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April
2007
Written
by Holly Pyhtila
Are
genes that once helped people survive starvation, now making
them sick?
Have
you ever stopped to notice how some creatures have adapted
to their surroundings?
A hummingbird’s beak is long and thin to extract nectar
from deep in a flower. A camel stores enough energy in its
hump (in the form of fat – not water!) to last weeks
in the desert.
Even the majestic
antlers of an elk are necessary for mating rituals and defence
– aren’t these all examples of adaptations to
the environment?
Are We Humans Badly Adapted?
Do you ever look
at other humans and wonder how we’ve adapted for survival?
A recent genetic theory suggests some humans have adaptations
that may not be well suited to our current environment. It’s
called the “thrifty gene theory” and was suggested
in 1962 by American geneticist Dr. James Neel to explain why
some people gain weight and develop type II diabetes easily.
Neel believed that indigenous people
had genes that helped them survive their feast-to-famine history.
Native North Americans lived a hunter-gatherer lifestyle not
that long ago, and food was often hard to find. South Pacific
islanders endured near starvation while paddling long distances
between islands.
Alternating between
food scarcity and abundance also affected the Australian Aborigines,
native Hawaiians, New Zealand Maoris, Mongolians, and others.
The theory suggests that “thrifty
genes” gave these people an evolutionary advantage,
until the typical Western lifestyle was adopted. With less
physical activity, a high fat diet, and access to a constant
supply of calories, their bodies continued to store calories
in preparation for a famine that didn’t arrive.
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An
Animal Model of the ‘Thrifty Gene
The
Israeli sand rat is a good animal model of this phenomenon.
In its natural environment, the animal endures frequent
periods of famine and stays healthy; but given ready
access to food, it quickly develops obesity and diabetes.
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Geneticists studying
Neel’s theory have discovered certain genes and mutations
(like mt16189, PSARL in chromosome 3q27, Pro12Ala in PPAR_2,
and leptin- STAT3) that affect insulin levels and stored glucose.
Normally, the body uses the hormone insulin to control the
level of glucose (sugar) in the blood, but in diabetes mellitus,
this process is altered.
Type I diabetics
have less insulin available and must replace it with injections.
Type II diabetics don’t usually respond to insulin,
so injections don’t work. Type II is most common, affecting
90% of diabetics. Type I often affects children where type
II generally affects adults, especially those who are inactive
and obese.
Diabetes is serious and costly. It
can lead to blindness, heart attacks, nerve damage, amputations,
and death. The World Health Organization says six people in
the world die every minute from the disease; and it’ll
soon become one of the world’s biggest health problems.
Epidemics of obesity and type II diabetes are now threatening
the lives of hundreds of millions of people. Ten percent of
North Americans will develop diabetes, with rates many times
higher in aboriginal populations. Indigenous groups in Fiji,
Hawaii, and Australia are reporting skyrocketing rates of
type II diabetes, where just a generation ago this disease
was unheard of.
Thrifty
Gene Theory Controversy
Some people don’t agree entirely with the “thrifty
gene” theory – saying that poverty, stress due
to racism, and poor nutrition (especially during pregnancy)
also result in children being born predisposed to diabetes. Most experts agree that genetics alone does not determine
the risk factor of obesity; but research does suggest that
“thrifty genes” predispose people to hold on to
food (sugars), making them more likely to develop type II
diabetes. It is also common for indigenous groups to be poorer
and have less access to healthy foods than the general population,
so it is difficult to separate genetic from environmental
factors.
The Good News
The good news is that having “thrifty genes” isn’t
a guarantee that you’ll become obese or develop type
II diabetes; and the disease is treatable and preventable
with changes in diet, exercise, and other lifestyle factors.
There is however, a lot of evidence to suggest that genetics
plays a role in predisposing some people to diabetes, even
those with healthy lifestyles, and researchers are continuing
to uncover the genes that affect both whether a person may
develop type II diabetes, and how severe that disease may
turn out to be.
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