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Cesarean section and breastfeeding outcomes in an Indigenous Qom community with high breastfeeding support. 高母乳喂养支持的库姆土著社区剖宫产和母乳喂养结果。
IF 3.7 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2022-01-01 DOI: 10.1093/emph/eoab045
Melanie Martin, Monica Keith, Sofía Olmedo, Deja Edwards, Alicia Barrientes, Anwesha Pan, Claudia Valeggia
{"title":"Cesarean section and breastfeeding outcomes in an Indigenous Qom community with high breastfeeding support.","authors":"Melanie Martin,&nbsp;Monica Keith,&nbsp;Sofía Olmedo,&nbsp;Deja Edwards,&nbsp;Alicia Barrientes,&nbsp;Anwesha Pan,&nbsp;Claudia Valeggia","doi":"10.1093/emph/eoab045","DOIUrl":"https://doi.org/10.1093/emph/eoab045","url":null,"abstract":"<p><strong>Background and objectives: </strong>Cesarean section may lead to suboptimal breastfeeding outcomes, though evidence has been mixed. Factors, such as premature birth, birth weight and maternal age may independently increase risk of cesarean and hinder breastfeeding initiation, while maternal preferences, support and sociostructural barriers may influence breastfeeding practices beyond the immediate postpartum period.</p><p><strong>Methodology: </strong>We assessed impacts of cesarean section and gestational factors on breastfeeding duration among Indigenous Qom mothers in Argentina who have strong traditional breastfeeding support. We modeled transitions from exclusive breastfeeding to complementary feeding and from complementary feeding to full weaning in a Bayesian time-to-event framework with birth mode and gestational covariates (<i>n</i> = 89 infants).</p><p><strong>Results: </strong>Estimated median time to full weaning was 30 months. Cesarean-delivered babies were weaned an average of 5 months later adjusting for gestational age, maternal parity and infant sex. No factors were associated with time-to-complementary feeding, and time-to-complementary feeding was not associated with time-to-full weaning.</p><p><strong>Conclusions and implications: </strong>Among Indigenous Qom mothers in Argentina, cesarean section was not associated with suboptimal breastfeeding outcomes. Although some Qom mothers do experience early breastfeeding problems, particularly following first birth, problems are not more frequent following cesarean delivery. Traditional postpartum kin and community support during prolonged postpartum periods may be instrumental in helping mothers to overcome early breastfeeding problems due to cesarean or other risk factors.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"10 1","pages":"36-46"},"PeriodicalIF":3.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10335233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Mutation rate of SARS-CoV-2 and emergence of mutators during experimental evolution. 实验进化过程中SARS-CoV-2的突变率及突变体的出现
IF 3.7 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2022-01-01 DOI: 10.1093/emph/eoac010
Massimo Amicone, Vítor Borges, Maria João Alves, Joana Isidro, Líbia Zé-Zé, Sílvia Duarte, Luís Vieira, Raquel Guiomar, João Paulo Gomes, Isabel Gordo
{"title":"Mutation rate of SARS-CoV-2 and emergence of mutators during experimental evolution.","authors":"Massimo Amicone,&nbsp;Vítor Borges,&nbsp;Maria João Alves,&nbsp;Joana Isidro,&nbsp;Líbia Zé-Zé,&nbsp;Sílvia Duarte,&nbsp;Luís Vieira,&nbsp;Raquel Guiomar,&nbsp;João Paulo Gomes,&nbsp;Isabel Gordo","doi":"10.1093/emph/eoac010","DOIUrl":"https://doi.org/10.1093/emph/eoac010","url":null,"abstract":"<p><strong>Background and objectives: </strong>To understand how organisms evolve, it is fundamental to study how mutations emerge and establish. Here, we estimated the rate of mutation accumulation of SARS-CoV-2 <i>in vitro</i> and investigated the repeatability of its evolution when facing a new cell type but no immune or drug pressures.</p><p><strong>Methodology: </strong>We performed experimental evolution with two strains of SARS-CoV-2, one carrying the originally described spike protein (CoV-2-D) and another carrying the D614G mutation that has spread worldwide (CoV-2-G). After 15 passages in Vero cells and whole genome sequencing, we characterized the spectrum and rate of the emerging mutations and looked for evidences of selection across the genomes of both strains.</p><p><strong>Results: </strong>From the frequencies of the mutations accumulated, and excluding the genes with signals of selection, we estimate a spontaneous mutation rate of 1.3 × 10 <sup><i>-</i>6</sup> ± 0.2 × 10<sup>-6</sup> per-base per-infection cycle (mean across both lineages of SARS-CoV-2 ± 2SEM). We further show that mutation accumulation is larger in the CoV-2-D lineage and heterogeneous along the genome, consistent with the action of positive selection on the spike protein, which accumulated five times more mutations than the corresponding genomic average. We also observe the emergence of mutators in the CoV-2-G background, likely linked to mutations in the RNA-dependent RNA polymerase and/or in the error-correcting exonuclease protein.</p><p><strong>Conclusions and implications: </strong>These results provide valuable information on how spontaneous mutations emerge in SARS-CoV-2 and on how selection can shape its genome toward adaptation to new environments. <b>Lay Summary:</b> Each time a virus replicates inside a cell, errors (mutations) occur. Here, via laboratory propagation in cells originally isolated from the kidney epithelium of African green monkeys, we estimated the rate at which the SARS-CoV-2 virus mutates-an important parameter for understanding how it can evolve within and across humans. We also confirm the potential of its Spike protein to adapt to a new environment and report the emergence of mutators-viral populations where mutations occur at a significantly faster rate.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"10 1","pages":"142-155"},"PeriodicalIF":3.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8996265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10514328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 81
How a pregnant woman's relationships with her siblings relate to her mental health: a prenatal allocare perspective. 孕妇与兄弟姐妹的关系如何影响其心理健康:产前分配的视角。
IF 3.3 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2021-12-20 eCollection Date: 2022-01-01 DOI: 10.1093/emph/eoab044
Molly Fox, Kyle S Wiley
{"title":"How a pregnant woman's relationships with her siblings relate to her mental health: a prenatal allocare perspective.","authors":"Molly Fox, Kyle S Wiley","doi":"10.1093/emph/eoab044","DOIUrl":"10.1093/emph/eoab044","url":null,"abstract":"<p><strong>Background: </strong>In cooperatively breeding species, individuals may promote their inclusive fitness through allomothering. Humans exhibit some features of cooperative breeding, and previous studies have focused on allomothering by grandparents and juvenile siblings in the postnatal period. We hypothesize that a pregnant woman's relationships with her siblings (offspring's maternal aunts and uncles) are beneficial for maternal affect in ways that can enhance the siblings' inclusive fitness. Maternal affect during pregnancy is a salient target of allocare given the detrimental effects of antepartum mood disorders on birth and infant outcomes.</p><p><strong>Methodology: </strong>We test our hypotheses in a cohort of pregnant Latina women in Southern California (<i>N</i> = 201). Predictor variables of interest include number of siblings a participant has, if she has sisters, frequency of seeing siblings, and frequency of communication with siblings. Outcome variables measuring maternal affect include depression, state anxiety, pregnancy-related anxiety and perceived stress.</p><p><strong>Results: </strong>Having at least one sister and greater frequency of communication with siblings were associated with fewer depressive symptoms during pregnancy. No significant associations were found between sibling variables and other measures of affect.</p><p><strong>Conclusion and implications: </strong>Results suggest that how frequently you communicate with, and not how often you see, siblings could be protective against risk of antepartum depression. Sibling allomothering could impart effects through social-emotional support rather than instrumental support, as a strategy to benefit the prenatal environment in which future nieces and nephews develop. Allomothering may be particularly important in cultural contexts that value family relationships. Future studies should investigate other communities.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"10 1","pages":"1-20"},"PeriodicalIF":3.3,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8830312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10754602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Daily rhythms of both host and parasite affect antimalarial drug efficacy. 宿主和寄生虫的日常节律都影响抗疟药物的疗效。
IF 3.7 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2021-01-01 DOI: 10.1093/emph/eoab013
Alíz T Y Owolabi, Sarah E Reece, Petra Schneider
{"title":"Daily rhythms of both host and parasite affect antimalarial drug efficacy.","authors":"Alíz T Y Owolabi,&nbsp;Sarah E Reece,&nbsp;Petra Schneider","doi":"10.1093/emph/eoab013","DOIUrl":"https://doi.org/10.1093/emph/eoab013","url":null,"abstract":"<p><strong>Background and objectives: </strong>Circadian rhythms contribute to treatment efficacy in several non-communicable diseases. However, chronotherapy (administering drugs at a particular time-of-day) against infectious diseases has been overlooked. Yet, the daily rhythms of both hosts and disease-causing agents can impact the efficacy of drug treatment. We use the rodent malaria parasite <i>Plasmodium chabaudi</i>, to test whether the daily rhythms of hosts, parasites and their interactions affect sensitivity to the key antimalarial, artemisinin.</p><p><strong>Methodology: </strong>Asexual malaria parasites develop rhythmically in the host's blood, in a manner timed to coordinate with host daily rhythms. Our experiments coupled or decoupled the timing of parasite and host rhythms, and we administered artemisinin at different times of day to coincide with when parasites were either at an early (ring) or later (trophozoite) developmental stage. We quantified the impacts of parasite developmental stage, and alignment of parasite and host rhythms, on drug sensitivity.</p><p><strong>Results: </strong>We find that rings were less sensitive to artemisinin than trophozoites, and this difference was exacerbated when parasite and host rhythms were misaligned, with little direct contribution of host time-of-day on its own. Furthermore, the blood concentration of haem at the point of treatment correlated positively with artemisinin efficacy but only when parasite and host rhythms were aligned.</p><p><strong>Conclusions and implications: </strong>Parasite rhythms influence drug sensitivity <i>in vivo</i>. The hitherto unknown modulation by alignment between parasite and host daily rhythms suggests that disrupting the timing of parasite development could be a novel chronotherapeutic approach.</p><p><strong>Lay summary: </strong>We reveal that chronotherapy (providing medicines at a particular time-of-day) could improve treatment for malaria infections. Specifically, parasites' developmental stage at the time of treatment and the coordination of timing between parasite and host both affect how well antimalarial drug treatment works.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"9 1","pages":"208-219"},"PeriodicalIF":3.7,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/emph/eoab013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10735992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Immune function during pregnancy varies between ecologically distinct populations. 怀孕期间的免疫功能因生态不同的人群而异。
IF 3.3 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2020-07-03 eCollection Date: 2020-01-01 DOI: 10.1093/emph/eoaa022
Carmen Hové, Benjamin C Trumble, Amy S Anderson, Jonathan Stieglitz, Hillard Kaplan, Michael D Gurven, Aaron D Blackwell
{"title":"Immune function during pregnancy varies between ecologically distinct populations.","authors":"Carmen Hové, Benjamin C Trumble, Amy S Anderson, Jonathan Stieglitz, Hillard Kaplan, Michael D Gurven, Aaron D Blackwell","doi":"10.1093/emph/eoaa022","DOIUrl":"10.1093/emph/eoaa022","url":null,"abstract":"<p><strong>Background and objectives: </strong>Among placental mammals, females undergo immunological shifts during pregnancy to accommodate the fetus (i.e. fetal tolerance). Fetal tolerance has primarily been characterized within post-industrial populations experiencing evolutionarily novel conditions (e.g. reduced pathogen exposure), which may shape maternal response to fetal antigens. This study investigates how ecological conditions affect maternal immune status during pregnancy by comparing the direction and magnitude of immunological changes associated with each trimester among the Tsimane (a subsistence population subjected to high pathogen load) and women in the USA.</p><p><strong>Methodology: </strong>Data from the Tsimane Health and Life History Project (<i>N</i> = 935) and the National Health and Nutrition Examination Survey (<i>N</i> = 1395) were used to estimate population-specific effects of trimester on differential leukocyte count and C-reactive protein (CRP), a marker of systemic inflammation.</p><p><strong>Results: </strong>In both populations, pregnancy was associated with increased neutrophil prevalence, reduced lymphocyte and eosinophil count and elevated CRP. Compared to their US counterparts, pregnant Tsimane women exhibited elevated lymphocyte and eosinophil counts, fewer neutrophils and monocytes and lower CRP. Total leukocyte count remained high and unchanged among pregnant Tsimane women while pregnant US women exhibited substantially elevated counts, resulting in overlapping leukocyte prevalence among all third-trimester individuals.</p><p><strong>Conclusions and implications: </strong>Our findings indicate that ecological conditions shape non-pregnant immune baselines and the magnitude of immunological shifts during pregnancy via developmental constraints and current trade-offs. Future research should investigate how such flexibility impacts maternal health and disease susceptibility, particularly the degree to which chronic pathogen exposure might dampen inflammatory response to fetal antigens.</p><p><strong>Lay summary: </strong>This study compares immunological changes associated with pregnancy between the Tsimane (an Amazonian subsistence population) and individuals in the USA. Results suggest that while pregnancy enhances non-specific defenses and dampens both antigen-specific immunity and parasite/allergy response, ecological conditions strongly influence immune baselines and the magnitude of shifts during gestation.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"2020 1","pages":"114-128"},"PeriodicalIF":3.3,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10783910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative psychopharmacology of autism and psychotic-affective disorders suggests new targets for treatment. 自闭症和精神情感障碍的比较精神药理学为治疗提供了新的靶点。
IF 3.3 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2019-08-26 eCollection Date: 2019-01-01 DOI: 10.1093/emph/eoz022
Bernard J Crespi
{"title":"Comparative psychopharmacology of autism and psychotic-affective disorders suggests new targets for treatment.","authors":"Bernard J Crespi","doi":"10.1093/emph/eoz022","DOIUrl":"10.1093/emph/eoz022","url":null,"abstract":"<p><p>The first treatments showing effectiveness for some psychiatric disorders, such as lithium for bipolar disorder and chlorpromazine for schizophrenia, were discovered by accident. Currently, psychiatric drug design is seen as a scientific enterprise, limited though it remains by the complexity of brain development and function. Relatively few novel and effective drugs have, however, been developed for many years. The purpose of this article is to demonstrate how evolutionary biology can provide a useful framework for psychiatric drug development. The framework is based on a diametrical nature of autism, compared with psychotic-affective disorders (mainly schizophrenia, bipolar disorder and depression). This paradigm follows from two inferences: (i) risks and phenotypes of human psychiatric disorders derive from phenotypes that have evolved along the human lineage and (ii) biological variation is bidirectional (e.g. higher vs lower, faster vs slower, etc.), such that dysregulation of psychological traits varies in two opposite ways. In this context, the author review the evidence salient to the hypothesis that autism and psychotic-affective disorders represent diametrical disorders in terms of current, proposed and potential psychopharmacological treatments. Studies of brain-derived neurotrophic factor, the PI3K pathway, the NMDA receptor, kynurenic acid metabolism, agmatine metabolism, levels of the endocannabinoid anandamide, antidepressants, anticonvulsants, antipsychotics, and other treatments, demonstrate evidence of diametric effects in autism spectrum disorders and phenotypes compared with psychotic-affective disorders and phenotypes. These findings yield insights into treatment mechanisms and the development of new pharmacological therapies, as well as providing an explanation for the longstanding puzzle of antagonism between epilepsy and psychosis. Lay Summary: Consideration of autism and schizophrenia as caused by opposite alterations to brain development and function leads to novel suggestions for pharmacological treatments.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"2019 1","pages":"149-168"},"PeriodicalIF":3.3,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41195861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autism and psychosis as diametrical disorders of embodiment. 自闭症和精神病是截然相反的病症的具体体现。
IF 3.7 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2019-07-15 eCollection Date: 2019-01-01 DOI: 10.1093/emph/eoz021
Bernard Crespi, Natalie Dinsdale
{"title":"Autism and psychosis as diametrical disorders of embodiment.","authors":"Bernard Crespi,&nbsp;Natalie Dinsdale","doi":"10.1093/emph/eoz021","DOIUrl":"https://doi.org/10.1093/emph/eoz021","url":null,"abstract":"<p><p>Humans have evolved an elaborate system of self-consciousness, self-identity, self-agency, and self-embodiment that is grounded in specific neurological structures including an expanded insula. Instantiation of the bodily self has been most-extensively studied via the 'rubber hand illusion', whereby parallel stimulation of a hidden true hand, and a viewed false hand, leads to the felt belief that the false hand is one's own. Autism and schizophrenia have both long been regarded as conditions centrally involving altered development of the self, but they have yet to be compared directly with regard to the self and embodiment. Here, we synthesize the embodied cognition literature for these and related conditions, and describe evidence that these two sets of disorders exhibit opposite susceptibilities from typical individuals to the rubber hand illusion: reduced on the autism spectrum and increased in schizophrenia and other psychotic-affective conditions. Moreover, the opposite illusion effects are mediated by a consilient set of associated phenomena, including empathy, interoception, anorexia risk and phenotypes, and patterns of genetic correlation. Taken together, these findings: (i) support the diametric model of autism and psychotic-affective disorders, (ii) implicate the adaptive human system of self-embodiment, and its neural bases, in neurodevelopmental disorders, and suggest new therapies and (iii) experimentally ground Bayesian predictive coding models with regard to autism compared with psychosis. Lay summary: Humans have evolved a highly developed sense of self and perception of one's own body. The 'rubber hand illusion' can be used to test individual variation in sense of self, relative to connection with others. We show that this illusion is reduced in autism spectrum disorders, and increased in psychotic and mood disorders. These findings have important implications for understanding and treatment of mental disorders.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"2019 1","pages":"121-138"},"PeriodicalIF":3.7,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/emph/eoz021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41195846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 22
Differences in mutational processes and intra-tumour heterogeneity between organs: The local selective filter hypothesis. 器官间突变过程和肿瘤内异质性的差异:局部选择性过滤器假说。
IF 3.3 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2019-06-07 eCollection Date: 2019-01-01 DOI: 10.1093/emph/eoz017
Mathieu Giraudeau, Tuul Sepp, Beata Ujvari, François Renaud, Aurélie Tasiemski, Benjamin Roche, Jean-Pascal Capp, Frédéric Thomas
{"title":"Differences in mutational processes and intra-tumour heterogeneity between organs: The local selective filter hypothesis.","authors":"Mathieu Giraudeau, Tuul Sepp, Beata Ujvari, François Renaud, Aurélie Tasiemski, Benjamin Roche, Jean-Pascal Capp, Frédéric Thomas","doi":"10.1093/emph/eoz017","DOIUrl":"10.1093/emph/eoz017","url":null,"abstract":"<p><p>Extensive diversity (genetic, cytogenetic, epigenetic and phenotypic) exists within and between tumours, but reasons behind these variations, as well as their consistent hierarchical pattern between organs, are poorly understood at the moment. We argue that these phenomena are, at least partially, explainable by the evolutionary ecology of organs' theory, in the same way that environmental adversity shapes mutation rates and level of polymorphism in organisms. Organs in organisms can be considered as specialized ecosystems that are, for ecological and evolutionary reasons, more or less efficient at suppressing tumours. When a malignancy does arise in an organ applying strong selection pressure on tumours, its constituent cells are expected to display a large range of possible surviving strategies, from hyper mutator phenotypes relying on bet-hedging to persist (high mutation rates and high diversity), to few poorly variable variants that become invisible to natural defences. In contrast, when tumour suppression is weaker, selective pressure favouring extreme surviving strategies is relaxed, and tumours are moderately variable as a result. We provide a comprehensive overview of this hypothesis. Lay summary: Different levels of mutations and intra-tumour heterogeneity have been observed between cancer types and organs. Anti-cancer defences are unequal between our organs. We propose that mostly aggressive neoplasms (i.e. higher mutational and ITH levels), succeed in emerging and developing in organs with strong defences.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"2019 1","pages":"139-146"},"PeriodicalIF":3.3,"publicationDate":"2019-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6735757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41195862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolutionary origins of polycystic ovary syndrome: An environmental mismatch disorder. 多囊卵巢综合征的进化起源:一种环境不匹配障碍。
IF 3.3 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2019-03-26 eCollection Date: 2019-01-01 DOI: 10.1093/emph/eoz011
Mia A Charifson, Benjamin C Trumble
{"title":"Evolutionary origins of polycystic ovary syndrome: An environmental mismatch disorder.","authors":"Mia A Charifson, Benjamin C Trumble","doi":"10.1093/emph/eoz011","DOIUrl":"10.1093/emph/eoz011","url":null,"abstract":"<p><p>Polycystic ovary syndrome (PCOS) is the most common female endocrine disorder and has important evolutionary implications for female reproduction and health. PCOS presents an interesting paradox, as it results in significant anovulation and potential sub-fecundity in industrialized populations, yet it has a surprisingly high prevalence and has a high heritability. In this review, we discuss an overview of PCOS, current diagnostic criteria, associated hormonal pathways and a review of proposed evolutionary hypotheses for the disorder. With a multifactorial etiology that includes ovarian function, metabolism, insulin signaling and multiple genetic risk alleles, PCOS is a complex disorder. We propose that PCOS is a mismatch between previously neutral genetic variants that evolved in physically active subsistence settings that have the potential to become harmful in sedentary industrialized environments. Sedentary obesogenic environments did not exist in ancestral times and exacerbate many of these pathways, resulting in the high prevalence and severity of PCOS today. Overall, the negative impacts of PCOS on reproductive success would likely have been minimal during most of human evolution and unlikely to generate strong selection. Future research and preventative measures should focus on these gene-environment interactions as a form of evolutionary mismatch, particularly in populations that are disproportionately affected by obesity and metabolic disorders.</p><p><strong>Lay summary: </strong>The most severe form of polycystic ovary syndrome (PCOS) is likely a result of interactions between genetic predispositions for PCOS and modern obesogenic environments. PCOS would likely have been less severe ancestrally and the fitness reducing effects of PCOS seen today are likely a novel product of sedentary, urban environments.</p>","PeriodicalId":12156,"journal":{"name":"Evolution, Medicine, and Public Health","volume":"2019 1","pages":"50-63"},"PeriodicalIF":3.3,"publicationDate":"2019-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6658700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41195863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genome-wide association analysis uncovers variants for reproductive variation across dog breeds and links to domestication. 全基因组关联分析揭示了不同犬种的生殖变异及其与驯化的联系。
IF 3.7 3区 医学
Evolution, Medicine, and Public Health Pub Date : 2019-01-01 DOI: 10.1093/emph/eoz015
Samuel P Smith, Julie B Phillips, Maddison L Johnson, Patrick Abbot, John A Capra, Antonis Rokas
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引用次数: 5
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