The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic

Is it possible that the origin of <i>Mycobacterium tuberculosis</i> (Mtb) infection was around 70,000 years before the common era? At that time <i>Homo sapiens</i> was just another primate species with discrete growth and a very low-density geographic occupation. Therefore, i...

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Main Authors: Pere-Joan Cardona, Martí Català, Clara Prats
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/11/3/366
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author Pere-Joan Cardona
Martí Català
Clara Prats
author_facet Pere-Joan Cardona
Martí Català
Clara Prats
author_sort Pere-Joan Cardona
collection DOAJ
description Is it possible that the origin of <i>Mycobacterium tuberculosis</i> (Mtb) infection was around 70,000 years before the common era? At that time <i>Homo sapiens</i> was just another primate species with discrete growth and a very low-density geographic occupation. Therefore, it is difficult to understand the origin of a highly virulent obligate human pathogen. We have designed a new SEIR model (TBSpectr) that allows the differentiation of smear-positive and -negative tuberculosis. The model reconciles currently accepted growth rates for the Middle Paleolithic (0.003%/year) and Neolithic (0.1%/year). The obtained data link the origin of Mtb infection in the Middle Paleolithic to the induction of smear-negative TB, and reveal that its persistence required interrelations among hunter–gatherer groups, while the risk of human extinction was negligible. It also highlights the number of people infected per case and the fast progression to disease for Mtb infection maintenance, as well as the link between poor health in the Neolithic with the increased incidence of more severe forms of TB (smear-positive). In conclusion, our data support the origin of TB as a well-tolerated, highly persistent disease, even in low-density populations, showing the difficulty of its eradication and highlighting the necessity for providing better health conditions to humans to reduce its severity.
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spelling doaj.art-7156e943cadf4f21871613d0b677aeee2023-11-30T21:53:02ZengMDPI AGPathogens2076-08172022-03-0111336610.3390/pathogens11030366The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the PaleolithicPere-Joan Cardona0Martí Català1Clara Prats2Unitat de Tuberculosi Experimental, Germans Trias i Pujol Research Institute (IGTP), 08916 Badalona, SpainComparative Medicine and Bioimage Centre of Catalonia (CMCiB), Germans Trias i Pujol Research Institute (IGTP), 08916 Badalona, SpainComparative Medicine and Bioimage Centre of Catalonia (CMCiB), Germans Trias i Pujol Research Institute (IGTP), 08916 Badalona, SpainIs it possible that the origin of <i>Mycobacterium tuberculosis</i> (Mtb) infection was around 70,000 years before the common era? At that time <i>Homo sapiens</i> was just another primate species with discrete growth and a very low-density geographic occupation. Therefore, it is difficult to understand the origin of a highly virulent obligate human pathogen. We have designed a new SEIR model (TBSpectr) that allows the differentiation of smear-positive and -negative tuberculosis. The model reconciles currently accepted growth rates for the Middle Paleolithic (0.003%/year) and Neolithic (0.1%/year). The obtained data link the origin of Mtb infection in the Middle Paleolithic to the induction of smear-negative TB, and reveal that its persistence required interrelations among hunter–gatherer groups, while the risk of human extinction was negligible. It also highlights the number of people infected per case and the fast progression to disease for Mtb infection maintenance, as well as the link between poor health in the Neolithic with the increased incidence of more severe forms of TB (smear-positive). In conclusion, our data support the origin of TB as a well-tolerated, highly persistent disease, even in low-density populations, showing the difficulty of its eradication and highlighting the necessity for providing better health conditions to humans to reduce its severity.https://www.mdpi.com/2076-0817/11/3/366<i>Homo sapiens</i><i>Mycobacterium tuberculosis</i>disease spectrumPaleolithicNeolithicdemography
spellingShingle Pere-Joan Cardona
Martí Català
Clara Prats
The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic
Pathogens
<i>Homo sapiens</i>
<i>Mycobacterium tuberculosis</i>
disease spectrum
Paleolithic
Neolithic
demography
title The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic
title_full The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic
title_fullStr The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic
title_full_unstemmed The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic
title_short The Origin and Maintenance of Tuberculosis Is Explained by the Induction of Smear-Negative Disease in the Paleolithic
title_sort origin and maintenance of tuberculosis is explained by the induction of smear negative disease in the paleolithic
topic <i>Homo sapiens</i>
<i>Mycobacterium tuberculosis</i>
disease spectrum
Paleolithic
Neolithic
demography
url https://www.mdpi.com/2076-0817/11/3/366
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