by genetic exchange. MLGs from goats were found to differ from bovine and sheep MLGs, supporting the existence of C. parvum subpopulations. Finally, MLGs from isolates collected between 1997 and 1999 were also identified as a distinct subgroup in principal-component analysis and eBURST analysis, suggesting a continuous introduction of novel genotypes in the parasite population.C ryptosporidium parvum and Cryptosporidium hominis are two related species of Apicomplexan protozoa that cause cryptosporidiosis, an enteric infection of humans and animals (30). C. parvum is considered a zoonotic pathogen, as it is often transmitted to humans by environmentally resistant oocysts excreted by ruminants. In contrast, the host range of C. hominis is thought to be restricted to humans. With the exception of a brief diploid phase, C. parvum and C. hominis are haploid. The parasites develop in intestinal epithelial cells of the host, where they undergo consecutive rounds of asexual multiplication. Thereafter, the differentiation and fusion of gametes lead to a transient diploid stage, followed by meiotic division. Meiotic recombination between genetically distinct C. parvum genotypes has been documented in experimental infections (25), but the extent of outcrossing in natural parasite populations appears to vary (12, 13, 26). Mini-and microsatellite markers have provided useful information for studying the population structures of many organisms, including parasites. Studies of Apicomplexan parasites have shown that populations vary from panmictic (random mating among individuals in a population) to clonal (absence of significant gene flow), depending on either transmission intensity (e.g., for Plasmodium falciparum) (2) or host ecology (e.g., for Toxoplasma gondii) (1). The population structure of Cryptosporidium has not been extensively studied, and population genetic studies of this ...