Eutrusca
14-03-2006, 16:33
COMMENTARY: An interesting take on some of the consequences to both mother and child of the struggle between the two during pregnancy. An ob-gyn doctor once told my wife that a foetus is "like a little parasite," and that the baby would get what it needed even if it meant that the mother had to suffer for it. But it now appears that the process is far more complicated than that.
Silent Struggle: A New Theory of Pregnancy (http://www.nytimes.com/2006/03/14/health/14preg.html?th&emc=th)
By CARL ZIMMER
Published: March 14, 2006
Pregnancy can be the most wonderful experience life has to offer. But it can also be dangerous. Around the world, an estimated 529,000 women a year die during pregnancy or childbirth. Ten million suffer injuries, infection or disability.
To David Haig, an evolutionary biologist at Harvard, these grim statistics raise a profound puzzle about pregnancy.
"Pregnancy is absolutely central to reproduction, and yet pregnancy doesn't seem to work very well," he said. "If you think about the heart or the kidney, they're wonderful bits of engineering that work day in and day out for years and years. But pregnancy is associated with all sorts of medical problems. What's the difference?"
The difference is that the heart and the kidney belong to a single individual, while pregnancy is a two-person operation. And this operation does not run in perfect harmony. Instead, Dr. Haig argues, a mother and her unborn child engage in an unconscious struggle over the nutrients she will provide it.
Dr. Haig's theory has been gaining support in recent years, as scientists examine the various ways pregnancy can go wrong.
His theory also explains a baffling feature of developing fetuses: the copies of some genes are shut down, depending on which parent they come from. Dr. Haig has also argued that the same evolutionary conflicts can linger on after birth and even influence the adult brain. New research has offered support to this idea as well. By understanding these hidden struggles, scientists may be able to better understand psychological disorders like depression and autism.
As a biologist fresh out of graduate school in the late 1980's, Dr. Haig decided to look at pregnancy from an evolutionary point of view. As his guide, he used the work of Robert Trivers, an evolutionary biologist at Rutgers University.
In the 1970's, Dr. Trivers argued that families create an evolutionary conflict. Natural selection should favor parents who can successfully raise the most offspring. For that strategy to work, they can't put too many resources into any one child. But the child's chances for reproductive success will increase as its care and feeding increase. Theoretically, Dr. Trivers argued, natural selection could favor genes that help children get more resources from their parents than the parents want to give.
As Dr. Haig considered the case of pregnancy, it seemed like the perfect arena for this sort of conflict. A child develops in intimate contact with its mother. Its development in the womb is crucial to its long-term health. So it was plausible that nature would favor genes that allowed fetuses to draw more resources from their mothers.
A fetus does not sit passively in its mother's womb and wait to be fed. Its placenta aggressively sprouts blood vessels that invade its mother's tissues to extract nutrients.
Meanwhile, Dr. Haig argued, natural selection should favor mothers who could restrain these incursions, and manage to have several surviving offspring carrying on their genes. He envisioned pregnancy as a tug of war. Each side pulls hard, and yet a flag tied to the middle of the rope barely moves.
"We tend to think of genes as parts of a machine working together," Dr. Haig said. "But in the realm of genetic conflict, the cooperation breaks down."
In a 1993 paper, Dr. Haig first predicted that many complications of pregnancy would turn out to be produced by this conflict. One of the most common complications is pre-eclampsia, in which women experience dangerously high blood pressure late in pregnancy. For decades scientists have puzzled over pre-eclampsia, which occurs in about 6 percent of pregnancies.
Dr. Haig proposed that pre-eclampsia was just an extreme form of a strategy used by all fetuses. The fetuses somehow raised the blood pressure of their mothers so as to drive more blood into the relatively low-pressure placenta. Dr. Haig suggested that pre-eclampsia would be associated with some substance that fetuses injected into their mothers' bloodstreams. Pre-eclampsia happened when fetuses injected too much of the stuff, perhaps if they were having trouble getting enough nourishment.
In the past few years, Ananth Karumanchi of Harvard Medical School and his colleagues have gathered evidence that suggests Dr. Haig was right. They have found that women with pre-eclampsia had unusually high levels of a protein called soluble fms-like tyrosine kinase 1, or sFlt1 for short.
Other labs have replicated their results. Dr. Karumanchi's group has done additional work that indicates that this protein interferes with the mother's ability to repair minor damage to her blood vessels. As that damage builds up, so does her blood pressure. And as Dr. Haig predicted, the protein is produced by the fetus, not the mother.
"When I first came across David Haig's hypothesis, it was absolutely cool," said Dr. Karumanchi. "And it made me feel like I might be on the right track."
[ This article is two pages long. Read the rest of the article here (http://www.nytimes.com/2006/03/14/health/14preg.html?th&emc=th). ]
Silent Struggle: A New Theory of Pregnancy (http://www.nytimes.com/2006/03/14/health/14preg.html?th&emc=th)
By CARL ZIMMER
Published: March 14, 2006
Pregnancy can be the most wonderful experience life has to offer. But it can also be dangerous. Around the world, an estimated 529,000 women a year die during pregnancy or childbirth. Ten million suffer injuries, infection or disability.
To David Haig, an evolutionary biologist at Harvard, these grim statistics raise a profound puzzle about pregnancy.
"Pregnancy is absolutely central to reproduction, and yet pregnancy doesn't seem to work very well," he said. "If you think about the heart or the kidney, they're wonderful bits of engineering that work day in and day out for years and years. But pregnancy is associated with all sorts of medical problems. What's the difference?"
The difference is that the heart and the kidney belong to a single individual, while pregnancy is a two-person operation. And this operation does not run in perfect harmony. Instead, Dr. Haig argues, a mother and her unborn child engage in an unconscious struggle over the nutrients she will provide it.
Dr. Haig's theory has been gaining support in recent years, as scientists examine the various ways pregnancy can go wrong.
His theory also explains a baffling feature of developing fetuses: the copies of some genes are shut down, depending on which parent they come from. Dr. Haig has also argued that the same evolutionary conflicts can linger on after birth and even influence the adult brain. New research has offered support to this idea as well. By understanding these hidden struggles, scientists may be able to better understand psychological disorders like depression and autism.
As a biologist fresh out of graduate school in the late 1980's, Dr. Haig decided to look at pregnancy from an evolutionary point of view. As his guide, he used the work of Robert Trivers, an evolutionary biologist at Rutgers University.
In the 1970's, Dr. Trivers argued that families create an evolutionary conflict. Natural selection should favor parents who can successfully raise the most offspring. For that strategy to work, they can't put too many resources into any one child. But the child's chances for reproductive success will increase as its care and feeding increase. Theoretically, Dr. Trivers argued, natural selection could favor genes that help children get more resources from their parents than the parents want to give.
As Dr. Haig considered the case of pregnancy, it seemed like the perfect arena for this sort of conflict. A child develops in intimate contact with its mother. Its development in the womb is crucial to its long-term health. So it was plausible that nature would favor genes that allowed fetuses to draw more resources from their mothers.
A fetus does not sit passively in its mother's womb and wait to be fed. Its placenta aggressively sprouts blood vessels that invade its mother's tissues to extract nutrients.
Meanwhile, Dr. Haig argued, natural selection should favor mothers who could restrain these incursions, and manage to have several surviving offspring carrying on their genes. He envisioned pregnancy as a tug of war. Each side pulls hard, and yet a flag tied to the middle of the rope barely moves.
"We tend to think of genes as parts of a machine working together," Dr. Haig said. "But in the realm of genetic conflict, the cooperation breaks down."
In a 1993 paper, Dr. Haig first predicted that many complications of pregnancy would turn out to be produced by this conflict. One of the most common complications is pre-eclampsia, in which women experience dangerously high blood pressure late in pregnancy. For decades scientists have puzzled over pre-eclampsia, which occurs in about 6 percent of pregnancies.
Dr. Haig proposed that pre-eclampsia was just an extreme form of a strategy used by all fetuses. The fetuses somehow raised the blood pressure of their mothers so as to drive more blood into the relatively low-pressure placenta. Dr. Haig suggested that pre-eclampsia would be associated with some substance that fetuses injected into their mothers' bloodstreams. Pre-eclampsia happened when fetuses injected too much of the stuff, perhaps if they were having trouble getting enough nourishment.
In the past few years, Ananth Karumanchi of Harvard Medical School and his colleagues have gathered evidence that suggests Dr. Haig was right. They have found that women with pre-eclampsia had unusually high levels of a protein called soluble fms-like tyrosine kinase 1, or sFlt1 for short.
Other labs have replicated their results. Dr. Karumanchi's group has done additional work that indicates that this protein interferes with the mother's ability to repair minor damage to her blood vessels. As that damage builds up, so does her blood pressure. And as Dr. Haig predicted, the protein is produced by the fetus, not the mother.
"When I first came across David Haig's hypothesis, it was absolutely cool," said Dr. Karumanchi. "And it made me feel like I might be on the right track."
[ This article is two pages long. Read the rest of the article here (http://www.nytimes.com/2006/03/14/health/14preg.html?th&emc=th). ]