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Evolutionary gene loss may explain why only humans are prone to heart attack

143 points| rjzotti | 6 years ago |sciencedaily.com

121 comments

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crabLouse|6 years ago

Since the driver of the selection against the related gene seems to be malaria, I wonder if this is linked to prevalence of body hair on human ancestors.

Bug bites on hairless skin probably had something to do with dying of disease, and the early homonids that had the gene seem to be the ones hit the hardest.

We also see evolutionary markers related to bed bugs, head lice and body lice. Maybe mosquitos and genes linked to a possible malaria pandemic offer more clues.

fragmede|6 years ago

Malaria is a fascinating one, with the prevalence of sickle cell anemia and G6PD blood deficiency in some populations with high exposure. Both of those cause health issues but they both confer some level of resistance to malaria.

hirenj|6 years ago

As far as I remember, malaria comes in via glycosaminoglycans, and not our sialylated glycans. It could very well be related to our symbiosis with bacteria however.

Edit: I forgot the earlier work demonstrating Plasmodium specificity to NeuGc, so yeah maybe malaria!

bitwize|6 years ago

On the other hand, cats -- for example -- are highly prone to kidney failure in a way that humans are not.

glastra|6 years ago

Cats, being obligate carnivores and lacking a proper mechanism for extracting energy out of fatty acids (e.g. ketogenesis in humans), have actually very efficient kidneys to dispose of all the nitrogen coming from their protein-exclusive metabolism.

Domestic cats are at risk, but that is more a result of domestication and improper feeding (carbohydrate) than evolution or genetics. Unless I am missing something, of course! Care to elaborate?

raxxorrax|6 years ago

I have the feeling this has much more to do with our self inflicted lifestyle than genetic factors.

Maybe no other animal is just that stupid.

masklinn|6 years ago

> Maybe no other animal is just that stupid.

They very much are, many pets will way overfeed themselves if given the opportunity.

Though it might also be human-inflicted, I don't know if wild animals will do so if provided with effortless unlimited amounts of food.

I would expect so though, most evolutionary environments simply don't set up organisms for an unlimited glut of free energy-dense food, when there's a glut of resources it's usually followed by some sort of crash, so organisms stock up as fast as they can in order to out-compete their peers once resources crash. If the glut doesn't end (which is essentially what modern advanced economies arrived at), neither does the tendency to stock up, because there's probably never been an evolutionary context (sustained for a long enough period) where that was an issue and thus allowed some organisms to outlive others.

klodolph|6 years ago

> Maybe no other animal is just that stupid.

Have you ever owned a cat or dog? My experience is that a percentage of them will overeat unless constantly monitored, eat things that are outright dangerous, etc. What is it that makes humans the stupid ones, here?

Clor|6 years ago

From the introduction: "There are many known risk factors, including blood cholesterol, physical inactivity, age, hypertension, obesity and smoking, but in roughly 15 percent of first-time cardiovascular disease events (CVD) due to atherosclerosis, none of these factors apply."

raverbashing|6 years ago

Other animals usually have a lifespan shorter than the time needed for atherosclerosis to be an issue

And the title is a bit incorrect, other animals do suffer with heart issues/"heart attacks" (usually congenital, but due to old age as well)

cpp4life|6 years ago

Or no other animal is smart enough to be able to produce an abundance of food for the scale of population that we can. And also no other animal has capitalism which motivates actors to make the food supply as addictive as possible.

dilawar|6 years ago

I wonder if a gone lost hundreds of years ago is somehow _responsible_, then why heart attack related death mostly occured in last 50 years?

anvandare|6 years ago

The greatest risks to your health throughout history were (contagious) diseases and infections. With the advent of sanitation, food safety, modern medicine, etc., their percentage has dropped significantly.

But "you gotta die of something", so when one cause drops in rate, another rises. So if you're stubborn (lucky) enough not to die of anything else, it'll probably be either cancer or heart-related that gets you: up from 12% of all deaths in 1900 to 47% in 2010.[1]

In short, we're more likely to die of affluence diseases[2] if we're not dying of poverty diseases.[3]

[1] https://demography.cpc.unc.edu/2014/06/16/mortality-and-caus...

[2] https://en.wikipedia.org/wiki/Diseases_of_affluence

[3] https://en.wikipedia.org/wiki/Diseases_of_poverty

deanstag|6 years ago

It could be that they were not diagnosed as heart attacks before that.

edit: And also maybe general life style differences regarding availability and richness of food, exercise, shorter life spans etc.

cc439|6 years ago

Interesting, I was always under the impression that chipmunks were susceptible to heart attacks. I can't remember where I read it and I can't find a current source but you are apparently not supposed to harass chipmunks because they can experience stress induced heart attacks when threatened/chased. I've also seen potential evidence for this when my cat chased one around a parking lot only for it to collapse after sprinting around for a solid minute. It was immobile, looked short of breath and eventually died at some point between when I brought my cat in and the next morning.

CamperBob2|6 years ago

Rabbits, too.

The whole premise behind this headline seems bogus.

jedberg|6 years ago

If this turns out to be true, I wonder if this is something CRISPR could fix...

ordu|6 years ago

I'm not sure that I wish CMAH gene back:

> Interestingly, the evolutionary loss of the CMAH gene appears to have produced other significant changes in human physiology, including reduced human fertility and enhanced ability to run long distances.

Reduced fertility doesn't seem for me important, we have a contraception for that. But enhanced ability to run long distances seems very convenient. I can ride a bicycle or walk for hours just for fun of physical exercise, and I'm not going to lose that.

hirenj|6 years ago

We could probably edit in a working copy, but I wouldn't be so quick to do that: Sialic acids are all over our cells, and we don't understand what the difference is between the two sialic acid types in terms of impact on molecular environment. One plus side to losing this gene is our ability to do long distance running.

zyang|6 years ago

Pets such as rabbits, hamsters, dogs are also prone to heart attacks. I think it has more to do with sedentary lifestyle. Unfortunately for most pets, it's not by choice.

hirenj|6 years ago

This could also be "fixed" by dietary supplement, but you run the risk of aggravating your immune system. One way to introduce this back into the system is by consuming red meat. The conclusion from this is EMPHATICALLY NOT that to reduce the risk of CVD due to meat consumption you should eat more red meat. The immune effects likely are more damaging.

pvaldes|6 years ago

It seems that this guys never tried to catch a shrew.

akvadrako|6 years ago

I've seen a mouse die in a "humane" trap after being carried a couple blocks – I always understood that was from a heart attack. It seems to happen with birds too – stress them out a bit, then dead.

So in what way are "only humans" prone? Are these not heart attacks?

Rickvs|6 years ago

Perhaps we evolved a heart overclocking ability. Sometimes we just push the heart too hard.

watertom|6 years ago

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JohnJamesRambo|6 years ago

I hate to attack your deity but...

https://www.quackwatch.org/01QuackeryRelatedTopics/pauling.h...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5000725/

“Overall, current research suggests that vitamin C deficiency is associated with a higher risk of mortality from CVD and that vitamin C may slightly improve endothelial function and lipid profiles in some groups, especially those with low plasma vitamin C levels. However, the current literature provides little support for the widespread use of vitamin C supplementation to reduce CVD risk or mortality.”

ctack|6 years ago

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glastra|6 years ago

> Atherosclerosis -- the clogging of arteries with fatty deposits

What a way to start an article in a website with "science" in its name.

Atheroma is an accumulation of white blood cells. White. Blood. Cells. Not fat.

"Meat bad, saturated fat bad, eat your necessarily fortified grains and heart-healthy industrially extracted seed oils."

eevilspock|6 years ago

Atherosclerosis:

https://lmgtfy.com/?q=Atherosclerosis

"When plaque (fatty deposits) clogs your arteries, that’s called atherosclerosis."

~ American Heart Association (https://www.heart.org/en/health-topics/cholesterol/about-cho...)

"Atherosclerosis is a disease in which plaque builds up inside your arteries....Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood."

~ https://www.nhlbi.nih.gov/health-topics/atherosclerosis

"Atherosclerosis refers to the buildup of fats, cholesterol and other substances in and on your artery walls (plaque), which can restrict blood flow."

~ https://www.mayoclinic.org/diseases-conditions/arteriosclero...

hirenj|6 years ago

-oma is a suffix that means tumour. E.g. lymphoma.

-sclerosis is a hardening. E.g arthrosclerosis for a hardening of joints.

tomp|6 years ago

For the rest of readers confused about this thread - Peter Attia (longevity & performance focused doctor) did a long blog series on atherosclerosis

https://peterattiamd.com/the-straight-dope-on-cholesterol-pa...

my TL;DR (as a non-doctor): LDL "cholesterol" (actually proteins carrying cholesterol and "fat" (triglycerides) in blood) has a tendency to get "stuck" in artery walls. That causes inflamation, which attracts macrophages which also get stuck, and so on until you get plaques ("clogged arteries") and one plaque breaks off and causes a heart attack. Consuming saturated fat / cholesterol is problematic because it causes a decrease of LDL-sensitive receptors and consequentially more LDL in blood. If I understand correctly, the later part of the previous statement is considered settled science ("we know how it actually works" - 1985 Nobel Prize was awarded for this), while the first part (diet) seems to be somewhat debated and has mostly statistical justification ("evidence suggests") and also depends on an individual's genetics.

AnthonBerg|6 years ago

Would you please supply references, and perhaps some more context?

Pimpus|6 years ago

So now we're including "survival of the unfittest" as part of evolutionary theory? Sorry, this makes zero sense. If humans really did evolve, then we hit the lottery - several times.

ben_w|6 years ago

Fitness doesn’t mean what you think it means. As others have noted on this post, this mutation confers some resistance to malaria.

When the options are “malaria with high probability from birth onwards” or “heart attack after multiple decades with high probability if nothing else kills you first”, this is fitness.

Besides which, if humans didn’t evolve, you need to explain why the creator didn’t use a better mechanism to prevent us from getting malaria. For example: not creating malaria when they created us.

mclightning|6 years ago

Where did you guys suddenly appear out of nowhere on HN? On a programmer forum, skeptical of evolution?

This is the second time I see skepticism about evolution is brought up on HN comments. Science literacy of the community definitely went down.

olliej|6 years ago

I like how the headlines explicitly states humans.

For yet another study in ... mice.

There are other options like dogs and pigs which are much better models for human biology, so if you really want to make a claim about subtle effects of human genetics you need to be as close to a human model as possible.

This is entirely ignoring the someone generous leap they make that one single gene mutation is responsible for an increased rate of heart disease. It also doesn’t touch on what the benefits for that gene were (to spread through the gene pool completely it must have some benefit that outweighs the cost)

rjzotti|6 years ago

Further down in the study it says that removing the gene likely occurred because it made humans more resistant to malaria, and somehow it also enhanced the ability to run long distances.

pier25|6 years ago

At this point this is only a hypothesis. This is clear when they say "may help explain", "may have resulted", and "believe".

AlexCoventry|6 years ago

If this withstands scrutiny a chimpanzee study can't be far off, though.

fifnir|6 years ago

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