Baltimore Sun Sunday

Black Death may have changed our immunity to modern illness

- By Laura Ungar

Our Medieval ancestors left us with a biological legacy: genes that may have helped them survive the Black Death make us more susceptibl­e to certain diseases today.

It’s a prime example of the way germs shape us over time, scientists say in a recent study published in the journal Nature.

“Our genome today is a reflection of our whole evolutiona­ry history” as we adapt to different germs, said Luis Barreiro, a senior author of the research. Some, like those behind the bubonic plague, have had a big impact on our immune systems.

The Black Death of the 14th century was the single deadliest event in recorded history, spreading throughout Europe, the Middle East and northern Africa and wiping out up to 30% to 50% of the population.

Barreiro and his colleagues at the University of Chicago, McMaster University in Ontario and the Pasteur Institute in Paris, examined DNA from the bones of more than

200 people from London and Denmark who died over about 100 years that stretched before, during and after the Black Death swept through that region.

They found four genes that, depending on the variant, either protected against or increased susceptibi­lity to the bacteria that causes bubonic plague, which is most often transmitte­d by fleas.

They found that what helped people in Medieval times led to problems generation­s later — raising the frequency of mutations detrimenta­l in modern times. Some of the same genetic variants identified as protective against the plague are associated with certain autoimmune disorders, such as Crohn’s disease, rheumatoid arthritis and lupus. In these sorts of diseases, the immune system that defends the body against disease and infection attacks the body’s own healthy tissues.

“A hyperactiv­e immune system may have been great in the past, but in the environmen­t today it might not be as helpful,” said Hendrik Poinar, an anthropolo­gy professor at McMaster and another senior author.

Past research has also sought to examine how the Black Death affected the human genome. But Barreiro said he believes theirs is the first demonstrat­ion that the Black Death was important to the evolution of the human immune system. One unique aspect of the study, he said, was to focus on a narrow time window around the event.

Monica Green, an author and historian of medicine who has studied the Black Death extensivel­y, called the research “tremendous­ly impressive.”

“It’s extremely sophistica­ted” and addresses important issues, such as how the same version of a gene can protect people from a horrific infection and also put modern people — and generation­s of their descendant­s — at risk for other illnesses, said Green, who was not involved in the study.

All of this begs the question: Will the pandemic have a big impact on human evolution? Barreiro said he doesn’t think so because the death rate is so much lower and the majority of people who have died had already had children.

In the future, however, he said more deadly pandemics may continue to shape us at the most basic level.

 ?? MOLA ?? Excavation of plague pits in London, which were used for mass burials in 1348 and 1349.
MOLA Excavation of plague pits in London, which were used for mass burials in 1348 and 1349.

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