New perspectives on evolutionary medicine: the relevance of microevolution for human health and disease

Evolutionary medicine (EM) is a growing field focusing on the evolutionary basis of human diseases and their changes through time. To date, the majority of EM studies have used pure theories of hominin macroevolution to explain the present-day state of human health. Here, we propose a different approach by addressing more empirical and health-oriented research concerning past, current and future microevolutionary changes of human structure, functions and pathologies. Studying generation-to-generation changes of human morphology that occurred in historical times, and still occur in present-day populations under the forces of evolution, helps to explain medical conditions and warns clinicians that their current practices may influence future humans. Also, analyzing historic tissue specimens such as mummies is crucial in order to address the molecular evolution of pathogens, of the human genome, and their coadaptations.Frank Jakobus Rühli and Maciej Henneber

Radiological and histological findings in ancient salt mummies from the salt mine of Douzlākh, Iran

Computed tomography studies and histological analyses were performed on the mummified remains found in the Chehrābād salt mine in northwestern Iran. The ancient salt mummies are dated to the Achaemenid (550–330 BC) and Sassanid (3rd–7th century AD) time period and died in mining incidents. The aim of the study was to describe the radiological and histological findings of several ancient Iranian salt mummies with special interest in pathological and postmortem changes. The mummified remains show multiple traumatic alterations, such as fractures and signs of massive compression. Histological analyses can clearly differentiate soft tissue, however the preservation status is variable. These Iranian salt mummies are a rare example of the ancient Iranian population. The soft tissue and organs are well preserved, however in different degrees due to the varying conditions

Scenes from the past: MR imaging versus CT of ancient Peruvian and Egyptian mummified tissues

Ancient Egyptian and Peruvian mummies are extremely valuable historical remains, and noninvasive methods for their examination are desirable. The current standard of reference for radiologic imaging of mummies is computed tomography (CT), with tissue having a homogeneous appearance on all CT images. It was long believed that ancient mummified tissue could not be studied with magnetic resonance (MR) imaging because of the low water content in mummies. Recently, however, the usefulness of MR imaging in the evaluation of mummified tissue was demonstrated for the first time, with use of a special ultrashort echo time technique. The authors of the present study acquired and analyzed MR imaging and CT data from the left hands of two ancient Egyptian mummies and the head of a third Egyptian mummy (ca 1500-1100 bce), as well as data from an ancient Peruvian mummy (ca 1100 ce). CT was found to provide superior detail of the anatomic structures, mainly because of its higher spatial resolution. The signal intensity of mummified tissue varied greatly on MR images; thus, the quality of these images is not yet comparable to that of clinical MR images, and further research will be needed to determine the full capacity of MR imaging in this setting. Nevertheless, additional information may theoretically be obtained with MR imaging, which should be viewed as complementary to, rather than a replacement for, CT

Non-invasive spatial tissue discrimination in ancient mummies and bones in situ by portable nuclear magnetic resonance

Historic mummies and skeletons have been investigated extensively by modern diagnostic imaging using computed tomography. But magnetic resonance imaging (MRI) has never been applied successfully to mummies in a non-invasive way without tissue rehydration. The aim of this study is to show the feasibility and diagnostic impact of mobile MR technology to historic human tissues. The natural glacier mummy Iceman, a mummified recent human cadaver, historic mummified body parts, historic bones, and living volunteers have been analysed by non-invasive, single sided NMR with the NMR-MOUSE®. We acquired high-resolution depth profiles and T2 relaxation curves of the head region of the Iceman mummy in situ in the storage room at the Museum and of the cadaver in the hospital. A spatial differentiation of surface ice layer, cutis, and skull bone up to a depth of 5 mm was possible. In ancient Egyptian mummified specimens, the thickness of a fingernail and a differentiation of a single bandage layer versus the skin underneath were possible. A comparison of depth profiles through different foreheads of mummies, skulls, and living people gives strong evidence, that single-sided NMR with the NMR-MOUSE is a non-invasive technique to determine bone density. Our results demonstrate for the first time the feasibility of non-clinical MRI to visualize historic human tissues in a non-invasive approach

High‐resolution MRI of mummified tissues using advanced short‐T2 methodology and hardware

Purpose: Evolutionary medicine aims to study disease development from a long-term perspective, and through the analysis of mummified tissue, timescales of several thousand years are unlocked. Due to the status of mummies as ancient relics, noninvasive techniques are preferable, and, currently, CT imaging is the most widespread method. However, CT images lack soft-tissue contrast, making complementary MRI data desirable. Unfortunately, the dehydrated nature and short T2 times of mummified tissues render them practically invisible to standard MRI techniques. Specialized short-T2 approaches have therefore been used, but currently suffer severe resolution limitations. The purpose of the present study is to improve resolution in MRI of mummified tissues. Methods: The zero-TE-based hybrid filling technique, together with a high-performance magnetic field gradient, was used to image three ancient Egyptian mummified human body parts: a hand, a foot, and a head. A similar pairing has already been shown to increase resolution and image quality in MRI of short-T2 tissues. Results: MRI images of yet unparalleled image quality were obtained for all samples, reaching isotropic resolutions of 0.6 mm and SNR values above 100. The same general features as present in CT images were depicted but with different contrast, particularly for regions containing embalming substances. Conclusion: Mummy MRI is a potentially valuable tool for (paleo)pathological studies, as well as for investigations into ancient mummification processes. The results presented here show sufficient improvement in the depiction of mummified tissues to clear new paths for the exploration of this field. Keywords: HYFI; ZTE; ancient Egyptian mummy; high resolution; high-performance gradient; short T2

CT-based and morphological comparison of glenoid inclination and version angles and mineralisation distribution in human body donors

Background: For optimal prosthetic anchoring in omarthritis surgery, a differentiated knowledge on the mineralisation distribution of the glenoid is important. However, database on the mineralisation of diseased joints and potential relations with glenoid angles is limited. Methods: Shoulder specimens from ten female and nine male body donors with an average age of 81.5 years were investigated. Using 3D-CT-multiplanar reconstruction, glenoid inclination and retroversion angles were measured, and osteoarthritis signs graded. Computed Tomography-Osteoabsorptiometry (CT-OAM) is an established method to determine the subchondral bone plate mineralisation, which has been demonstrated to serve as marker for the long-term loading history of joints. Based on mineralisation distribution mappings of healthy shoulder specimens, physiological and different CT-OAM patterns were compared with glenoid angles. Results: Osteoarthritis grades were 0-I in 52.6% of the 3D-CT-scans, grades II-III in 34.3%, and grade IV in 13.2%, with in females twice as frequently (45%) higher grades (III, IV) than in males (22%, III). The average inclination angle was 8.4°. In glenoids with inclination ≤10°, mineralisation was predominantly centrally distributed and tended to shift more cranially when the inclination raised to > 10°. The average retroversion angle was - 5.2°. A dorsally enhanced mineralisation distribution was found in glenoids with versions from - 15.9° to + 1.7°. A predominantly centrally distributed mineralisation was accompanied by a narrower range of retroversion angles between - 10° to - 0.4°. Conclusions: This study is one of the first to combine CT-based analyses of glenoid angles and mineralisation distribution in an elderly population. The data set is limited to 19 individuals, however, indicates that superior inclination between 0° and 10°-15°, and dorsal version ranging between - 9° to - 3° may be predominantly associated with anterior and central mineralisation patterns previously classified as physiological for the shoulder joint. The current basic research findings may serve as basic data set for future studies addressing the glenoid geometry for treatment planning in omarthritis

Confirmation of microevolutionary increase in spina bifida occulta among Swiss birth cohorts

Previous studies on the prevalence of spina bifida occulta have indicated a microevolutionary increase in its frequency and possible population differences in the prevalence of the condition. We studied the frequencies of closed and open sacral canals at each sacral level among two birth cohorts in Switzerland. Transverse CT scans and multiplanar reconstruction images of sacra of 95 males and 96 females born in 1940–1950 and 99 males and 94 females born in 1970–1980 in Switzerland were reviewed. We found that individuals born later have significantly more open sacral arches at all sacral levels compared to those born 30–40 years earlier. When results were related to previously published data on Australian cohorts, the trend was the same, but Swiss in both cohorts were less likely to have an open section than Australians at all locations apart from S2. This study confirmed a microevolutionary trend in the opening of sacral canal among two different generations in Switzerland and demonstrated a population difference in the prevalence of spina bifida occulta

Risk to fragmented DNA in dry, wet, and frozen states from computed tomography: a comparative theoretical study

Computed tomography represents the gold standard in forensic and palaeopathological diagnosis. However, the X-rays used may affect the DNA quality through fragmentation and loss of genetic information. Previous work showed that the effects of ionizing radiation on dry DNA are non-significant with P < 10−8, which cannot be detected by means of polymerase chain reaction methods. In the present paper, complete analytical model that characterizes radiation effects on fragmented DNA in dry, wet, and frozen states is described. Simulation of radiation tracks in water phantom cells was performed using the Geant4-DNA toolkit. Cell hits by electrons with energies between 5 and 20 keV were simulated, and the formation of radiolytic products was assessed at a temperature of 298 K. The diffusion coefficient and the mean square displacement of reactive species were calculated by Stokes–Einstein–Smoluchowski relations at 273 K. Finally, DNA fragment damage was estimated using the density distribution of fragments calculated from atomic force microscopy images. The lowest probability of radiation-induced DNA damage was observed for dry state, with a range from 2.5 × 10−9 to 7.8 × 10−12 at 298 K, followed by that for frozen state, with a range from 0.9 to 4 × 10−7 at 273 K. The highest probability of radiation-induced DNA damage was demonstrated for fragmented DNA in wet state with a range from 2 to 9 × 10−7 at 298 K. These results significantly improve the interpretation of CT imaging in future studies in forensic and palaeopathological science