Ancient genomes reveal Down Syndrome in past societies

Aerial view of the Early Iron Age settlement of Alto de la Cruz, Navarra, during
Aerial view of the Early Iron Age settlement of Alto de la Cruz, Navarra, during the 1989 excavation campaign. © Servicio Patrimonio Histórico Gobierno de Navarra

Burials show that children with Down Syndrome and Edwards Syndrome were recognized as members of their communities

An international team of researchers has analysed the DNA from a world-wide sample of nearly 10,000 ancient individuals to search for cases of Down Syndrome, an uncommon genetic condition caused by the presence of an additional copy of Chromosome 21. Scanning the genome data, researchers from the Max Planck Institute for Evolutionary Anthropology (MPI-EVA) in Leipzig, Germany, found six children with Down Syndrome. Five of these children were buried more than 2,000 years ago and lived to, at most, one year of age. Although their lives were short, all’of these children received a burial, often with grave goods, showing that they were appreciated as members of their ancient societies.

For many years, researchers at MPI-EVA have been collecting and analyzing ancient DNA from humans who lived during the past tens of thousands of years. Analyzing these data has allowed the researchers to trace the movement and mixing of people, and even to uncover ancient pathogens that affected their lives. However, a systematic study of uncommon genetic conditions had not been attempted. One of those uncommon conditions, known as Down Syndrome, affects nowadays around one in 1,000 births.

To their surprise, Adam "Ben" Rohrlach and colleagues identified six individuals with an unusually high number of DNA sequences from Chromosome 21 that could only be explained by an additional copy of Chromosome 21. One case from a church graveyard in Finland was dated to the 17th to 18th century. The remaining five individuals were much older: dating to between 5,000 and 2,500 years before present, they were found at Bronze Age sites in Greece and Bulgaria, and Iron Age sites in Spain. In all cases, the researchers were able to obtain a wealth of additional information about the remains and the burials.

Burials within settlements and with grave goods

While individuals with Down Syndrome can live a long life today, often with the help of modern medicine, this was not the case in the past. Indeed, age estimates from skeletal remains showed that all six individuals died at a very young age, with only one child reaching around one year of age. The five prehistoric burials were all located within settlements and in some cases accompanied by special items such as coloured bead necklaces, bronze rings or sea-shells. "These burials seem to show us that these individuals were cared for and appreciated as part of their ancient societies," says Rohrlach, the lead author of the study.

Although the study was aimed at finding cases of Down Syndrome, the researchers also discovered an individual with a different condition. Among the approximately 10,000 tested DNA samples, one individual had an unexpectedly high fraction of ancient DNA sequences from Chromosome 18 that showed that she carried three copies of this chromosome. Three copies of Chromosome 18 are known to cause Edwards Syndrome, a condition associated with more severe health issues than Down syndrome. With an incidence of less than one case in 3,000 births, Edwards Syndrome also occurs much less often than Down Syndrome. This find, too, was made at one of the Spanish Iron Age sites, leaving the researchers with a mystery to solve. "At the moment, we cannot say why we find so many cases at these sites," says Roberto Risch, an archaeologist of the Universitat Autňnoma de Barcelona working on intramural funerary rites, "but we know that they belonged to the few children who received the privilege to be buried inside the houses after death. This already is a hint that they were perceived as special babies."

As the number of DNA samples from ancient individuals continues to increase, the authors plan to further expand their research in the future. "What we would like to learn is how ancient societies reacted to individuals that may have needed a helping hand or were simply a bit different," says Kay Prüfer, who coordinated the sequence analysis.