Type 2 Diabetes and Thrifty Genotype Hypothesis
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Questions and Answers

What is the association between oral contraceptives and cancer risk?

  • They reduce the risk of breast cancer.
  • They have no effect on any type of cancer.
  • They reduce the risk of ovarian and endometrial cancers. (correct)
  • They increase the risk of ovarian cancer.

What does the term 'clonal sweep' refer to in cancer evolution?

  • The elimination of cancer cells through apoptosis.
  • A scenario where a mutated subclone expands over neighboring cells. (correct)
  • The extinction of a subclone due to environmental changes.
  • A gradual increase in healthy cell populations.

Which of the following best describes apoptosis?

  • A process that promotes cellular division.
  • A form of uncontrolled cell growth.
  • A programmed cell death mechanism. (correct)
  • An immune response that generates new cells.

What is a potential effect of long-term positive energy balance?

<p>An increase in inflammation and cancer risk. (C)</p> Signup and view all the answers

What does the grandmother hypothesis suggest?

<p>The presence of grandmothers improves inclusive fitness and leads to selection for longer lifespans. (C)</p> Signup and view all the answers

Which hypothesis discusses the link between physical activity and health in middle-aged humans?

<p>Active grandparent hypothesis. (D)</p> Signup and view all the answers

What is the embodied capital hypothesis related to?

<p>The co-evolution of traits related to dietary changes. (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic compared to other apes according to the evolution of humans?

<p>Shorter childhood periods. (A)</p> Signup and view all the answers

What does the EGG Hypothesis propose about the timing of childbirth?

<p>Pregnancy ends when the energy needs of the fetus exceed the mother's ability to meet those needs. (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of innate immunity?

<p>It evolves after exposure to pathogens. (A)</p> Signup and view all the answers

What is a defining feature of adaptive immunity?

<p>It depends on prior exposure to antigens. (A)</p> Signup and view all the answers

Which of the following components is associated with innate immunity?

<p>Antimicrobial soluble proteins (D)</p> Signup and view all the answers

What is the primary role of FSH in the menstrual cycle?

<p>It stimulates the growth and maturation of the ovarian follicle. (B)</p> Signup and view all the answers

What is the hygiene hypothesis primarily concerned with?

<p>The role of hygiene in pathogen recognition by the immune system. (B)</p> Signup and view all the answers

Which of the following correctly describes the inflammatory response?

<p>It is a rapid, non-specific response to injury or infection. (B)</p> Signup and view all the answers

During the luteal phase, what does the corpus luteum primarily produce?

<p>Progesterone (C)</p> Signup and view all the answers

Which of the following immune components is primarily responsible for the specificity of the adaptive immune response?

<p>T lymphocytes (C)</p> Signup and view all the answers

Which hypothesis suggests that menstruation is beneficial for energy conservation?

<p>Maintaining energy costs of the endometrium (D)</p> Signup and view all the answers

Which of the following statements about adaptive immunity is true?

<p>It can recognize multiple distinct antigens from pathogens. (B)</p> Signup and view all the answers

What occurs to the endometrium during the latter half of the menstrual cycle as estrogen and progesterone levels fall?

<p>It begins to shrink due to reduced blood flow. (D)</p> Signup and view all the answers

How is menstruation theorized to aid in pathogen removal?

<p>By allowing the female reproductive tract to shed uterine lining. (C)</p> Signup and view all the answers

What is one of the cancer risks associated with a higher number of menstrual cycles?

<p>Increased risk of ovarian cancer (D)</p> Signup and view all the answers

Which phase of the menstrual cycle involves an increase in ovarian inflammation?

<p>Ovulation phase (A)</p> Signup and view all the answers

What effect does estrogen have on breast cellular growth throughout the menstrual cycle?

<p>It promotes changes in breast cellular growth. (A)</p> Signup and view all the answers

What is the primary function of Killer T cells?

<p>Directly kill virus-infected cells (C)</p> Signup and view all the answers

What is the role of Helper T-cells in the immune system?

<p>To stimulate and determine responses of other immune cells (C)</p> Signup and view all the answers

What type of infections do Th-2 cells primarily address?

<p>Infections by worms and large parasites (D)</p> Signup and view all the answers

What long-term effects can schistosomiasis cause?

<p>Anemia, pain, and malnutrition (C)</p> Signup and view all the answers

How has WHO's policy towards worms changed?

<p>From eliminating all worms to reducing the number of worms per person (A)</p> Signup and view all the answers

Which hormone reaches its peak during ovulation?

<p>Luteinizing hormone (LH) (A)</p> Signup and view all the answers

When is estrogen typically at its highest level during the menstrual cycle?

<p>Follicular phase (D)</p> Signup and view all the answers

What hormonal change occurs during the luteal phase of the menstrual cycle?

<p>Progesterone levels are at their highest (D)</p> Signup and view all the answers

Which of the following accurately describes the effect of schistosomes on the immune system?

<p>They induce immunomodulation (A)</p> Signup and view all the answers

Which hormone primarily supports pregnancy and regulates the menstrual cycle?

<p>Progesterone (A)</p> Signup and view all the answers

What directly causes Type 2 Diabetes?

<p>Cells not responding properly to insulin (B)</p> Signup and view all the answers

What role does insulin play in the body?

<p>It regulates glucose metabolism by unlocking cells (D)</p> Signup and view all the answers

According to the thrifty genotype hypothesis, what characteristic is common among indigenous populations?

<p>Higher frequency of genes associated with survival during famine (D)</p> Signup and view all the answers

What does the thrifty phenotype hypothesis suggest about early life nutrition?

<p>It leads to metabolic changes that increase disease risk later in life (D)</p> Signup and view all the answers

What is 'growth stunting' defined by?

<p>Height for age z-score below the mean (A)</p> Signup and view all the answers

What does a respiratory quotient (RQ) close to 1.0 indicate?

<p>Primarily metabolizing carbohydrates (D)</p> Signup and view all the answers

What is the primary function of cortisol in the body?

<p>It regulates multiple body systems in response to stress (C)</p> Signup and view all the answers

Which hypothesis argues that individuals adapt their metabolism based on early developmental cues?

<p>Predictive adaptive response hypothesis (B)</p> Signup and view all the answers

What defines the 'founder effect' in genetics?

<p>Loss of allelic diversity due to a small subgroup establishing a new population (B)</p> Signup and view all the answers

What is considered a characteristic of acute stress response?

<p>Rapid mobilization of energy from storage sites (A)</p> Signup and view all the answers

How does the autonomic nervous system respond during stress?

<p>Stimulates blood flow to muscles and heart (B)</p> Signup and view all the answers

Which scenario best describes the energy allocation model of stress?

<p>Energy used for stress response competes with other bodily functions (B)</p> Signup and view all the answers

What is a consequence of undernutrition during gestation according to the thrifty phenotype hypothesis?

<p>Altered metabolism leading to higher disease risk (A)</p> Signup and view all the answers

What does the obstetrical dilemma primarily illustrate regarding childbirth in humans?

<p>Narrow pelvises result from evolutionary adaptations. (B)</p> Signup and view all the answers

Why do larger skulls pose a challenge during childbirth?

<p>They may not fit through the narrowed pelvic opening. (C)</p> Signup and view all the answers

Which statement about encephalization in human newborns is accurate?

<p>Larger brains require larger skulls during delivery. (A)</p> Signup and view all the answers

What does stabilizing selection imply regarding the female pelvis?

<p>It maintains a balance between walking ability and brain size. (B)</p> Signup and view all the answers

How does the developmental state of human babies differ from that of great apes?

<p>Human babies are relatively immature and helpless at birth. (B)</p> Signup and view all the answers

In which way does the pelvis of female hominins vary according to the content?

<p>It varies significantly among individuals. (D)</p> Signup and view all the answers

What is the relationship between bipedalism and the structure of the pelvis?

<p>Bipedalism led to a narrower pelvis for upright walking. (B)</p> Signup and view all the answers

What distinguishes precocial species from altricial species?

<p>Precocial species offspring can engage with their environment soon after birth. (B)</p> Signup and view all the answers

Flashcards

Obstetrical Dilemma

The evolutionary conflict between the need for a narrow pelvis for efficient bipedalism and the need for a wider pelvis to accommodate the birth of large-brained babies.

Encephalization

The enlargement of the brain relative to the body in humans.

Stabilizing Selection

A trait that favors moderate or average values, while selecting against extreme values.

Precocial Species

Species whose offspring are born with a greater degree of maturity and mobility.

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Altricial Species

Species whose offspring are born relatively immature and helpless.

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Why is childbirth difficult? (Obstetrical Dilemma)

The theory explaining the challenge faced by human mothers during childbirth due to the conflict between a narrow pelvis for efficient walking and the need for a wider pelvis to accommodate large-brained babies.

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Why is childbirth an issue? (Encephalization)

The evolutionary increase in brain size, leading to larger skulls that need to pass through a relatively narrow pelvis.

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Is stabilizing selection responsible for the size of the birth canal?

While a narrow pelvis is crucial for efficient bipedal movement, the study found that the female birth canal exhibits considerable variation, suggesting that stabilizing selection alone may not be the primary factor in maintaining its size.

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Follicular Phase

The first phase of the menstrual cycle where the egg develops in the ovary, leading to a rise in estrogen that thickens the uterine lining.

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Luteal Phase

The second phase of the menstrual cycle following ovulation, where the ruptured follicle transforms into a corpus luteum and produces progesterone, preparing the uterine lining for pregnancy.

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Menstruation

The process of shedding the uterine lining due to decreasing estrogen and progesterone levels.

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Energy Cost of Menstruation

The shedding of the uterine lining is a costly process, requiring energy.

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Pathogen Removal Hypothesis

The removal of potentially harmful pathogens associated with sperm during menstruation.

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Defective Embryo Removal

The removal of non-viable embryos during menstruation.

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Menstrual Cycle Count & Cancer

The number of menstrual cycles a woman experiences is linked to her risk of developing certain cancers.

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Inflammation & Cancer

Inflammation associated with ovulation and menstruation increases the risk of certain types of cancer.

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Energetics of Gestation and Growth (EGG) Hypothesis

Hypothesizes that pregnancy ends when the fetus's energy needs surpass the mother's ability to supply them.

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Innate Immunity

The body's natural defenses against infection and injury, present without prior exposure to a specific pathogen.

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Inflammation

A rapid, non-specific response to external or internal triggers, involving inflammation and other protective mechanisms.

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Adaptive Immunity

Immune system components that are highly specific to individual pathogens and improve with repeated exposure.

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Antigen

A substance that triggers a specific immune response, often a component of a pathogen.

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Hygiene Hypothesis

The theory that reduced exposure to parasites in modern environments may contribute to an increased susceptibility to allergies and autoimmune disorders.

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Killer T Cells

Specialized white blood cells involved in recognizing and destroying specific cells infected with viruses or transformed into cancer cells.

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B Lymphocytes

White blood cells that produce antibodies, which are proteins that bind to and neutralize specific pathogens.

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Immune System Maturation

The process by which the immune system learns to distinguish between harmless and harmful substances.

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T cells

A type of white blood cell with various functions, including directly killing virus-infected cells (killer T cells) and regulating immune responses (helper T-cells).

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Th-1

A type of helper T cell that primarily targets bacteria and viruses.

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Th-2

A type of helper T cell that primarily targets worms and other large parasites.

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Schistosomes

A parasitic flatworm that causes schistosomiasis, a disease characterized by pain, malnutrition, anemia, and diarrhea.

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Immunomodulation

A type of immune regulation where the body's response is adjusted, often by reducing or enhancing the immune response.

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GnRH

A hormone that stimulates the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) from the pituitary gland, playing a crucial role in regulating the menstrual cycle and reproduction.

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LH

A hormone produced by the pituitary gland that stimulates ovulation in females and testosterone production in males.

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FSH

A hormone produced by the pituitary gland that stimulates the growth and development of follicles in the ovaries and sperm production in testes.

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Estrogen

A group of steroid hormones that play vital roles in the development and regulation of the female reproductive system, including the menstrual cycle, pregnancy, and secondary sex characteristics.

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Progesterone

A steroid hormone produced by the ovaries that plays a critical role in the menstrual cycle, preparation for pregnancy, and other aspects of the reproductive system.

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Apoptosis

A type of cell death that is programmed and controlled by the body, often triggered by the immune system.

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Subclone

A group of cells that are all descendants of a single ancestral cell with a specific mutation, playing a crucial role in understanding cancer's origins.

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Clonal Sweep

A process where one subclone within a population of cancerous cells outcompetes neighboring cells by multiplying rapidly, leading to a dominance of cells with the mutation.

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Mismatch Hypothesis

The idea that differences in our modern environment (like diet and physical activity) compared to our ancestral past can negatively impact our health.

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Positive Energy Balance

The state of consuming more energy (calories) than we burn, leading to weight gain. Linked to increased risk of certain cancers, like breast, prostate, colon, and pancreatic.

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Active Grandparent Hypothesis

A hypothesis proposing that the evolution of increased physical activity in middle age was due to selection for longer lifespans, as active grandparents can contribute to the survival and well-being of grandchildren.

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Embodied Capital Hypothesis

The idea that a combination of factors, like larger brains, longer childhoods, intergenerational transfers, and long lifespans, have co-evolved in humans due to a dietary shift.

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Evolution of Cancerous Cells

The study of evolutionary principles applied to the origins and progression of cancer, helping to understand its origins and potentially develop new treatment strategies.

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What is type 2 diabetes?

Type 2 diabetes, a condition where cells fail to respond to insulin properly, results in the inability of glucose to enter cells for energy. This leads to elevated blood sugar levels.

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What is the function of insulin in the body?

Insulin, produced by the pancreas, acts as a key to unlock cells, allowing glucose to enter for energy. This process regulates blood sugar levels.

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What is the thrifty genotype hypothesis?

The thrifty genotype hypothesis proposes that individuals with specific genes are better adapted to survive periods of famine, leading to increased fat storage. This is argued to be a cause of the increasing rates of type 2 diabetes.

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What is leptin?

Leptin is a hormone produced by fat cells that regulates appetite by signaling the brain when you're full.

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What is genetic drift?

Genetic drift refers to random changes in gene frequencies within a population over time due to chance events.

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What is the founder effect?

A special case of genetic drift, the founder effect occurs when a small subset of a population establishes a new population with limited genetic diversity.

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What is the thrifty phenotype hypothesis?

The thrifty phenotype hypothesis suggests that undernutrition during early development leads to metabolic changes in adulthood, increasing the risk of chronic diseases like diabetes.

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What is growth stunting?

Growth stunting refers to a condition where an individual's height is significantly lower than the average for their age, usually due to chronic undernutrition in early life.

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What is the respiratory quotient (RQ)?

The respiratory quotient (RQ) is a measure of how much carbon dioxide is produced relative to oxygen consumed. It indicates the body's primary energy source (fat, carbohydrates, or protein).

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What are sensitive periods in development?

Sensitive periods are critical stages of development where the individual is particularly susceptible to environmental influences that can have long-lasting effects on health and well-being.

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What is the evolutionary constraint argument?

The evolutionary constraint argument proposes that the thrifty phenotype is a consequence of evolutionary pressure and not an adaptive response to undernutrition.

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What is the immediate adaptive response hypothesis?

The immediate adaptive response hypothesis suggests that the thrifty phenotype helps the fetus/infant survive undernutrition but comes with a cost to health later in life.

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What is the predictive adaptive response hypothesis?

The predictive adaptive response hypothesis suggests that early life nutrition provides cues about future environmental conditions, prompting the developing individual to adapt their metabolism accordingly.

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What is stress?

Stress refers to the body's physiological response to challenges or stressors, which can disrupt homeostasis and affect adaptive capacity.

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What is the autonomic nervous system?

The autonomic nervous system regulates involuntary bodily functions like heart rate, breathing, and digestion. The sympathetic nervous system is responsible for the 'fight or flight' response, while the parasympathetic nervous system is responsible for 'rest and digest'.

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What is the HPA axis?

The HPA axis (Hypothalamus-Pituitary-Adrenal Axis) is a complex system that regulates the body's response to stress, involving the release of hormones like cortisol.

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What is cortisol?

Cortisol, a hormone produced by the adrenal glands, plays a crucial role in regulating various bodily functions and responding to stress. Chronic elevated cortisol levels can lead to various negative health outcomes.

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What is the energy allocation model of stress?

The energy allocation model suggests that chronic stress depletes energy reserves that would otherwise be allocated to crucial processes like immune function, repair, and growth, leading to impaired health.

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Study Notes

Type 2 Diabetes

  • Caused by cells not responding to insulin
  • Insulin is a hormone regulating glucose metabolism in tissues
  • Insulin works like a key unlocking cells to store glucose
  • Mechanism: Pancreatic Beta cells secrete insulin
  • Cells (muscle/liver) respond to insulin, unlocking glucose from the blood

Thrifty Genotype Hypothesis

  • Proposed by Neil in 1962
  • Suggests Type 2 diabetes is due to particular genes
  • Critique: Many genes have a small additive effect
  • Indigenous populations have faced periods of famine and death.
  • Critique: Application to Pacific Islanders; voyages were frequent, well-planned, and well-provisioned, decreasing famine risks.

Other Information

  • Indigenous populations have a higher frequency of genes adapted for surviving famine.
  • The "thrifty" genotype inhibits insulin receptors storing glucose in fat tissue instead of fuel.
  • Leptin regulates body weight signaling when full/satiated.
  • Genetic drift: random changes in allele frequencies.
  • Founder effect: small population separating from larger populations carrying a small subset of variations.
  • Social determinants of health include poverty, food access, and lack of land access.

Thrifty Phenotype Hypothesis

  • Undernutrition during early life causes changes in metabolism in adulthood to conserve energy
  • Key characteristics include smaller body size, lower metabolic rate, and increased fat deposition.
  • Epigenetic regulation of metabolism and growth is affected.
  • Growth stunting: height for age z-score below -1.5 or -2.
  • Respiratory quotient (RQ) measures which substances the body metabolizes.
  • Critical/sensitive period: development phase when environment changes cause long-term effects.

Evolutionary Constraint

  • Thrifty phenotype is a constraint, not an adaptation
  • Famine conditions don't favor a thrifty phenotype.
  • Our bodies evolved this pattern due to unavoidable features.

Immediate Adaptive Response Hypothesis

  • “Making the best of a bad situation”.
  • Helps fetus/infant/child develop in low calorie environments; has a cost to health during life

Predictive Adaptive Response Hypothesis

  • Developmental changes predict issues in adulthood.
  • Individuals adapt their phenotype to prepare for adult environments with high risk of famine or poor nutrition.
  • Famine in pregnancy doesn't guarantee famine risk in child.
  • Poor nutrition impacts development heavily.

Stress and its Response

  • Body's response to environmental challenges.
  • Rapidly mobilizes energy from storage.
  • Inhibits energy storage.
  • Increases breathing rate, blood pressure, and heart rate.
  • Prevents energy-expensive processes such as growth and reproduction.
  • Autonomic nervous system regulates processes such as digestion and heart rate.
  • Sympathetic nervous system regulates “fight or flight”.
  • Parasympathetic nervous system regulates processes that counteract stress.

Hypothalamic-Pituitary-Adrenal Axis (HPA)

  • Brain processes physical stress
  • Causes the hypothalamus to produce Corticotropin releasing hormone (CRH).
  • CRH travels to the pituitary gland, triggering adrenocorticotropic hormone (ACTH).
  • ACTH travels to the adrenal glands releasing glucocorticoids (cortisol)
  • Cortisol regulates body systems

Evolutionary Hypotheses on Stress

  • Energy allocation model, where energy is allocated between normal functions and stress response.
  • Chronic stress depletes resources for normal functioning.

Irritable Bowel Syndrome (IBS)

  • 10-15% of US adults have IBS.
  • Associated with Veillonella and Lactobacillus.
  • Symptoms: Abdominal pain, constipation, diarrhea, stress.

Microbiota and Microbiome

  • Microbes in the body (bacteria, viruses, fungi).
  • The totality of microbes and their functions.
  • Location, age, and environment influence microbiome composition.
  • Diet, antibiotics, evolution, and shifts in diet/lifestyle affect microbiome diversity.

Obstetrical Dilemma

  • Bipedalism changed pelvis shape, making childbirth difficult due to the narrow pelvis.
  • Baby heads are too large to pass through the birth canal for women.

Encephalization

  • Increase in brain size relative to body size.
  • Newborn brains are larger needing larger skull size
  • Increased skull size needing a smaller pelvis.
  • Medical interventions are necessary.
  • Similar to/compared to other apes that don't require medical intervention.

Stabilizing Selection

  • Population means trends toward the middle rather than extremes.
  • Needs to balance between upright walking and large brains/pelvises.

Energetics of Gestation and Growth Hypothesis

  • Suggested pregnancy ends when the fetus's energy needs outweigh the mother's ability to meet them.

Innate Immunity

  • Body's first line of defense against infection.
  • Doesn't depend on prior exposure to a disease.
  • Components: mucosal membranes, antimicrobial soluble proteins (blood, saliva, etc.), phagocytic cells, and inflammatory response.

Adaptive Immunity

  • Acquired or specific immunity.
  • Depends on prior exposure to an antigen (substance that elicits immune response).
  • Defining feature = specificity.

Hygiene Hypothesis

  • Improved hygiene and antibiotics reduce infections.
  • Immune systems are less exposed to pathogens causing an overreaction or autoimmune diseases in some cases.
  • Using worms in treatments; Th1 (virus/bacteria) and Th2 (worms/large parasites) cells.

Schistomiasis

  • Caused by parasitic flatworms (Schistosomes).
  • Causes pain; malnutrition, anemia, diarrhea, and long term liver & kidney damage and growth stunting.
  • Where there are many schistosomes, there are lower rates of autoimmune diseases.
  • WHO's policy : eliminate all worms, reduce # a person has, identify intensity of infection.

Reproductive Hormones and Cycle

  • Reproductive hormones fluctuate throughout the menstrual cycle.
  • Follicular Phase: estrogen promotes endometrium growth.
  • Luteal Phase: Progesterone prepares endometrium for implantation; falling levels cause shrinking.

Menstruation

  • Removes pathogens.
  • Removes non-viable embryos.
  • Signal for fertility.
  • Low probability of pregnancy may still result in a menstrual cycle.

Relationship between Menstrual Cycles and Cancer

  • Greater number of menstrual cycles correlated with higher risk of breast, ovarian and uterine cancer.
  • Factors associated with cancer risk: earlier menarche, later first reproduction, lower number of offspring.
  • Inflammation related to ovulation and menstruation.

Cancer Evolution

  • Evolutionary principles trace origins.
  • Important for early treatment/prevention.
  • Clonal sweep: increased cells with mutation increasing through generations.
  • Apoptosis: programmed cell death.
  • Innate immune system plays a role.
  • Diet and physical activity patterns link to cancer risk. (especially positive energy balance)

Grandmother Hypothesis

  • Grandmother's productivity increased inclusive fitness leading to increased lifespan.
  • Grandmother plays a role in grandchild care.

Embodied Capital Hypothesis

  • Factors evolved together in response to dietary shifts.
  • Extreme brain size, prolonged childhood/juvenile period, intergenerational transfers, long lifespan are all examples of embodied capital characteristics. A characteristic of humans compared to other apes.

Active Grandparent Hypothesis

  • Physical activity in middle age links to selection for increased lifespan.
  • Physical activity in middle age results in somatic repair and bodily maintenance.
  • Examples include: production of antioxidants, inflammation reduction, parasympathetic nervous system stimulation, and increase in mitochondria & glucose transporters.

PA & Cancer

  • Dose-dependent relationship between physical activity and breast/colon cancer.
  • Moderate exercise reduces cancer risk.
  • Physical activity stimulates tumor suppressor genes & immune system to help fight mutant cells.
  • Spandrel; A byproduct of other adaptations.

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Explore the connection between Type 2 diabetes and the thrifty genotype hypothesis in this insightful quiz. Understand how insulin functions in glucose metabolism and the genetic factors that may contribute to diabetes, especially in indigenous populations. Test your knowledge on these vital health concepts.

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