Break a Sweat

Top Image

Salt is one of the most ancient things of value to man, as a moment’s reflection on the origins of words – like salary (something worth working for) quickly brings to mind. Roman soldiers were paid in salt, not silver. By the 1950s, a pound of sodium chloride was one of the best bargains around, available in most supermarkets for approximately 13 cents. It was about this time that Dr. Lewis K. Dahl noticed that in populations of Sprague Dawley lab rats, there existed a sub-group of salt sensitive individuals that developed hypertension spontaneously when fed a high salt diet. With just three generations of brother-sister matings, Dahl was able to segregate the salt intolerant trait into Dahl S (for salt sensitive) animals. He also raised its counterpart, the Dahl R (for salt resistant) rat. Dahl S rats fed a diet 1% by weight sodium chloride rapidly developed sustained hypertension and died by four months of age; tellingly Dahl R rats on the same diet did not. The medical community of hypertension specialists at this time were essentially a bunch of plumbers. They were not informed by evolutionary paleoanthropology. Using crude loop diuretics like furosemide (lasix) they learned to treat high blood pressure by opening a tap in the kidney and pouring salt and water out in the urine. Ignoring the vast differences between a small furry rodent and a naked, heat-adapted endurance predator, they assumed that the Dahl S rat was a viable model of human hypertension.

The resulting emphasis on dietary salt restriction in both research and public health policy during the last 60 years cannot be exaggerated. It cannot actually be read (in any feasible amount of time) – it amounts to tens of thousands of papers, editorials and educational campaigns – it pervades and saturates. And for want of a simple Paleolithic perspective, all those trillions of dollars generated mostly hubris. A typical sample of that is the 2005 review by Meneton et al in Physiology Reviews. This paper references 414 others. By totaling the costs of less than ten of the larger of these studies one quickly surpasses $1 billion in ill-advised public spending. It states without evidence that the pre-modern human diet was the same as a chimpanzee. The author also states, relying only on modern anthropological anecdotes, that the adapted state of the human species is to ingest less than 1 gram of salt per day, an amount that modern man can eliminate by perspiration in 20 minutes. The words “perspiration” and “sweat” do not appear in this review one single time. That’s a pretty big oversight. This is because with respect to salt and water, human beings are a uniquely strange animal. We have at least two million and perhaps 40 million eccrine sweat glands, capable of pouring out 3 liters of isotonic fluid and 2.8 grams of sodium chloride per hour.

sal

We have in essence 3 kidneys – a widely dispersed and inefficient one all over the surface of our bodies, and two additional, highly refined internal ones to clean up whatever imbalances perspiration leaves us. (There are only 800,000 to one million nephrons per kidney, so sweat glands probably outnumber them, but a nephron is a sophisticated work of bio-engineering if ever there was one. The nephrons move 800 grams – more than a pound – of pure salt into your nascent urine every day, then recycle >99.99% of that back to your blood, leaving as waste between 50 mg and 50 grams, customized to your diet and the sort of day you had.)

The sort of day humans evolved to have is that of a cunning persistence predator with no advantages of speed or weaponry. This is our African, heat adapted inheritance, which can be summarized like a panhandler’s cardboard sign: “Will run marathons for food.” We have an evolutionary bet with large ungulates that we can harass them in the open sun until they overheat and die before we do. By eating liberally of their salty tissues and drinking copiously of free water, we recharge ourselves in order to take down another of their brethren in a few days time. The physical signature of that strategy perfected over millennia is stamped onto our genes and our bodies. Humans have sported a highly derived, spring-loaded ankle and foot for more than 2 million years. We have evolved to handle sodium and water like no other animal – and certainly not in the manner of a Dahl S rat. We re-purposed the excess salts from our new diet to create profuse perspiration. We altered the physiologic essentials of blood volume and water balance. We lost our body hair, and developed arterial shunts to our surface veins, turning the dorsal hands and forearms into heat radiators. We grew a wet mop of hair on our head. It’s a lifestyle with little appeal to vegans, but the early hominids that embraced chewing roots instead left us only their enormous molars and crested skulls as fossils emblematic of an adaptive error. They’re extinct now.

Continue reading

Posted in Natural History, Science, Uncategorized | Tagged , , , , , , , , , , , , , | 1 Comment

A Trip to Lake Wobegon

A story inspired by Garrison Keillor’s A Prairie Home Companion podcasts

Trilobyte_Single

It was a hot, sunny afternoon in Lake Wobegon, late in the month of July, and the blueberries were ripening, turning that glorious shade of purple royal blue that only a blueberry can have. Jesper Haeggström* knew this, because the blueberries were always ripe on July 25, which was his father’s birthday, and ever since his girlfriend Maria had encouraged him to do so, back when they were together and she could easily direct various pursuits and other aspects of his life, he had dropped off 10 pounds of freshly picked blueberries for his father on his birthday. Old Pappa Haeggström would freeze those berries, and every morning during the cold Minnesota winter he would pour a handful of them onto his Cheerios and let them float around in the milk, freezing a nice coating of whitish milk-ice onto them. He would dunk them under with his spoon, waiting until the bowl began to turn just the faintest pale bluish color, and then slowly eat them, trying never to have more than one berry in each spoonful. He loved doing this, and although he was too old and stiff to go blueberry picking himself, he knew perfectly well that his son Jesper, who had never married and was only 62 years old, after all, could easily make some good use of his idle time and fill up a pail with fresh blueberries. Jesper knew this too, so with a deep sigh of resignation he punched out a little early for lunch from his job down at the fertilizer plant, and drove off at 11:00 am on a glorious summer morning in the direction of Kublick’s U-Pick Blueberries.

Continue reading

Posted in Natural History, Short Stories | Tagged , , , , , , , , , , | Leave a comment

Trending Now…

Trending Now…Trilobyte_Single

For a brief moment, during Wednesday last week, the phrase “Omega-3 Prostate Cancer” was at the top of the list of trending topics on Yahoo. It took the curious reader to links like this:

Fish oils may raise prostate cancer risks, study confirms

Omega-3 Supplement Taken By Millions ‘Linked To Aggressive Prostate Cancer’

The publication that sparked this excitement was a report from the Fred Hutchinson Cancer Center in Seattle, published in the July 11 issue of the Journal of the National Cancer Institute, showing that there was a linear association between blood levels of three popular omega-3 fatty acids and the risk of aggressive prostate cancer. To delve deeper into the many news websites carrying this story exposed the reader to a blizzard of conflicting claims and statements. Omega-3s prevent heart attacks – no they don’t. DHA protects your brain – no, it causes Alzheimer’s. Omega-3s are anti-inflammatory. All fats are bad for you. Omega-3s cause aggressive cancers – no, they are just associated with them. Within an hour, this story dropped out of the trending topics list altogether, replaced with “Anne Heche” and “Asiana Pilot names” among other tidbits. You could hear an exhausted, confused population briefly mull over omega-3 fats and sigh, “Whatever…”

If we lived in a functional democracy with a scientifically literate executive branch, the NCI-sponsored paper would have been accompanied by a bulletin on public health risks from Dr. Harold Varmus, MD, Director of NCI. Unfortunately, his boss is Kathleen Sebelius, a name now synonymous with arrogant political disregard for science. (See Lawsuit Seeks to Overturn Sebelius’ Decision, Allow Wider ‘Morning-After-Pill’ Access)

Further complicating matters, in 2004, Dr. Lester M. Crawford issued a set of Health Claim Guidelines recommending that everyone eat 3 grams of omega-3 fats per day. He did so as Acting Commissioner for the Food and Drug Administration (FDA), a sister agency of NCI, on the basis that this diet would reduce cardiovascular disease. When that contention was proven false in 2012  by a comprehensive study published in the Journal of the American Medical Association, the FDA remained silent. Public confusion would normally follow, except that the shrill of commercial advertising for omega-3 supplements overwhelms any serious precautionary debate.

The role of omega-3 fatty acids and cancer struck special chord with me personally, because I mentioned work that was done on the subject almost 20 years ago in my book, Pig Blood (2008). The swirl of confusion in today’s news seemed so familiar, I almost wanted to say, “I told you so…”

Posted in Cayman Chemical, Drug Development, Medicine | Tagged , , , , , , , | 1 Comment

700,000 year-old Thistle Creek horse eclipses Denisovan record

Trilobyte_SingleUntil last month, the most ancient whole genome ever sequenced from the DNA residues extracted from fossilized bone was from a polar bear.  Continuously frozen in ice for about 120,000 years on Svalbard Island, Norway, this polar bear jaw helped clarify the ancient separation and recent mixing of brown bear and polar bear lineages. The most ancient human genome is widely but incorrectly reported to be an 80,000 year old Denisovan.  Levels 11 and 11.1 in the Denisova cave have been radiocarbon dated to about 41,000-43,000 years of age. They have yielded four specimens – a Neanderthal toe, two Denisovan molars and a Denisovan distal phalanx – each of which has yielded a full archaic genome sequence. Preservation conditions at Denisova were thought to be almost ideal, combining annual mean temperatures near freezing with dry burial in protected cave sediments.

In contrast, the horse forelimb from Thistle Creek in the Yukon was deposited in open soil and stored between permafrost layers for more than half a million years. The remains were associated with a volcanic ash deposition reliably dated to about 735,000 years ago. The soil appears to have thawed substantially during an interglacial warming, followed by re-freezing. The endogenous DNA content of the Thistle Creek bone was only about 5% of that in Denisovan specimens, and the genome coverage was only 1.12X with an average single strand read length of about 77 base pairs. Since the majority of fossils do not spend most or any of their lifetimes under subfreezing or dehydrating conditions, obtaining more ancient genomic information will be difficult.

What genomics tells us about the horse is just as fascinating as what it tells us about humans. The ancestral horse coat color is the brownish bay/dun color that can be seen in modern-day Przewalski’s horses. This coloration is adapted to open grassland environments, and has persisted into modern horse breeds. One of the first genetic signatures of a domestication event is the release of natural constraints on coat color. Examples can be seen in dogs, cats, chickens, and other domestic animals. Likewise, the horse coat color shows a rapid fragmentation into many different patterns about 5,000 years ago, suggesting that they were domesticated in the Eurasian steppe region during the Bronze Age.

However, two additional coat color patterns in horses predate domestication. These are solid black and the spotted leopard (Lp gene) pattern re-selected in at least 3 modern breeds, including the Nez Perce Appaloosa horse. Their presence in late Pleistocene environments has been documented in the cave drawings, and the genetic signature of the Black and Lp genes have been confirmed from Paleolithic horse bones more than 25,0000 years old. It is likely that these patterns provided better adaptation to dark, shadowy boreal environments that replaced grasslands during European glaciations. I have included below a photograph of one of my own spotted horses hiding in broad daylight near the Fox Science Preserve, a local park in southeast Michigan which re-creates a post-glacial landscape.

NorthForty_SpottedHorses3

Posted in Genetics, Natural History | Tagged , , | 1 Comment

The Big Chill

CABRILate in the summer of 2012, healthy non-identical twin girls were born to a 25 year-old California woman and her same-sex partner. The biological father, aged 92 at the time of the birth, was a semen donor. His gametes had been collected in 1971, and had been frozen in liquid nitrogen for 40 years before being thawed and used in an ICSI-IVF procedure at the Alta Bates Fertility Center.

While scarcely noted in the press, this event was important. As expected from copious earlier data in farm animals, it shows that human sperm can be safely cryo-preserved for many decades. A common but specious argument against Assisted Reproductive Techniques (ART) is that the process is somehow intrinsically unhealthy. It is also gratifying to see a lesbian couple empowered not only to bear children and have a family, but also to select as their donor a father of indisputable longevity.

The sperm banking industry is a badly flawed enterprise. Shadowed in secrecy, it refuses to accept regulation or even retain records of what it has done. Driven by profit, it does not store semen nearly as long as it should. Instead, it creates dozens, and at times hundreds of offspring from a single donor in a brief period of time, often before the donor himself reaches 30 years of age. Only during the next 30 to 50 years does it become apparent whether this irrevocable act will end happily or in tragedy. There are well documented cases of both outcomes. In 1997, a sperm donor in the Dutch city of Den Bosch began to stumble and slur his speech when he reached middle age. He was diagnosed with autosomal dominant cerebellar ataxia (ADCA). Startled physicians discovered that he had conceived 18 children in 13 families. As this disease is untreatable and ultimately fatal, they froze in confusion and kept this information a secret for 3 more years.

In light of this sad case, one can better appreciate the intelligence of the lesbian mother in California, who personally met and selected her donor socially. She will never have to wonder whether the father of her daughters will live a long and healthy life – he already has. And it is also clear that her girls cannot possibly inherit ADCA from him.

Using known donors is relatively new to fertility, but there is already a free website available just to facilitate the exchange of information between prospective mothers and the donors they might select as reproductive partners.  It is impossible to know exactly what matters most to women seeking a donor, but the word “healthy” and the phrase “documented STD negative” are almost universal. Tall, blue eyes, and intelligent also get a fair amount of weight. It is difficult to think of any fact that can ethically be withheld from a mother about her donor, under any circumstance, limited only by the expense of accurately determining that fact. But the only way to know if the donor lives a long and healthy life is simply…to wait and see. Sperm preservation allows that.

Posted in CaBRI | Leave a comment

Open Source Medicines

Cayman-officialThe process of drug development has a high rate of attrition. Only 20% of the compounds that enter human clinical trials reach final approval – and for each of these candidates, there are nearly one hundred substances already discarded by pharmaceutical developers based on preclinical animal and in vitro tests.  Authors continue to write articles on the R&D productivity decline and note that R&D costs are on the rise. So what happens to all of these failed drugs?

Almost any career medicinal chemist can describe in detail the memory of staring at the contents of a few refrigerator shelves containing perhaps fifty flasks and jars of compounds in various stages of purity and crystallinity. One remembers it because of the simultaneous recognition that this small collection represents tens of millions of dollars of investment in human time and energy. And also, that your superiors have told you to dispose of it, like so much moldy food.

Sadly, most clinical candidate drugs are first hoarded, then destroyed. It is the aggregate cost of these spectacular fails that so inflates the expense of those few drugs that actually make it to market.

Continue reading

Posted in Cayman Chemical | Leave a comment