Evidence map›Paper›PMID 36510283›Full record

ArticleGenome biology2022

Pathogen genomics study of an early medieval community in Germany reveals extensive co-infections.

Joanna H Bonczarowska, Julian Susat, Barbara Mühlemann, Isabelle Jasch-Boley, Sebastian Brather, Benjamin Höke, Susanne Brather-Walter, Valerie Schoenenberg, Jonathan Scheschkewitz, Gabriele Graenert and 6 more

Open access · goldAbstract read
In one paragraph

Article in Genome biology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Ancient DNA and Human Physiology.Physiology (Bethesda, Md.) · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Capturing the fusion of two ancestries and kinship structures in Merovingian Flanders.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  13. Identification of DNA Viruses in Ancient DNA from Herbarium Samples.Methods in molecular biology (Clifton, N.J.) · 2024
    Article
  14. Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 2 countries.

Joanna H Bonczarowska *Institute of Clinical Molecular Biology, Kiel University, 24105, Kiel, Germany.
Julian Susat *Institute of Clinical Molecular Biology, Kiel University, 24105, Kiel, Germany.
Barbara Mühlemann *Institute of Virology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117, Berlin, Germany.
Isabelle Jasch-BoleyInstitute for Archaeological Sciences, Palaeoanthropology Working Group, University of Tübingen, Rümelinstrasse 23, 72070, Tübingen, Germany.
Sebastian BratherInstitute of Archaeology, Freiburg University, Belfortstraße 22, 79085, Freiburg, Germany.
Benjamin HökeLandesamt für Denkmalpflege im Regierungspräsidium Stuttgart, Berliner Straße 12, 73728, Esslingen, Germany.
Susanne Brather-WalterInstitute of Archaeology, Freiburg University, Belfortstraße 22, 79085, Freiburg, Germany.
Valerie SchoenenbergMuseum im Ritterhaus, Ritterstraße 10, 77652, Offenburg, Germany.
Jonathan ScheschkewitzLandesamt für Denkmalpflege im Regierungspräsidium Stuttgart, Berliner Straße 12, 73728, Esslingen, Germany.
Gabriele GraenertLandesamt für Denkmalpflege im Regierungspräsidium Stuttgart, Berliner Straße 12, 73728, Esslingen, Germany.
Dirk KrausseLandesamt für Denkmalpflege im Regierungspräsidium Stuttgart, Berliner Straße 12, 73728, Esslingen, Germany.
Michael FranckenLandesamt für Denkmalpflege im Regierungspräsidium Stuttgart, Konstanz, Germany.
Terry C JonesInstitute of Virology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117, Berlin, Germany.
Joachim WahlInstitute for Archaeological Sciences, Palaeoanthropology Working Group, University of Tübingen, Rümelinstrasse 23, 72070, Tübingen, Germany.
Almut NebelInstitute of Clinical Molecular Biology, Kiel University, 24105, Kiel, Germany.
Ben Krause-KyoraInstitute of Clinical Molecular Biology, Kiel University, 24105, Kiel, Germany. b.krause-kyora@ikmb.uni-kiel.de.ORCID 0000-0001-9435-2872
Regierungspräsidium Stuttgart · DEChristian-Albrechts-Universität zu Kiel · DEUniversity of Freiburg · DEUniversity of Tübingen · DEHumboldt-Universität zu Berlin · DEUniversity of Cambridge · GB

Funding

NIAID NIH HHS HHSN272201400008C
6 · The paper itself

Abstract

backgroundThe pathogen landscape in the Early European Middle Ages remains largely unexplored. Here, we perform a systematic pathogen screening of the rural community Lauchheim "Mittelhofen," in present-day Germany, dated to the Merovingian period, between fifth and eighth century CE. Skeletal remains of individuals were subjected to an ancient DNA metagenomic analysis. Genomes of the detected pathogens were reconstructed and analyzed phylogenetically.

resultsOver 30% of the individuals exhibit molecular signs of infection with hepatitis B virus (HBV), parvovirus B19, variola virus (VARV), and Mycobacterium leprae. Seven double and one triple infection were detected. We reconstructed four HBV genomes and one genome each of B19, VARV, and M. leprae. All HBV genomes are of genotype D4 which is rare in Europe today. The VARV strain exhibits a unique pattern of gene loss indicating that viruses with different gene compositions were circulating in the Early Middle Ages. The M. leprae strain clustered in branch 3 together with the oldest to-date genome from the UK.

conclusionsThe high burden of infectious disease, together with osteological markers of physiological stress, reflect a poor health status of the community. This could have been an indirect result of the climate decline in Europe at the time, caused by the Late Antique Little Ice Age (LALIA). Our findings suggest that LALIA may have created an ecological context in which persistent outbreaks set the stage for major epidemics of severe diseases such as leprosy and smallpox hundreds of years later.

Indexed as

CoinfectionLeprosyDNA, AncientHumansMiddle AgedMycobacterium lepraePhylogenyDNA, AncientAncient DNAAncient genomicsHepatitis B virusInfectious diseasesLeprosyParvovirus B19Pathogen evolutionPathogen genomicsSmallpoxVariola virus

Identifiers

PMID36510283
PMCPMC9746117
OpenAlexW4311581772

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.