A leprous skeleton of the 7th century from Eccles,Kent, and the present evidence of leprosy in early Britain

A male skeleton of 7th century date from the Anglo-Saxon cemetery at Eccles, Kent, is described. Certain skeletal changes associated with leprosy are manifest. The disease is discussed in its palaeopathological context and this case in relation to the few other cases of the disease hitherto diagnosed in Great Britain.     

The rhinomaxillary syndrome in leprosy: A clinical,radiological and palaeopathological study

The rhinomaxillary syndrome consists of a group of maxillary bone changes, which may be present in part or in total, in lepromatous and near-lepromatous leprosy. The changes are a composite mixture of erosive, absorptive and proliferative bone reactions. The anatomical zones involved are the alveolar process of the maxilla, the anterior nasal spine, the palatine process of the maxilla, intranasal osseous structures, and the margins of the nasal aperture.     

Ancient-DNA reveals an Asian type of Mycobacterium leprae in medieval Scandinavia

Leprosy is a chronic infection of the skin and peripheral nerves caused by the pathogen Mycobacterium leprae. Its impact on human populations and societies of the past as well as its phylogeographic patterns around the world – at least in modern times – has been well documented. This slow growing bacterium has been shown to exist in distinct ‘SNP types’ that occur in relatively defined parts of the globe. The routes that the disease followed in the past are, however, still uncertain. This study of ancient-DNA typing of archaeological human remains from Sweden dated to early Medieval times provides genetic evidence that a transmission of M. leprae ‘SNP subtype’ 2G – found mainly in Asia – took or had already taken place at that time from the Middle East to Scandinavia. This finding is unique in the history of leprosy in Europe. All human specimens from this continent – both modern and ancient – that have been tested to date showed that the one responsible for the infection strains of M. leprae belong to ‘SNP type’ 3, whereas our results show that there were some European populations that were hosts to bacteria representing ‘SNP type’ 2 of the species as well.     

Diaphyseal remodelling in leprosy: A radiological and palaeopathological study

Diaphyseal remodelling is a pathological process of the proximal phalanges, metatarsals and metacarpals in all established types of clinical leprosy. It is suggested that the changes are the result of sympathetic neuropathy and alteration of peripheral vascular bed dynamics selectively stimulating extracortical osteoclastic and endosteal osteoblastic activity. There is an overall loss of diaphyseal cortical diameter, either in concentric or knife-edge pattern. There is extracortical absorption of bone and coincident endosteal bone deposition. Ultimately, there is diaphyseal pathological fracture, and subsequent resorption of the distal and proximal remnants due to combined continued diaphyseal remodelling and achroosteolysis.     

Mycobacterium leprae genotype amplified from an archaeological case of lepromatous leprosy in Central Asia

We have amplified Mycobacterium leprae DNA from the skeleton of an adult human female exhibiting signs of lepromatous leprosy (LL). The remains were excavated from the site of Devkesken 6 on the Ustyurt plateau of Uzbekistan and date to between the 1st and 4th centuries AD. Recovered DNA was fragmented but of sufficient quality and quantity to allow a series of biomolecular genotyping methods to be applied. These methods included variable nucleotide tandem repeat (VNTR) typing of two microsatellite and one minisatellite regions and also single-nucleotide polymorphism (SNP) typing for nine informative loci.Genotyping showed that the causative strain of M. leprae exhibited a SNP-type 3 profile, characteristic of cases associated geographically with Europe and North Africa. Further SNP sub-typing was performed and the data obtained from the Uzbek leper was compared with the same loci amplified from a case of LL recovered from Blackfriars, Ipswich, UK dating to between the 13th and 16th centuries AD. Unique group 3 subtypes were found in both the Uzbek case and Ipswich 1914. These appear to be ancestral to recent type 3 strains. Mycolic acid analysis confirmed the presence of M. leprae in the Uzbek samples. Phylogenetically informative SNPs and other polymorphic loci will contribute to the study of human migrations, as well as the origin and spread of leprosy.     

Variable nucleotide tandem repeat (VNTR) typing of two palaeopathological cases of lepromatous leprosy from Mediaeval England

Using ancient DNA methods, we have examined in detail two archaeological cases of leprosy from Mediaeval England. The first was a child skeleton with rhino-maxillary changes typical of lepromatous leprosy (LL). The second case was the skeleton of a male adult who showed both typical rhino-maxillary changes and osteitis/periostitis on the leg and foot bones. Bone powder was sampled from both cases and DNA extracts were prepared. These were subjected to a series of polymerase chain reactions (PCRs) specific for regions on the Mycobacterium leprae genome. The repetitive element RLEP was used for confirmation of M. leprae DNA and then three polymorphic regions were successfully amplified and sequenced to determine the number of variable nucleotide tandem repeats (vntr) at these loci. These were the microsatellite regions ML2344 and ML2172 and the minisatellite region ML0058. Genotyping data from the strains preserved within the skeletal remains were compared with those obtained for a reference strain of M. leprae. Variation at these three loci was found between both burials and the reference strain, indicating that vntr typing of LL cases from the archaeological record is a useful way of confirming disease and an additional means of authenticating aDNA data. This demonstrates the feasibility of targeting multiple loci for phylogenetic studies of leprosy strains from archival sources.     

Septic bone changes in leprosy: A clinical,radiological and palaeopathological review

Infective lesions of bone in leprosy are of two types. In the rhinomaxillary syndrome, superficial infective changes in the bones of the maxilla are due to the presence of Mycobacterium leprae. Lytic foci in the medulla or the outer cortical surface may be due to Mycobacterium leprae at the site as granulomatous lesions. The most frequent infective bone changes in leprosy are, however, sequelae of regional anaesthesia and soft tissue ulceration. The bone lesions are due to pyogenic bacteria and the nature of these infective lesions is similar to that in non-leprous conditions. The pyogenic lesions in leprosy are restricted to the bones of the hands, feet and lower legs.     

The diagnosis of pituitary disease from human skeletal remains

The purpose of this study was to determine whether the radiological criteria once widely used when investigating pituitary disease in the living can be applied to early man. The material examined forms part of the assemblage of skulls in the Duckworth Collection in Cambridge. It proved possible to measure the sella turcica from the radiographs of 88 of 155 predynastic adult Egyptian skulls with an intact base. These were compared with the measurements from 41 of 76 adult Burmese skulls of more recent origin and those of a randomly selected sample of living Caucasian adults. There was a wide range of sellar volumes in all three groups. The results were subjected to statistical analysis. Opportunities to apply the results of this study have been limited to the assessment of sellar erosion in a predynastic Badarian, review of the diagnosis of acromegaly in a, presumed, early Egyptian and the investigation of a hydrocephalic skull. The radiological examination of human skeletal remains thought to show evidence of pituitary disease or hydrocephalus can make palaeopathological diagnoses more secure.     

Ohalo II man—unusual findings in the anterior rib cage and shoulder girdle of a 19000-year-old specimen

The analysis of the skeletal remains of Ohalo II man, aged 30–40 years at death and dated to 19 000 years BP, shows advanced and highly unusual ossification of the lower costosternal cartilage; the right humerus is morphologically larger and considerably more robust than the left; degenerative changes were noted unilaterally in the right glenohumeral, acromioclavicular and claviculosternal joints. There is a marked asymmetry of the atlas, axis and occipital condyles. The changes in the costochondral area of the lower anterior rib cage are considered to represent an infectious chronic osteomyelitic process. The marked discrepancy in size between the left and right shoulder girdles and humeri, and the evidence of degenerative disease exclusively on one side only may be the result of a traumatic brachial plexus nerve palsy. The asymmetrical atlas and axis are most probably anatomical variants that do not reflect clinical pathology.     

Microscopical findings associated with the diagnosis of osteoporosis in palaeopathology

This paper presents some preliminary results on microscopical identification of microfractures in human skeletal remains which may be associated with osteoporosis. A technique is described for the examination of cancellous bone and applied to a number of vertebrae and one radius. All the material used is Romano-British or English medieval. However, microscopical screening for osteoporosis could form a useful part of comparative studies on historically or geographically different populations. The archaeological significance of osteoporosis in terms of skeletal ageing and nutritional status is discussed.     

Rates for the job. Measures of disease frequency in palaeopathology

Measures of disease frequency are discussed and their use in palaeopathology illustrated with examples, both hypothetical and real. It is shown that prevalence rates are the appropriate rates to use when calculating the frequency of diseases in skeletal populations. The extent to which prevalence rates accurately reflect those in the living population from which the skeletons were derived is also considered and it is suggested that they are a reasonable approximation for diseases that do not shorten life span, but not for those that do. Finally, suggestions are made for dealing with missing data.     

Biomolecular archaeology of ancient tuberculosis: response to “Deficiencies and challenges in the study of ancient tuberculosis DNA” by Wilbur et al. (2009)

It is sixteen years since the first detection of Mycobacterium tuberculosis DNA in archaeological specimens, yet the validity of findings continues to be questioned. Rigorous scientific scrutiny and debate is valuable and has led to a coalescence of procedures and precautions amongst those actively engaged in this work. It is disappointing that these good practices are not recognised by certain scientists whose primary expertise is in the related fields of archaeology, palaeopathology, and eukaryote ancient DNA. There is a danger that by constant repetition, disputable and inadequately justified concerns will assume the status of self-perpetuating myths and misunderstandings. We discuss these issues with reference to a recent article in this journal, in which clear peer-reviewed scientific data were specifically targeted as part of a general critique of the field of the palaeomicrobiology of tuberculosis. We believe we have given sufficient evidence and cogent argument to persuade the unbiased reader that the views in the critique by Wilbur et al. are unjustified.     

New evidence for the antiquity of leprosy in early Britain

Examination of skeletons excavated in Dorset has probably produced the earliest example of leprosy known in northern Europe. The site, Poundbury Camp, Dorchester, was excavated under the direction of C. J. S. Green for the Dorchester Excavation Committee from 1966 to 1973. It is a Romano-British cemetery, apparently Christian, and the leprous bones are dated by their archaeological context to the middle of the fourth century AD.The specimen consists of the distal portions of right and left tibiae and fibulae, and the right and left feet. The right intermediate cuneiform is missing, but this may be a post-mortem loss. All parts of the skeleton above the mid-shaft of the tibiae and fibulae have been lost due to modern disturbance. It is therefore impossible to estimate the sex of the individual or its age, but the bones are certainly those of a mature adult.The following pathological changes were noted.     

The Eulau eulogy: Bioarchaeological interpretation of lethal violence in Corded Ware multiple burials from Saxony-Anhalt, Germany

The Corded Ware is one of the major archaeological traditions of Late Neolithic Europe. Its burial customs are characterized by single graves but multiple burials also occur. We present a detailed study of antemortem and perimortem trauma in a group of Corded Ware skeletons from four multiple graves and give the most probable interpretation of the site, based upon all available bioarchaeological evidence. The pattern of observed injuries in male, female, and subadult skeletons, including cranial trauma, arrow wounds, and fractures of the forearm and hands points towards a violent event that resulted in the death of all individuals, most probably a raid. In contrast to comparable Neolithic raid sites, there was no complete extermination of the local population and no use of mass graves. The burials have been arranged with care and detailed knowledge about biological kinship ties [Haak, W., Brandt, G., de Jong, H.N., Meyer, C., Ganslmeier, R., Heyd, V., Hawkesworth, C., Pike, A.W.G., Meller, H., Alt, K.W., 2008. Ancient DNA, strontium isotopes, and osteological analyses shed light on social and kinship organization of the Later Stone Age. Proceedings of the National Academy of Sciences of the United States of America 105, 18226–18231]. The combination of clear causes of death and the proven biological relationships among some of the individuals, including a nuclear family, provides new and important insights into Corded Ware mortuary customs and the reasons why and how multiple graves have been utilised.     

Diaphyseal aclasis in citizens of ancient Jericho

Three cases of multiple osteochondromatosis are reported among 843 skeletons excavated from the site of the ancient city of Jericho. Radiocarbon dating and archaeological evidence both suggest that two of the skeletons date from about 1700 BC . These skeletons represent the earliest known cases of diaphyseal aclasis.     

The first direct evidence of pre-columbian sources of palygorskite for Maya Blue

Maya Blue, a nano-structured clay–organic complex of palygorskite and indigo, was used predominantly before the Spanish Conquest. It has fascinated chemists, material scientists, archaeologists and art historians for decades because it is resistant to the effect of acids, alkalis, and other reagents, and its rich color has persisted for centuries in the harsh tropical climate of southern Mesoamerica. One of its components, palygorskite, is part of modern Maya indigenous knowledge, and ethnohistoric and archaeological data suggest that its modern sources were probably utilized in Prehispanic times. Yet no direct evidence verifies that palygorskite was actually mined from these sources to make Maya Blue. Here we characterize these sources compositionally, and compare our analyses to those of Maya Blue from Chichén Itzá and Palenque. We demonstrate that the palygorskite in most of these samples came from modern mines, providing the first direct evidence for the use of these sources for making Maya Blue. These findings reveal that modern Maya indigenous knowledge about palygorskite, its mining, and its source locations, is at least seven centuries old.     

Skeletal markers of occupational stress in the Fur Trade: A case study from a Hudson's Bay Company Fur Trade post

The Seafort Burial Site (FcPr100) is a Fur Trade Period cemetery located near the town of Rocky Mountain House, Alberta. The results of recent analysis of skeletons recovered during salvage excavations between 1969 and 1971 suggest that three males in this sample were voyageurs in the employ of the Hudson's Bay Company. Vertebral osteophytosis and osteoarthritis, Schmorl's nodes, muscle origin robusticity and new bone formation at entheses and syndesmoses, and osteoarthritis at the elbow and shoulder joints provide evidence for carrying, lifting, and paddling or rowing. The presence of accessory sacral facets also may be stress-related. In addition, the development of accessory articular facets on the metatarsals and proximal pedal phalanges may indicate activity-induced stress from hyperdorsiflexion of the toes in habitual kneeling, such as when river canoeing.