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Quaternary International 398 (2016) 129e135

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Quaternary International
journal homepage: www.elsevier.com/locate/quaint

Dental calculus reveals potential respiratory irritants and ingestion of


essential plant-based nutrients at Lower Palaeolithic Qesem Cave
Israel
Karen Hardy a, *, Anita Radini b, c, Stephen Buckley b, Rachel Sarig d, g, Les Copeland e,
Avi Gopher f, Ran Barkai f
a
ICREA (Catalan Institution for Research and Advanced Studies), Departament de Prehisto ria, Facultat de Filosofia i Lletres,
Universitat Autonoma de Barcelona, Spain
b
BioArCh, University of York, UK
c
University of Leicester Archaeological Services (ULAS), School of Archaeology and Ancient History, University of Leicester, UK
d
Dan David Center for Human Evolution and Biohistory, the Steinhardt Museum of Natural History and National Research Center, Tel Aviv University, Israel
e
Faculty of Agriculture and Environment, University of Sydney, Australia
f
Department of Archaeology and Near Eastern Cultures, Tel Aviv University, Israel
g
The Department of Orthodontics, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel

a r t i c l e i n f o a b s t r a c t

Article history: Reconstructing detailed aspects of the lives of Lower Palaeolithic hominins, who lived during the Middle
Available online 18 June 2015 Pleistocene, is challenging due to the restricted nature of the surviving evidence, predominantly animal
bones and stone tools. Qesem Cave, Israel (420e200 ka) is a site that has produced evidence for a wealth
Keywords: of innovative features including controlled use of fire, represented by a repeatedly used hearth.
Lower Palaeolithic Numerous charred bone and stone tools as well as wood ash have been found throughout the ten metres
Diet
of archaeological deposits. Here, we describe the presence of a range of potentially inhaled, and ingested,
Plants
materials extracted from samples of dental calculus from the Qesem Cave hominins. These finds offer an
Respiratory irritants
Dental calculus
insight into the environment in and around the cave, while micro-charcoal highlights the need for smoke
management in enclosed environments. Plant fibres and a phytolith may be evidence of oral hygiene
activities or of using the teeth to work raw materials. Starch granules and chemical compounds provide a
direct link to ingested plant food items. This extends the evidence for consumption of plant foods
containing essential nutrients including polyunsaturated fatty acids and carbohydrates, into the Lower
Palaeolithic. Together, these results represent a significant breakthrough towards a better understanding
of Middle Pleistocene dietary breadth and highlight some of the challenges facing the adoption of the
habitual use of fire for cooking by the Qesem Cave hominins, as well as offering an insight into their
ecological knowledge and technological adaptability.
© 2015 Elsevier Ltd and INQUA. All rights reserved.

1. Introduction economic and cultural development of the human species, even-


tually leading to the appearance of anatomically modern humans as
The Middle Pleistocene was a period of major biological and well as Neanderthals. At Qesem Cave, evidence for innovative
behavioural change in human evolution (Nowell and White, 2010). behaviour includes development of a new mode of adaptation,
Qesem Cave is a karst chamber cave in Israel (420,000e200,000 BP) possibly triggered by the disappearance of elephants, which led to
(Gopher et al., 2010; Mercier, 2013) that has been in excavation an increasing need to hunt the abundant medium-sized ungulates
since 2001 (Fig. 1). Its finds add weight to the notion that the Late (Stiner et al., 2009; Ben-Dor et al., 2011; Hershkovitz et al., 2011;
Lower Palaeolithic period was crucial in terms of biological, Barkai and Gopher, 2013; Blasco et al., 2014; Shahack-Gross et al.,
2014). This in turn led to a requirement for higher efficiency in
processing food (Ben-Dor et al., 2011; Barkai and Gopher, 2013), to
* Corresponding author.
maximize dietary yield of both animal and plant based calories
E-mail address: khardy@icrea.cat (K. Hardy). (Groopman et al., 2015). The use of fire inside Qesem Cave, recorded

http://dx.doi.org/10.1016/j.quaint.2015.04.033
1040-6182/© 2015 Elsevier Ltd and INQUA. All rights reserved.
130 K. Hardy et al. / Quaternary International 398 (2016) 129e135

Fig. 1. Qesem Cave.

from 400,000 years ago (Karkanas et al., 2007; Mercier, 2013), and teeth were identified and extracted. Tooth G/9b 520e525, was
the repeated use of a central hearth from 300,000 years ago found in the mid-area of the cave, while the teeth G/22 685e690
(Gopher et al., 2010; Mercier, 2013; Blasco et al., 2014; Shahack- and G/22 705e710 were found in the same location in the cave, but
Gross et al., 2014), may be linked to this. The Amudian industry at slightly different elevations. It is possible they may be from the
that dominates the cave's lithic assemblages is a distinct blade- same individual, as their age of death estimates are similar and the
dominated late Lower Palaeolithic Acheulo-Yabrudian Cultural interproximal facets on the teeth articulate well together. However,
Complex (AYCC) industry (Gopher et al., 2005; Barkai and Gopher, this cannot be unequivocally confirmed (Hershkovitz et al., 2011).
2013). It post dates the Acheulian industry and predates the Mid- Extraction took place inside a specially constructed box, covered in
dle Palaeolithic Mousterian traditions. aluminium paper. As soon as the samples were removed, the paper
Eight hominin teeth from Qesem Cave have been studied thus was folded and inserted individually into Eppendorf tubes; they
far (Hershkovitz et al., 2011) and additional teeth are presented in remained in these tubes until their extraction for analysis. Ideally,
Hershkovitz et al., 2016). Here, we present evidence for potentially each sample of dental calculus should be split into two for different
inhaled and ingested material in dental calculus extracted from analyses to be conducted on each piece; however, here, the largest
three of these teeth. Dental calculus is formed by bacteria and sample weighed only 0.36 mg and was too small to split. The largest
calcium phosphate salts which combine to create calculus. Recent piece was therefore selected for chemical analysis using the dual
studies have shown that dental calculus can act as a store for methods of sequential thermal desorption-gas chromatogra-
inhaled and ingested material, with evidence for chemical com- phyemass spectrometry (TD-GC-MS) and pyrolysis-gas chroma-
pounds surviving at least into the Middle Palaeolithic (Hardy et al., tography mass spectrometry (Py-GC-MS). Optical microscopy, for
2012). Though the Qesem Cave samples were extremely small, we morphological examination, was conducted on the two smaller
have been able to provide the earliest evidence of exposure to pieces [S1].
potential respiratory irritants, including micro-charcoal, pollen and
evidence for fungal spores, in human history. Our results also 2.1. Chemical analysis
extend the survival of chemical compounds into the Lower Palae-
olithic and offer the first direct evidence that the diet of these TD/Py-GC-MS was performed on a CDS Pyroprobe 2000 via a
hominins included plants, incorporating both carbohydrates and CDS1500 valved interface (320  C), to a HewlettePackard 5890
the essential polyunsaturated fatty linoleic and linolenic acids. Series II GC fitted with a split injector (280  C) interfaced to a Trio
1000 mass spectrometer (electron voltage 70 eV, filament current
2. Materials and methods 220 mA, source temperature 200  C, multiplier voltage 450 V,
interface temperature 300  C). The acquisition was controlled by
Most archaeological human remains at Tel Aviv University, Windows based MasSpecII32 Data System, in full scan mode
Israel, are stored in individual closed boxes; in the case of the in- (35e650 amu). The sample was weighed into a quartz tube with
dividual teeth, these were stored individually in closed plastic bags, glass wool plugs. The tube was placed into a pyroprobe platinum
within the closed boxes. Three dental calculus samples from three heating coil and sealed into the valved interface. The sample was
K. Hardy et al. / Quaternary International 398 (2016) 129e135 131

thermally desorbed at 310  C for 10 s in open split mode at 30 mls/


minute. The GC temperature program and data acquisition were
commenced at the same time. Separation was performed on a fused
silica capillary column (30 m  0.25 mm i.d) coated with 0.25 um
5% phenyl methyl silicone (DB-5). Initially the GC was held at 35  C
for 5 min and then temperature programmed from 35  C to 320  C
at 6  C min and held at final temperature for 15 min (total time
67.5 min), with He as the carrier gas (constant flow 1 ml/min, initial
pressure of 45 kPa, split at 30 mls/min). The run was repeated with
the same sample being pyrolysed at 610  C for 10 s with the split
open. Peaks were identified on the basis of both their mass spectra
(NIST Mass Spectral Database and additional data referenced
Fig. 2. Reconstructed total ion chromatogram of the pyrogram (pyrolysis profile)
below), and relative retention times (relative retention indices (610  C for 10 s) of sample G22 685e690, tooth PM21 35 (0.36 mg), after thermal
(RRIs)). desorption (310  C for 10 s). Peak identities (‘x’ indicates carbon chain length): filled
squares, Cx indicates n-1-alkenes; filled circles, Cx indicates n-alkanes. Also shown is
carbon dioxide (CO2).
2.2. Optical analysis

Samples G/9b 520e525 and G/22 705e710 were degraded for addition to the contamination controls we had in place, this also
microscopic microfossil analysis. Samples for optical microscopy confirms the integrity of the microfossils as we were able to witness
were removed in the laboratory in Barcelona, weighed, and then the adhering calculus material degrade when we injected further
the two smaller samples were transferred directly into new tubes HCl into the microscope slides. Once the flecks of calculus were
for processing. The larger sample was taken to York for chemical located, a part of the sealant was removed and HCl (8% solution)
analysis. Samples were degraded, mounted and analysed on the was injected into the slide to allow the calculus matrix to dissolve
same day, to reduce all possible contamination or destruction of the in controlled conditions. The second suite of analyses was con-
sample. The laboratory in Barcelona is cleaned weekly, and ducted using a Zeiss compound microscope with magnifications up
contamination control samples are also evaluated at regular in- to 800. All visible material was recorded and imaged, although
tervals. Two control samples of sediment were also taken from the the injection of HCl into the slides generated some small bubbles
cave deposits and examined. Other than small flecks of charcoal, that are visible in the pictures.
which appeared of a similar size to those found in the samples, no
other organic microfossils were found in the sediment samples.
Additional laboratory procedures to avoid contamination of mod-
ern and ancient origin followed established methods fully 3. Results
described elsewhere (Hardy et al., 2009; Warinner et al., 2014). The
calculus samples were suspended in 1.5 ml of 0.6 M HCl. After Results of the chemical analysis are consistent with high
15 min, the samples were centrifuged at room temperature at abundances of linoleic (C18:2) and linolenic acids (C18:3) character-
13,000 rpm for 15 min and the pellet washed in distilled water. All istic of plant oils that are most concentrated in seeds (Fig. 2, Table 1,
pellet material was transferred onto microscope slides, in 50% [S1]). The pyrolysis-GC-MS trace was dominated by C8 to C16 n-1-
glycerol in water. The slides were sealed and left for 12 h. The first alkenes and n-alkanes, typical of unsaturated and saturated acyl
microscopic analysis was conducted on an Olympus IX 71 inverted lipids (Buckley et al., 1999). Notably, the results display a bimodal
microscope using magnifications between 50 and 200, while distribution with maxima at C11/C12 and C14. Although the rela-
imaging was conducted using a Colour View camera and Cell D tionship between the bound/biopolymer-derived n-1-alkenes and
imaging system. All visible material was photographed. Some n-alkanes and the fatty acids derived from the acyl lipids in the
pieces of debris had adhering minute flecks of calculus that had not original fat or oil is complex (Asomaning et al., 2014)[S1], particu-
degraded. As the dental calculus had not dissolved completely, a larly where diagenetic processes may be involved, this bimodal
second microscopic analysis was conducted at a later date. In distribution of hydrocarbons is indicative of a source rich in linoleic

Table 1
Results of dental calculus samples analysed from Qesem Cave.

Sample Tooth Analysis Age Cultural Finds environmental


numbers context

C1 G/9b 520 Upper right Optical >300,000 Yabrudian 2 pollen grains (Pinus spp.)
e525 canine. microscopy Plant fibres, one smooth/sinuate long cell phytolith
10 starch granules,
Micro-charcoal,
1 fungal spore
Mineral grit
C1G/22 685 PM21 35 TD, Py GCeMS >300,000 probably 300 Amudian Fat/oil (acyl lipid) high in linoleic and linolenic acids (e.g. seeds fats such as
e690 Lower left e400,000 Pinus spp., walnuts)
canine
P3 G/22 705 PM2 L Lower P3 Optical >300,000 probably 300 Amudian 1 pollen grain (Pinus spp.)
e710 microscopy e400,000 Plant fibres,
Micro-charcoal,
Lepidoptera (butterfly/moth) wing scale
2 fungal spores
Mineral grit
132 K. Hardy et al. / Quaternary International 398 (2016) 129e135

Fig. 3. Microfossils extracted from dental calculus. A ¼ starch granules (G/9b 520e525), B ¼ microcharcoal (G/22 705e710), C ¼ fungi, type 1 spore (G/9b 520e525), D ¼ fungi, type
3 spore (G/22 705e710), E ¼ fungi, type 2 spore (G/9b 520e525), F ¼ pine pollen grain (G/9b 520e525), G ¼ Lepidoptera (moth and butterfly) (G/22 705e710), wing scale, H ¼ long
smooth long cell phytolith (G/9b 520e525), note fragments of calculus still adhering to it.

and linolenic acids (Niimura et al., 2003). Ten intact starch granules dental calculus as a source of biographical detail deep into the
were found in sample G/9b 520e525 (Fig. 3, Table 1, [S1]). human past.
Fragments of micro-charcoal (5e60 mm) and soot, which is
present in the form of ‘black dots’ consisting of the carbon skeleton 4.1. Environment
of organic debris, were recovered as were three pollen grains,
identified as pine (Pinus sp.) (Moore et al., 1991). In two cases, very The presence of small micro-charcoal fragments in the calculus
small fragments of dental calculus were still attached to the grains is striking. Particles up to 70 mm habitually enter the mouth during
which had evidence of some deterioration and distortion, most oral breathing (Se et al., 2010) and while these fragments could also
likely as a result of diagenetic processes. Three fungal spores from result from ingestion of char adhering to roasted food, their size
three different species were also recovered (Fig. 3), although closer suggests they result from accidental inhalation (Pope III and
identification is not currently possible [S1]. Long plant fibres were Dockery, 2006). These findings, combined with the sedimentary
found in both samples. A single, long cell phytolith of the type and micromorphological evidence from the cave, are indicative of
found in leaves and stems of many monocotyledon and some fire and suggest a smoky atmosphere inside the cave. The three
dicotyledon plants (Albert et al., 2007) was also found [S1]. A wing pollen grains recovered from the calculus suggest that pine species
scale of either a butterfly or moth (Lepidoptera) was recovered from were in the environment near the cave.
sample G/22 705e710. The wing scale was lamellar, with a narrow, Reconstructing non-dietary aspects of the life led by Lower
oval shape and the characteristic pedicel clearly visible. Small cal- Palaeolithic hominins is challenging; however, the evidence for
culus particles were still attached to it. Both the fungal spores and airborne contamination provides a fascinating new insight into
insect remains included the presence of chitin, the main structural living conditions both inside and outside the cave during the
polysaccharide in these species. Middle Pleistocene. The control of fire is considered to be a crucial
driver in the development of the human lineage in social as well as
physical terms (Wiessner, 2014). At Qesem, evidence for combus-
4. Discussion tion events in different places inside the cave was found in the
lower part of the sequence. A repeatedly used hearth, dated to
Despite the extreme age of the Qesem dental calculus samples approximately 300,000 BP was found in the centre of the cave
and the limited amount of material available for study, the findings (Shahack-Gross et al., 2014). Evidence for blade production and
shed light on hitherto unknown aspects of Middle Pleistocene animal processing found around this hearth (Karkanas et al., 2007),
hominin life. We have also demonstrated the survival of a wide suggests it had become a focal point, undoubtedly also generating
range of material items of debris and chemical compounds well social interaction. As the hearth was placed inside the cave, the
into the Lower Palaeolithic and we have highlighted the value of need to deal with the atmospheric pollution caused by smoke was
K. Hardy et al. / Quaternary International 398 (2016) 129e135 133

necessary. Open fires, and the smoke they generate, have many 2009). Dietary reconstructions are based largely on animal bones
benefits including warmth, cooking, insect control, light, food and (Stiner et al., 2009; Blasco et al., 2014), dental pathology
fuel drying, and food flavouring (Bruce et al., 2000). The apparent (Constantino et al., 2010), microwear patterns on teeth (Pe rez-
advantages of placing the central hearth well inside the cave, which Perez et al., 2003) and stone tools (Lemorini et al., 2006), and sta-
may be linked to an increased intensity of cooking, and as a focus ble isotope analysis (Schoeninger, 2014). The focus has largely been
for flint knapping and animal processing (Mercier, 2013; Blasco on animal products; however evidence from tooth microwear
et al., 2014; Shahack-Gross et al., 2014) and presumably social patterns from two European Lower Palaeolithic sites, suggests a
interaction, suggests a need for smoke management. A smoky at- highly abrasive diet including seeds, nuts, roots and bulbs (Pe rez-
mosphere can be an irritant and can at times cause serious health Perez et al., 2003) while carbonized remains of seeds and nuts
problems; a minimum amount of smoke management would from the site of Gesher Benot Ya'aqov, Jordan Valley, may indicate
therefore have been necessary before fire could be enjoyed as a their exploitation 780,000 years ago (Goren-Inbar et al., 2002).
focus for social interaction, rather than simply an uncomfortable Linoleic and alpha-linolenic acids are polyunsaturated fatty
necessity. Smoke can cause reactive coughing and eye irritation in acids that are not synthesized by animals and must be obtained
addition to potentially more serious lung problems, in particular from dietary sources in sufficient quantity for the body to function
among children (Smith et al., 2000). Acute respiratory infection, (Ellie and Rolfes, 2008). The clearly detectable presence of these
which has been largely correlated with internal use of biomass fuel essential polyunsaturated fatty acids in the dental calculus from
(wood, dung and plant (crop) residue) is still the primary cause of Qesem Cave is therefore highly significant. These compounds are
death for children under five in developing countries (Bruce et al., abundant in the seeds of edible plant species such as pistachia and
2000; Smith et al., 2000) while low birth weight and infant mor- linseed; however, seeds/nuts from Pinus halepensis fit particularly
tality has been linked to the use of wood fuel by their mothers. well with the evidence and these would have been readily available
Whether the Qesem Cave hominins suffered any medical reactions in the environment around Qesem Cave.
caused by environmental airborne material is unknown; however, Starch occurs as insoluble, semi-crystalline granules in most
still recently, internal exposure to biomass fuel was thought to plant tissues, but is found in largest amounts in seeds and
contribute around 4% of the global burden of disease through storage organs. The size and form of the starch granules found
‘disability adjusted life-years lost’ (Smith et al., 2000). For the very in the dental calculus suggest they represent items of food
small population groups in the Lower Palaeolithic, to have persis- rather than transient leaf starch granules, which are small and
tent chronic illness undermining reproduction and hunting effi- disc-like due to their synthesis in the plant in diurnal cycles of
ciency could have been disastrous. For successful use of fire to accumulation and breakdown. Two starch granules extracted
develop in an internal location, in a constructive way that from one of the calculus samples fit together in a way that is
permitted a population to thrive, as well as being potentially useful suggestive of compound granules, which can occur from the
for social and functional purposes, the health risks, particularly to fusion of granules that develop simultaneously within a single
the young, and the unpleasant immediate side effects of a smoky amyloplast in storage tissues such as seeds and tubers (Smith,
atmosphere must have been small. 2012). Starch granules in plant storage tissues accumulate over
The location of the hearth inside Qesem Cave (Fig. 1) is unlikely a long period and can differ in size and morphology between
to have been accidental. The hearth was large (4 m2) (Shahack- botanical sources and seeds, tubers and nuts (Bule on et al.,
Gross et al., 2014), and cave features such as the location, direc- 1998).
tion and size of cave openings and the inner topography and fea- Together, the identification of starch granules and specific
tures of the cave are likely to have been factors in selecting its chemical compounds in the dental calculus samples from Qesem
location. Reconstruction of the cave structure and topography, Cave, point to deliberate ingestion of essential dietary components,
based on excavation and micromorphology (Karkanas et al., 2007), most likely in the form of concentrated sources such as seeds or
have led to identification of a relatively large opening in the nuts. The phytolith and plant fibres found in the calculus could be
southwest side of the cave and a possible chimney in the northern the result of non-dietary activities including raw material pro-
part of the cave, as well a large quantity of piled stones, 4e5 m wide cessing, oral hygiene (Ungar et al., 2001), or the remains of food.
and about 2 m high and in the form of a convex dome to the Their presence may coincide with the microwear pattern on the
southwest of the hearth. This pile, which may be the result of buccal surface of the teeth which is highly variable and comprises
accumulation linked to a roof collapse (Frumkin et al., 2009), is striations of different lengths, depths, orientations and intensities,
thought to have been in place prior to the establishment of the suggestive of chewing on a wide range of items (see Sarig et al.,
hearth. A stone lining around the northwest part of the hearth (see 2016).
Shahack-Gross et al., 2014), may have served as a small windbreak It is unlikely that the Homo lineage could have evolved suc-
for draughts coming from the chimney. cessfully without a diet that ensured not only survival, but also the
The fungal spores present in the dental calculus could have ability to thrive, including successful reproduction. Starchy plant
come from airborne mould spores from either inside or outside foods provide the energy needed to support an enlarged brain and
the cave, or from particles of ingested food. Fungal spores, the metabolic functions of other human tissues and these are far
whatever their source, are potentially harmful to humans more efficient when cooked (Wrangham, 2007, 2009; Hardy et al.,
(Sorenson, 1999). Taken together, the fungal spores, pollen and 2015). While it may be possible to survive without carbohydrates
micro-charcoal provide an interesting perspective, in suggesting and have a diet focused heavily on animal products, through the
that items considered as potential allergens today were present process of gluconeogenesis which synthesises glucose from non-
in the cave environment. carbohydrate sources, it is energetically more expensive (Hardy
et al., 2015). A very high fat intake will prevent protein toxicity
4.2. Diet and provide energy for metabolism, but it comes at the cost of high
levels of ketones in the blood, which can compromise reproductive
Reconstructing Lower Palaeolithic diet can offer an improved function (Kim and Felig, 1972) and can affect the efficiency of the
perspective on human adaptation and may feed into a better un- brain which has an essential requirement for glucose in order to
derstanding of modern human dietary physiology (Lindeberg, function (Hardy et al., 2015).
134 K. Hardy et al. / Quaternary International 398 (2016) 129e135

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Acknowledgments Tabernero, A., Garcia-Vargas, S., Lalueza-Fox, C., Huguet, R., Bastir, M.,
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Qesem Cave excavations are supported by the Israel Science entrapped in dental calculus. Naturwissenschaften 99 (8), 617e626.
Foundation, CARE Archaeological Foundation, Leakey Foundation, Hardy, K., Buckley, S., Huffman, M., 2013. Neanderthal self-medication in context.
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Wenner-Gren Foundation, Thyssen Foundation and the Dan David
Hardy, K., Brand Miller, J., Brown, K.J., Thomas, M.G., Copeland, L., 2015. The
Foundation. The Spanish Ministry of Science and Innovation (grant importance of dietary carbohydrate in human evolution. The Quarterly Review
number HAR2012-35376) supported the dental calculus project. of Biology 3 (90).
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Lower Paleolithic: site-formation processes at Qesem Cave, Israel. Journal of
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