NYTimes | In
essence, humanity’s growing filth selected for genes that increase the
risk of autoimmune disease, because those genes helped defend against
deadly pathogens. Our own pestilence has shaped our genome.
The
benefits of having these genes (survival) may have outweighed their
costs (autoimmune disease). So it is with the sickle cell trait: Having
one copy protects against cerebral malaria, another plague of settled
living; having two leads to congenital anemia.
But there’s another possibility: Maybe these genes don’t always cause quite as much autoimmune disease.
Perhaps
the best support for this idea comes from a place called Karelia. It’s
bisected by the Finno-Russian border. Celiac-associated genes are
similarly prevalent on both sides of the border; both populations eat
similar amounts of wheat. But celiac disease is almost five times as
common on the Finnish side compared with the Russian. The same holds for
other immune-mediated diseases, including Type 1 diabetes, allergies
and asthma. All occur more frequently in Finland than in Russia.
WHAT’S
the difference? The Russian side is poorer; fecal-oral infections are
more common. Russian Karelia, some Finns say, resembles Finland 50 years
ago. Evidently, in that environment, these disease-associated genes don’t carry the same liability.
Are
the gluten haters correct that modern wheat varietals contain more
gluten than past cultivars, making them more toxic? Unlikely, according
to recent analysis by Donald D. Kasarda, a scientist with the United
States Department of Agriculture. He analyzed records of protein content in wheat harvests going back nearly a century. It hasn’t changed.
Do
we eat more wheat these days? Wheat consumption has, in fact, increased
since the 1970s, according to the U.S.D.A. But that followed an earlier
decline. In the late 19th century, Americans consumed nearly twice as much wheat per capita as we do today.
We don’t really know the prevalence of celiac disease back then, of course. But analysis of serum stored since the mid-20th
century suggests that the disease was roughly one-fourth as prevalent
just 60 years ago. And at that point, Americans ate about as much wheat
as we do now.
Overlooked
in all this gluten-blaming is the following: Our default response to
gluten, says Dr. Jabri, is to treat it as the harmless protein it is —
to not respond.
So
the real mystery of celiac disease is what breaks that tolerance, and
whatever that agent is, why has it become more common in recent decades?
An
important clue comes from the fact that other disorders of immune
dysfunction have also increased. We’re more sensitive to pollens (hay
fever), our own microbes (inflammatory bowel disease) and our own
tissues (multiple sclerosis).
Perhaps
the sugary, greasy Western diet — increasingly recognized as
pro-inflammatory — is partly responsible. Maybe shifts in our intestinal
microbial communities, driven by antibiotics and hygiene, have
contributed. Whatever the eventual answer, just-so stories about what we
evolved eating, and what that means, blind us to this bigger, and
really much more worrisome, problem: The modern immune system appears to
have gone on the fritz.
Maybe we should stop asking what’s wrong with wheat, and begin asking what’s wrong with us.
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