Heart disease is Europe's leading cause of death, but new research
shows that the disease's toll would be much greater had natural
selection not shifted the frequency of susceptibility genes over the
past few tens of thousands of years. The work underscores the role of
ancient natural selection in shaping contemporary public health.
The findings are reported by Matthew Rockman, Dagan Loisel, and Greg
Wray at Duke University, Matthew Hahn at UC Davis, and David Goldstein
and Nicole Soranzo at University College London. By analyzing DNA
sequences from humans and other primates and comparing sequences among
and within human populations, the researchers have cast light on the
evolutionary history of a single DNA base pair that has been shown to
influence heart disease.
The genetic trait under study concerns a particular base pair of DNA
– one of billions in the human genome – that helps regulate the gene
stromelysin-1, or MMP-3. The identity of the DNA base at this position
differs between individuals and influences the rate of production of
the gene's product, an enzyme that degrades the extracellular matrix
that makes up the walls of arteries.
Individuals with the low-expression version of the gene are slightly
more prone to atherosclerosis, the narrowing of the arteries associated
with the accumulation of plaque in the arterial walls. The new research
shows that the high-expression variant increased rapidly in frequency
in the ancient European population, though not elsewhere. The rapid
increase, which is estimated to have begun around 24,000 years ago, is
attributable to the action of natural selection favoring the variant,
according to statistical analyses of genetic variation in several human
populations.
The researchers' new work also showed that the mutation that created
the variant occurred at a site unusually prone to genetic change. By
comparing human DNA with that of a diverse range of other primates,
they showed that the variation in heart disease susceptibility is
partly attributable to a so-called mutational "hotspot" that has
naturally occurred in MMP-3's regulatory DNA for millions of years. The
researchers estimate that the incidence of heart disease events among
modern European males would have been more than 40% higher than it is
had there not been selection for the high-expression variant. The cause
of the selection in recent evolution remains a subject for speculation;
given its usual occurrence late in life, heart disease itself is
considered to have been an unlikely driving force.
Matthew V. Rockman, Matthew W. Hahn, Nicole Soranzo, Dagan A.
Loisel, David B. Goldstein, and Gregory A. Wray: "Positive Selection on
MMP3 Regulation Has Shaped Heart Disease Risk"