ASU researcher leads new study showing cognitive decline may be influenced by interaction of genetics and parasites
You’ve likely heard about being in the right place at the wrong time, but what about having the right genes in the wrong environment? In other words, could a genetic mutation (or allele) that puts populations at risk for illnesses in one environmental setting manifest itself in positive ways in a different setting?
That’s the question behind a recent paper published in The FASEB Journal by several researchers including lead author Ben Trumble, an assistant professor at Arizona State University’s School of Human Evolution and Social Change and ASU’s Center for Evolution and Medicine.
These researchers examined how the apolipoprotein E (ApoE) gene might function differently in an infectious environment than in the urban industrialized settings where ApoE has mostly been examined. All ApoE proteins help mediate cholesterol metabolism and assist in the crucial activity of transporting fatty acids to the brain. But in industrialized societies, ApoE4 variant carriers also face up to a four-fold higher risk for Alzheimer’s disease and other age-related cognitive declines, as well as a higher risk for cardiovascular disease.
The goal of this study, Trumble explained, was to reexamine the potentially detrimental effects of the globally present ApoE4 allele in environmental conditions more typical of those experienced throughout our species’ existence — in this case, a community of Amazonian forager-horticulturalists called the Tsimane.
“For 99 percent of human evolution, we lived as hunter-gatherers in small bands, and the last 5,000-10,000 years — with plant and animal domestication and sedentary urban industrial life — is completely novel,” Trumble says. “I can drive to a fast-food restaurant to ‘hunt and gather’ 20,000 calories in a few minutes or go to the hospital if I’m sick, but this was not the case throughout most of human evolution.”
Due to the tropical environment and a lack of sanitation, running water or electricity, remote populations like the Tsimane face high exposure to parasites and pathogens, which cause their own damage to cognitive abilities when untreated.
As a result, one might expect Tsimane ApoE4 carriers who also have a high parasite burden to experience faster and more severe mental decline in the presence of both these genetic and environmental risk factors.
But when the Tsimane Health and Life History Project tested these individuals using a seven-part cognitive assessment and a medical exam, they discovered the opposite.
“It seems that some of the very genetic mutations that help us succeed in more hazardous time periods and environments may actually become mismatched in our relatively safe and sterile post-industrial lifestyles.”
— Ben Trumble, ASU assistant professor
In fact, Tsimane who both carried ApoE4 and had a high parasitic burden displayed steadier or even improved cognitive function in the assessment vs. non-carriers with a similar level of parasitic exposure. The researchers controlled for other potential confounders like age and schooling, but the effect still remained strong. This indicated that the allele potentially played a role in maintaining cognitive function even when exposed to environmental-based health threats.
For Tsimane ApoE4 carriers without high parasite burdens, the rates of cognitive decline were more similar to those seen in industrialized societies, where ApoE4 reduces cognitive performance.
“It seems that some of the very genetic mutations that help us succeed in more hazardous time periods and environments may actually become mismatched in our relatively safe and sterile post-industrial lifestyles,” Trumble said.
Still, the ApoE4 variant appears to be much more than an evolutionary leftover gone bad, he added. For example, several studies have shown potential benefits of ApoE4 in early childhood development, and ApoE4 has also been shown to eliminate some infections like giardia and hepatitis.
“Alleles with harmful effects may remain in a population if such harm occurs late in life, and more so if those same alleles have other positive effects,” said co-author Michael Gurven, professor of anthropology at University of California, Santa Barbara. “Exploring the effects of genes associated with chronic disease, such as ApoE4, in a broader range of environments under more infectious conditions is likely to provide much-needed insight into why such ‘bad genes’ persist.”
Chronic diseases of aging are extremely costly to treat. In fact, according to the Alzheimer’s Association, if left unchecked, this particular illness is expected to cost the U.S. alone more than $1 trillion by 2050.
However, Trumble's team will continue to examine how environmental conditions interact with our immune system and our genes, in the hopes that other scientists might one day be able to prevent these diseases or create new kinds of medical treatments.
The abstract and full research paper “Apolipoprotein E4 is associated with improved cognitive function in Amazonian forager-horticulturalists with a high parasite burden” can be viewed here in The FASEB Journal.