Parapipe: a Pipeline for Handling Parasite NGS Datasets and its Application to Cryptosporidium

0.0Cryptosporidium, a protozoan parasite of significant public health concern, is responsible for severe diarrheal diseases, particularly in immunocompromised individuals and young children in resource-limited settings. Analysis of whole genome next generation sequencing (NGS) data is a critical next step in improving our understanding of Cryptosporidium epidemiology, transmission dynamics, and genetic diversity. However, effective analysis of NGS data in a public health context necessitates the development of robust, validated bioinformatics tools. Here, we present Parapipe, a modular ISO accreditable bioinformatics pipeline designed for high-throughput processing and analysis of Cryptosporidium NGS datasets. Built using Nextflow DSL2 and containerized with Singularity, Parapipe is portable, scalable, and capable of end-to-end analyses, including quality control, variant calling, multiplicity of infection (MOI) investigations and phylogenomic clustering analysis. Using both simulated and real-world datasets, we demonstrate Parapipes ability to resolve genetic heterogeneity, identify mixed infections, and generate high-resolution phylogenomic insights. Here, we use it to carry out a comparison between whole genome single nucleotide polymorphism (wgSNP) typing and the conventionally used gp60 molecular typing scheme. Compared to existing pipelines, Parapipe uniquely integrates MOI analysis, enabling the differentiation of mixed infections and supporting epidemiological investigations. Parapipes design facilitates integration with geographic, demographic, epidemiological and environmental data, enhancing its utility for tracking transmission pathways and outbreak sources. Parapipe represents a significant advance in utilising genomics for public health surveillance of Cryptosporidium, offering a streamlined and reproducible framework for analysis with potential application to other pathogenic protozoa. By automating complex workflows and enabling detailed genomic characterization, Parapipe provides a valuable tool for public health agencies and researchers, supporting efforts to mitigate the global burden of cryptosporidiosis.