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Prof. Dr. Mustafa Özdoğan · Medical Oncologist
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The Cell's Memory, a Murder 5300 Years Ago and HPV's Silent Testimony: Ötzi the Iceman

The Cell's Memory, a Murder 5300 Years Ago and HPV's Silent Testimony: Ötzi the Iceman
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Day 35 (Cancer History in 365 Days Series)

Ancient DNA Archives

For years, we looked for cancer in the smoke of industrial chimneys, the noise of cities and the chaos of modern life. For a long time, medical history told us the same story: "Our ancestors were clean; we polluted the world and became ill." Yet the "Ancient DNA" revolution of the past twenty years shattered this silence with a deafening truth.

For centuries, skeletons were the only place we looked for evidence of cancer, and bones often took the secrets of soft tissues to the grave. Science treated what it could not see as "nonexistent." Until the ice melted and brought humanity's oldest companions before us at the molecular level.

Today, to understand the roots of oncology, we look not to the Industrial Revolution but to the frozen cells of a man who took his last breath in the Alps 5300 years ago, Ötzi the Iceman .

A Mistake in the Ice: "An Ordinary Mountaineer's Murder"

The date was 19 September 1991. Two German tourists, Helmut and Erika Simon, strayed from their route in the Ötztal Alps on the Austrian–Italian border. At an altitude of 3210 metres, they noticed a brownish patch among the melting glaciers. As they approached, they saw that it was a frozen body lying face down.

The first assumption was that it belonged to an unfortunate modern mountaineer. When Austrian police arrived, they treated the body as a standard "forensic case." Pickaxes and even ski poles were used to remove it from the ice. During this careless recovery, they even damaged the man's hip and left arm.

When the body was taken to a morgue in Innsbruck, the truth slowly began to emerge. Beside the man lay not modern mountaineering equipment, but leather clothing, unfinished arrows, birchwood containers and, most importantly, an axe made of pure copper . When archaeologist Konrad Spindler saw that axe, he announced the startling truth: "This man is at least 4000 years old!"

The body they had mistaken for a modern murder victim was actually a Chalcolithic hunter from 5300 years ago, killed around 3300 BC by an arrow shot into his back. And although the scientific world did not yet realize it, Ötzi was not merely a murder victim; carrying the ancient origins of cancer in his stomach and cells, he was a perfect "molecular time capsule".

The Time Bomb in Ötzi's Stomach

Thanks to advances in ancient DNA (aDNA) sequencing technologies, researchers managed to look beyond Ötzi's bones into his soft tissues and even inside his stomach. Samples taken from his stomach showed that he carried Helicobacter pylori , the strongest known biological trigger of stomach cancer (gastric adenocarcinoma).

ÖTZI'S PATHOGENIC PROFILE

  • 1
    CagA Positivity: Ötzi's bacterium contained a gene that triggers uncontrolled proliferation in gastric epithelial cells and greatly increases the risk of stomach cancer. cagA was that gene.
  • 2
    VacA High Toxicity: Genotype analysis has demonstrated that the bacterium was the aggressive variant most strongly associated with peptic ulcers and stomach cancer in modern populations.
  • 3
    Active Gastritis: Paleoproteomic analyses of Ötzi's stomach tissue identified the immune-system inflammation marker calprotectin , confirming that he had active inflammation (gastritis) at that time.

In short, had Ötzi not died violently that day from an arrow lodged in his back, his risk of developing stomach cancer later in life because of this highly virulent bacterium would have been enormous.

A Companion of 45000 Years: HPV16

Research on Ötzi continued without end. With the development of next-generation sequencing technologies (NGS), studies published in 2025 and 2026 revealed a much deeper viral oncogenic burden: the main culprit behind cervical and head-and-neck (oropharyngeal) cancers, Human Papillomavirus 16 (HPV16).

45000 YEARS AGO Ust'-Ishim Man: The 'A4' sublineage of HPV16 was detected in this ancient human found in Siberian permafrost. This is the oldest known genomic evidence of a carcinogenic virus.
5300 YEARS AGO Ötzi the Iceman: Exactly 275110 reads belonging to the HPV16 virus were identified in Ötzi's genomic data, and the 'A1' sublineage was definitively confirmed.

The discovery of Ust'-Ishim in Siberia and Ötzi in the Alps prove that oncogenic (cancer-causing) viruses were already migrating with modern humans during their intercontinental spread in the Paleolithic era. These data challenge the hypothesis that HPV16 reached modern humans only through interbreeding with Neanderthals, showing it to be an "original" infection as old as human history.

Cancer: An Ancient Battle in the Cell Cycle

Human history is not merely the history of wars fought with swords or arrows. It is also the history of a microscopic struggle against viruses and bacteria that manipulate the cell cycle and drive their host toward cancer. Cancer risk is deeply connected not only to factory chimneys, but also to these "silent ancient witnesses" that have coevolved with our genome and microbiome for thousands of years.

DROZDOGAN ACADEMY NOTE

Paleopathological data give us a very clear message: rather than a "malfunction" created solely by modern life, cancer is an evolutionary companion. The bacterial time bomb in the stomach of Ötzi, removed with pickaxes in 1991 after being mistaken for an ordinary murder victim, and the viral traces dating back 45000 years found in Siberia's frozen ground show that our struggle with cancer is as deeply rooted as human history itself. This molecular archaeology does more than tell us about the past; it also offers a vital perspective for future oncological vaccine research (such as HPV) targeting pathogens' evolutionary vulnerabilities.

References

  • Maixner, F., Zink, A., et al. (2016). The 5,300-year-old Helicobacter pylori genome of the Iceman. Science.
  • Yazigi, J., Briones, M., et al. (2025). Oncogenic HPV types identified in Paleolithic and Chalcolithic human genome sequencing data from Ust'-Ishim and Ötzi. bioRxiv.
  • Pimenoff, V., et al. (2017). Transmission Between Archaic and Modern Human Ancestors During the Evolution of the Oncogenic Human Papillomavirus 16. Molecular Biology and Evolution.
  • Ancient DNA reveals human viruses in 50,000-year-old Neanderthal remains. (2024). Archaeology Magazine.
  • Ötzi the Iceman May Have Carried a Cancer-Causing Strain of HPV. (2026). Smithsonian Magazine.
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