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Return of an Ancient Killer

Tuberculosis (TB) has infected humans for thousands of years, causing millions of deaths annually. Learn about the symptoms, transmission, treatment, and the rise of antibiotic resistance. Discover how natural selection plays a role in the evolution of TB.

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Return of an Ancient Killer

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  1. Return of an Ancient Killer Tuberculosis has infected humans for 1000s of years. Evidence of TB has been found in Egyptian mummies. Hippocrates described a TB-like condition. In 1906, TB accounted for 2 out of every 1000 deaths in the U.S. TB is caused by bacterium, Mycobacterium tuberculosis. 2 billion people carry TB. New infections occur at rate of 1 per second. TB causes roughly 2 million deaths per year.

  2. Return of an Ancient Killer - What is Tuberculosis? Symptoms of TB include: Cough that produces blood Fever Fatigue Period of wasting – patient becomes weaker and thinner Led to calling the disease “consumption”

  3. Return of an Ancient Killer - What is Tuberculosis? Consumptive symptoms occur because of damage to lung tissues.

  4. Return of an Ancient Killer - What is Tuberculosis? Transmission of TB occurs through the air, from infected individuals. A single sneeze can contain 40,000 droplets, all containing infectious bacteria. Most individuals can fight off the infections, except young children, elderly and immune compromised individuals.

  5. Return of an Ancient Killer - Treatment – and Treatment Failure In the 19th and early 20th century, TB treatment consisted of “sanitariums.” The discovery of antibiotics revolutionized TB treatment. After 2 weeks of antibiotic treatment the individual is no longer contagious. However, treatment with antibiotics needs to continue for 6 to 12 months to completely eliminate the organism. Since the 1980s, scientists have noticed an increase in TB that is resistant to antibiotics. Because of resistance to antibiotics, the number of TB cases worldwide is increasing.

  6. Return of an Ancient Killer - Treatment – and Treatment Failure Since the 1980s, scientists have noticed an increase in TB that is resistant to antibiotics. Because of resistance to antibiotics, the number of TB cases worldwide is increasing. There is a strain of TB that is now resistant to both the original treatment but also resistant to second-line drugs. 1/3 of individuals with this extreme strain die of the disease

  7. Natural Selection Causes Evolution Darwin discussed two ideas in Origin: common descent and natural selection Natural selection is considered to be the primary cause of evolution Other factors of evolution include genetic drift and sexual selection

  8. Natural Selection Causes Evolution - Four Observations and an Inference Natural selection is an inference based on four observations: 1. Individuals within populations vary 2. Some of the variation within individuals can be passed on to their offspring 3. Populations of organisms produce more offspring than will survive 4. Survival and reproduction are not random

  9. Natural Selection Causes Evolution - Four Observations and an Inference 1. Individuals within populations vary. This is true of human and non-human populations. Variation can include traits other than appearance, such as blooming time in flowers.

  10. Natural Selection Causes Evolution - Four Observations and an Inference 2. Some of the variation within individuals can be passed on to their offspring. Darwin noticed that animal breeders could get exaggerated traits through selective breeding.

  11. Natural Selection Causes Evolution - Four Observations and an Inference 3. Populations of organisms produce more offspring than will survive. Even slow-breeding animals can produce large populations quickly.

  12. Natural Selection Causes Evolution - Four Observations and an Inference 4. Survival and reproduction are not random Fitness: Relative survival and reproduction of one variant Adaptation: Traits that increase individual fitness in an environment Individuals with adaptations for a particular environment are more likely to survive and reproduce.

  13. Natural Selection Causes Evolution - Four Observations and an Inference Survival and reproduction are not random.

  14. Natural Selection Causes Evolution - Four Observations and an Inference Adaptations do not only affect survival. A flower’s reproduction is impacted by traits that affect the number of pollinators it receives. Therefore, color or nectar production might be adaptations.

  15. Natural Selection Causes Evolution - Darwin’s Inference: Natural Selection Causes Evolution Result of natural selection Favorable inherited variations tend to increase in frequency Unfavorable variations tend to be lost End result is a change in the traits of individuals in a population over generations

  16. Natural Selection Causes Evolution - Testing Natural Selection Artificial selection: Selection imposed by human choice Breeds of pigeons studied by Darwin arose through artificial selection Breeds of dog have been artificially selected by humans

  17. Natural Selection Causes Evolution - Testing Natural Selection In laboratory, environmental conditions can be manipulated and effects on population examined Scientists examined alcohol metabolism in fruit flies Variations in ability to metabolize alcohol exist in populations

  18. Natural Selection Causes Evolution - Testing Natural Selection Natural selection in wild populations Many examples exist: Evolution of resistance of M. tuberculosis to antibiotics Many other disease-causing pathogens have also evolved resistance Galapagos finches provide another classic example Blue mussel has evolved the ability to thicken its shell to protect against the invasive Asian crab species.

  19. Animation: Natural Selection Click “Go to Animation” / Click “Play”

  20. Natural Selection Since Darwin - The Modern Synthesis The union of genetics and evolution is called “the modern synthesis.” Knowledge of genetics facilitates understanding of the mechanisms of evolution. Alleles are the basis of variation of traits. Half of the alleles carried by a parent are passed to their offspring through their egg or sperm. Mutations can create new alleles and provide the basis for new traits. Natural selection provides a filter that selects for or against new traits.

  21. Natural Selection Since Darwin - The Modern Synthesis Mutation and natural selection

  22. Natural Selection Since Darwin - Overview: The Subtleties of Natural Selection Common misconceptions about natural selection

  23. Animation: Drug Resistance and Natural Selection Click “Go to Animation” / Click “Play”

  24. Natural Selection Since Darwin - A Closer Look: Subtleties of Natural Selection Natural selection cannot cause new traits to arise Not an issue of choice or “will” of organisms Selection can only act on variations that already exist For example, alcohol-rich environment in flies did not cause a gene to arise, instead differential survival caused allele to become more common

  25. Natural Selection Since Darwin - A Closer Look: Subtleties of Natural Selection Natural selection does not result in perfection Natural selection does cause organisms to become a better fit to their environment Organisms are not necessarily “better,” just better fit to a particular situation Adaptation that is beneficial in one situation might be a liability in another Adaptations are trade-offs between better fit in one situation versus another Adaptations are constrained by underlying biology

  26. Natural Selection Since Darwin - A Closer Look: Subtleties of Natural Selection Natural selection does not cause progression towards a goal Natural selection favors variants with the most appropriate adaptations for current environment Organisms do not choose to change or adapt Natural selection depends on the situation of the population

  27. Natural Selection Since Darwin - Patterns of Selection Different environmental conditions can lead to different changes in populations Directional selection – change in population traits

  28. Natural Selection Since Darwin - Patterns of Selection Different environmental conditions can lead to different changes in populations Stabilizing selection – selection for the average traits

  29. Natural Selection Since Darwin - Patterns of Selection Different environmental conditions can lead to different changes in populations Diversifying selection – selection for extremes

  30. Natural Selection and Human Health - Tuberculosis Fits Darwin’s Observations Mycobacterium tuberculosis has evolved resistance to antibiotics because it fulfills the same observations Darwin made Organisms in the population vary The variation among organisms can be passed on to offspring More organisms are produced than survive An organism’s survival is not random

  31. Natural Selection and Human Health - Selecting for Drug Resistance Simple antibiotic treatment can result in directional selection in bacteria.

  32. Natural Selection and Human Health - Stopping Drug Resistance Combination therapy is a powerful tool against drug resistance.

  33. Natural Selection and Human Health - Can Natural Selection Save Us From Superbugs? If bacteria can evolve resistance to antibiotics, can humans evolve resistance to bacteria? Humans do vary in their immune capacity To evolve resistance to superbugs would require many humans to die Evolution of resistance requires exposure to pathogens, most humans are never exposed Natural selection has also resulted in our brains, giving us another tool to fight disease

  34. Natural Selection Causes Evolution - Four Observations and an Inference • Natural selection is an inference based on four observations 1. Individuals within populations vary 2. Some of the variation within individuals can be passed on to their offspring 3. Populations of organisms produce more offspring than will survive 4. Survival and reproduction are not random

  35. Artificial selectionfor dogs withshort legs Artificial selectionfor dogs withshort legs Artificial selectionfor dogs withshort legs Dachshunds Natural Selection Causes Evolution - Testing Natural Selection • Artificial Selection Figure 10.11

  36. 10.2 Natural Selection Causes Evolution PLAY Animation—Natural Selection Figure 10.9

  37. What causes tuberculosis? • Virus • Bacteria • Spores • Pollution

  38. Which of the following is an example of artificial selection? • A beetle’s acquired immunity to pesticide • Horse breeding • The average bill size increasing for finches due to drought • None of the above

  39. Which of the following statements does not cause natural selection? • Individuals within populations vary • Some of the variation within individuals can be passed on to their offspring • Populations of organisms produce more offspring than will survive • Survival and reproduction are random

  40. What type of selection results when the average variant in the population has the highest fitness? • Directional selection • Stabilizing selection • Diversifying selection • Artificial selection

  41. True or False: Natural selection can cause new traits to arise. • True • False

  42. What is often the result when people stop taking their antibiotics when they feel better? • A drug-resistant strain is born • The person will have to restart the antibiotic course • The person will continue to feel fine • The person will be immune to that type of infection

  43. What type of selection is shown in this figure? • Directional selection • Artificial selection • Stabilizing selection • Diversifying selection

  44. What will the fly population look like after several generations? • The frequency of the mutant allele will increase • The frequency of the normal allele will increase • There will be an equal frequency of the normal and mutant alleles • There is no way to tell what the population will look like

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