Thursday, September 18, 2008
neanderthals 11
From pollen and animal remains, Finlayson has reconstructed what the environment was like from 50,000 to 30,000 years ago. Back then, a narrow coastal shelf surrounded Gibraltar, the Mediterranean two or three miles distant. The landscape was scrub savanna scented with rosemary and thyme, its rolling sand dunes interrupted by the occasional cork oak and stone pine, with wild asparagus growing in the coastal flats. Prehistoric vultures, some with nine-foot wingspans, nested high up in the cliff face, scanning the dunes for meals. Finlayson imagines the Neanderthals watching the birds circle and descend, then racing them for food. Their diet was certainly more varied than the typical Neanderthal dependence on terrestrial game. His research team has found rabbit bones, tortoise shells, and mussels in the cave, along with dolphin bones and a seal skeleton with cut marks. "Except for rice, you've almost got a Mousterian paella!" Finlayson joked.
But then things changed. When the coldest fingers of the Ice Age finally reached southern Iberia in a series of abrupt fluctuations between 30,000 and 23,000 years ago, the landscape was transformed into a semiarid steppe. On this more open playing field, perhaps the tall, gracile modern humans moving into the region with projectile spears gained the advantage over the stumpy, muscle-bound Neanderthals. But Finlayson argues that it was not so much the arrival of modern humans as the dramatic shifts in climate that pushed the Iberian Neanderthals to the brink. "A three-year period of intense cold, or a landslide, when you're down to ten people, could be enough," he said. "Once you reach a certain level, you're the living dead."
The larger point may be that the demise of the Neanderthals is not a sprawling yet coherent paleoanthropological novel; rather, it is a collection of related, but unique, short stories of extinction. "Why did the Neanderthals disappear in Mongolia?" Stringer asked. "Why did they disappear in Israel? Why did they disappear in Italy, in Gibraltar, in Britain? Well, the answer could be different in different places, because it probably happened at different times. So we're talking about a large range, and a disappearance and retreat at different times, with pockets of Neanderthals no doubt surviving in different places at different times. Gibraltar is certainly one of their last outposts. It could be the last, but we don't know for sure."
Whatever happened, the denouement of all these stories had a signatory in Gorham's Cave. In a deep recess of the cavern, not far from that last Neanderthal hearth, Finlayson's team recently discovered several red handprints on the wall, a sign that modern humans had arrived in Gibraltar. Preliminary analysis of the pigments dates the handprints between 20,300 and 19,500 years ago. "It's like they were saying, Hey, it's a new world now," said Finlayson.j
neanderthals 10
Whatever the suite of cultural buffers, they may well have provided an extra, albeit thin, layer of insulation against the harsh climatic stresses that Stringer argues peaked right around the time the Neanderthals vanished. Ice core data suggest that from about 30,000 years ago until the last glacial maximum about 18,000 years ago, the Earth's climate fluctuated wildly, sometimes within the space of decades. A few more people in the social unit, with a few more skills, might have given modern humans an edge when conditions turned harsh. "Not a vast edge," Stringer said. "Neanderthals were obviously well adapted to a colder climate. But with the superimposition of these extreme changes in climate on the competition with modern humans, I think that made the difference."
Which leaves the final, delicate—and, as Jean-Jacques Hublin likes to say, politically incorrect—question that has bedeviled Neanderthal studies since the Out of Africa theory became generally accepted: Was the replacement by modern humans attenuated and peaceful, the Pleistocene version of kissing cousins, or was it relatively swift and hostile?
"Most Neanderthals and modern humans probably lived most of their lives without seeing each other," he said, carefully choosing his words. "The way I imagine it is that occasionally in these border areas, some of these guys would see each other at a distance…but I think the most likely thing is that they excluded each other from the landscape. Not just avoided, but excluded. We know from recent research on hunter-gatherers that they are much less peaceful than generally believed."
"Sometimes I just turn out the lights in here and think what it must have been like for them."
neanderthals 9
From pollen and animal remains, Finlayson has reconstructed what the environment was like from 50,000 to 30,000 years ago. Back then, a narrow coastal shelf surrounded Gibraltar, the Mediterranean two or three miles distant. The landscape was scrub savanna scented with rosemary and thyme, its rolling sand dunes interrupted by the occasional cork oak and stone pine, with wild asparagus growing in the coastal flats. Prehistoric vultures, some with nine-foot wingspans, nested high up in the cliff face, scanning the dunes for meals. Finlayson imagines the Neanderthals watching the birds circle and descend, then racing them for food. Their diet was certainly more varied than the typical Neanderthal dependence on terrestrial game. His research team has found rabbit bones, tortoise shells, and mussels in the cave, along with dolphin bones and a seal skeleton with cut marks. "Except for rice, you've almost got a Mousterian paella!" Finlayson joked.
But then things changed. When the coldest fingers of the Ice Age finally reached southern Iberia in a series of abrupt fluctuations between 30,000 and 23,000 years ago, the landscape was transformed into a semiarid steppe. On this more open playing field, perhaps the tall, gracile modern humans moving into the region with projectile spears gained the advantage over the stumpy, muscle-bound Neanderthals. But Finlayson argues that it was not so much the arrival of modern humans as the dramatic shifts in climate that pushed the Iberian Neanderthals to the brink. "A three-year period of intense cold, or a landslide, when you're down to ten people, could be enough," he said. "Once you reach a certain level, you're the living dead."
The larger point may be that the demise of the Neanderthals is not a sprawling yet coherent paleoanthropological novel; rather, it is a collection of related, but unique, short stories of extinction. "Why did the Neanderthals disappear in Mongolia?" Stringer asked. "Why did they disappear in Israel? Why did they disappear in Italy, in Gibraltar, in Britain? Well, the answer could be different in different places, because it probably happened at different times. So we're talking about a large range, and a disappearance and retreat at different times, with pockets of Neanderthals no doubt surviving in different places at different times. Gibraltar is certainly one of their last outposts. It could be the last, but we don't know for sure."
Whatever happened, the denouement of all these stories had a signatory in Gorham's Cave. In a deep recess of the cavern, not far from that last Neanderthal hearth, Finlayson's team recently discovered several red handprints on the wall, a sign that modern humans had arrived in Gibraltar. Preliminary analysis of the pigments dates the handprints between 20,300 and 19,500 years ago. "It's like they were saying, Hey, it's a new world now," said Finlayson.j
neanderthals 8
Whatever the suite of cultural buffers, they may well have provided an extra, albeit thin, layer of insulation against the harsh climatic stresses that Stringer argues peaked right around the time the Neanderthals vanished. Ice core data suggest that from about 30,000 years ago until the last glacial maximum about 18,000 years ago, the Earth's climate fluctuated wildly, sometimes within the space of decades. A few more people in the social unit, with a few more skills, might have given modern humans an edge when conditions turned harsh. "Not a vast edge," Stringer said. "Neanderthals were obviously well adapted to a colder climate. But with the superimposition of these extreme changes in climate on the competition with modern humans, I think that made the difference."
Which leaves the final, delicate—and, as Jean-Jacques Hublin likes to say, politically incorrect—question that has bedeviled Neanderthal studies since the Out of Africa theory became generally accepted: Was the replacement by modern humans attenuated and peaceful, the Pleistocene version of kissing cousins, or was it relatively swift and hostile?
"Most Neanderthals and modern humans probably lived most of their lives without seeing each other," he said, carefully choosing his words. "The way I imagine it is that occasionally in these border areas, some of these guys would see each other at a distance…but I think the most likely thing is that they excluded each other from the landscape. Not just avoided, but excluded. We know from recent research on hunter-gatherers that they are much less peaceful than generally believed."
"Sometimes I just turn out the lights in here and think what it must have been like for them."
neanderthals 7
"This would certainly affect Neanderthal social organization, mating strategy, and parenting behavior," says Hublin. "Imagine a society where individuals start to reproduce four years earlier than in modern humans. It's a very different society. It could also mean the Neanderthals' cognitive abilities may have been different from modern humans'."
Neanderthal society may have differed in another way crucial to group survival: what archaeologists call cultural buffering. A buffer is something in a group's behavior—a technology, a form of social organization, a cultural tradition—that hedges its bets in the high-stakes game of natural selection. It's like having a small cache of extra chips at your elbow in a poker game, so you don't have to fold your hand quite as soon. For example, Mary Stiner and Steven Kuhn of the University of Arizona argue that early modern humans emerged from Africa with the buffer of an economically efficient approach to hunting and gathering that resulted in a more diverse diet. While men chased after large animals, women and children foraged for small game and plant foods. Stiner and Kuhn maintain that Neanderthals did not enjoy the benefits of such a marked division of labor. From southern Israel to northern Germany, the archaeological record shows that Neanderthals instead relied almost entirely on hunting big and medium-size mammals like horses, deer, bison, and wild cattle. No doubt they were eating some vegetable material and even shellfish near the Mediterranean, but the lack of milling stones or other evidence for processing plant foods suggests to Stiner and Kuhn that to a Neanderthal vegetables were supplementary foods, "more like salads, snacks, and desserts than energy-rich staple foods."
Their bodies' relentless demand for calories, especially in higher latitudes and during colder interludes, probably forced Neanderthal women and children to join in the hunt—a "rough and dangerous business," write Stiner and Kuhn, judging by the many healed fractures evident on Neanderthal upper limbs and skulls. The modern human bands that arrived on the landscape toward the end of the Neanderthals' time had other options.
"By diversifying diet and having personnel who [did different tasks], you have a formula for spreading risk, and that is ultimately good news for pregnant women and for kids," Stiner told me. "So if one thing falls through, there's something else." A Neanderthal woman would have been powerful and resilient. But without such cultural buffering, she and her young would have been at a disadvantage.
neanderthals 6
Over a sleep-deprived week in October 2007, a team of scientists gathered at the European Synchrotron Radiation Facility (ESRF) in Grenoble, France, for an unprecedented "convention of jawbones." The goal was to explore a crucial question in the life history of the Neanderthals: Did they reach maturity at an earlier age than their modern human counterparts? If so, it might have implications for their brain development, which in turn might help explain why they disappeared. The place to look for answers was deep inside the structure of Neanderthal teeth.
"When I was young, I thought that teeth were not so useful in assessing recent human evolution, but now I think they are the most important thing," said Jean-Jacques Hublin, who had accompanied his Max Planck Institute colleague Tanya Smith to Grenoble.
Along with Paul Tafforeau of the ESRF, Hublin and Smith were squeezed into a computer-filled hutch at the facility—one of the three largest synchrotrons in the world, with a storage ring for energized electrons half a mile in circumference—watching on a video monitor as the x-ray beam zipped through the right upper canine of an adolescent Neanderthal from the site of Le Moustier in southwestern France, creating arguably the most detailed dental x-ray in human history. Meanwhile, a dream team of other fossils sat on a shelf nearby, awaiting their turn in the synchrotron's spotlight: two jawbones of Neanderthal juveniles recovered in Krapina, Croatia, dating back 130,000 to 120,000 years; the so-called La Quina skull from a Neanderthal youth, discovered in France and dating from between 75,000 to 40,000 years ago; and two striking 90,000-year-old modern human specimens, teeth intact, found in a rock shelter called Qafzeh in Israel.
When teeth are imaged at high resolution, they reveal a complex, three-dimensional hatch of daily and longer periodic growth lines, like tree rings, along with stress lines that encode key moments in an individual's life history. The trauma of birth etches a sharp neonatal stress line on the enamel; the time of weaning and episodes of nutritional deprivation or other environmental stresses similarly leave distinct marks on developing teeth. "Teeth preserve a continuous, permanent record of growth, from before birth until they finish growing at the end of adolescence," Smith explained. Human beings take longer to reach puberty than chimpanzees, our nearest living relatives—which means more time spent learning and developing within the context of the social group. Early hominin species that lived on the savanna in Africa millions of years ago matured fast, more like chimps. So when in evolution did the longer modern pattern begin?
neanderthals5
Now it is the equivalent of a gold mine for prehistoric human DNA, albeit an extremely difficult mine to work. After the DNA is extracted in a sterile laboratory in the basement of the Max Planck Institute, it is shipped overnight to Branford, Connecticut, where collaborators at 454 Life Sciences have invented machines that can rapidly decipher the sequence of DNA's chemical letters. The vast majority of those letters spell out bacterial contaminants or other non-Neanderthal genetic information. But in the fall of 2006, Pääbo and his colleagues announced they had deciphered approximately one million letters of Neanderthal DNA. (At the same time, a second group, headed by Edward Rubin at the Department of Energy Joint Genome Institute in Walnut Creek, California, used DNA provided by Pääbo to read out snippets of genetic code using a different approach.) By last year, dogged by claims that their work had serious contamination problems, the Leipzig group claimed to have improved accuracy and identified about 70 million letters of DNA—roughly 2 percent of the total.
"We know that the human and chimpanzee sequences are 98.7 percent the same, and Neanderthals are much closer to us than chimps," said Ed Green, head of biomathematics in Pääbo's group in Leipzig, "so the reality is that for most of the sequence, there's no difference between Neanderthals and [modern] humans." But the differences—less than a half percent of the sequence—are enough to confirm that the two lineages had begun to diverge around 700,000 years ago. The Leipzig group also managed to extract mitochondrial DNA from two fossils of uncertain origin that had been excavated in Uzbekistan and southern Siberia; both had a uniquely Neanderthal genetic signature. While the Uzbekistan specimen, a young boy, had long been considered a Neanderthal, the Siberian specimen was a huge surprise, extending the known Neanderthal range some 1,200 miles east of their European stronghold.
So, while the new genetic evidence appears to confirm that Neanderthals were a separate species from us, it also suggests that they may have possessed human language and were successful over a far larger sweep of Eurasia than previously thought. Which brings us back to the same hauntingly persistent question that has shadowed them from the beginning: Why did they disappear?
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Neanderthals4
There, buffered by sand and clay, preserved by the cave's constant temperature, and sequestered in their jewel cases of mineralized bone, a few precious molecules of the Neanderthals' genetic code survived, awaiting a time in the distant future when they could be plucked out, pieced together, and examined for clues to how these people lived, and why they vanished.
The first clue that our kind of human was not the first to inhabit Europe turned up a century and a half ago, about eight miles east of Düsseldorf, Germany. In August 1856 laborers quarrying limestone from a cave in the Neander Valley dug out a beetle-browed skullcap and some thick limb bones. Right from the start, the Neanderthals were saddled with an enduring cultural stereotype as dim-witted, brutish cavemen. The size and shape of the fossils does suggest a short, stout fireplug of a physique (males averaged about five feet, five inches tall and about 185 pounds), with massive muscles and a flaring rib cage presumably encasing capacious lungs. Steven E. Churchill, a paleoanthropologist at Duke University, has calculated that to support his body mass in a cold climate, a typical Neanderthal male would have needed up to 5,000 calories daily, or approaching what a bicyclist burns each day in the Tour de France. Yet behind its bulging browridges, a Neanderthal's low-domed skull housed a brain with a volume slightly larger on average than our own today. And while their tools and weapons were more primitive than those of the modern humans who supplanted them in Europe, they were no less sophisticated than the implements made by their modern human contemporaries living in Africa and the Middle East.
One of the longest and most heated controversies in human evolution rages around the genetic relationship between Neanderthals and their European successors. Did the modern humans sweeping out of Africa beginning some 60,000 years ago completely replace the Neanderthals, or did they interbreed with them? In 1997 the latter hypothesis was dealt a powerful blow by geneticist Svante Pääbo—then at the University of Munich—who used an arm bone from the original Neanderthal man to deliver it. Pääbo and his colleagues were able to extract a tiny 378-letter snippet of mitochondrial DNA (a kind of short genetic appendix to the main text in each cell) from the 40,000-year-old specimen. When they read out the letters of the code, they found that the specimen's DNA differed from living humans to a degree suggesting that the Neanderthal and modern human lineages had begun to diverge long before the modern human migration out of Africa. Thus the two represent separate geographic and evolutionary branches splitting from a common ancestor. "North of the Mediterranean, this lineage became Neanderthals," said Chris Stringer, research leader on human origins at the Natural History Museum in London, "and south of the Mediterranean, it became us." If there was any interbreeding when they encountered each other later, it was too rare to leave a trace of Neanderthal mitochondrial DNA in the cells of living people.
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Neanderthals3
There, buffered by sand and clay, preserved by the cave's constant temperature, and sequestered in their jewel cases of mineralized bone, a few precious molecules of the Neanderthals' genetic code survived, awaiting a time in the distant future when they could be plucked out, pieced together, and examined for clues to how these people lived, and why they vanished.
The first clue that our kind of human was not the first to inhabit Europe turned up a century and a half ago, about eight miles east of Düsseldorf, Germany. In August 1856 laborers quarrying limestone from a cave in the Neander Valley dug out a beetle-browed skullcap and some thick limb bones. Right from the start, the Neanderthals were saddled with an enduring cultural stereotype as dim-witted, brutish cavemen. The size and shape of the fossils does suggest a short, stout fireplug of a physique (males averaged about five feet, five inches tall and about 185 pounds), with massive muscles and a flaring rib cage presumably encasing capacious lungs. Steven E. Churchill, a paleoanthropologist at Duke University, has calculated that to support his body mass in a cold climate, a typical Neanderthal male would have needed up to 5,000 calories daily, or approaching what a bicyclist burns each day in the Tour de France. Yet behind its bulging browridges, a Neanderthal's low-domed skull housed a brain with a volume slightly larger on average than our own today. And while their tools and weapons were more primitive than those of the modern humans who supplanted them in Europe, they were no less sophisticated than the implements made by their modern human contemporaries living in Africa and the Middle East.
One of the longest and most heated controversies in human evolution rages around the genetic relationship between Neanderthals and their European successors. Did the modern humans sweeping out of Africa beginning some 60,000 years ago completely replace the Neanderthals, or did they interbreed with them? In 1997 the latter hypothesis was dealt a powerful blow by geneticist Svante Pääbo—then at the University of Munich—who used an arm bone from the original Neanderthal man to deliver it. Pääbo and his colleagues were able to extract a tiny 378-letter snippet of mitochondrial DNA (a kind of short genetic appendix to the main text in each cell) from the 40,000-year-old specimen. When they read out the letters of the code, they found that the specimen's DNA differed from living humans to a degree suggesting that the Neanderthal and modern human lineages had begun to diverge long before the modern human migration out of Africa. Thus the two represent separate geographic and evolutionary branches splitting from a common ancestor. "North of the Mediterranean, this lineage became Neanderthals," said Chris Stringer, research leader on human origins at the Natural History Museum in London, "and south of the Mediterranean, it became us." If there was any interbreeding when they encountered each other later, it was too rare to leave a trace of Neanderthal mitochondrial DNA in the cells of living people.
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Neanderthals2
By the time of the tragedy at El Sidrón, however, the Neanderthals were on the run, seemingly pinned down in Iberia, pockets of central Europe, and along the southern Mediterranean by a deteriorating climate, and further squeezed by the westward spread of anatomically modern humans as they emerged from Africa into the Middle East and beyond. Within another 15,000 years or so, the Neanderthals were gone forever, leaving behind a few bones and a lot of questions. Were they a clever and perseverant breed of survivors, much like us, or a cognitively challenged dead end? What happened during that period, roughly 45,000 to 30,000 years ago, when the Neanderthals shared some parts of the Eurasian landscape with those modern human migrants from Africa? Why did one kind of human being survive, and the other disappear?
On a damp, fog-shrouded morning in September 2007, I stood before the entrance to El Sidrón with Antonio Rosas of the National Museum of Natural Sciences in Madrid, who heads the paleoanthropological investigation. One of his colleagues handed me a flashlight, and I gingerly lowered myself into the black hole. As my eyes adjusted to the interior, I began to make out the fantastic contours of a karstic cave. An underground river had hollowed out a deep vein of sandstone, leaving behind a limestone cavern extending hundreds of yards, with side galleries spidering out to at least 12 entrances. Ten minutes into the cave, I arrived at the Galería del Osario—the "tunnel of bones." Since 2000, some 1,500 bone fragments have been unearthed from this side gallery, representing the remains of at least nine Neanderthals—five young adults, two adolescents, a child of about eight, and a three-year-old toddler. All showed signs of nutritional stress in their teeth—not unusual in young Neanderthals late in their time on Earth. But a deeper desperation is etched in their bones. Rosas picked up a recently unearthed fragment of a skull and another of a long bone of an arm, both with jagged edges.
"These fractures were—clop—made by humans," Rosas said, imitating the blow of a stone tool. "It means these fellows went after the brains and into long bones for the marrow."
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Neanderthals
But when police investigators inspected the gallery, they discovered the remains of a much larger—and, it would turn out, much older—tragedy.
Within days, law enforcement officials had shoveled out some 140 bones, and a local judge ordered the remains sent to the national forensic pathology institute in Madrid. By the time scientists finished their analysis (it took the better part of six years), Spain had its earliest cold case. The bones from El Sidrón were not Republican soldiers, but the fossilized remains of a group of Neanderthals who lived, and perhaps died violently, approximately 43,000 years ago. The locale places them at one of the most important geographical intersections of prehistory, and the date puts them squarely at the center of one of the most enduring mysteries in all of human evolution.
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Saturday, September 13, 2008
Af en dementia
AF is an established risk factor for stroke, which in turn increases the risk for cognitive decline and dementia. However, it is not clear if AF independently increases the risk for cognitive impairment.
To investigate further, Stefan Knecht, from the University of Münster, and colleagues compared 122 stroke-free patients with AF and 563 individuals without AF from the same community.
The participants completed a battery of neuropsychologic tests to determine cognitive function, covering learning and memory, attention and executive functions, working memory, and visuospatial skills. They also underwent 3T magnetic resonance imaging to assess covert territorial brain infarction, white matter lesions, and brain volume.
Excluding patients with imaging evidence of stroke, dementia, and depression left 87 patients with AF and 446 individuals without. Patients with AF had lower average age and education than controls, but higher body mass index.
AF patients were also more likely than controls to be male, have diabetes, coronary artery disease and hypertension, and to use antihypertensive and lipid-lowering medications.
AF was independently and negatively associated with learning and memory, as well as attention and executive functions, at respective beta values of -0.115 and -0.105 (p<0.01 p="0.062).">European Heart Journal that AF was significantly and independently associated with hippocampal volume, at a beta value of -0.272 in the full regression model, but not total brain volume or white matter hyperintensities.
"The present findings indicate that cognitive function may also be impaired by AF independently of stroke," the team says. "Whether novel antithrombotic or rhythm-control treatments of AF can prevent cognitive decline should be studied in controlled trials."
Eur Heart J 2008; 29: 2125-2132
Saturday, September 06, 2008
stroke warfarin
September 4, 2008 — Results of a new study show that among high-risk patients with atrial fibrillation admitted to the hospital for a stroke, the vast majority were either not taking warfarin or were in subtherapeutic ranges at the onset of the stroke. In fact, only 10% of patients admitted with a first ischemic stroke were found to be receiving warfarin and were in a therapeutic range at the time of their stroke.
"These findings should encourage greater efforts to prescribe and monitor appropriate antithrombotic therapy to prevent stroke in individuals with atrial fibrillation," the researchers, with first author David J. Gladstone MD, PhD, from Sunnybrook Health Sciences Center and the Institute for Clinical Evaluative Sciences in Toronto, Ontario, Canada, conclude.
Their results were released in the August 28 Online First issue and will appear in the January 2009 issue of Stroke.