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Science & Justice xxx (xxxx) xxx–xxx

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Science & Justice


journal homepage: www.elsevier.com/locate/scijus

Case review

From unknown to known: Identification of the remains at the mausoleum of


fosse Ardeatine

Elena Pillia,e, , Silvia Bocconeb, Alessandro Agostinoc, Antonino Virgilid, Giancarlo D'Erricoe,
Martina Laria, Cesare Raponee, Filippo Barnie, Jacopo Moggi Cecchib, Andrea Bertie,
David Caramellia
a
Department of Biology, University of Florence, Laboratory of Anthropology -Molecular Anthropology and Forensic Unit, Firenze, Italy
b
Department of Biology, University of Florence, Laboratory of Anthropology, Firenze, Italy
c
Diagnostic and Genomics Group. Agilent technologies, Italy
d
Istituto Superiore di Tecniche Investigative dei Carabinieri, Velletri, Roma, Italy
e
Molecular Biology and Genetics Unit, Carabinieri Scientific Investigation Department, Rome, Italy

A R T I C LE I N FO A B S T R A C T

Keywords: During the Second World War, on 24th March 1944, 335 Italians were massacred near Rome by the occupying
Forensic science forces of Nazi Germany. Four months later forensic examination led to the identification of 323 out of 335
Mass disaster victims. After approximately 60 years, the identification of the remaining unidentified twelve victims began with
Anthropological analysis anthropological and genetic analysis carried out by a team of Italian forensic experts. Anthropological analysis
Genetic identification
was performed in field in order to confirm the sex of each victim and verify the presence of only one individual in
STRs and mtDNA
each grave for a correct sampling. Selected bone fragments for each individual were then collected and trans-
ferred to the laboratory for genetic analysis. Although the anthropological ante mortem information was limited,
morphological and metrical data was collected for a possible future identification of the victims. Subsequently,
the typing of autosomal loci, Y-STR and mtDNA D-loop region of all bone and available reference samples was
conducted. LR and cumulative LRs obtained from autosomal STR and Y-STR results confirmed the alleged re-
lationship between three victims and their relatives with values over 104 (one sample) and 106 (two samples).
Therefore, the genetic analysis offered the families the possibility of replacing the number of the grave with the
name of the victim.

1. Introduction The process of identifying the victims in a mass disaster is long,


arduous and, of course, more difficult if bodies are unrecognisable and/
On March 23rd 1944, during the Second World War, 335 civilians or skeletonised. However, the development of forensic science and DNA
and Italian military personnel were brought by a German command to analysis has led to resolving the main issue in mass disasters: the vic-
the Fosse Ardeatine close to Rome and killed as a reprisal for the attack tims' identification. In order to identify the mass disaster victims, the
suffered. For the high number of victims and tragic circumstances that ante-mortem information obtained on missing person (such as anthro-
led this event, the mass disaster of Fosse Ardeatine has become the pological characteristics - bone disease, injury, deformation and dental
symbol of Nazi reprisals during occupation period. On July 26th 1944, history, but also sex, age, height - and personal belongings - presence of
forensic medicine investigations to identify the victims began. Bodies tattoos and/or special signs and details of victim's clothes [2–4]-) has to
did not appear distinct from each other but were piled, stacked, closely be compared with corresponding results derived from post-mortem
amassed together and completely unrecognisable (Fig. 1). analysis. However, in some cases, if the bodies are found long time after
Before being analysed by the medical team, all bodies were marked death, the possibility of obtaining this type of information from wit-
with a serial number that indicated the order in which they were ex- nesses or relatives may often be minimal. In this case, DNA profiling can
humed. In spite of the state of decay of the bodies due to putrefaction, increase the probability of identification and offer the families of the
the method of investigation, mainly inductive and analytical, led to the missing persons the possibility of recovering the remains of their loved
identification of 323 out of 335 bodies. ones, and a proper burial as required by the Geneva Convention [5].


Corresponding author at: Department of Biology, University of Florence, Laboratory of Anthropology -Molecular Anthropology and Forensic Unit, Firenze, Italy
E-mail address: elena.pilli@unifi.it (E. Pilli).

https://doi.org/10.1016/j.scijus.2018.05.007
Received 23 January 2018; Received in revised form 8 May 2018; Accepted 20 May 2018
1355-0306/ © 2018 The Chartered Society of Forensic Sciences. Published by Elsevier B.V. All rights reserved.

Please cite this article as: Pilli, E., Science & Justice (2018), https://doi.org/10.1016/j.scijus.2018.05.007
E. Pilli et al. Science & Justice xxx (xxxx) xxx–xxx

2. Materials and methods

Permission to access the study site, exhume remains, and collect


samples was granted by the Ministry of Defence –Commissariato
Generale per le Onoranze ai Caduti in guerra- (Letter 3782 of 4 May
2009), and a signed written informed consent was obtained from all the
relatives of the victims.
A forensic team (post-mortem team) was involved in carrying out
the exhumation of the bodies, anthropological field analysis, and ge-
netic analysis in laboratory. At the same time, another team (ante-
mortem team) worked with victims' families trying to gather informa-
tion about victims and their anthropological traits.

2.1. Post-mortem team activities

Fieldwork activities began at the Mausoleum of Fosse Ardeatine


with the removal of the stone slabs of twelve graves by a specialised
company. During the following days, the bodies were exhumed by
opening the graves one by one and collecting the material inside each
grave. As requested, only graves 3–52–98-122-155-264-272-273-276-
283-284 and 329 labelled “Unidentified” were opened. Then an an-
thropological examination was conducted and the skeletal remains of
each individual were collected from each grave in order to attempt a
DNA analysis.

2.1.1. Anthropological examination


An anthropological examination was performed in order to gather
as much information as possible, which could also be useful for future
identification of the victims, so that sampling could be done correctly,
and to verify that in each grave there was only one individual. The
Fig. 1. The bodies of the victims mixed with soil. The bodies were closely anthropological study of skeletal remains took place close to the graves
amassed and completely unrecognisable when in 1944 work of identification in an area specifically prepared for the analysis. After recovery of the
began [1].
skeletal remains of each individual, the post-mortem team filled a
purpose built anthropological data form in which the information such
The use of DNA analysis in disaster victim identification, as re- as presence/absence of different skeletal elements and teeth (recording
commended by Interpol guidelines [6], is one of the primary methods ante-mortem and post-mortem losses), presence of non-metric traits of
that should be used along with dental analysis and fingerprinting. the dentition such as the tubercle of Carabelli [24], and the morpho-
Currently, Disaster (both natural and man-made) Victim Identification logical features for estimation of age at death and stature (Table 1) was
(DVI) is based mainly on molecular methodology which is considered recorded.
an effective approach in victim identification, as demonstrated by All skeletal remains recovered were extensively photographed. A
several publications of different research groups [7–21]. skeletal element was selected from each individual, and transferred to
In 2009 the Ministry of Defence requested the cooperation of the the laboratory for sampling. In most individuals (sample 3–4, 52–1,
Carabinieri to identify the twelve victims including two unknown 98–1, 122–1, 155–1, 272–1, 273–1, 276–1 and 284–1) we chose the
bodies and 10 known but not identified. Previously, in 2006, at the femur as the bone for genetic analysis. If the femur was absent or in
request of the brother of one of the Fosse Ardeatine victims, Pietrangeli poor condition, we used the humerus (264–1 and 329–1) and tibia
et al. [22] exhumed the body from grave number 329 in order to de- (283–2). Genetic analysis was also performed on two different skeletal
termine his identity. The mitochondrial analysis, performed by Italian elements of the same portion of the right temporal bone (272–3 and
researchers, excluded a biological relationship between two living 272–4).
maternal relatives and the victim. Here, we present the anthropological
examination and DNA analysis of the twelve victims present at the 2.1.2. Contamination prevention
Mausoleum of Fosse Ardeatine (GPS coordinates: latitude In order to avoid cross-contamination during activities and obtain
41.857050000, longitude 12.510510000) (Fig. 2). reliable results, field activities were carried out by qualified personnel
Our work was done at two different times and in two different wearing proper protection equipment such as mask, gloves and crime
places: fieldwork and laboratory work. The first involved 1. scene coats, and the crime scene protocol proposed by US Technical
Photographic documentation of all phases of the investigation; 2. Working Group on Crime Scene Investigation [31] was adopted. The
Exhumation of the bodies; 3. Gathering and cataloguing everything genetic analysis was conducted according to the most stringent criteria
inside each grave and 4. Anthropometric data collection; the second proposed for ancient DNA studies [32–34], and all steps of the DNA
one consisted of analysis of the DNA extracted from victims' bones. In analysis were performed in a dedicated laboratory physically separated
order to obtain more reliable results, DNA typing was performed, as from that of the routine caseworks. Different precautions were taken to
described by Harder et al. [23], with a combined application of com- avoid contamination of samples with extraneous DNA: 1. All DNA ex-
mercially available short tandem repeat (STR)-multiplex kits (ESI17- tractions and PCR involving the samples were carried out in a labora-
NGMSelect-miniFiler). The Y chromosome and mitochondrial haplo- tory physically separated from the laboratory in which PCR cycling and
type were also studied. In order to collect reference samples for com- post-PCR analyses were performed; 2. Disposable masks, gloves and
parison purposes, previously and simultaneously to DNA analysis on laboratory coats were worn throughout and were changed frequently;
bones, a complex research of the immediate or the closest relatives of 3. All DNA extractions and PCR reactions included negative controls; 4.
the unidentified victims was conducted. All surfaces were decontaminated with beach and UV-light before and

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Fig. 2. Location of the Mausoleum of Fosse Ardeatine. Map of Italy showing Rome's location; map of Rome showing the location of the pozzolana quarries and
Mausoleum of Fosse Ardeatine.

Table 1 sample material as they were shaken together in grinding vessels. In


Information collected during the anthropological examination and associated order to obtain a high purification efficacy and to maximize DNA yield,
references. as proposed by many researcher [18,37–39], we decided to isolate the
Type of information Anthropological features of the skeleton References DNA from bones using a Biorobot EZ1 (Qiagen). Two different extrac-
tions using Biorobot EZ1 for each sample were carried out. About
Age estimation Degree of alteration of pubic symphysis [25] 250 mg of bone powder were transferred to a 1.5 ml tube and incubated
Auricular surface of the pelvis [26]
in 1 ml of 0.5 M EDTA solution pH 8.3 (IBI Scientific) for about 72 h at
Degree of wear of the molar teeth [27]
Stature estimation Length of long bones [28–30] 37 °C on a rotating tube stirrer (Steroglass srl). The EDTA was changed
twice a day after centrifugation at 2500 rpm for 5 min. After 72 h of
decalcification, the precipitate was centrifuged and the supernatant was
after usage and 5. All consumables and instruments were decontami- discarded. Then a stain extraction buffer [40] containing 10 mM
nated by UV-light before and after usage. Repeated amplifications from Tris–HCl pH 8.0, 100 mM NaCl, 10 mM EDTA, 2% SDS, and 39 mM DTT
the same or different extracts from the same specimens are necessary: 1. and proteinase K (20 mg/ml) (Invitrogen, Carlsbad, CA) was added to
To identify contamination of a particular extraction or amplification; 2. precipitate and it was incubated overnight at 56 °C. DNA was purified in
To allow the DNA analysis when the extracts only sporadically contain a Biorobot EZ1 (Qiagen) device using EZ1 DNA Investigator Card and
DNA template molecules. In order to monitor and check the presence of EZ1 DNA Investigator Kit (QIAGEN®) and eluted in 50 μl of TE buffer.
possible contamination, the profiles obtained from bones were com- At the same time, an optimized lysis buffer for complex forensic sam-
pared to those of all people that handled the skeletal elements in field ples (Bone, Teeth, Adhesive) such as BTA™ lysis buffer (just released on
and the personnel of DNA laboratory [35,36]. the market at the time of analysis), was used in combination with the
PrepFiler™ Forensic DNA Extraction kit [41–43]. Starting with 300 mg
2.1.3. DNA extraction of pulverized bone we skipped the decalcification protocol and in-
A 2–3 cm fragment was collected from each bone. To remove po- cubated samples in PrepFiler® BTA Lysis Buffer, 1.0 M DTT and pK
tential contamination, the outer layer of the bones was physically re- (20 mg /ml), according to the user's recommendation, at 56 °C for 2 h.
moved using a rotary sanding tool (Dremel® 300 series). After sanding, DNA was purified in AutoMate Express™ Instrument and eluted in 50 μl
each sample was cut into small sections using a dental diamond disk of PrepFiler® Elution Buffer. Multiple negative controls were included
and irradiated by ultraviolet light for 45 min in a Biolink DNA for each extraction.
Crosslinker (Biometra) as suggested by [36]. A TissueLyser (QIAGEN®)
was used to grind five-six bone fragments. Disruption and homo- 2.1.4. Nuclear DNA analysis
genisation were done by the beating and grinding effect of beads on DNA extracts of each bone sample were quantified and the presence

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of inhibitors was monitored using Quantifiler™ Duo DNA Quantification by the manufacturer. Each template was sequenced in both forward and
Kit (Thermo Fisher Scientific, Oyster Point, CA). Real-time PCR am- reverse directions. Each consensus sequence was aligned and compared
plification reactions contained 10.5 μl of Primer-Probe Mix, 12.5 μl of to the revised Cambridge Reference Sequence (rCRS) [49,50] using
Master Mix, and 2.0 μl of DNA sample per the user's manual. SeqScape® Software version 2.5 (Thermo Fisher Scientific, Oyster Point,
For all bone samples, STR typing of autosomal DNA was performed CA) and default software settings as recommended by the manu-
using different amplification kits: AmpFℓSTR® NGM SElect™ PCR facturer, following international guidelines for mtDNA typing [51–53].
Amplification Kit (Thermo Fisher Scientific, Oyster Point, CA);
PowerPlex® ESI 17 System (Promega Corporation) and AmpFℓSTR®
MiniFiler™ PCR Amplification Kit (Thermo Fisher Scientific, Oyster 2.1.6. Statistical analysis
Point, CA). DNA target amount was 500 pg for each amplification. In STR profiles obtained from bones and reference samples were
order to use the entire amount available, in the samples in which the compared, and estimation of alleged familiar relationships was per-
total DNA quantification value was lower, 50 μl of DNA extract were formed. The calculation of posterior probabilities (PP) and LRs based on
concentrated up to approximately 30 μl with Amicon Ultra-0.5 ml both autosomal STR and Y-STRs were performed with DNAVIEW soft-
Centrifugal Filters (Merck Millipore). Simultaneously with forensic ware v. 37.25 [54], using allele frequencies of Caucasian, population
samples we amplified positive control (AmpFlSTR Control DNA 9947A, available in the software and assuming 1/12 (the number of uni-
Applied Biosystems or Control DNA 9947A, Promega) and negative PCR dentified victims) and 1/342 (335 + 7) (all of the victims included in
and extraction controls. STR typing of Y chromosome was performed the official list plus the ones claimed by their relatives, but not included
using AmpFlSTR® YFiler® PCR Amplification Kit (Thermo Fisher in the official list) as prior probability. The prior probability describes
Scientific, Oyster Point, CA). Positive control (AmpFlSTR Control DNA the chance that any sample of the available remains belongs to a par-
007 - Thermo Fisher Scientific, Oyster Point, CA), negative PCR and ticular individual, based upon the available (usually non-technical)
extraction controls were added to amplification reaction. All reactions information. In this manuscript prior probability was inversely related
were performed on Gene Amp PCR System 9700 (Thermo Fisher to the estimated number of victims N and was lowered as the identifi-
Scientific, Oyster Point, CA) according to the manufacturer's re- cation progresses and the number of missing individuals decreased
commendations. [11]. EMPOP was used to determine mtDNA haplogroups [55].
PCR products were analysed by capillary electrophoresis in an ABI Whenever an agreement of autosomal genetic profiles and Y hap-
3130xl Genetic Analyzer (Thermo Fisher Scientific, Oyster Point, CA) lotypes was noticed between the bone and a relative, to confirm the
using POP4, 36 cm capillary arrays, and default instrument settings as alleged relationship, the LRs were obtained by multiplying LRs based on
recommended by the manufacturer. Genetic profiles were determined autosomal STR and Y-STR analysis results assuming the independence
using Data Collection v 3.0 and GeneMapper ID v 3.2 (Thermo Fisher as stated by Walsh et al. [56–59].
Scientific, Oyster Point, CA) computer software. The analytical
threshold was set at 50 RFU according to internal validation. Each
sample was amplified in triplicate. Only the alleles that appeared twice 2.2. Ante-mortem team activities
in different amplifications were reported to create the consensus pro-
file. Then, according to low template interpretation rule [44–47] and Thanks to historical information provided by the National
ISFG Commission recommendations for DVI [11], profiles generated Association of Italian families martyrs (ANFIM), the ante-mortem team
from different DNA extracts of the same bone were combined. was able to obtain the following information: 1. the alleged names of 10
out 12 victims; 2. the victim's gender (all victims were males); 3. al-
2.1.5. Mitochondrial DNA analysis leged age at death and 4. stature of 10 out of 12 victims. No odontology
Two microliters of DNA extracted from the bone samples were data was available. Historical sources [1] have also reported that the
amplified as follows: 94 °C for 10 min (Taq polymerase activation), victims were all killed by one or more gunshots at the occipital bone
followed by 40 cycles of PCR (denaturation, 94 °C for 45 s, annealing, fired from the bottom up and back to front after their hands were tied
53 °C for 1 min and extension, 72 °C for 1 min) and final step at 72 °C for behind their backs. Among the victims there were four individuals who
10 min. The 50 μl reaction mix contained 2 U of AmpliTaq Gold were lame and > 60 who were Jews.
(Thermo Fisher Scientific, Oyster Point, CA), 200 mM of each dNTP and Unfortunately, only 4 out of 10 “known” families have been traced
1 mM of each primer. Due to the high degradation of the genetic ma- and their DNA was collected for identification purposes. Afterward,
terial, the entire D-loop of about 1.100 bp length was subdivided into finding out about our investigation, another 7 families (unknown fa-
ten overlapping fragments as described previously [48]. Considering milies) who supposed that their relative had died at Fosse Ardeatine,
only the best extraction in term of yield, each extract was amplified in donated their DNA for comparative analysis.
duplicate. The extraction reagent control, a known positive control and Buccal swabs from all the living relatives of the victims as from
a PCR negative control were amplified in parallel. All reactions were forensic team personnel were collected. In Table 2 the degree of kinship
performed on Veriti Thermal Cycler 96 Well (Thermo Fisher Scientific, between family members and victims and the possibility of genetic
Oyster Point, CA). 25 μl of each PCR product were controlled on a 1.5% comparison in consideration of the type of relationship explored are
agarose gel electrophoresis with a 45 min running at 80 V, visualised shown.
with ethidium bromide and then purified by DNA gel extraction kit DNA was extracted by standard Chelex 100 protocols [60]. PCR
(Millipore) according to the user's manual. After purification, a volume amplifications were performed using AmpFℓSTR® NGM SElect™ PCR
of 3-4 μl was cycle-sequenced following the BigDye® Terminator Amplification Kit (Thermo Fisher Scientific, Oyster Point, CA) and
v3.1 Cycle Sequencing kit™ (Thermo Fisher Scientific, Oyster Point, CA) AmpFiSTR Yfiler PCR Amplification Kit (Thermo Fisher Scientific, Oy-
supplier's instructions. The primers used for sequencing the PCR pro- ster Point, CA). Typing was performed on the ABI 3130xl Genetic
ducts were the same as for the amplification. Sequencing comprises Analyzer (Thermo Fisher Scientific, Oyster Point, CA) according to the
initial denaturation at 96 °C for 1 min followed by 25 cycles at 96 °C for manufacturer's recommendations. mtDNA analysis was carried out for
10s, 50 °C for 5 s and 60 °C for 4 min. Sequencing reaction products all the families members that were to be related through the maternal
were purified from residual dye terminators using Agencourt® line with the exception of the family member 3 (as reported in Genetic
CleanSEQ® (Beckman Coulter) according to the manufacturer's manual. analysis of Results and discussion paragraph).
Sequencing was carried out on Applied BioSystems 3130xl Genetic
Analyzer (Thermo Fisher Scientific, Oyster Point, CA) using POP7,
36 cm capillary arrays, and default instrument settings as recommended

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Table 2 is inversely proportional to the amplicon length [61–64], was observed.


Genetic markers panel useful for comparative purposes based on the degree of Subsequently, all samples with exception of 273–1 were typed using
kinship between victims and relatives. AmpFlSTR® Yfiler™ (Table 4), although paternal male relatives were
The immediate Degree of kinship with Autosomal STR Y-STR mtDNA available for only 8 supposed victims. The typing of Y-STR loci was
relatives the victims successful in 5 out of 13 bones, which represent a 38% success rate.
Complete Y STR profiles were not obtained for any samples. 283–2,
Family Member 1 Daughter √ × ×
52–1 and 122–1 samples showed a profile with respectively 15 (283–2)
Family Member 2 Son √ √ ×
Family Member 3 Brother √ √ √ and 14 loci (52–1 and 122–1). In the other two bone samples, 272–1
Family Member 4 Sister's son √ × √ and 276–1, 12 and 10 loci were amplified respectively. Only 6 loci were
Family Members 5 Three sons from two √ √ × amplified in the 155–1 sample, while no locus was detected in 3–4,
different brothers
98–1, 264–1, 272–3, 272–4, 284–1 and 329–1 samples. The difference
Family Member 6 Sister √ × √
Family Member 7 Brother √ √ √
in success rate between autosomal and Y typing could have been in-
Family Member 8 Son √ √ × fluenced by the combined use of the 17 loci STR kit and the mini-STR
Family Member 9 Brother's son √ √ × kit that improved the number of successful autosomal genotyped loci
Family Member 10 Son √ √ × observed in most of samples. After performing the analysis on bone
Family Member 11 Son √ √ ×
samples, the ante-mortem team generated complete autosomal STR
√ = possibility of comparison and x = no possibility of comparison. profiles of all reference samples available. Comparative analysis be-
tween bone and relative profiles suggested the presence of three pos-
3. Results and discussion sible relationships. The 273–1 bone and family member 1 (alleged
daughter) shared an emi-compatible profile across all the detected loci.
3.1. Anthropological analysis The 283–2 bone and family member 3 (alleged brother) shared the
majority of the alleles. The result was strengthened by the comparative
The bodies had been individually deposited in zinc-plated wooden analysis of Y profiles that suggested that 283–2 bone sample and family
coffins, where only the metal part was preserved. Inside the coffins, member 3 (alleged brother) shared the same Y-STR profile across all
remains of the victim clothes were still visible. Skeleton preservation detected loci. Finally, the 155–1 bone sample and family member 5
was overall good, except in grave 329. The bones in grave 122 were (three sons of two different brothers) shared some autosomal alleles and
wet, presumably due to some water infiltration. All bodies were placed the partial profile of Y STR. In accordance with the ISFG Re-
in the coffins in a prone position. In most cases, all skeletal elements commendation #11 [11], the statistical evaluation of match was per-
were present and complete. The anthropological data form filled in for formed and results were shown in Table 5. As it can be observed by the
all samples is shown in Fig. 3, where skeletal elements present are dark, value reported in Table 5, we were able to match 3 victims to living
and those missing are white. relatives with high confidence of correct identification (PP ranged from
In Table 3 the estimates of age at death, stature estimation, main 99.97% to > 99.99% assuming 1/12 as prior probability or from
dental features and other characteristics are described for each in- 99.19% to 99.99% assuming 1/342 as prior probability).
dividual. Due to the poor preservation of the skeletal remains in grave As proposed by Irwin et al. [65] and Zupanič Pajnič et al. [18], the
329, it was not possible to estimate age at death. combination of different genetic markers provided extremely high LRs
that supports the hypothesis that individuals' bones are related to the
family references, rather than unrelated individuals.
3.2. Genetic analysis Subsequently, in the hope of providing additional information on
samples from which no STR result was obtained, and adding new ones,
Quantification results are shown in Fig. 4. the typing of the entire mtDNA control region of all unidentified bone
As it can be deduced by the values reported in Fig. 4, better results samples was carried out (Table 6).
in term of DNA concentration were obtained from EZ1 extraction Typing was successful in 9 out of 11 bones (approximately 82%
method. Considering that the samples were eluted in 50 μl of TET, the success rate). Complete profiles were obtained for eight bone samples,
quantification results vary in a range of approximately 180 pg-1.5 ng whereas partial profile was observed in sample 272–4 that had a gap
and 60-180 pg for EZ1 and BTA™ lysis buffer extraction respectively. between 280 and 390 bp. As can be deduced by results reported in
Nuclear DNA quantification of samples 264–1, 272–3, 272–4, 284–1 Table 5, samples 272–3 and 272–4, collected from the same grave,
and 329–1 did not yield any result with both extraction methods. The showed two different mtDNA profiles. Sample 272–3 showed the same
internal positive control (IPC) assay highlighted the absence/removal of mtDNA profile of sample 272–1 while sample 272–4 exhibited a dif-
PCR inhibitors in all the extracted DNAs. The IPC CT value ranged be- ferent profile from 272 to 1, 272–3 and all other samples. Therefore, the
tween 28.39 and 30.02 in all extracts. Despite lower yields of BTA™ mtDNA analysis confirmed, as previously hypothesized by anthro-
method compared to EZ1 extraction, the BTA extracts were also utilized pological analysis, that the two temporal bone fragments came from
for PCR amplification after concentration. According to the criteria two different individuals. Due to the presence of an apparent hetero-
previously described for generating consensus profile, the typing of plasmy in different positions in samples 3–4 and 329–1, it was im-
autosomal loci was successful in 8 out of 14 bones, which represent possible to define their haplogroup. The presence of two dissimilar
approximately a 57% success rate. Complete autosomal STR profiles bases in four different positions of mtDNA profiles of samples 3–4 and
(17/17 loci typed) were obtained from bone samples 52–1 and 272–1. 329–1 could be presumably explained with the adventitious transfer, as
Partial profiles with SE33 locus missing were obtained from bone defined by Gill et al. [66], by having excluded all persons that had been
samples 273–1 and 283–2, whereas bone samples 122–1 and 155–1 in contact with the skeletal remains at any phase of excavation, storage,
showed a profile with a number of loci greater than or equal to 13. In anthropological analysis, or molecular genetic analysis. A different
the remaining two bone samples 276–1 and 284–1, 11 to 12 loci were profile was obtained from mtDNA analysis of sample 329 by Pietrangeli
typed (Table 3). et al. [22]. However, not being able to rule out previous contamination
The other six bone samples showed negative results (no locus was also during excavation activity and based on our procedures (analyses
detected for 264–1, 272–3, 272–4 and 329–1 samples) or only 8–9 loci were carried out in a laboratory exclusively dedicated to ancient DNA
amplified in the 3–4 and 98–1 samples. As expected, when working analysis as reported in contamination prevent paragraph) and checks
with high degraded DNA samples, signal strength was lost with the done (negative controls, additional mtDNA sequencing analyses for
larger size PCR product and the “decay curve” in which the peak height heteroplasmic sequences and exclusion of all people that handled

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Fig. 3. Anthropological data form filled in on site for all samples. Bones present in each grave are showed in gray. Hand and foot bones and ribs were not found and
considered useful for skeletal reconstruction purpose and therefore erased with lines in figure.

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Table 3
Age and stature estimation and other morphological features of the 12 individuals analysed.
Grave Age at death Stature (range- AM loss of teeth Presence of Caries Wear Other features
number (range –in in cm) Carabelli's trait
years)

3 35–45 164–168 RM2, LC, LM2 On M1, left and right Minimal Right tibia arched and 22 mm longer than the left tibia. The articular surfaces of
the distal epiphysis of tibiae, calcanei and astragali showed bone remodeling
associated with some kind of arthropathy more marked on the left, possibly
associated with evident difficulties in walking (e.g. marked limping). The
entrance and/or exit hole of the bullet were present on the bones of the skull.
Entrance hole mainly localized at or near the base of the occipital bone
52 35–60 164–169 RM1, LM2 On RM1 LP3, LP4 Minimal RM3, LM3, RM3, LM3, all missing. Possible congenital absence. Alterations at the
level of the thoracic and lumbar vertebrae possibly associated with arthropathy
and presence of slipped disc. The entrance and/or exit hole of the bullet were
present on the bones of the skull. Entrance hole mainly localized at or near the
base of the occipital bone
98 35–60 165–169 RM2, LM2, LM1 LP3, LP4 Marked RM3, LM3, missing. Possible congenital absence. Mandible missing. Evident signs
of bone resorption at the level of the frontal bone, probably associated with a
healed trauma that occurred in life. Alterations at the level of the thoracic and
lumbar vertebrae as 52 skeleton. The entrance and/or exit hole of the bullet were
present on the bones of the skull. Entrance hole mainly localized at or near the
base of the occipital bone

7
122 25–55 157–159 Marked Maxilla missing. In the upper limbs of the skeleton a marked development of
muscular insertions was observed.
155 22–35 165–170 – Skull and mandible missing. Fusion of the medial epiphysis of both clavicles was
not complete yet
264 49–73 164–170 RM3, RM2, RM1, LI2, LM1, LM2, RP4, LC only the root is – Slightly asymmetric nasal bones with a greater inclination toward the right side.
LM3, RM3, RM2, RM1, RP4, LP4, preserved, RC caries at the Sacralization of the first coccygeal vertebra. The entrance and/or exit hole of the
LM1, LM2, LM3 cervix bullet were present on the bones of the skull. Entrance hole mainly localized at or
near the base of the occipital bone.
272 35–56 163–170 RM3, RM2, RP3, RC, LP4, LM1, LM2, – Marked alterations at the level of insertion of the costo-clavicular ligament. The
LM3, RM2, RM1, RP4, RP3, LP3, LP4, entrance and/or exit hole of the bullet was present on the bones of the skull.
LM1, LM2 Entrance hole mainly localized at or near the base of the occipital bone. Two
different fragments of the same portion of the right temporal bone were
recovered (272–3 and 272–4)
273 49–73 167–171 RM1, LP3, LM1 – RM3, LM3, missing. Possible congenital absence. Mandible missing. Marked
alterations at the level of insertion of the costo-clavicular ligament
276 35–56 165–170 – Maxilla and mandible missing
283 49–73 168–174 – Skull and mandible missing. Marked alterations at the level of insertion of the
costo-clavicular ligament. A mushroom-shaped bone proliferation of about 1 cm
in diameter at the level of the ramus of the right ischium
284 26–45 161–165 RM1, RP3, LM1, LM2, LP4, RP4 On RM2 Large on RC, LM2 – RM3, LM3, RM3, LM3, all missing. Possible congenital absence
329 N/A 158–162 – Skull and mandible missing

L = left; R = right; M = molar (1,2 or 3); P = premolar and C = canine. Superscript or subscript indicate respectively upper or lower teeth. N/A = not available.
Science & Justice xxx (xxxx) xxx–xxx
E. Pilli et al. Science & Justice xxx (xxxx) xxx–xxx

Fig. 4. Quantification results of bone extracts.

Table 4 Table 6
Consensus profiles obtained from bone samples. Mitochondrial DNA analysis results.
Samples name Consensus Autosomal STR Profile Consensus Y STR Profile Sample Motif of entire control region (16024–576) Haplogroup
Name
3–4 8/17 =
52–1 17/17 14/16 3–4 16519Y 263G 477Y 489Y 513R Not available
98–1 9/17 = 52–1 16442C and T 16519C 059C 263G 315.1C H2a2a
122–1 14/17 14/16 98–1 16126C 16519C 073G 152C 194 T 195C 263G JT
155–1 13/17 6/16 122–1 16519C 263G 309.1C 309.2C 315.1C H2a2a
264–1 = = 264–1 16519C 263G 309.1C 315.1C H2a2a
272–1 17/17 12/16 272–1 16224C 16311C 16519C 073G 146C 152C 263G K2a2a1
272–3 = = 315.1C 512C
272–4 = = 272–3 16224C 16311C 16519C 073G 146C 152C 263G K2a2a1
273–1 16/17 = 315.1C 512C
276–1 11/17 10/16 272–4* 16265C 16311C 152C 263G H2a
283–2 16/17 15/16 276–1 16129A 16183C 16189C 16,223 T 16249C M1a1
284–1 12/17 = 16289G 16311C 16359C 16519C 073G 195C
329–1 = = 263G 315.1C 375G 489C
284–1 16,069 T 16126C 16,193 T 16294 T 16519C 073G J1d
Consensus autosomal STR (AmpFℓSTR® NGM SElect™ PCR Amplification Kit 146C 152C 263G 295T 309.1C 315.1C 462 T 489C
-Thermo Fisher Scientific, Oyster Point, CA- and Power Plex ESI 17 System - 329–1* 16224Y 16519C 073G 150Y 195Y 198Y 263G Not available
Promega Corporation-) profiles expressed as the number of loci positively typed 295T 315.1C
for each sample; consensus Y-STR (AmpFlSTR® YFiler® PCR Amplification Kit
Name, mitochondrial profiles and haplogroup of each sample analysed. *partial
-Thermo Fisher Scientific, Oyster Point, CA-) profile expressed as the number of
profile: 272–4 had a gap between 280 and 390 bp while 329–1 D-loop sequence
loci positively typed for each sample. =failure in STRs typing. The underlined
terminated at approximately 460 bp instead of 580 bp as for the others.
samples showed a number of positively typed loci below 10 considered as
threshold value for a genetic identification according to the Italian National
Database Law. of 276–1 showed European or Middle Eastern haplogroup. Instead,
sample 276–1 exhibited M1a1 haplogroup. In their manuscript Gon-
Table 5 zales et al. [67] provided evidence that M1, or its ancestor, had an
Statistical results. Asiatic origin and highlighted that a relevant fraction of M1a hap-
logroups present today in the European Continent supposedly had a
Bone/ Family LR(n-STR) LR(Y-STR) LR(n-STR × PP(n-STR × Y-STR)
samples member
Jewish maternal ascendance. As sample 276–1, all European Ashkenazi
Y-STR)
name Jews have M1a lineage characterized by a transition in the 16,289
position that has not been detected in other Jew or non-Jew popula-
155–1 5 –three 23.61 1578 41,990.58 99.97%* tions. Since only 4 of 11 families members were related through ma-
sons of two 99.19%**
different
ternal line with the victims and one of them was identified by auto-
brothers- somal and Y STR analysis (LR value provided an extremely strong
273–1 1 –daughter- 2.38 × 106 > 99.99%* support for the hypothesis that individuals' bones are related to the
99.98%** family reference, rather than unrelated individual [68]), the ante-
283–2 3 –brother- 21,580 11,850 2.56 × 10 8
> 99.99%*
mortem team generated complete mtDNA profile for three family
99.99%**
members −4, 6 and 7-. Comparative analysis between bones and re-
Autosomal LR, Y LR, combined LR and posterior probability (PP), assuming *1/ ference mtDNA profiles suggested that there was not any genetic
12 and ** 1/342 as prior probability, for identified victims at the Mausoleum of compatibility between victims and reference mtDNA profiles. There-
Fosse Ardeatine. In family member column, kinship with the victim is indicated. fore, this incompatibility led us to exclude the presence of the victims
related to the family members 4, 6 and 7 among the 12 unknowns.
samples), the previous data was not used for comparative analysis with All our anthropological and genetic activities were carried between
our reference samples. Haplogroup of bone samples is reported in 2010 and 2012, therefore, the use of most suitable kits for old DNA
Table 6. As can be deduced from the Table 6, all samples with exception samples quantification, such as e.g. Quantifiler® Trio (Thermo Fisher

8
E. Pilli et al. Science & Justice xxx (xxxx) xxx–xxx

Scientific, Oyster Point, CA) –optimized compared to Quantifiler® Duo and/or reopen all of the graves to assess possible mis-identifications
to improve detection sensitivity and evaluate DNA degradation level- or during the forensic examination in 1944.
PowerQuant® System (Promega Corporation) [69] and the new gen-
eration STR kits like GlobalFiler (Thermo Fisher Scientific) or Power- Acknowledgements
Plex® Fusion 6C System (Promega Corporation) and Yfiler Plus (Thermo
Fisher Scientific, Oyster Point, CA) or PowerPlex® Y23 System (Pro- We are very grateful to Jonathan Kyte and Claudia Agostino for
mega Corporation), was not possible. Also the choice of the better providing language support and invaluable advices in proof reading the
skeletal element, in terms of DNA amount and preservation, than femur article.
for genetic analysis such as petrous bone [70] could have increased the All operations were performed in the presence of the ANFIM's
possibility of analytical success. Mundorff et al. [71,72] proposed the (National Association of Italian Families Martyrs) representatives (Mrs.
use of the small elements of the hands and feet for DNA analysis due to Nicoletta Leoni -ANFIM Associate Director- and Mr. Aladino Lombardi
the fact that they were very similar in DNA yield as femur and tibia -ANFIM Secretary-General-) and the Religious Authorities of the
however, in our graves, these small skeletal elements were not found/ Catholic and Jewish Communities. We are very grateful to them for all
collected in most cases. To date, the identification activity of the re- their encouragement and support during our fieldwork. We would like
mains at the Mausoleum of Fosse Ardeatine is completed and, therefore, to thank ANFIM for the photos from their historical archive. Moreover,
we do not have access to the skeletons but, if the competent authority we would like to show our gratitude to all the Biologists of Forensic
decided to resume identification activities, it could be very interesting Science Department of Rome who helped us during the challenging
to test all the new technologies present in the forensic market including activities of exhumation. In particular, we would like to thank
the NGS (Next Generation Sequencing) approach. Francesco Cominetti that he was able to capture every moment of our
fieldwork through his beautiful pictures. Finally, a truly heartfelt
4. Conclusions thanks to the Families of the victims: only their suffered desire for truth
made this work possible.
During the Second World War, the Fosse Ardeatine massacre was a
mass execution in which 335 Italians were killed. At the end of the war, Author contributions
323 out of 335 bodies were identified. Approximately 60 years after, in
2009, at the request of the Ministry of Defence, the identification of the Exhumation of the bodies: EP, SB, JMC, ML, DC, AV, GD and AB.
remaining twelve victims began via a multidisciplinary approach that Fieldwork activities and anthropological analysis: SB and JMC.
involved anthropologists and forensic genetic experts. Despite the DNA analysis on bone samples: EP and AB. AA participated in the
scarcity of AM anthropological information, careful inspection of the extraction with PrepFiler® BTA Lysis Buffer.
skeletal elements of all the individuals led us to confirm the male sex of Sample collection and DNA analysis on relatives: GD, AV and CR.
each victim and verify the presence of only one individual in each grave Data analysis: EP and AB.
with the exception of 272 in which two different skeletal elements of Statistical analysis: FB.
the same portion of the right temporal bone were collected. Moreover, Writing – original draft: EP.
data gathered on morphological features of each individual showed the Writing – review: EP, FB, DC, JMC, SB, CR, AA and AB.
presence between victims of an individual with a clear arthropathy,
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