{"title":"Embracing complexity. Porous cranial lesions and their paleopathological significance in two population samples from Neolithic Northern Germany","authors":"Emmanuele Petiti , Daria Moser , Detlef Jantzen , Florian Klimscha , Katharina Fuchs","doi":"10.1016/j.ijpp.2025.03.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To assess phenotypic variation of porous cranial lesions and their co-occurrence with infections of the upper respiratory apparatus and endocranial lesions, to infer disease burden in two different Neolithic socio-economic groups.</div></div><div><h3>Materials</h3><div>Human skulls of at least 111 individuals from a collective grave at Sorsum (farmers) and 30 individual biurials at Ostorf (aquatic foragers) from northern Germany (c. 3300–2900 BCE).</div></div><div><h3>Methods</h3><div>A new data recording protocol for scoring porous cranial lesion phenotypic variation and the assessment of inter- and intra-site frequencies and anatomical distribution. Statistical analysis of lesion frequencies and co-occurrences.</div></div><div><h3>Results</h3><div>High odds of porous cranial lesions and upper respiratory apparatus lesions co-occurrence, and of subperiosteal new bone formation of the vault (a porous cranial lesion phenotype) and endocranial lesions, are noted for both sites. Site-specific phenotypic profiles and distribution patterns differ. For Sorsum, juvenile individuals show greater porous cranial lesion frequencies and active lesions.</div></div><div><h3>Conclusions</h3><div>Considering disease interplay is key for understanding porous cranial lesion phenotypic variation. Disease profiles can be associated with subsistence strategies. The results rule out dichotomic models (e.g. “civilization stress”) and support more nuanced reconstructions of the Neolithic social-economic transformations.</div></div><div><h3>Significance</h3><div>This study emphasizes the need to adopt data recording protocols that include a wider range of porous cranial lesions to understand overlapping pathophysiological pathways.</div></div><div><h3>Limitations</h3><div>Considerable preservation bias of the population samples. Inter-observer error is to be tested. Radiographic analyses are needed to corroborate the results.</div></div><div><h3>Suggestions for further research</h3><div>Further studies on larger assemblages from different geographical and chronological contexts are needed.</div></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"49 ","pages":"Pages 104-118"},"PeriodicalIF":1.3000,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Paleopathology","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1879981725000166","RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PALEONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
To assess phenotypic variation of porous cranial lesions and their co-occurrence with infections of the upper respiratory apparatus and endocranial lesions, to infer disease burden in two different Neolithic socio-economic groups.
Materials
Human skulls of at least 111 individuals from a collective grave at Sorsum (farmers) and 30 individual biurials at Ostorf (aquatic foragers) from northern Germany (c. 3300–2900 BCE).
Methods
A new data recording protocol for scoring porous cranial lesion phenotypic variation and the assessment of inter- and intra-site frequencies and anatomical distribution. Statistical analysis of lesion frequencies and co-occurrences.
Results
High odds of porous cranial lesions and upper respiratory apparatus lesions co-occurrence, and of subperiosteal new bone formation of the vault (a porous cranial lesion phenotype) and endocranial lesions, are noted for both sites. Site-specific phenotypic profiles and distribution patterns differ. For Sorsum, juvenile individuals show greater porous cranial lesion frequencies and active lesions.
Conclusions
Considering disease interplay is key for understanding porous cranial lesion phenotypic variation. Disease profiles can be associated with subsistence strategies. The results rule out dichotomic models (e.g. “civilization stress”) and support more nuanced reconstructions of the Neolithic social-economic transformations.
Significance
This study emphasizes the need to adopt data recording protocols that include a wider range of porous cranial lesions to understand overlapping pathophysiological pathways.
Limitations
Considerable preservation bias of the population samples. Inter-observer error is to be tested. Radiographic analyses are needed to corroborate the results.
Suggestions for further research
Further studies on larger assemblages from different geographical and chronological contexts are needed.
期刊介绍:
Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.