3,500-year-old skeletons challenge what scientists thought they knew about syphilis

by | Aug 12, 2026 | Science

3,500-year-old skeletons challenge what scientists thought they knew about syphilis

An international research team led by Dr. Melandri Vlok from Charles Sturt University has published findings that question long-held assumptions about identifying ancient syphilis in skeletal remains. The study, appearing in the International Journal of Osteoarchaeology, analyzed remains from archaeological sites in Vietnam dating to approximately 4,000 to 3,200 years ago.

The researchers examined skeletal material from 309 individuals across 16 Vietnamese archaeological sites spanning 10,000 to 1,000 years before present. Three young children showed diagnostic evidence of congenital treponematosis, displaying distinctive dental abnormalities and skeletal lesions consistent with treponemal infection dating back at least 3,500 years. However, the overall infection patterns in the population suggested nonvenereal treponemal disease, such as yaws, rather than sexually transmitted syphilis.

The significance of this discovery lies in challenging a century-old principle used by researchers studying ancient diseases. Scientists have historically treated congenital infection as strong evidence of venereal syphilis in archaeological populations. The new evidence indicates that other treponemal diseases may also transmit from mother to child, complicating the interpretation of ancient skeletal remains. This finding has implications for ongoing debates about syphilis origins and whether the disease existed outside the Americas before Columbus.

The research highlights additional challenges in studying ancient infectious diseases. In tropical regions like Southeast Asia, ancient DNA preservation is extremely poor, making genetic identification of specific pathogens difficult. Researchers also face ethical considerations regarding destructive sampling of human remains and must work in partnership with descendant communities.

The team recommends that future investigations focus on understanding how different treponemal diseases evolved alongside human societies rather than concentrating solely on syphilis origins. Treponema pallidum, the bacterium responsible for treponemal diseases, shows remarkable adaptability, and researchers stress that comprehending this complexity is essential for understanding how infectious diseases shaped human history.

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