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Printable Handouts
Navigable Slide Index
- Introduction
- The goal of evolutionary/Darwinian medicine
- Medicine uses some evolution
- But much is missing
- Some general principles
- General principles corrected
- Schools that include topic in medical curriculum
- Evolutionary biology faculty in medical schools
- Gertrude Stein on her deathbed
- Volnerability of the body and natural selection
- Natural selection is too weak to improve the body
- The new answer
- The dawn of Darwinian medicine
- A picture of George Williams
- Disease and evolution
- An example: the eye
- First half of medical school: an organ of perfection
- In the clinic: a botched design
- Designing a better body in one afternoon
- Natural selection
- Two kinds of explanation
- Two complementary explanations
- Tinbergen's 4 questions
- Tinbergen's 4 questions organized
- Four questions about honeycreeper beaks
- The 30 cm spur of the star orchid and the moth
- Darwinian medicine
- How is evolution useful for medicine?
- Direct applications in the clinic?
- Evolution and medicine - branches
- Why we get sick
- Evolutionary questions about disease
- Six reasons why diseases exist
- 1. Mismatch
- Atheroma
- Cholesterol levels
- Breast cancer
- Genetic "quirks"
- Myopia
- Mean negative affect scores vs. BDNF genotype
- Hygiene hypothesis
- Signals of recent selection
- BP, genes, latitude and environment
- 2. Competition with other organisms
- Streptococcal infection
- Antibiotic resistance of 480 soil bacterial isolates
- Virulence
- 3. Every trait is a trade-off
- Malaria in Melanesia
- Alpha + thalassemia protects against malaria
- Gout syndrome: uric acid crystals in joints
- Billirubin: highly toxic compound, then why?
- 4. Constraints
- Terrestrial whales
- Path dependence
- 5. Health is not selection's goal
- Senescence and pleiotropy
- The strength of selection
- Force of selection against senescence
- If mortality stayed at early adulthood rates
- The vulnerable sex
- Male to female mortality ratio
- Developmental pleiotropy a prediction
- 6. Defenses and suffering
- Charles Darwin
- Defenses vs. defects
- Defense regulation
- The smoke detector principle (1)
- What if the cue is unreliable?
- How loud should the noise be before you run?
- Optimal response threshold
- Should you flee from a noise?
- A threat and response
- Being killed greatly decreases future fitness
- Panic disorder
- The smoke detector principle (2)
- A phylogeny of emotions
- A conclusion about defenses
- Six reasons for vulnerability
- Main conclusions
- Some of many implications
- Overall conclusion
- The state of Darwinian medicine
- www.EvolutionAndMedicine.org
Topics Covered
- How evolution is useful to medicine
- Why doctors don't know evolution
- The body: perfect and pathetically flawed
- Proximate and evolutionary explanations
- Explain vulnerability, not diseases
- Six reasons for vulnerability
- Darwinian medicine growing fast
Talk Citation
Nesse, R. (2007, October 1). Evolution: medicine's missing basic science [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 21, 2024, from https://doi.org/10.69645/BTGJ4205.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Randolph Nesse has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.