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The future of evolutionary medicine: sparking innovation in biomedicine and public health

Natterson-Horowitz, B; Aktipis, Athena; Fox, Molly; Gluckman, Peter D; Low, Felicia M; Mace, Ruth; Read, Andrew; ... Blumstein, Daniel T; + view all (2023) The future of evolutionary medicine: sparking innovation in biomedicine and public health. Frontiers in Science , 1 , Article 997136. 10.3389/fsci.2023.997136. Green open access

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Abstract

Evolutionary medicine - i.e. the application of insights from evolution and ecology to biomedicine - has tremendous untapped potential to spark transformational innovation in biomedical research, clinical care and public health. Fundamentally, a systematic mapping across the full diversity of life is required to identify animal model systems for disease vulnerability, resistance, and counter-resistance that could lead to novel clinical treatments. Evolutionary dynamics should guide novel therapeutic approaches that target the development of treatment resistance in cancers (e.g., via adaptive or extinction therapy) and antimicrobial resistance (e.g., via innovations in chemistry, antimicrobial usage, and phage therapy). With respect to public health, the insight that many modern human pathologies (e.g., obesity) result from mismatches between the ecologies in which we evolved and our modern environments has important implications for disease prevention. Life-history evolution can also shed important light on patterns of disease burden, for example in reproductive health. Experience during the COVID-19 (SARS-CoV-2) pandemic has underlined the critical role of evolutionary dynamics (e.g., with respect to virulence and transmissibility) in predicting and managing this and future pandemics, and in using evolutionary principles to understand and address aspects of human behavior that impede biomedical innovation and public health (e.g., unhealthy behaviors and vaccine hesitancy). In conclusion, greater interdisciplinary collaboration is vital to systematically leverage the insight-generating power of evolutionary medicine to better understand, prevent, and treat existing and emerging threats to human, animal, and planetary health.

Type: Article
Title: The future of evolutionary medicine: sparking innovation in biomedicine and public health
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fsci.2023.997136
Publisher version: https://doi.org/10.3389/fsci.2023.997136
Language: English
Additional information: © 2023 Natterson-Horowitz, Aktipis, Fox, Gluckman, Low, Mace, Read, Turner and Blumstein. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: adaptation, evolutionary medicine, innovation, life-history, mismatch, public health, resistance, trade-off
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Anthropology
URI: https://discovery.ucl.ac.uk/id/eprint/10180189
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