http://www.bbc.com/earth/story/20170504-there-are-diseases-h
idden-in-ice-and-they-are-waking-up
There are diseases hidden in ice, and they are waking up

Throughout history, humans have existed side-by-side with bacteria and
viruses. From the bubonic plague to smallpox, we have evolved to resist
them, and in response they have developed new ways of infecting us.

We have had antibiotics for almost a century, ever since Alexander Fleming
discovered penicillin. In response, bacteria have responded by evolving
antibiotic resistance. The battle is endless: because we spend so much time
with pathogens, we sometimes develop a kind of natural stalemate.

However, what would happen if we were suddenly exposed to deadly bacteria
and viruses that have been absent for thousands of years, or that we have
never met before?

We may be about to find out. Climate change is melting permafrost soils
that have been frozen for thousands of years, and as the soils melt they
are releasing ancient viruses and bacteria that, having lain dormant, are
springing back to life.

[image: Reindeer (Rangifer tarandus) migrating (Credit: Eric
Baccega/naturepl.com)]

Reindeer (Rangifer tarandus) migrating (Credit: Eric Baccega/naturepl.com)

In August 2016, in a remote corner of Siberian tundra called the Yamal
Peninsula in the Arctic Circle, a 12-year-old boy died
<http://www.bbc.com/news/world-europe-36951542> and at least twenty people
were hospitalised after being infected by anthrax.

The theory is that, over 75 years ago, a reindeer infected with anthrax
died and its frozen carcass became trapped under a layer of frozen soil,
known as permafrost. There it stayed until a heatwave in the summer of
2016, when the permafrost thawed.

This exposed the reindeer corpse and released infectious anthrax into
nearby water and soil, and then into the food supply. More than 2,000
reindeer grazing nearby became infected, which then led to the small number
of human cases.

The fear is that this will not be an isolated case.

[image: Permafrost in Svalbard (Credit: Wild Wonders of Europe/de la
L/naturepl.com)]

Permafrost in Svalbard (Credit: Wild Wonders of Europe/de la L/naturepl.com)

As the Earth warms, more permafrost will melt. Under normal circumstances,
superficial permafrost layers about 50cm deep melt every summer. But now
global warming is gradually exposing older permafrost layers.

Frozen permafrost soil is the perfect place for bacteria to remain alive
for very long periods of time, perhaps as long as a million years. That
means melting ice could potentially open a Pandora's box of diseases.

*Scientists have discovered intact 1918 Spanish flu virus in corpses buried
in mass graves in Alaska's tundra *

The temperature in the Arctic Circle is rising quickly, about three times
faster than in the rest of the world. As the ice and permafrost melt, other
infectious agents may be released.

"Permafrost is a very good preserver of microbes and viruses, because it is
cold, there is no oxygen, and it is dark," says evolutionary biologist
Jean-Michel
Claverie <https://www.igs.cnrs-mrs.fr/spip.php?article39&lang=fr> at
Aix-Marseille University in France. "Pathogenic viruses that can infect
humans or animals might be preserved in old permafrost layers, including
some that have caused global epidemics in the past."

In the early 20th Century alone, more than a million reindeer died from
anthrax. It is not easy to dig deep graves, so most of these carcasses are
buried close to the surface, scattered among 7,000 burial grounds in
northern Russia.

However, the big fear is what else is lurking beneath the frozen soil.

[image: Anthrax spores can survive for decades (Credit: Cultura RM/Alamy)]

Anthrax spores can survive for decades (Credit: Cultura RM/Alamy)

People and animals have been buried in permafrost for centuries, so it is
conceivable that other infectious agents could be unleashed. For instance,
scientists <https://www.ncbi.nlm.nih.gov/pubmed/17944266> have discovered
intact 1918 Spanish flu virus in corpses buried in mass graves in Alaska's
tundra. Smallpox and the bubonic plague are also likely buried in Siberia.

In a 2011 study <https://dx.doi.org/10.3402/gha.v4i0.8482>, Boris Revich
and Marina Podolnaya wrote: "As a consequence of permafrost melting, the
vectors of deadly infections of the 18th and 19th Centuries may come back,
especially near the cemeteries where the victims of these infections were
buried."

*NASA scientists successfully revived bacteria that had been encased in a
frozen pond in Alaska for 32,000 years *

For instance, in the 1890s there was a major epidemic of smallpox in
Siberia. One town lost up to 40% of its population. Their bodies were
buried under the upper layer of permafrost on the banks of the Kolyma
River. 120 years later, Kolyma's floodwaters have started eroding the
banks, and the melting of the permafrost has speeded up this erosion
process.

In a project that began in the 1990s, scientists from the State Research
Center of Virology and Biotechnology in Novosibirsk have tested
<http://www.istc.int/en/project/84980DF9853EABD94325690B000F3840> the
remains of Stone Age people that had been found in southern Siberia, in the
region of Gorny Altai. They have also tested samples from the corpses of
men who had died during viral epidemics in the 19th Century and were buried
in the Russian permafrost.

The researchers say they have found bodies with sores characteristic of the
marks left by smallpox <http://dx.doi.org/10.1038/509022a>. While they did
not find the smallpox virus itself, they have detected fragments of its DNA
<http://dx.doi.org/10.1056/NEJMc1208124>.

Certainly it is not the first time that bacteria frozen in ice have come
back to life.

[image: Bacteria have been found dormant in Antarctic ice (Credit: Colin
Harris/Era Images/Alamy)]

Bacteria have been found dormant in Antarctic ice (Credit: Colin Harris/Era
Images/Alamy)

In a 2005 study <http://dx.doi.org/10.1099/ijs.0.63384-0>, NASA scientists
successfully revived bacteria that had been encased in a frozen pond in
Alaska for 32,000 years. The microbes, called *Carnobacterium pleistocenium*,
had been frozen since the Pleistocene period, when woolly mammoths still
roamed the Earth. Once the ice melted, they began swimming around,
seemingly unaffected.

*Once they were revived, the viruses quickly became infectious *

Two years later, scientists managed to revive an 8-million-year-old
bacterium <http://dx.doi.org/10.1073/pnas.0702196104> that had been lying
dormant in ice, beneath the surface of a glacier in the Beacon and Mullins
valleys of Antarctica. In the same study, bacteria were also revived from
ice that was over 100,000 years old.

However, not all bacteria can come back to life after being frozen in
permafrost. Anthrax bacteria can do so because they form spores, which are
extremely hardy and can survive frozen for longer than a century.

Other bacteria that can form spores, and so could survive in permafrost,
include tetanus and *Clostridium botulinum*, the pathogen responsible for
botulism: a rare illness that can cause paralysis and even prove fatal.
Some fungi can also survive in permafrost for a long time.

Some viruses can also survive for lengthy periods.

[image: Mimivirus, an example of a giant virus (Credit: Science Photo
Library/Alamy)]

Mimivirus, an example of a giant virus (Credit: Science Photo Library/Alamy)

In a 2014 study <http://dx.doi.org/10.1073/pnas.1320670111>, a team led by
Claverie revived two viruses that had been trapped in Siberian permafrost
for 30,000 years. Known as *Pithovirus sibericum* and *Mollivirus sibericum*,
they are both "giant viruses", because unlike most viruses they are so big
they can be seen under a regular microscope. They were discovered 100ft
underground in coastal tundra.

Once they were revived, the viruses quickly became infectious. Fortunately
for us, these particular viruses only infect single-celled amoebas. Still,
the study suggests that other viruses, which really could infect humans,
might be revived in the same way.

*The giant viruses tend to be very tough and almost impossible to break
open *

What's more, global warming does not have to directly melt permafrost to
pose a threat. Because the Arctic sea ice is melting, the north shore of
Siberia has become more easily accessible by sea. As a result, industrial
exploitation, including mining for gold and minerals, and drilling for oil
and natural gas, is now becoming profitable.

"At the moment, these regions are deserted and the deep permafrost layers
are left alone," says Claverie. "However, these ancient layers could be
exposed by the digging involved in mining and drilling operations. If
viable virions are still there, this could spell disaster."

Giant viruses may be the most likely culprits for any such viral outbreak.

"Most viruses are rapidly inactivated outside host cells, due to light,
desiccation, or spontaneous biochemical degradation," says Claverie. "For
instance, if their DNA is damaged beyond possible repair, the virions will
no longer be infectious. However, among known viruses, the giant viruses
tend to be very tough and almost impossible to break open."

[image: Neanderthals once lived in Siberia (Credit: The Natural History
Museum/Alamy)]

Neanderthals once lived in Siberia (Credit: The Natural History
Museum/Alamy)

Claverie says viruses from the very first humans to populate the Arctic
could emerge. We could even see viruses from long-extinct hominin species
like Neanderthals and Denisovans, both of which settled in Siberia and were
riddled with various viral diseases. Remains of Neanderthals from 30-40,000
years ago have been spotted in Russia. Human populations have lived there,
sickened and died for thousands of years.

*NASA scientists found 10-50,000-year-old microbes inside crystals in a
Mexican mine *

"The possibility that we could catch a virus from a long-extinct
Neanderthal suggests that the idea that a virus could be 'eradicated' from
the planet is wrong, and gives us a false sense of security," says
Claverie. "This is why stocks of vaccine should be kept, just in case."

Since 2014, Claverie has been analysing the DNA content of permafrost
layers, searching for the genetic signature of viruses and bacteria that
could infect humans. He has found evidence of many bacteria that are
probably dangerous to humans. The bacteria have DNA that encodes virulence
factors: molecules that pathogenic bacteria and viruses produce, which
increase their ability to infect a host.

Claverie's team has also found a few DNA sequences that seem to come from
viruses, including herpes. However, they have not as yet found any trace of
smallpox. For obvious reasons, they have not attempted to revive any of the
pathogens.

It now seems that pathogens cut off from humans will emerge from other
places too, not just ice or permafrost.

[image: The crystals in the Naica cave (Credit: SOTK2011/Alamy)]

The crystals in the Naica cave (Credit: SOTK2011/Alamy)

In February 2017, NASA scientists announced that they had found
10-50,000-year-old microbes inside crystals in a Mexican mine
<http://www.bbc.com/news/science-environment-39013829>.

*The bacteria have somehow become resistant to 18 types of antibiotics *

The bacteria were located in the Cave of the Crystals, part of a mine in
Naica in northern Mexico. The cave contains many milky-white crystals of
the mineral selenite
<http://www.bbc.com/earth/story/20150623-ten-crystals-with-magic-powers>,
which formed over hundreds of thousands of years.

The bacteria were trapped inside small, fluid pockets of the crystals, but
once they were removed they revived and began multiplying. The microbes are
genetically unique and may well be new species, but the researchers are yet
to publish their work.

Even older bacteria have been found in the Lechuguilla Cave in New Mexico,
1,000ft underground. These microbes have not seen the surface for over 4
million years.

[image: Selenite formations in Lechuguilla Cave (Credit: Paul D.
Stewart/naturepl.com)]

Selenite formations in Lechuguilla Cave (Credit: Paul D. Stewart/
naturepl.com)

The cave never sees sunlight, and it is so isolated that it takes about
10,000 years for water from the surface to get into the cave.

*Antibiotic resistance has been around for millions or even billions of
years *

Despite this, the bacteria have somehow become resistant to 18 types of
antibiotics, including drugs considered to be a "last resort" for fighting
infections. In a study published in December 2016
<http://dx.doi.org/10.1038/ncomms13803>, researchers found that the
bacteria, known as *Paenibacillus* sp. LC231, was resistant to 70% of
antibiotics and was able to totally inactivate many of them.

As the bacteria have remained completely isolated in the cave for four
million years, they have not come into contact with people or the
antibiotic drugs used to treat human infections. That means its antibiotic
resistance must have arisen in some other way.

The scientists involved believe that the bacteria, which does not harm
humans, is one of many that have naturally evolved resistance to
antibiotics. This suggests that antibiotic resistance has been around for
millions or even billions of years.

[image: Permafrost on the Tibetan plateau (Credit: Gertrud & Helmut
Denzau/naturepl.com)]

Permafrost on the Tibetan plateau (Credit: Gertrud & Helmut Denzau/
naturepl.com)

Obviously, such ancient antibiotic resistance cannot have evolved in the
clinic as a result of antibiotic use.

The reason for this is that many types of fungi, and even other bacteria,
naturally produce antibiotics to gain a competitive advantage over other
microbes. That is how Fleming first discovered penicillin: bacteria in a
petri dish died after one became contaminated with an antibiotic-excreting
mould.

*As Earth warms northern countries will become more susceptible to
outbreaks of "southern" diseases like malaria *

In caves, where there is little food, organisms must be ruthless if they
are to survive. Bacteria like *Paenibacillus* may have had to evolve
antibiotic resistance in order to avoid being killed by rival organisms.

This would explain why the bacteria are only resistance to natural
antibiotics, which come from bacteria and fungi, and make up about 99.9% of
all the antibiotics we use. The bacteria have never come across man-made
antibiotics, so do not have a resistance to them.

"Our work, and the work of others, suggests that antibiotic resistance is
not a novel concept," says microbiologist Hazel Barton
<http://www.cavescience.com/> of the University of Akron, Ohio, who led the
study. "Our organisms have been isolated from surface species from 4-7
million years, yet the resistance that they have is genetically identical
to that found in surface species. This means that these genes are at least
that old, and didn't emerge from the human use of antibiotics for
treatment."

Although *Paenibacillus* itself is not harmful to humans, it could in
theory pass on its antibiotic resistance to other pathogens. However, as it
is isolated beneath 400m of rock, this seems unlikely.

Nevertheless, natural antibiotic resistance is probably so prevalent that
many of the bacteria emerging from melting permafrost may already have it.
In line with that, in a 2011 study <http://dx.doi.org/10.1038/nature10388>
scientists extracted DNA from bacteria found in 30,000-year-old permafrost
in the Beringian region between Russia and Canada. They found genes
encoding resistance to beta-lactam, tetracycline and glycopeptide
antibiotics.

[image: Permafrost tundra in Siberia (Credit: Staffan
Widstrand/naturepl.com)]

Permafrost tundra in Siberia (Credit: Staffan Widstrand/naturepl.com)

How much should we be concerned about all this?

One argument is that the risk from permafrost pathogens is inherently
unknowable, so they should not overtly concern us. Instead, we should focus
on more established threats from climate change
<http://www.bbc.com/earth/story/20170418-climate-change-is-turning-dehydration-into-a-deadly-disease>.
For instance, as Earth warms northern countries will become more
susceptible to outbreaks of "southern" diseases like malaria, cholera and
dengue fever, as these pathogens thrive at warmer temperatures.

The alternative perspective is that we should not ignore risks just because
we cannot quantify them.

"Following our work and that of others, there is now a non-zero probability
that pathogenic microbes could be revived, and infect us," says Claverie.
"How likely that is is not known, but it's a possibility. It could be
bacteria that are curable with antibiotics, or resistant bacteria, or a
virus. If the pathogen hasn't been in contact with humans for a long time,
then our immune system would not be prepared. So yes, that could be
dangerous."



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