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Record W4410851718 · doi:10.1126/science.adu7144

Pre-European contact leprosy in the Americas and its current persistence

2025· article· en· W4410851718 on OpenAlexaff
Maria Lopopolo, Charlotte Avanzi, Sebastián Duchêne, Pierre Luisi, Alida de Flamingh, Gabriel Yaxal Ponce‐Soto, Gaétan Tressières, Sarah Neumeyer, Frédéric Lemoine, Elizabeth A. Nelson, Miren Iraeta-Orbegozo, Jerome S. Cybulski, Joycelynn Mitchell, Vilma T. Marks, Linda B. Adams, John Lindo, Michael DeGiorgio, Carlos Wiens, Juri Hiebert, Alexandro Bonifáz, Griselda Montes de, Vanessa Paredes-Solis, Carlos Franco‐Paredes, Lucio Vera‐Cabrera, José Guillermo Pereira Brunelli, Mary Jackson, John S. Spencer, Cláudio Guedes Salgado, Xiang Y. Han, Camron Pearce, Alaine K. Warren, Patrícia Sammarco Rosa, Amanda Juliane Finardi, Andrea de Faria Fernandes Belone, Cynthia de Oliveira Ferreira, Philip Noël Suffys, Amanda Nogueira Brum Fontes, Sidra Ezídio Gonçalves Vasconcellos, Roxane Schaub, Pierre Couppié, Kinan Drak Alsibai, Rigoberto Hernández‐Castro, Mayra Silva‐Miranda, Iris Estrada‐García, Fermín Jurado‐Santa Cruz, Ludovic Orlando, Hannes Schroeder, Lluís Quintana‐Murci, Mariano C. Del Papa, Ramanuj Lahiri, Ripan S. Malhi, Simon Rasmussen, Nicolás Rascovan

Bibliographic record

VenueScience · 2025
Typearticle
Languageen
FieldMedicine
TopicLeprosy Research and Treatment
Canadian institutionsAssembly of First Nations
FundersAgence Nationale de la RechercheInfrastructures en Biologie Santé et Agronomie
KeywordsLeprosyCladeMycobacterium lepraeColonizationPhylogenetic treeGeographyEthnologyPersistence (discontinuity)Old WorldColonialismBiologyGenealogyZoologyArchaeologyHistoryImmunologyGeneticsGene

Abstract

fetched live from OpenAlex

Leprosy, caused primarily by Mycobacterium leprae , is considered a disease introduced into the Americas during European colonization. However, the recent discovery of a second pathogen causing leprosy, M. lepromatosis , mainly found in the Americas, challenges this view. Here, we show that M. lepromatosis infected humans in the Americas before European contact. By screening 389 ancient and 408 contemporary samples, we have expanded the genetic data available for the species. Phylogenetic analyses revealed distinct human-infecting clades of M. lepromatosis , with one dominating North America since colonial times. The presence of millennia-old strains in North and South America indicates that M. lepromatosis may have been widespread during the Late Holocene, demonstrating that M. lepromatosis leprosy has a long-standing history in the Americas before European arrival.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.338
Threshold uncertainty score0.111

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.055
GPT teacher head0.387
Teacher spread0.332 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations8
Published2025
Admission routes1
Has abstractyes

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