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Malaria shaped human spatial organisation for the last 74 thousand years

Margherita Colucci, Michela Leonardi, James Blinkhorn, Seth R. Irish, Cecilia Padilla-Iglesias, Stefanie Kaboth-Bar, William D. Gosling, Robert W. Snow, Andrea Manica, Eleanor M.L. Scerri

Posted on: 18 August 2025 , updated on: 19 August 2025

Preprint posted on 4 June 2025

The distribution of early human settlements in Sub-Saharan Africa might have been influenced by avoidance of mosquitoes that spread malaria

Selected by Alejandra Herbert Leffler's Lab

– Background

Many abiotic factors limit species’ distributions or create isolating barriers between populations. Biotic factors, like pathogens that cause disease as well as other interspecies interactions, can also shape the distribution and determine the presence of a species. Although new methods allow for the collection of direct evidence from the past in the form of “ancient genomes”, this evidence is severely limited and rarely available, especially the further in the past we go. Indirect evidence is more readily available, such as archeological remains and present-day genetic variation, which reflects the effects of past demographic events. In this article, the authors used an interdisciplinary approach, using multiple sources of indirect evidence, to tackle the question: Could diseases have impacted the locations of early human settlements? The authors use malaria as proof of principle, trying to go back through time (74 kya to 5 kya, thousand years ago, kya) to assess the impact of malaria on early human settlements across the Sub-Saharan Africa.
Before agriculture, early humans lived in sparse populations as hunter-gatherers, moving frequently across regions. Historical evidence suggests that the presence of multiple human subpopulations locally adapted to the conditions of their sub-habitats, which is supported by archeological and genetic evidence. Elucidating past climatic conditions has been the primary focus in understanding what factors drove our species’ distribution; however, these environments were also shared by other organisms, including those that might cause human disease. Another way to approximate this using indirect evidence is through correlations of the potential presence of the parasite with that of its host, which was the authors’ main idea in this preprint.

Fig1 Diagram of the methods workflow, taken from preprint FigS2(3). http://creativecommons.org/licenses/by-nc-nd/4.0/

-Preprint key findings

The authors used species distribution models (SDM) of several mosquito vectors of Plasmodium through time. SDMs find ecological (e.g., climatic) variables that are correlated with species (2) presence. After using these correlations to reconstruct these predicted distribution through time based on the suitability of the environment as climate changed, the authors added vector characteristics to infer the potential for Plasmodium falciparum transmission using a modified vector competence formula. This was called the malaria stability index, interpreted as the potential risk of malaria transmission. Then, something similar was done on the host side, using the human niche estimates based on archeological presence with climatic variables. The method’s workflow is summarized in Fig S2 from the supplementary material (see figure above taken from the preprint) (3).
The models combine vector data to predict suitable places of malaria (estimating the malaria stability index, MSI), using Plasmodium falciparum. The MSI first increases just before the out of Africa migration ~60 Kya. A second peak in the MSI occurred around 10 Kya, preceding agricultural development (Fig 1 & 2, preprint). The main finding of this preprint comes from correlating the constructed malaria stability index with their predicted human core niche and non-core distribution through time up until 74 Kya. The result suggests that the core human distribution had minimal overlap with suitable areas that have a higher malaria stability index until ~15kya. Thus, the human modeled core niche (Fig 3, preprint) shows a lower malaria stability index, proposing a negative relationship between the malaria stability index and the suitability for human settlements. This relationship started to break down 15kya ago in West Africa, the time and place where sickle cell anaemia is thought to have arisen, likely as an adaptation that allowed humans to colonise areas that were previously too dangerous because of malaria.

– What I like about this preprint & why I think work is important

This preprint used a unique method to explore co-occurrence patterns through time and offers indirect evidence to a long-standing query. Furthermore, it showcases interdisciplinary research, combining archaeology, epidemiology, and anthropology, and the use of publicly available databases, such as the presence of mosquitoes and paleoclimate data. This article sets a precedent for using indirect evidence to predict how diseases impact a species’ distribution through time.
This preprint also made me think about potential limitations of their study, including the method, their scope, and the reconciliation with current knowledge in the field. In brief, this preprint focuses on P. falciparum, one of several parasite species that cause malaria. The divergence between P. falciparum and P. praefalciparum is estimated ~40,000 years (4), yet it remains unknown when the current P. falciparum form could become present, up-to-date evidence suggests host specificity, vector presence, and human demographic factors would all be required for the sustenance of P. falciparum, especially since P. praefalciparum has not been found in humans despite sharing the same space (6). Also, the hunter-gatherer lifestyle seems unlikely to have been able to sustain transmission of this parasite, and due to specialist behavior, unlike other species, would be unlikely to survive without humans (5). Other species that cause malaria, however, were more likely to have been present such as P. vivax which, unlike P. falciparum, have a dormant stage and could thrive under discontinuous transmission (5). This seems to match their timeframe better and is the most parsimonious explanation for malaria throughout history. Human genetic evidence supports that malaria disease played a role during this time frame in human evolution, particularly the Duffy null allele that confers resistance to P. vivax, and is nearly fixed across sub-Saharan Africa. Thus, what can be gained from their correlation is helpful, in my opinion, in shorter timeframes for P. falciparum. Furthermore, other diseases might act in addition to explain the human spatial distribution through time, as it has been proposed to be required to explain the genetic composition of human populations, which cannot be solely explained by malaria resistance (6).

 

doi: https://doi.org/10.1242/prelights.41130

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Author's response

Margherita Colucci shared

Future directions and questions for the authors
You mention you intentionally left this out, but would incorporating demographic variables like human density better capture the putative feasibility of maintaining this disease, and how would you go about doing this?
Human density is indeed an important factor as we see in current transmission of malaria, alongside other elements that support malaria and mosquito presence. There is a caveat in using this variable (population density) to model risk of transmission in remote times: the population density at present is extremely high compared to the density we would find, say, 30.000 years ago. Thus, we do not really have appropriate data to train to the model, in other words, all our knowledge for the impact of population density on the transmission of malaria is based on densities that are too high compared to the deeper past.
For complex diseases that require a vector, do you think that mosquito population dynamics play a role, and would the timespan be sufficient for mosquitoes to have adapted to new niches, thus there would be a mismatch between current and time-predictions from the presence, unlike archeological human models?
In this study we reconstruct the niche of two mosquito groups (An. gambiae complex, including the coastal species An. melas and An. merus, and An. funestus group). We know that these species were present in the past and often alternated their presence depending on climate and environmental changes. For example, gambiae is tracked to about 200.000 years ago (https://doi.org/10.1038/s42003-019-0717-7). Also, we used historical data, so data that is not affected by human intervention in limiting mosquito spread that is characteristic of more recent years.
Why did you choose P. falciparum? Would it be possible to incorporate other malaria-causing species like Plasmodium vivax or Plasmodium malariae?
We focused on P. falciparum for several reasons: falciparum-linked malaria remains one of the most virulent forms affecting humans, it is still largely present in tropical regions, especially in sub-Saharan Africa, where also resistance mutations (i.e., sickle cell anaemia) emerged and persist at high frequency today. These characteristics, combined with the fact that many epidemiological and phylogenetic studies focused on falciparum and its vectors, offering additional information to support our findings, made it the ideal plasmodium for our study. On the other hand, P. vivax and P. malariae (less common) have a different history, geographical distribution, and are understudied – present data might not be there yet for our type of models.
I am curious if you conducted the same analysis with a non-vector mosquito. If we speculate that it yields similar results, that is, limited overlap with the human niche, how would that affect your interpretation?
Mosquito can also be zoophilic or opportunistic and would therefore sustain themselves on wild animals, cattle or, if available, on humans. However, the question here is: would humans avoid them if they’re just a nuisance as much as they would avoid mosquitoes carrying serious, and mostly lethal, diseases? From our results, we pointed out that humans started to venture in malaria-affected areas (niche overlap, in the paper) once protective sickle cell might have been present among the population.
What is next for this project? Would you incorporate other diseases and overlay again with your human distribution?
This is definitely a fascinating opportunity – we are thinking of expanding to other plasmodium (e.g. vivax) considering other resistance mutations and their complex histories as well as other regions in the world.

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