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Mycobacterium tuberculosis Complex in Remains of 18th–19th Century Slaves, Brazil - Vol. 19 No. 5 - May 2013 - Emerging Infectious Disease journal - CDC

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Mycobacterium tuberculosis Complex in Remains of 18th–19th Century Slaves, Brazil - Vol. 19 No. 5 - May 2013 - Emerging Infectious Disease journal - CDC

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Volume 19, Number 5—May 2013

Letter

Mycobacterium tuberculosis Complex in Remains of 18th–19th Century Slaves, Brazil

Suggested citation for this article
To the Editor: Nineteenth century Rio de Janeiro, Brazil, was marked by increased illness and deaths from tuberculosis (TB). By the twentieth century, it was still believed that most TB cases in the Americas originated from Europe; the “virgin soil” hypothesis for African (1) and Amerindian populations was accepted. However, modern and archeological DNA evidence confirms the wide distribution of Mycobacterium tuberculosis complex (MTC) and TB in the Old and New Worlds.
Rio de Janeiro was a main entry port for millions of Africans captured for the slave trade. Pretos Novos (New Blacks) Cemetery (PNC; 1769–1830) was created in Rio de Janeiro as a burial ground for the many slaves who died at market. Comingled bone fragments (≈5,000) from ≈30 persons were recovered at PNC; most bones were broken and had been exposed to fire (2,3). Bioanthropological analysis determined most of the bones were from men 18–25 years of age (2); none had lesion consistent with TB.
Femurs from 16 persons were surveyed for M. tuberculosis ancient DNA (aDNA). The thick shafts of femur offered a preserved condition for molecular analysis, and the bones could be individualized, avoiding duplication of samples. Paleogenetic investigation guidelines were followed. Sample preparation, aDNA extraction, and PCR were performed at the Paleogenetics Unit (Oswaldo Cruz Foundation, Rio de Janeiro) an isolated environment exclusively dedicated to aDNA research.
Before removal of the bone surface, samples were decontaminated by ultraviolet light (15 min/all sides), frozen in liquid nitrogen, and subjected to manual trituration. Bone powder (≈200 mg) was then incubated with digestion buffer (56°C, 48–72 h) as described (4). aDNA hybridizations with MTC probes were conducted as described (4). By using 2 segments of mitochondrial DNA (mtDNA) hypervariable segment I (HVS-I) target, we determined the ancestry of the humans from whom the bones were derived (4). To control for recent contamination, we compared the HVS-I sequences with those in GenBank and also in a database for the laboratory staff.
Using the hybridization assay with insertion sequence (IS) 6110 target, we detected MTC aDNA in bones from 4/16 persons (samples PN1, PN8, PN13, PN15); 3 of these samples (PN1, PN8, PN13) were also positive for IS1081 target, confirming MTC infection (Table). HVS-I target was retrieved from 3 samples (PN6, PN14, PN15), which enabled determination of the human mtDNA haplotypes (L3e2, L3d1, L1c2, respectively) (Table). The haplotypes showed that the 3 persons were of African descent (GenBank accession nos. JQ639893–Q639895). Our findings are consistent with those from studies based on current African populations, which show that haplotype L1c is restricted to central Africa (5) and L3d and L3e are most frequently found in western and central Africa, respectively (6).
Historic data (3) showed that 95% of persons buried in PNC were New Blacks, meaning they were born in Africa and died just after arriving in America. Our mtDNA results confirm historic and genetic records that indicate a large percentage of persons brought to Brazil as slaves originated from western–central and western Africa. This makes the PNC samples unique for the paleogenetic purpose of this investigation.
The endemicity of TB in Rio de Janeiro during the colonial period was confirmed by Jaeger and colleagues, who demonstrated MTC infection in 56.6% of persons with European ancestry buried at Nossa Senhora do Carmo Church (4). The difference in the frequency of MTC found in the remains of slaves buried in PNC and of Europeans buried at Nossa Senhora do Carmo Church may be explained by the types of samples analyzed and the epidemiologic conditions of both groups. The cremation of corpses at PNC may also partly explain the difference. The finding of MTC aDNA in the remains of 25% of persons buried at PNC could be an underestimation of infection.
Our finding that some of the slaves buried in PNC had TB infection when they arrived in Brazil is in agreement with previous findings of the differential distribution of TB and with a tuberculin survey on the African continent, supporting the hypothesis of native African TB (7,8). Therefore, the hypothesis of Africa as virgin soil for TB (1,9) cannot be easily supported. The incidence of TB among the slaves/Blacks in Rio de Janeiro was less than expected given their social and sanitary conditions (10), especially in a TB-endemic situation (4). Previous exposure to MTC might explain their apparent relative resistance.
Other evidence showing African contact with Europeans before the sixteenth century, supports the existence of TB in Africa (8), and TB was prevalent in urbanized centers along coastal areas of western Africa (7,8). Although some of those cases were probably the result of European contact, it is not possible to exclude that some were caused by TB native to Africa. We can affirm that persons buried in PNC, who were transported to Brazil as slaves from Africa, brought TB infection with them; whether the infection was caused by European TB endemic to Africa or by TB native to Africa is not known.
Lauren H. Jaeger, Sheila M.F.M. de Souza, Ondemar F. Dias, and Alena M. IñiguezComments to Author 
Author affiliations: Fundação Oswaldo Cruz, Rio de Janeiro, Brazil (L.H. Jaeger, S.M.F.M. de Souza, A.M. Iñiguez); Instituto de Arqueologia Brasileira, Belford Roxo, Brazil (O.F. Dias).

Acknowledgments

We thank the Laboratory of Molecular Biology Applied to Mycobacteria, Instituto Oswaldo Cruz (IOC)/FIOCRUZ for providing samples of Mycobacterium tuberculosis complex DNA for positive control assays. We also thank the genomics platform of Programa de Desenvolvimento Tecnológico em Insumos para Saúde/FIOCRUZ for technical assistance.
Support for this study was provided by IOC/FIOCRUZ; a grant from Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (grants E-26/110.189/2008 and E-26/ 111.637/2010); and Conselho Nacional de Desenvolvimento Científico e Tecnológico fellowships (to L.H.J., grant 142260/2010-0, and to A.M.I., grant 300484/2008-9).

References

  1. Cummins SL. “Virgin soil”—and after: a working conception of tuberculosis in children, adolescents, and aborigines. BMJ. 1929;2:3941 and. DOIExternal Web Site IconPubMedExternal Web Site Icon
  2. Machado LC. Sítio cemitério dos Pretos Novos: análise biocultural. In: Dias O, Carvalho E, Zimmermann M, editors. Estudos contemporâneos de arqueologia. Palmas (Brazil): Fundação Universidade do Tocantins Neurosci, Instituto de Arqueologia Brasileira; 2006.
  3. Pereira JCMS. À flor da terra: o cemitério dos Pretos Novos no Rio de Janeiro. Rio de Janeiro: Garamond; 2007.
  4. Jaeger LH, Leles D, Lima VD, Silva LD, Neto OD, Iniguez AM. Mycobacterium tuberculosis complex detection in human remains: tuberculosis spread since the 17th century in Rio de Janeiro, Brazil. Infect Genet Evol. 2012;12:6428 and. DOIExternal Web Site IconPubMedExternal Web Site Icon
  5. Harich N, Costa MD, Fernandes V, Kandil M, Pereira JB, Silva NM, The trans-Saharan slave trade—clues from interpolation analyses and high-resolution characterization of mitochondrial DNA lineages. BMC Evol Biol. 2010;10:138 and. DOIExternal Web Site IconPubMedExternal Web Site Icon
  6. Salas A, Richards M, De la Fe T, Lareu MV, Sobrino B, Sanchez-Diz P, The making of the African mtDNA landscape. Am J Hum Genet. 2002;71:1082111 and. DOIExternal Web Site IconPubMedExternal Web Site Icon
  7. Calmette A. Enquete sur l’epideiyiiologie de la tuberculose dans les colonies Françaises. Ann Inst Pasteur (Paris). 1912;7:497514.
  8. Daniel TM. The early history of tuberculosis in central East Africa: insights from the clinical records of the first twenty years of Mengo Hospital and review of relevant literature. Int J Tuberc Lung Dis. 1998;2:78490 .PubMedExternal Web Site Icon
  9. Stead WW. Tuberculosis in Africa. Int J Tuberc Lung Dis. 1998;2:7912 .PubMedExternal Web Site Icon
  10. Sigaud JFX. Do clima e das doenças do Brasil, estatística médica deste império. Rio de Janeiro: Editora Fiocruz. 2009.

Table

Suggested citation for this article: Jaeger LH, Mendonçade Souza SMF, Dias OF, Iñiguez AM. Mycobacterium tuberculosis complex in remains of 18th–19th century slaves, Brazil [letter]. Emerg Infect Dis [Internet]. 2013 May [date cited]. http://dx.doi.org/10.3201/eid1905.120193External Web Site Icon
DOI: 10.3201/eid1905.120193

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