Although malaria is one of the oldest and most widely distributed diseases affecting humans, identifying and characterizing its presence in ancient human remains continue to challenge researchers. We attempted to establish a reliable approach to detecting malaria in human skeletons using multiple avenues of analysis: macroscopic observations, rapid diagnostic tests, and shotgun-capture sequencing techniques, to identify pathological changes, Plasmodium antigens, and Plasmodium DNA, respectively. Bone and tooth samples from ten individuals who displayed skeletal lesions associated with anaemia, from a site in southern Egypt (third to sixth centuries AD), were selected. Plasmodium antigens were detected in five of the ten bone samples, and traces of Plasmodium aDNA were detected in six of the twenty bone and tooth samples. There was relatively good synchronicity between the biomolecular findings, despite not being able to authenticate the results. This study highlights the complexity and limitations in the conclusive identification of the Plasmodium parasite in ancient human skeletons. Limitations regarding antigen and aDNA preservation and the importance of sample selection are at the forefront of the search for malaria in the past. We confirm that, currently, palaeopathological changes such as cribra orbitalia are not enough to be certain of the presence of malaria. While biomolecular methods are likely the best chance for conclusive identification, we were unable to obtain results which correspond to the current authentication criteria of biomolecules. This study represents an important contribution in the refinement of biomolecular techniques used; also, it raises new insight regarding the consistency of combining several approaches in the identification of malaria in past populations.
The Museo Egizio in Turin holds a unique collection of 116 mummified or skeletal human bodies or body parts. This collection is currently under study by the "Mummy Conservation Project", a collaborative venture of the Museo Egizio, the Institute for Mummy Studies of Eurac Research, the Soprintendenza Archeologia del Piemonte, and the Horus Group, whose aim is to improve mummy conservation techniques. In the context of this project, an assessment of the state of preservation of the mummified human remains was carried out by monitoring basic physical parameters (temperature, relative humidity and water activity) and by performing a fungal survey. The latter revealed the presence on the mummified material of fungal spores and mycelia that could possibly pose a biodegradative threat. However, all the current physical parameters show that the mummies are stored under optimal environmental conditions, which will suppress any microbial up-growth.
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