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The Pharmaceutical Journal Vol 265 No 7117 p528
October 07, 2000 The Conference

Lecture

Natural selection and disease

Richard Dawkins: old age is the price we pay for our
“gilded” youth

Everything about mankind has been shaped by Darwinian natural
selection and this applies equally to bacteria, viruses, cancers and diseases, said Professor RICHARD DAWKINS (professor of the public understanding of science, University of Oxford) on September 13.
Speaking about the effects of evolution and natural selection on physiology, disease and ageing, Professor Dawkins said that natural selection was both powerful and fast. Humans had experimented with selection and, for example, had created the dog from wolves in just a few centuries.
Nature had done likewise in the wild and had achieved enormous changes in a short time, especially in creatures with a short life span. Even with almost undetectable selection in favour of larger size, it would only take 12,000 generations for a mouse-sized creature to become elephant-sized, he said. This was such a short time geologically that it would appear to be instantaneous in the fossil record. Thus, it should not have been a surprise when bacteria developed resistance to antibiotics, it should have been expected, because 20 generations of bacteria could pass in one day and great changes occurred rapidly as a result, he said.

Trade-offs
Professor Dawkins then moved on to the subject of evolutionary “trade-offs”. It was possible to breed mice that were resistant to tooth decay, so why had this not happened naturally? It was probable that being resistant to tooth decay led to a penalty elsewhere in the body.
It was possible for the body or a system to be to be overdesigned but evolution tended to achieve a balance, because natural selection designed for economy. For example, if all bones in the body were subject to fracture except the fibula, the calcium from the fibula would, over successive generations, be “robbed” to strengthen other bones until all bones were as likely as each other to break. Another example of economy was the mayfly, which in its adult reproductive form had no functioning gut and only lived for one day. This was because resources had been channelled away from unnecessary feeding equipment and towards organs for flight and reproduction.
Professor Dawkins then posed another evolutionary question — what was the advantage in growing old? What was the “survival value” in old age and death? In theory, old individuals were no more likely to die than young ones. (He illustrated this by saying that old test tubes were just as good as new ones but at some stage all test tubes got broken.) Darwinians thought that the explanation lay in the survival of genes. Every creature was the way it was because of the genes it had inherited from its ancestors. Individuals died at the age they did because they had come from a long line of ancestors who had also died old. The older an individual became, the more likely it was to pass on its genes before it died. Thus, genes that predisposed individuals to a young death tended to be stopped, while those that gave longer life survived.
Which was most likely to be passed on — a gene that made the individual fitter when young at the cost of making them less fit when old, or one that had the opposite effect? Genes for beneficial effects tended to be expressed early in life with a trade-off later, so old age was the price we paid for our “gilded” youth. This was why men came off worse than women, in that they tended to die earlier, he said. Men had to compete with other men when young, so that it was better to have more advantages early in life, with the trade-off of an earlier death. Women tended to have a more nurturing role and lived longer. It was a case of either surviving “for the long haul or competing for short-term success”, Professor Dawkins said.

Arms race
In nature, much of evolution was driven by an “arms race” between predators and prey. Both predator and prey became better able to survive via evolutionary processes driven by the need to keep improving. It was in the interest of both to shift resources into the ability to run and to outwit their opponent. However, other systems suffered as a result.
Survival of the fittest was not a struggle between species but within them. It was more important for members of a prey species to be able to outrun each other so that they were not the one caught than it was for them all to be able to outrun the predator. The hare ran for its life but the fox was only running for its dinner.

Parasites
The relationship between parasite and host was similar but more complex. Predators were good at catching many sorts of prey but parasites were more specific and generated specific counter-attacks from their host.
Many people thought that parasites became “kinder” to their hosts in order to keep the host alive but this was not the case. The parasite was not competing with the host; it was competing with others of its species in one host. Therefore, it was in the interest of the parasite to be ruthless and beat other parasites. However, the degree of ruthlessness depended on how the parasite got into its next host. Again, there was a trade-off between survival and the need to kill the host off quickly in order to move to the next one.
The cold virus only made its hosts slightly ill, he said. This was because the virus depended on being sneezed on to someone else in order to move to a new host. In contrast, malaria parasites were conveyed between hosts by an insect and could afford to be less kind. There was no advantage to the parasite in having a well host, as having a prostrate host made it easier for mosquitoes to bite. Using mosquito nets would eventually induce the malaria parasite to evolve into a kinder form, as it would become an advantage to have a reasonably mobile host who could be bitten by mosquitoes rather than an immobile host who was always under a net.
In the same way, use of condoms would gradually induce sexually transmitted diseases to become more kind. If condoms were not used, it would be quick and easy for diseases to move between many people, so there was no advantage in keeping the host well. Condom use cut down the chance of the disease finding a new host, so it was more important to keep the host alive and well for longer. An example of “extremely kind” parasites would be chloroplasts and mitochondria, which were so benign that it had only recently been discovered that they had been parasites, he said.
Professor Dawkins recommended ‘Evolution and healing — The new science of Darwinian medicine’ by Randolph Nesse and George Williams for pharmacists who were interested in Darwinian medicine