Possible case of rheumatoid arthritis from Sudanese Nubia

Due to its apparent absence in archaeologically derived skeletons, rheumatoid arthritis (RA) has generally been believed to be of fairly recent origin. A growing body of evidence now demonstrates that erosive lesions typical of RA are present in archaeological populations and that the antiquity of RA may be greater than previously expected. In support of this argument, a case of erosive arthritis is reported in a skeleton from Kulubnarti, Republic of the Sudan (c. 700-1450 A.D.). Lytic, erosive lesions and subchondral cysts are present bilaterally in the carpal and metacarpal joints of a female skeleton with an estimated age at death of 50+ years. These lesions are typical of those seen in clinically diagnosed rheumatoid patients. While their expression and distribution are highly suggestive of RA, interpretation must be made with due consideration for problems of differential diagnosis of this disease in archaeological material.     

Obstetric dimensions of the true pelvis in a medieval population from Sudanese Nubia.

Functional analysis of the true pelvis (defined as that portion lying below and including the pelvic brim) was undertaken on a sample of 36 females from the Medieval site of Kulubnarti in Sudanese Nubia. Standard obstetric measurements were taken and compared to four additional prehistoric skeletal samples and to modern American standards for the same obstetric dimensions. Relative to the other prehistoric populations, the Kulubnarti pelves are smaller in most dimensions and, when compared to modern American standards, from one-third to one-half would be diagnosed as contracted in one or more planes. Given the meager, fluctuating resources of these Medieval Nubians' harsh desert environment, pelvic size reduction is a likely result of body size reduction as one biological response to nutritional stress (Mittler and Van Gerven, 1989; Moore et al., 1986; Van Gerven et al., 1981). It is argued, however, that size reduction created a high potential for either maternal-neonatal morbidity and mortality due to fetopelvic disproportion or neonatal loss due to low birth weight. In either case, it is suggested that the Kulubnarti population paid a significant biological price for this aspect of size reduction.     

Skeletal growth in a medieval population from Sudanese Nubia

Long bone growth is analyzed for 180 children from a Medieval population at Kulubnarti in Sudanese Nubia (550–1450 A.D.). A regional interpopulation comparison is made with growth data from Wadi Halfa in Lower Nubia, and an intrapopulation analysis is undertaken to assess diachronic changes in growth at Kulubnarti. Changes in growth patterns are interpreted in the context of mortality and morbidity profiles and relationships between the three variables are discussed. It is suggested that changes in the sociopolitical environment may have been responsible in part for altering levels of biological stress and impacting growth.     

Analysis of hair samples of mummies from Semna South (Sudanese Nubia)

Hair samples from 76 burials at Semna South (Sudanese Nubia) were examined using a variety of techniques. Electrophoresis and fluorescence microscopy indicated some oxidation of the cuticule and keratin protein had taken place. However, the cuticular structure and the lack of fluorescence of the cortex indicate that the low humidity and non-alkaline conditions preserved the physical and chemical properties of the hair well. Pigmentation, even allowing for oxidation of melanin, showed a higher proportion of lighter samples than is currently associated with the Nubian area. Hair form analysis showed medium diameter and scale count; the curling variables were intermediate between European and African samples. There was a high ratio of maximum to minimum curvature (a measure of irregularity), approached only by Melanesian samples. Meroitic and X-group burial types were not statistically significantly different (largely due to sample sizes), but the X-group, especially males, showed more African elements than the Meroitic in the curling variables. Principal components analysis showed the Semna sample to be significantly different from seven populations examined earlier.     

Female biological resiliency: Differential stress response by sex in human remains from ancient Nubia

This research presents male-female differences in stress response evidenced in human remains from the Medieval site of Kulubnarti in Sudanese Nubia. This analysis is unique in that a direct comparison of subadult males and females is rarely possible using archaeological remains. Rather, such analyses invariably rely on evidence of subadult differences retained in adult (sexable) skeletons. In the case of Kulubnarti, natural mummification has made it possible to measure sex-specific differences among subadults as well as adults following five avenues of investigation: 1) mortality, 2) growth and development, 3) enamel hypoplasia, 4) cribra orbitalia, and 5) cortical bone maintenance. A comparison of mean life expectancy (eox) values for males and females aged 10–55+ years revealed a consistent pattern of greater female survivorship, particularly in childhood (age 10 category) where female life expectancy exceeds that of males by 19%. Measures of growth and development, enamel hypoplasia, cribra orbitalia, and cortical bone loss were subsequently used to test a hypothesis of greater female resiliency based on the mortality data. Male-female differences in skeletal maturation are pronounced with male skeletal ages averaging a significant 2.9 years below their dental age. Females show no significant differences with an average skeletal age 0.75 years ahead of dental age. Males begin hypoplasia formation one year earlier than females and, prior to age four, average 18% more hypoplasias (p<0.05). Also, by age 8, males have on average more than twice the frequency of cribra orbitalia (p<0.05). In contrast to their consistent pattern of reduced childhood stress, adult females lose significantly more cortical bone than their male counterparts and have less cortical bone across the adult age range. Nevertheless, females outnumber males of all ages with a sex-ratio below but parallel to that observed in modern populations. The rapid age-related reduction in males relative to females, even in old age, suggests a continuing female resiliency in spite of their greater rate of osteopenia and may reflect a reproductive advantage to the population through heightened female survival and adaptability.     

On the mechanical characterization of compact bone structure using the homogenization theory

In a previous paper (Crolet et al., 1993, J. Biomechanics 26, 677–687), a modelling of the mechanical behavior of compact bone was presented, in which the homogenization theory was the basic tool of computation. In this simulation, approximations were used for the modelling of the lamellae and the osteons: the lamella and the osteon were divided into cylindrical sectors, each sector being approximated as a parallelepiped having a periodic structure (fibrous composite for the lamella, superimposition of plates for the osteon). The present study deals with a new model without these approximations. First, it can be proved that the homogenized elasticity tensor for a lamella, which has a non-periodic structure, is obtained at each geometrical point as a homogenized tensor of a periodic problem. Similarly, for the osteonal structure, the components of the homogenized tensor are determined at each point as the result of a periodic homogenization.

The software OSTEON, which is the computational method associated with this model, allows one to obtain a better understanding of the effects of many bony parameters. The obtained results are in accordance with experimental data.     

Cortical bone growth and dietary stress among subadults from Nubia's Batn el Hajar

Cortical bone growth is analyzed for 174 children from a Medieval Christian population at Kulubnarti in the Batn el Hajar of Sudanese Nubia (550–1450 AD ). Using the tibia as a representative long bone, total subperiosteal area, cortical area, medullary area, and percent cortical area at midshaft were calculated. While growth in total and cortical areas, as well as in length, appear to be fairly well maintained, percent cortical area reveals unusual growth patterns which reflect excessive endosteal resorption. Compared to the relative reduction in bone mass which has been observed in malnourished living children, as well as with previously reported evidence for stress in the Kulubnarti population, the present data support an interpretation of nutritionally related stress and of no major diachronic dietary change.     

Cortical bone maintenance and geometry of the tibia in prehistoric children from Nubia's Batn el Hajar

The relationship between advancing age in adults and patterns of cortical bone maintenance has been extensively documented for archaeological populations (Dewey, et al., 1969; Van Gerven et al., 1969; Perzigian, 1973). Most recently, this research has been expanded to include a more thorough consideration of the geometric properties of bone in relationship to adult age changes (Martin and Atkinsin, 1977; Ruff and Hayes, 1983). To date, however, few studies have documented subadult patterns of cortical bone maintenance in archaeological populations and none have incorporated the relationship between patterns of cortical bone loss and gain and the changing geometric properties of growing bone. Using a sample of 172 tibias from children excavated from the Medieval Christian site of Kulubnarti, located in Nubia's Batn el Hajar, the present research examines the relationship between percent cortical area, bone mineral content, and cross-sectional moments of inertia. Among these children, bone mineral content increases steadily from birth in spite of a reduction in percent cortical area during early and late childhood. It appears, therefore, that tissue quality of the bone is not adversely affected by the reduction. Furthermore, the reduction in percent cortical area in later childhood corresponds to a dramatic increase in bending strength measured by cross-sectional moments of inertia. Thus, whether this cortical reduction is due entirely or in part to either normal modeling or nutritional stress, the tissue and organ quality of the bone is not adversely affected.     

Compact bone changes in cold-exposed rats.

Rats exposed to cold stress show a reduction of relative cortical thickness in their long bones. The reaction resembles reduction of cortical thickness observed in Asiatic humans of the Mongoloid race, in whom many morphological features have been postulated to be cold-adaptive. However, until it can be established that the physiological processes underlying the experimental and phylogenetic condition are similar, no extrapolation can be attempted from the one to the other.     

Isolation and characterization of mesenchymal stem cells in orthopaedics and the emergence of compact bone mesenchymal stem cells as a promising surgical adjunct

The potential clinical and economic impact of mesenchymal stem cell (MSC) therapy is immense. MSCs act through multiple pathways: (1) as “trophic” cells, secreting various factors that are immunomodulatory, anti-inflammatory, anti-apoptotic, proangiogenic, proliferative, and chemoattractive; (2) in conjunction with cells native to the tissue they reside in to enhance differentiation of surrounding cells to facilitate tissue regrowth. Researchers have developed methods for the extraction and expansion of MSCs from animal and human tissues. While many sources of MSCs exist, including adipose tissue and iliac crest bone graft, compact bone (CB) MSCs have shown great potential for use in orthopaedic surgery. CB MSCs exert powerful immunomodulatory effects in addition to demonstrating excellent regenerative capacity for use in filling boney defects. CB MSCs have been shown to have enhanced response to hypoxic conditions when compared with other forms of MSCs. More work is needed to continue to characterize the potential applications for CB MSCs in orthopaedic trauma.     

Pattern of dental eruption,skeletal maturation and stress in a Medieval Population from Sudanese Nubia

The present research represents a comparison of dental and skeletal development as a means for determining nutritional stress in a Medieval Christian population from Nubia’sBatn el Hajar. The sample consists of 21 individuals from an early Christian (c 550–750) and 23 individuals from a late Christian cemetery (c mid-16th century) excavated from the site of Kulubnarti, Sudan. Ages at death ranged from 12 to 23 years. For the combined sample, a large majority (70.5%) of individuals had skeletal ages younger than their dental ages. However, a comparison of those individuals that could be sexed revealed that the pattern was not consistent for males and females. Females showed no difference between skeletal and dental age while males showed significant skeletal retardation. This pattern of sex differences is consistent with that observed for modern living children and subadults experiencing nutritional stress. A comparison by cemetry also suggests a reduction in stress from early to late Christian times with later Christians showing a closer correspondence between skeletal and dental ages. While not statistically significant, this apparent reduction is consistent with previous research on the subadult remains.     

Age-related changes in microarchitecture and mineralization of cancellous bone in the porcine mandibular condyle

The mandibular condyle is considered a good model for developing cancellous bone because of its rapid growth and high rate of remodeling. The aim of the present study was to analyze the simultaneous changes in microarchitecture and mineralization of cancellous bone during development in a three-dimensional fashion. Eight mandibular condyles of pigs aged 8 weeks prepartum to 108 weeks postpartum were scanned using microCT with an isotropic spatial resolution of 10 microm. The number of trabeculae decreased during development, whereas both the trabecular thickness and the distance between the trabeculae increased. The bone surface to volume ratio decreased during development, possibly limiting the amount of (re)modeling. Both the mean degree of mineralization and intratrabecular differences in mineralization between the surfaces and cores of trabecular elements increased during development. The trabecular surfaces were more highly mineralized in the older condyles compared to the younger ones. Together with the observed decrease in the relative size of trabecular surface, this finding suggests a decrease in (re)modeling activity during development. In accordance with the general growth and development of the pig, it was concluded that most developmental changes in cancellous bone occur until the age of 40 weeks postpartum.     

Postcranial robusticity in Homo. II: Humeral bilateral asymmetry and bone plasticity

The analysis of humeral asymmetry in Recent human skeletal samples and an extant tennis-player sample documents minimal asymmetry in bone length, little asymmetry in distal humeral articular breadth, but pronounced and variable asymmetry in mid- and distal diaphyseal crosssectional geometric parameters. More specifically, skeletal samples of normal modern Euroamericans, prehistoric and early historic Amerindians, and prehistoric Japanese show moderate (ca. 5–14%) median asymmetry in diaphyseal cross-sectional areas and polar second moments of area, whereas the tennis-player sample, with pronounced unilateral physical activity, exhibits median asymmetries of 28–57% in the same parameters. A sample of Neandertals with nonpathological upper limbs exhibits similarly low articular asymmetry but pronounced diaphyseal asymmetries, averaging 24–57%. In addition, three Neandertals with actual or possible post-traumatic upper limb alterations have the same low articular asymmetry but extremely high diaphyseal asymmetries, averaging 112–215%. These data support those from experimental work on animals, exercise programs of humans, and human clinical contexts in establishing the high degree of diaphyseal plasticity possible for humans, past and present, under changing biomechanical loading conditions. This lends support to activity-related functional interpretations of changing human diaphyseal morphology and robusticity during the Pleistocene. © 1994 Wiley-Liss, Inc.     

Interpretation of scanning electron microscopic images of abraded forming bone surfaces

The experimental abrasion of forming bone surfaces was conducted so that such surfaces could be characterized. This is particularly important to bone remodeling studies utilizing scanning electron microscope (SEM) imaging of archeological material. Forming surfaces derived from subadult macaque cranial bone were treated by particle abrasion, water abrasion, sliding abrasion, brushing, manual rubbing, weight, exfoliation, chipping and replication. Acetic acid treatments were also performed. The effects of abrasive agents are specific but generally fall into rough (particle and water abrasion) and smooth (sliding abrasion, brushing, rubbing and weight) categories. Protohistoric human and Plio-Pleistocene hominid subadult craniofacial remains were observed with the SEM for comparison with experimental data. The more recent material appeared smooth, probably as a result of specimen preparation procedures using brushes. Surfaces were still interpretable as forming, however, using a more abrasion-resistant feature called intervascular ridging (IVR) described in this study. The IVR pattern is also recognized on the hominid sample, confirming the possibility of performing remodeling studies on abraded fossil material. The abrasion characteristics are somewhat more difficult to classify, however. Abrasion is defined and discussed relative to remodeling studies and taphonomy. The usefulness of the experimental data reported here, however, in paleoenvironmental reconstruction, has yet to be fully realized. Acid and mechanical preparation techniques are briefly addressed. It is concluded that it is possible to characterize a forming surface as abraded according to the findings of this study and that acid, if handled with care, will more likely preserve microanatomical surface detail. It would also be in everyone's interest to employ a less abrasive cleaning regime on archeological specimens.     

Palaeoecological and morphofunctional interpretation of bone mass increase: an example in Late Cretaceous shallow marine squamates

Bone mass increase (BMI; i.e. osteosclerosis with possible additional pachyostosis) is characteristically displayed by many Late Cretaceous squamates that adapted to shallow marine environments—plesiopelvic mosasauroids, stem‐ophidians and pachyophiids. A combined morphological and microanatomical analysis of vertebrae and, to a lesser extent, ribs of these fossil squamates provides new data about the distribution and variability of this osseous specialization in these taxa. Classical thin sections and third generation synchrotron microtomography and laminography were used for the microanatomical analysis. Following the explanation of the likely involvement of this specialization in the control of buoyancy, body trim and Carrier's constraint, new palaeoecological inferences and new hypotheses about the locomotor abilities and life environment of these organisms are produced. The taxa displaying BMI are considered to have undertaken long dives, hovering slowly and maintaining a horizontal trim, in shallow and protected water environments. Conversely, marine stem‐ophidians deprived of this specialization are regarded as slow surface swimmers able to live in more open marine environments. This study highlights the importance of microanatomical data for palaeoecological studies. It also discusses the significance of the use of this specialization as a character in phylogenetic studies.     

Rethinking the nature of fibrolamellar bone: an integrative biological revision of sauropod plexiform bone formation

We present novel findings on sauropod bone histology that cast doubt on general palaeohistological concepts concerning the true nature of woven bone in primary cortical bone and its role in the rapid growth and giant body sizes of sauropod dinosaurs. By preparing and investigating longitudinal thin sections of sauropod long bones, of which transverse thin sections were published previously, we found that the amount of woven bone in the primary complex has been largely overestimated. Using comparative cellular and light‐extinction characteristics in the two section planes, we revealed that the majority of the bony lamina consists of longitudinally organized primary bone, whereas woven bone is usually represented only by a layer a few cells thin in the laminae. Previous arguments on sauropod biology, which have been based on the overestimated amount, misinterpreted formation process and misjudged role of woven bone in the plexiform bone formation of sauropod dinosaurs, are thereby rejected. To explain the observed pattern in fossil bones, we review the most recent advances in bone biology concerning bone formation processes at the cellular and tissue levels. Differentiation between static and dynamic osteogenesis (SO and DO) and the revealed characteristics of SO‐ versus DO‐derived bone tissues shed light on several questions raised by our palaeohistological results and permit identification of these bone tissues in fossils with high confidence. By presenting the methods generally used for investigating fossil bones, we show that the major cause of overestimation of the amount of woven bone in previous palaeohistological studies is the almost exclusive usage of transverse sections. In these sections, cells and crystallites of the longitudinally organized primary bone are cut transversely, thus cells appear rounded and crystallites remain dark under crossed plane polarizers, thereby giving the false impression of woven bone. In order to avoid further confusion in palaeohistological studies, we introduce new osteohistological terms as well as revise widely used but incorrect terminology. To infer the role of woven bone in the bone formation of fast‐growing tetrapods, we review some aspects of the interrelationships between the vascularity of bone tissues, basal metabolic rate, body size and growth rate. By putting our findings into the context of osteogenesis, we provide a new model for the diametrical limb bone growth of sauropods and present new implications for the evolution of fast growth in vertebrates. Since biomechanical studies of bone tissues suggest that predominant collagen fibre orientation (CFO) is controlled by endogenous, functional and perhaps phylogenetic factors, the relationship between CFO and bone growth rate as defined by Amprino's rule, which has been the basis for the biological interpretation of several osteohistological features, must be revised. Our findings draw attention to the urgent need for revising widely accepted basic concepts of palaeohistological studies, and for a more integrative approach to bone formation, biomechanics and bone microstructural features of extant and extinct vertebrates to infer life history traits of long extinct, iconic animals like dinosaurs.