The Evolutionary Roots of Human Brain Diseases

Book excerpt: "Traditionally, studies and textbooks in Neurology or Psychiatry, as well as allied disciplines, deal with proximate causes of diseases and therapies, but remain mute or minimally interested in their ultimate causes including the phylogeny and adaptive significance of disease manifestations. Yet, as clinicians or basic researchers, we are conscious of potential evolutionary roots of neurological and psychiatric symptoms, often offering a rudimentary explanation but never delving deeply into the current role of evolutionary science as it relates to health and disease. We may miss appreciation of the role of adaptive properties, evolutionarily based neuronal circuitries, unbalanced cellular energy demands, and the potential health consequences of residual syndromic behaviors that were possibly useful in early times of human development, but presently are obsolete and pathological. The problem is amplified, because there is often no interdisciplinary dialogue between anthropology and evolutionary biology on one side and clinical sciences on the other side. However, the evolutionary tracing back of disease pathways may disclose unexpected insights and trigger the design of innovative research as well as propel the development of new therapeutic interventions. There could also be a better apprehension of compensatory behaviors, both at the cellular level as well as the systemic the behavioural levels, that could be the expected fruits of such collaborations. So far scientists fall short in modeling the complexity of human (social) life, human language, or manual dexterity, and mental or emotional behaviors that typify human neurological or psychological function and dysfunction. Finally, there remain obstacles in the form of poor animal modeling for human brain diseases and for human longevity. The present book aims to fill these gaps by presenting an evolutionary view of neurological and psychiatric conditions that is meant to complement and enrich existing medical perspectives"--