Evidence map›Paper›PMID 36747166›Full record

ArticleBMC biology2023

A nontuberculous mycobacterium could solve the mystery of the lady from the Franciscan church in Basel, Switzerland.

Mohamed S Sarhan, Christina Wurst, Alexandar Tzankov, Andreas J Bircher, Holger Wittig, Thomas Briellmann, Marc Augsburger, Gerhard Hotz, Albert Zink, Frank Maixner

Open access · goldAbstract read
In one paragraph

Article in BMC biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
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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

10 authors at 5 institutions in 3 countries.

Mohamed S SarhanEurac Research - Institute for Mummy Studies, 39100, Bolzano, Italy. mohamed.sarhan@eurac.edu.ORCID 0000-0003-0904-976X
Christina WurstEurac Research - Institute for Mummy Studies, 39100, Bolzano, Italy.
Alexandar TzankovInstitute of Medical Genetics and Pathology, University Hospital Basel, University of Basel, 4031, Basel, Switzerland.
Andreas J BircherDepartment of Allergology, University Hospital Basel, 4031, Basel, Switzerland.
Holger WittigDepartment of Biomedical Engineering, Institute of Forensic Medicine, University of Basel, 4056, Basel, Switzerland.
Thomas BriellmannCitizen Science Basel; formerly Institute of Forensic Medicine, Forensic Chemistry and Toxicology, University of Basel, 4056, Basel, Switzerland.
Marc AugsburgerUniversity Center of Legal Medicine, Lausanne, Geneva, Switzerland.
Gerhard HotzNatural History Museum Basel, 4051, Basel, Switzerland.
Albert ZinkEurac Research - Institute for Mummy Studies, 39100, Bolzano, Italy.
Frank MaixnerEurac Research - Institute for Mummy Studies, 39100, Bolzano, Italy. frank.maixner@eurac.edu.
Eurac Research · ITUniversity of Basel · CHNatural History Museum of Basel · CHUniversity Centre of Legal Medicine · CHUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 1975, the mummified body of a female has been found in the Franciscan church in Basel, Switzerland. Molecular and genealogic analyses unveiled her identity as Anna Catharina Bischoff (ACB), a member of the upper class of post-reformed Basel, who died at the age of 68 years, in 1787. The reason behind her death is still a mystery, especially that toxicological analyses revealed high levels of mercury, a common treatment against infections at that time, in different body organs. The computed tomography (CT) and histological analysis showed bone lesions in the femurs, the rib cage, and the skull, which refers to a potential syphilis case.

resultsAlthough we could not detect any molecular signs of the syphilis-causing pathogen Treponema pallidum subsp. pallidum, we realized high prevalence of a nontuberculous mycobacterium (NTM) species in brain tissue sample. The genome analysis of this NTM displayed richness of virulence genes and toxins, and similarity to other infectious NTM, known to infect immunocompromised patients. In addition, it displayed potential resistance to mercury compounds, which might indicate a selective advantage against the applied treatment. This suggests that ACB might have suffered from an atypical mycobacteriosis during her life, which could explain the mummy's bone lesion and high mercury concentrations.

conclusionsThe study of this mummy exemplifies the importance of employing differential diagnostic approaches in paleopathological analysis, by combining classical anthropological, radiological, histological, and toxicological observations with molecular analysis. It represents a proof-of-concept for the discovery of not-yet-described ancient pathogens in well-preserved specimens, using de novo metagenomic assembly.

Indexed as

Mycobacterium Infections, NontuberculousSyphilisAgedFemaleHumansNontuberculous MycobacteriaSwitzerlandVirulenceAncient DNA (aDNA)Anna Catharina Bischoff (ACB)BacteriophageBrain infectionsDe novo assemblyFranciscan church mummyMycobacteriosisNontuberculous mycobacteria (NTM)Syphilis

Identifiers

PMID36747166
PMCPMC9903526
OpenAlexW4319299699

What OpenQuestion holds

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Registered trials

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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.