1. Verification of tuberculosis infection among Vác mummies (18th century CE, Hungary) based on lipid biomarker profiling with a new HPLC-HESI-MS approach
- Author
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Csaba Vágvölgyi, Olga Spekker, Albert Zink, Dávid Rakk, György Pálfi, András Szekeres, Ildikó Szikossy, Gabriella Terhes, Ildikó Pap, Edit Urbán, Helen D. Donoghue, David E. Minnikin, Orsolya Anna Váradi, William Berthon, and Frank Maixner
- Subjects
Adult ,DNA, Bacterial ,0301 basic medicine ,Microbiology (medical) ,Tuberculosis ,Paleopathology ,030106 microbiology ,Immunology ,History, 18th Century ,Microbiology ,High-performance liquid chromatography ,Gas Chromatography-Mass Spectrometry ,03 medical and health sciences ,Humans ,Medicine ,Chromatography, High Pressure Liquid ,Hungary ,biology ,business.industry ,Mummies ,Mycobacterium tuberculosis ,Middle Aged ,biology.organism_classification ,medicine.disease ,Lipids ,Virology ,030104 developmental biology ,Infectious Diseases ,Mycobacterium tuberculosis complex ,Lipid biomarkers ,business ,Biomarkers - Abstract
Tuberculosis (TB) was a large burden of infections that peaked during the 19th century in Europe. Mummies from the 18th century CE, discovered in the crypt of a church at Vac, Hungary, had high TB prevalence, as revealed by amplification of key fragments of TB DNA and genome-wide TB analysis. Complementary methods are needed to confirm these diagnoses and one approach uses the identification of specific lipid biomarkers, such as TB mycocerosic acids (MCs). Previously, MC derivatives were profiled by specialised gas chromatography-mass spectrometry (GC-MS), so an alternative more direct approach has been developed. Underivatized MCs are extracted and analysed by high-performance liquid chromatography linked to a mass spectrometer, in heated electrospray ionisation mode (HPLC-HESI-MS). The method was validated using representatives of the Mycobacterium tuberculosis complex and other mycobacteria and tested on six Vac mummy cases, previously considered positive for TB infection. Analysing both rib and soft tissue samples, four out of six cases gave profiles of main C32 and major C29 and C39 mycocerosates correlating well with those of M. tuberculosis. Multidisciplinary methods are needed in the diagnosis of ancient tuberculosis; this new protocol accesses important confirmatory evidence, as demonstrated by the confirmation of TB in the Vac mummies.
- Published
- 2021