An epidemic of tuberculosis with a high rate of tuberculin anergy among a population previously unexposed to tuberculosis, the Yanomami Indians of the Brazilian Amazon

A survey of an emerging tuberculosis epidemic among the Yanomami Indians of the Amazonian rain forest provided a unique opportunity to study the impact of tuberculosis on a population isolated from contact with the tubercle bacillus for millennia until the mid-1960s. Within the Yanomami population, an extraordinary high prevalence of active tuberculosis (6.4% of 625 individuals clinically examined) was observed, indicating a high susceptibility to disease, even among bacille Calmette–Guérin-vaccinated individuals. Observational studies on cell-mediated and humoral immune responses of the Yanomami Indians compared with contemporary residents of the region suggest profound differences in immunological responsiveness to Mycobacterium tuberculosis infection. Among the Yanomami, a very high prevalence of tuberculin skin test anergy was found. Of patients with active tuberculosis, 46% had purified protein derivative of tuberculosis reactions <10 mm; similarly 58% of recent bacillus Calmette–Guérin vaccines exhibited skin test reactions <5 mm. The Yanomami also had higher titers of antibodies against M. tuberculosis glycolipid antigens (>70%) than the control subjects comprised of Brazilians of European descent (14%). The antibodies were mostly of the IgM isotype. Among the tuberculosis patients who also produced IgG antibodies, the titers of IgG4 were significantly higher among the Yanomami than in the control population. Although it was not possible to analyze T-cell responses or patterns of lymphokine production in vitro because of the remoteness of the villages from laboratory facilities, the results suggest that the first encounter of the Yanomami Indian population with tuberculosis engenders a diminished cell-mediated immune response and an increased production antibody responses, relative to other populations with extensive previous contact with the pathogen. These findings suggest that tuberculosis may represent a powerful selective pressure on human evolution that over centuries has shaped the nature of human immune responses to infection.

Sedimentation rates and geochemistry of three cores from eastern tropical Pacific

We have generated approx. 300 Kyr records of biogenic opal, calcite, and organic carbon (Corg) for three cores in the eastern and central equatorial Pacific Ocean and have compared the records to determine whether common periods of biogenic sedimentation have occurred throughout the region. We find that Corg has been deposited in common pulses throughout the area, while opal has a much more local pattern of variation. Calcite varies regionally, but the record is shaped by superimposed dissolution and productivity processes. The most intense Corg peak occurs at 18 ka and can have greater than 2 times the Holocene Corg content. Other major Corg peaks occur 150 ka and perhaps at 280 ka. We have compared the Corg record in one of the cores, V19-28, to a model deepwater oxygen record developed from d13C data in the nearby V19-30 to test whether the Corg record has been mostly shaped by degradation or by the rain of organic matter from the euphotic zone. We found no coherence between the two records, implying that the Corg record is primarily a measure of productivity. By comparing the opal, calcite, and Corg records in V19-28, a core which is at or above the lysocline, we found that both increased calcite and opal deposition matches high Corg accumulation. We also found, however, that the calcite and opal records were uncorrelated, so that episodes of high opal deposition do not necessarily accumulate calcite rapidly. We hypothesize that at least two different plankton communities have been dominant in the waters above this site, one rich in opal-secreting plankton and one more dominated by calcite producers. The opal-rich plankton community was dominant during the intervals 10-15 ka and 35-60 ka.