Publications by authors named "Sarah Inskip"

Acellular extrinsic fibre cementum (AEFC) has been widely utilised in cementochronology to estimate age at death, seasonality, and for life-history reconstruction. Smoking has been commonplace in the UK since the 17th century and is known to compromise oral health and to modulate physiological processes. This study aimed to investigate whether AEFC analysis could identify smoking activity in both modern and archaeological populations.

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Despite current clinical knowledge of the risks associated with tobacco consumption, the bioarchaeological investigation of tobacco's effect on health in past populations remains woefully underexamined. This study explores the potential respiratory health implications of the rapid incorporation of tobacco-use into the everyday lives of English citizens during the post-medieval period. Adult skeletons from urban post-medieval St James's Gardens Burial Ground, Euston, London (N = 281; CE1789-1853) and rural post-medieval (N = 151; CE1500-1855) and medieval (N = 62; CE1150-1500) Barton-upon-Humber were examined.

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Objective: To gain a more holistic understanding of oral health in the past by producing an 'Index of Oro-dental Disease' (IOD), incorporating multiple oro-dental diseases and accounting for differences in antemortem/postmortem alveolar bone and tooth loss.

Materials: UK Adult Dental Health Survey, 2009 anonymised dataset (N = 6206). Archaeological dental data from skeletal individuals from medieval and post-medieval Barton-upon-Humber, North Lincolnshire (N = 214, 1150-1855) and St James's Gardens Burial Ground, London (N = 281, 1789-1853).

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Article Synopsis
  • Tobacco consumption has been linked to human health issues, but its specific impact on the bone metabolome hasn't been studied until now.
  • This research investigates the differences in metabolomic profiles of cortical bone between archaeological individuals who used tobacco and those who did not, using advanced mass spectrometry techniques.
  • The study found 45 distinct molecular features that can differentiate between tobacco users and non-users, indicating that such metabolic evidence remains even postmortem and can potentially identify individuals’ tobacco use status even when it's unknown.
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The Roman period saw the empire expand across Europe and the Mediterranean, including much of what is today Great Britain. While there is written evidence of high mobility into and out of Britain for administrators, traders, and the military, the impact of imperialism on local, rural population structure, kinship, and mobility is invisible in the textual record. The extent of genetic change that occurred in Britain during the Roman military occupation remains underexplored.

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Health inequality is not only a major problem today; it left its mark upon past societies too. For much of the past, health inequality has been poorly studied, mostly because bioarchaeologists have concentrated upon single sites rather than a broader social landscape. This article compares 476 adults in multiple locations of medieval Cambridge (UK).

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Successful interdisciplinary research requires proactive efforts by researchers, institutions, funders, and publishers. This article offers practical recommendations at each decision-making level to holistically enhance interdisciplinarity. [Image: see text]

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Leprosy, one of the oldest recorded diseases in human history, remains prevalent in Asia, Africa, and South America, with over 200,000 cases every year. Although ancient DNA (aDNA) approaches on the major causative agent, Mycobacterium leprae, have elucidated the disease's evolutionary history, the role of animal hosts and interspecies transmission in the past remains unexplored. Research has uncovered relationships between medieval strains isolated from archaeological human remains and modern animal hosts such as the red squirrel in England.

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The extent of the devastation of the Black Death pandemic (1346-1353) on European populations is known from documentary sources and its bacterial source illuminated by studies of ancient pathogen DNA. What has remained less understood is the effect of the pandemic on human mobility and genetic diversity at the local scale. Here, we report 275 ancient genomes, including 109 with coverage >0.

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Objective: Cribra orbitalia is believed to be a skeletal indicator of chronic anaemia, scurvy, rickets or related metabolic diseases. It has been suggested that it may be used as a proxy indicator for intestinal parasite infection, as parasites often cause anaemia today. Our aim is to investigate this association in the medieval population of Cambridge, UK.

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This research explores how the prevalence of tuberculosis (TB) in a medieval hospital was affected by the demographic and social changes that following the Black Death (1346-1353 CE), the initial years of the Second Plague Pandemic. To do this, skeletal remains of individuals buried at the Hospital of St John the Evangelist in Cambridge, England, that could be dated to living before (n = 77) or after (n = 55) the Black Death were assessed for evidence of TB (indicated by destructive lesions of the spine, ribs, large joints, and other recognised criteria). Overall, the odds of females having skeletal lesions caused by TB were over four times higher than males.

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Metabolomics, the study of metabolites (small molecules of <1500 daltons), has been posited as a potential tool to explore the past in a comparable manner to other omics, e.g., genomics or proteomics.

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Metabolomic approaches, such as in clinical applications of living individuals, have shown potential use for solving questions regarding the past when applied to archaeological material. Here, we study for the first time the potential of this Omic approach as applied to metabolites extracted from archaeological human dentin. Dentin obtained from micro sampling the dental pulp of teeth of victims and non-victims of (plague) from a 6th century Cambridgeshire site are used to evaluate the potential use of such unique material for untargeted metabolomic studies on disease state through liquid chromatography hyphenated to high-resolution mass spectrometry (LC-HRMS).

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Dental calculus preserves oral microbes, enabling comparative studies of the oral microbiome and health through time. However, small sample sizes and limited dental health metadata have hindered health-focused investigations to date. Here, we investigate the relationship between tobacco pipe smoking and dental calculus microbiomes.

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Metabolomics is a modern tool that aids in our understanding of the molecular changes in organisms. Archaeological science is a branch of archaeology that explores different archaeological materials using modern analytical tools. Human osteoarchaeological material are a frequent finding in archaeological contexts and have the potential to offer information about previous human populations, which can be illuminating about our current condition.

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Objective: To combine paleopathological and biomechanical analysis to reconstruct the impact that a severe skeletal injury had on an individual's ability to function and participate in medieval society.

Materials: Three medieval individuals from Cambridge, England with ante-mortem fractures to the lower limb were analyzed.

Methods: Plain X-rays were used to determine the degree of malunion, rotation and overlap of each fracture.

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Article Synopsis
  • The study examines the influence of lifestyle on the risk of intestinal parasites in medieval England, comparing regular clergy in monasteries to the lay population, noting differences in diet and hygiene facilities.
  • Sediment samples from the burials of Augustinian friars and parishioners in Cambridge revealed that 58% of friars carried parasites, significantly more than the 32% found in the general population.
  • The research highlights the intriguing finding that those with better sanitation practices had higher parasite infection rates, suggesting a need for further studies across different socioeconomic statuses and regions to understand these patterns.
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Human herpes simplex virus 1 (HSV-1), a life-long infection spread by oral contact, infects a majority of adults globally. Phylogeographic clustering of sampled diversity into European, pan-Eurasian, and African groups has suggested the virus codiverged with human migrations out of Africa, although a much younger origin has also been proposed. We present three full ancient European HSV-1 genomes and one partial genome, dating from the 3rd to 17th century CE, sequenced to up to 9.

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Background: The human pathogen Haemophilus influenzae was the main cause of bacterial meningitis in children and a major cause of worldwide infant mortality before the introduction of a vaccine in the 1980s. Although the occurrence of serotype b (Hib), the most virulent type of H. influenzae, has since decreased, reports of infections with other serotypes and non-typeable strains are on the rise.

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Objective: To determine the degree to which plain radiographs (x-rays) and microCT scans can improve accuracy in the diagnosis of cancer in human remains from past populations.

Materials: The skeletal remains of 143 individuals from medieval Cambridgeshire, dating from 6th-16th century CE.

Methods: Visual inspection of the skeletons for lesions compatible with malignancy, coupled with plain radiographs and microCT scans of the pelvis, femora and vertebra.

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Hansen's disease (leprosy), mainly caused by infection with , has accompanied humanity for thousands of years. Although currently rare in Europe, there are over 200,000 new infections annually in South East Asia, Africa, and South America. Over the years many disciplines - palaeopathology, ancient DNA and other ancient biomolecules, and history - have contributed to a better understanding of leprosy's past, in particular its history in medieval Europe.

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Article Synopsis
  • Hansen's disease (leprosy) has a long history in Europe but is mainly found today in tropical regions, with about 200,000 new cases each year; the genetic history of Mycobacterium leprae is still not fully understood.
  • This study reconstructed 19 ancient M. leprae genomes from various regions in Europe, revealing significant genetic diversity, particularly in leprosaria, and identified a new genotype in Belarus.
  • The research highlights common patterns of strain diversity across Europe, shows that leprosaria were hotspots for this diversity, and provides insights into the historical transmission of the disease.
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