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- Fundamentals of Evolution and Medicine
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1. Evolutionary medicine
- Prof. Randolph Nesse
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2. Evolution and medicine: from the perspective of an evolutionary biologist
- Prof. Stephen C. Stearns
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3. Developmental plasticity, evolution and the origins of disease
- Dr. Mary Jane West-Eberhard
- Evolutionary Genetics
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4. Genetic variation and human disease
- Dr. David Houle
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6. Ecogenetics, evolutionary biology and human disease
- Prof. Gilbert Omenn
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7. Race in genetics and medicine
- Prof. Jeffrey Long
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8. Health disparities in common complex diseases: a role for genetics?
- Dr. Kathleen Barnes
- Infectious Disease
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10. Evolutionary arms races
- Prof. Mark Pagel
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11. Antibiotic resistance and hospital-acquired infection
- Dr. Carl Bergstrom
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12. Evolution of drug resistance
- Dr. Pleuni Pennings
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13. Evolution of virulence: malaria, a case study
- Prof. Andrew Read
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14. Infection and chronic disease
- Prof. Paul Ewald
- Defenses
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15. Fever and related defenses
- Prof. Matthew Kluger
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16. The evolutionary ecology of immunity
- Prof. Paul Schmid-Hempel
- Novel Environmental Factors
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17. What did humans evolve to eat? evolutionary perspectives on human nutritional health
- Prof. William R. Leonard
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19. The paleolithic lifestyle and prevention of chronic disease
- Prof. S. Boyd Eaton
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22. Diseases of civilization: an evolutionary legacy
- Prof. Alan Weder
- Problems Arising From Constraints and Trade-Offs
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23. Aging and evolutionary medicine
- Prof. Linda Partridge
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24. Human aging and menopause
- Prof. Kristen Hawkes
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25. Why we cook with spices: preventative darwinian medicine
- Prof. Paul Sherman
- Sex and Reproduction
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26. Setting the second stage: the evolution of menopause & post-reproductive life
- Prof. Lynnette Sievert
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27. Evolutionary obstetrics
- Prof. Wenda Trevathan
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28. Sex differences in mortality
- Dr. Daniel Kruger
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29. The endocrinology of human life history transitions
- Prof. Peter Ellison
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30. Genetic conflicts in human pregnancy
- Prof. David Haig
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31. Environmental effects on human reproduction
- Prof. Gillian Bentley
- Cancer
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32. A darwinian eye view of cancer
- Prof. Mel Greaves
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33. Viruses and cancer
- Prof. Robin Weiss
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34. Connecting aging and cancer through the lens of evolution
- Prof. James DeGregori
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35. Evolutionary dynamics in cancer control and cure
- Dr. Bob Gatenby
- Specific Body Systems
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36. Hard tissue biology in human health and evolution: enamel biology
- Prof. Timothy Bromage
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37. Hard tissue biology in human health and evolution: bone biology
- Prof. Timothy Bromage
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38. Hard tissue biology in human health and evolution: craniofacial biology
- Prof. Timothy Bromage
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39. Hard tissue biology in human health and evolution: life history and chronobiology
- Prof. Timothy Bromage
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40. Lung biology and lung disease
- Prof. John S. Torday
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41. The evolutionary web of life
- Prof. John S. Torday
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42. Evolutionary considerations and the endothelium
- Dr. William Aird
- Mental Disorders
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43. Evolutionary psychiatry
- Prof. Randolph Nesse
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44. Evolutionary behavioural genetics and mental disorders
- Dr. Matthew Keller
- Questions and Answers
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45. Audience questions about evolution and medicine
- Prof. Randolph Nesse
- Paediatrics
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46. Evolutionary pediatrics
- Dr. Paul Turke
- Microbiome
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47. Evolution, the microbiome, and human health
- Dr. Joe Alcock
- Archived Lectures *These may not cover the latest advances in the field
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48. The hygiene hypothesis
- Prof. Graham Rook
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49. Mapping motivations: evolutionary health promotion
- Dr. Valerie Curtis
- Dr. Robert Aunger
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50. Evolutionary biology of depression
- Prof. Lewis Wolpert
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51. Evolutionary genetic epidemiology
- Prof. Nicholas Schork
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52. Mental disorders in the light of evolutionary biology
- Prof. Randolph Nesse
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53. Evolution: medicine's missing basic science
- Prof. Randolph Nesse
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54. Environmental effects on human reproduction
- Prof. Gillian Bentley
Printable Handouts
Navigable Slide Index
- Introduction
- The hygiene hypothesis
- Failing regulation of the immune system
- Genetic susceptibility and environmental conditions
- The vertebrate ecosystem evolution
- The immune system needs microbial data input
- Immunoregulation by microbiota
- Effects of microbiota on the immune system
- Mechanisms of immunoregulation by microbiota
- Organisms transfer from the mother to the baby
- Other factors that disrupt the microbiota
- Immunoregulation by the old Infections
- The “old infections”
- Susceptibility to inflammatory “overshoot”
- Mechanisms of immunoregulation by helminths
- Immunoregulation by organisms from animals
- Environmental microbes & allergies
- Environmental microbial biodiversity
- Microbiota of air has physiological effects
- Microbiota of traditional & modern homes
- The natural environment & the gut microbiota
- Environmental biodiversity & the immune system
- The "old friends"
- Background inflammation
- Peripheral inflammation & psychiatric disorders
- Background inflammation & psychiatric problems
- Immune system & the brain’s response to stress
- Cytokine release in response to stressors
- Main conclusions
- Summary
- Acknowledgements
- Additional references
Topics Covered
- Increasing chronic inflammatory diseases in high income settings
- Gene/environment interactions
- Evolution, microbial exposures, regulation of the immune system and the "Old Friends" hypothesis
- Immunoregulation by microbiota
- Factors that now limit transmission of microbiota
- Immunoregulation by "Old Infections" such as helminths
- Immunoregulation by microbes from farms and the natural environment
- Failing immunoregulation and psychiatric disorders
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Rook, G. (2016, July 31). Evolution, human-microbe interactions and the "epidemic" of inflammation-related disorders (alias: the hygiene hypothesis) [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved January 15, 2025, from https://doi.org/10.69645/UKBY1238.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Graham Rook has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Evolution, human-microbe interactions and the "epidemic" of inflammation-related disorders (alias: the hygiene hypothesis)
Published on July 31, 2016
31 min
A selection of talks on Immunology & Inflammation
Transcript
Please wait while the transcript is being prepared...
0:00
GRAHAM ROOK: Hello,
my name is Graham Rook
from University College, London.
Today I'm going to
talk about evolution,
human microbe interactions,
and the epidemic
of inflammation-related disorders.
The high income countries are facing
massive increases in a whole range
0:14
of chronic inflammatory disorders,
and there's increasing evidence
that this is at least partly
due to changes in our contact
with microorganisms.
This notion was applied to
allergies more than 25 years ago,
and was at that time called
"the hygiene hypothesis".
But in this talk, I
hope to demonstrate
that our microbial contacts
are indeed important,
but that hygiene is not an important
cause of our current problems.
What we are seeing is an effect
of other major lifestyle changes.
In the high income
countries, the immune system
0:46
is attacking all kinds of
things it should not attack.
For instance, it's attacking the
gut contents and the microbiota,
the organisms that live in our
guts. And this is contributing
to inflammatory bowel
disease like Crohn's
disease and ulcerative colitis.
Similarly, the immune
system is attacking itself,
attacking our own bodies, and
this leads to autoimmune diseases
like multiple sclerosis
and Type 1 diabetes.
Our immune systems are also
attacking harmless molecules
in air or food, and this gives
rise to allergic disorders
like asthma and eczema.
And finally, the immune system
is frequently maintaining
inappropriate inflammation.
Rather than simply turning
on inflammation when there's
some requirement for it,
it leaves it on permanently.
And permanent background
inflammation predisposes us
to psychiatric disorders,
metabolic disorders,
and cardiovascular disease.
Now all of these things are
happening, particularly,
in high income countries more
than low income countries,
in urban rather than
rural communities,
and in people of low
socioeconomic status
more than those of high
socioeconomic status.
These increases are
much too rapid to have
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