Solution to the Puzzle of Human Evolution.
Matthias Rath M.D.
Journal of Orthomolecular Medicine 7:
73-80.
"Much light will be thrown on the origin of
man and his history." Charles Darwin "On the
Origin of Species"
Introduction
Until now human evolution has remained one of the
greatest puzzles of mankind. Neither paleoanthropology
nor behavioral or genetic approaches are able to explain
the dramatic development that let to the evolution of
modern man and made him the dominant species on earth.
This explanation is provided by a fascinating
combination of genetic, metabolic, environmental, and
dietary elements. Several of my recent discoveries
turned out to be important to solve the puzzle of human
evolution.
After the loss of endogenous ascorbate synthesis in
the ancestor of man, scurvy became the greatest threat
to the evolutionary survival of our ancestors.¹ Apo(a)
and Lp(a) became important metabolic constituents in man
and subhuman primates after they had lost the ability
for endogenous ascorbate synthesis.² Apo(a) functions as
an adhesive protein and was a metabolic key in the
development of intelligence and fertility during human
evolution.³ These discoveries, together with the fact
that the evolution of man was greatly accelerated during
the Ice Ages starting about 2.5 million years ago,4 led
me to the solution of the puzzle of human evolution,
which will be presented in the following paragraphs.
The Loss of Endogenous Ascorbate Production –
The Genetic Precondition For Human Evolution
About 40 million years ago the ancestor of man lost
the ability to synthesize ascorbate endogenously. This
was the result of the mutation of the gene encoding for
the enzyme L-gulono-?-lactone oxidase, a key enzyme in
the conversion of glucose to ascorbate. This genetic
mutation left all descendants, including all human
beings living today, dependent on sufficient exogenous
ascorbate supply in the diet.
The precondition for this genetic mutation was a
sufficient dietary supply of ascorbate. The precondition
was met by the fact that at the time of the mutation our
ancestors lived in the central regions of Africa and
their diet consisted mainly of fruits and other
nutrition rich in ascorbate and other vitamins.
Nevertheless, as a result of this mutation the
availability of ascorbate in the body of our ancestors
dropped from between 10,000 to 20,000 milligrams
synthesized endogenously every day, to several hundred
milligrams taken up in the diet of the African habitat.
More than 30 million years later this genetic defect was
completely unmasked by environmental conditions
triggering the evolution of man.
Ice Ages – The Environmental Trigger For the
Evolution of Man
The evolution of man was greatly accelerated during
the Ice Ages, which started about 2.5 million years ago.
During this relatively short time the size of the human
brain quadrupled and man became the dominant species on
earth. Since that time the glaciation periods occurred
periodically about every 100,000 years, lasting for
several tens of thousands of years. During the short
warm interglacial periods, lasting about 10,000 years,
our ancestors expanded their habitat and migrated to
other hemispheres.
Until now evolutionary theories postulate that the
dramatic leap in human evolution is the result of
natural selection processes that occurred during the
recent 2.5 million years. It was hypothesized that only
the fittest and most intelligent among our ancestors
would have survived these harsh conditions and would
have been able to propagate. This hypothesis, however,
cannot explain why the increase in brain size and other
significant changes were limited to the ancestor of man
and did not occur in other mammalian species. The
concept presented in the following paragraphs can
explain this phenomenon.
 Figure 1.
The dramatic drop in temperature during the Ice Ages
affected the vegetation on a global level. Scarce
nutrition and frequent deficiency in vitamin and other
essential nutrients affected all species equally. The
ancestor of man shared with most other mammals genetic
defects that rendered them susceptible to pellagra,
pernicious anemia, beri-beri, and other diseases caused
by nutritional deficiencies. Human metabolism, however,
was set apart from the metabolism of other species by
the inability for endogenous ascorbate production. While
other species continued to manufacture ascorbate
endogenously, generally at a rate of several grams per
day compared to the human body weight, our ancestors’
body ascorbate concentration was limited by the low
ascorbate intake in their diet. During the tens of
thousands of years each glaciation period lasted
ascorbate intake approximated zero and scurvy became the
greatest threat to the evolutionary survival of man.
Scurvy – The Greatest Challenge For The Evolutionary
Survival of Man
Scurvy is the result of total ascorbate depletion of
the body and of a gross impairment of collagen and
elastin synthesis. Scurvy is a fatal disease
characterized by a virtual dissolution of the connective
tissue throughout the body including the walls of the
blood vessels. He sailors of earlier centuries died from
scurvy, particularly from blood loss through the
scorbutic vascular walls, within a few months. During
the millennia of glaciation, billions of our ancestors
died from scurvy particularly during the most recent Ice
Ages, when they had migrated to climatically exposed
hemispheres of the earth.
The death toll from scurvy was so enormous that our
ancestors in many regions were virtually rendered to
extinction. One example are the Neanderthals. These
highly developed hominids living in many parts of Europe
had became extinct during the last glaciation period.
Which lasted from about 120,000 years ago to about
15,000 years ago. Neanderthal fossils reveal obvious
signs of scurvy: frequent fractures of bones and
disrupted growth of teeth.
Since scurvy was the greatest threat, the greatest
pressure for the survival and the evolution of man was
the need for genetic features able to counteract the
fatal consequences of scurvy.
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The Vascular Wall – the Focus of Genetic
Adaptation
The focus of these countermeasures and of the
associated genetic adaptation process was the vascular
wall and the paramount need to counteract blood-loss
through the scorbutic vascular wall. This adaptation
process was characterized by a selective advantage of
inherited features that rendered compensatory stability
to the ascorbate-deficient vascular wall.¹
These genetic features comprise a multitude inherited
metabolic disorders that can lead to the deposition of
plasma constituents in the vascular wall, to
proliferative responses of cellular systems in the
vascular wall or by other mechanism resulting in a
compensatory stabilization of the ascorbate-deficient
vascular wall. By favoring these genetic features nature
decided for the lesser of two evils: death from
cardiovascular disease during adulthood rather than
death from scurvy during infancy.
Ascorbate deficiency favored this genetic adaptation
process against the fatal consequences of scurvy also in
another way. Ascorbate is the strongest antioxidant in
the body. Low ascorbate concentrations decrease the
protection against oxidative damage of DAN and thereby
increase the rate of genetic mutations.5 Ascorbate
intake approximating zero during the millennia of
glaciation initiated a form of ‘genetic roulette’ in our
ancestors. The significantly increased genetic mutation
rate greatly accelerated the genetic adaptation that
favored not only countermeasures against scurvy but at
the same time promoted human evolution. The more
effective a genetic feature stabilizes the vascular wall
during ascorbate deficiency the more important became
this genetic feature as a metabolic promoter for the
development of man.
Ascorbate Deficiency and Metabolic Promoters of
Human Evolution
In general, all metabolic changes induced by
ascorbate deficiency have, to a variable degree,
affected organ development and differentiation during
the evolution of man. Those metabolic factors that
become available at increasing concentrations during
ascorbate deficiency were metabolic promoters of
evolution. Many of the metabolic changes induced by
ascorbate deficiency are enhanced by a simultaneous
deficiency in other essential nutrients such as niacin
and riboflavin, which frequently interact
synergistically with ascorbate. A deficiency of
ascorbate, however, the strongest hydroxylating and
reducing agent in the body, is the most important among
them. In the following paragraphs I will focus on some
metabolic interactions of ascorbate, which are important
in the context of this publication.
An effective and therefore frequent mechanism
counteracting scorbutic blood loss and therefore an
important metabolic promoter of evolution was the
elevation of plasma levels of lipid-rich ‘atherogenic’
lipoproteins. Low density lipoprotein (LDL), very low
density lipoprotein (VLDL), and particularly
lipoprotein(a) (Lp(a)) are found to be significantly
elevated in humans compared to other species with
endogenous ascorbate synthesis. Even more pronounced is
the difference between man and ascorbate producing
animals for the ratio between these ‘atherogenic’
lipoproteins and the ‘anti-atherogenic’ high-density
lipoprotein (HDL). Atherogenic lipoproteins are
characterized by a high content of lipids, e.g.
cholesterol and fatty acids, and their elevated plasma
concentration reflects an improved substrate supply for
organ development and growth.
Ascorbate deficiency also leads to an increased
availability of glucose. The increased availability of
lipids and carbohydrates may in part be mediated by an
increased corticotropin and cortisol release during
ascorbate deficiency.6 Other mechanisms leading to an
increased substrate supply in ascorbate-deficient
conditions are reviewed elsewhere.1,6,7
However, improved metabolic substrate supply alone
cannot explain the complex organ changes during
evolution such as the development and differentiation of
the human brain. These changes require an increased
availability of metabolic factors involved in organ
morphogenesis. Such metabolic factors are represented by
a group of proteins called adhesive proteins. These
proteins share a characteristic tripeptide sequence,
arginine-glycine-aspartate (RGD), and they mediate the
interaction between cellular systems and the
extracellular matrix in a multitude of conditions such
as organ differentiation, repair and growth (review in
8).
While ascorbate deficiency decreases the rate of
synthesis for certain adhesive proteins such as collagen
and fibronectin the production of certain other adhesive
proteins such as fibrinogen and apo(a) is increased at
low ascorbate concentrations. Of particular importance
for organ development and differentiation during the
evolution of man was apo(a).
Apoprotein(a) and Lipoprotein(a) – Decisive
Metabolic Promoters of Human Evolution
Apo(a) and Lp(a) became major constituents in the
metabolism of our ancestors after they had lost the
ability to synthesize ascorbate. Lp(a), a unique
combination of the adhesive protein apo(a) with an LDL
particle, and apo(a) are quite likely the single most
important metabolic promoters of evolution. One of the
reasons for the selective evolutionary advantage of
apo(a) and Lp(a) was their extraordinary effectiveness
in counteracting scorbutic blood loss by their
extracellular deposition in the ascorbate deficient
vascular wall.9
The other reason for the selective advantage of the
adhesive protein apo(a) is its contribution to the
development of the human body during evolution. Beside
the liver, where apo(a) is secreted as Lp(a), only two
other organs were reported to have the ability for
autonomous apo(a) production: the brain and the
testes.¹º These two organs have determined critical
evolutionary advantages: intelligence and fertility.
Apo(a) and Brain Development
 Figure 2.
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A dramatic increase in brain size and differentiation
during the evolution of man determined his dominant role
today. Acquisition of language and ‘toolmaking’ have
been proposed as factors responsible for the rapid
encephalication. However, these factors are rather the
result than the cause of increased brain size and
intelligence. Moreover, these hypotheses leave open the
decisive question of why a similar development did not
occur in other mammals, which were exposed, to the same
environmental conditions.
Apo(a) was an important metabolic factor in the
development and the differentiation of the human brain
during evolution. Like other adhesive proteins apo(a)
contains an RGD tripeptide. RGD sequences are critically
involved in the morphogenesis and differentiation of the
central and peripheral nervous system (review in 8).
During human evolution apo(a) synthesis rate in the
brain continuously increased as the result of the
genetic adaptation to counteract scurvy. Moreover,
dietary deficiencies particularly of ascorbate and
niacin during the millennia of glaciation let to a
metabolic upregulation and a high apo(a) synthesis rate.
It is therefore concluded that apo(a) has been a
metabolic clue to the development of the human brain and
the increase of intelligence during human evolution.
During this development apo(a) has been interacting
with other adhesive proteins such as fibronectin and
collagen. These adhesive proteins, however, cannot offer
a clue to human evolution – they are present throughout
the animal world and are not preferential features of
human metabolism.
Apo(a) and Increased Fertility
Another decisive advantage during evolution was the
improvement of fertility. This is even more remarkable
since during evolution female reproductive physiology
has lot an important signal, the estrus, and developed a
concealed form of ovulation. Improved fertility was an
important precondition for the development of concealed
ovulation. Adhesive proteins are known to improve
fertility by facilitating the interaction of sperm cells
with egg cells as well as by mediating egg penetration
(review in 8). Apo(a) was recently detected in human
sperm ³ and increased apo(a) concentrations in the
seminal fluid of our ancestors must have led to improved
fertility. In conclusion, apo(a) was a metabolic clue in
determining decisive advantages during the evolution of
man: intelligence and fertility.
The role of apo(a) for the development of the body
during human evolution was not confined to the brain and
the testes. Elevated plasma levels of Lp(a) in newborns
today¹¹ indicate an important role of apo(a) in
development, differentiation and growth of the human
body as a whole.
Plasma constituents reacting with antibodies against
human apo(a) are also found in lower mammals,
particularly in those with permanent or seasonal
susceptibility to ascorbate deficiency such as the
guinea pig and the hedgehog. These findings do not
contradict the conclusions presented here. They rather
underline human evolution as a multifactorial process
with apo(a) and Lp(a) being of particular
importance.
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The Evolution of Man and Human Health Today
The mutation of a single gene encoding for a key
enzyme in the conversion of glucose to ascorbate 40
million years ago in the ancestor of man became a
two-sided sword. On one side this genetic mutation
became the precondition for human evolution and was the
decisive precondition why within the last 2.5 million
years one species, man, became the dominant species on
earth. On the other side this very same mutation left
all descendants including over four billion people
living today susceptible to scurvy and other
characteristic diseases that are essentially unknown in
animals with endogenous ascorbate production.
While scurvy is essentially unknown today, chronic
insufficient dietary intake of ascorbate is widespread.
Chronic ascorbate deficiency is the underlying cause for
the most frequent diseases, diabetes, and other
diseases. Millions of people die every year and millions
more become disabled from these preventable diseases.
Optimum dietary intake of ascorbate, particularly in
combination with niacin, riboflavin, and other essential
nutrients, should compensate for the genetic defect that
lead to a cessation of endogenous ascorbate synthesis.
The discoveries presented in this publication open the
opportunity to greatly improve human health in this
generation and future generations of mankind.
The Determining Principles of Human Evolution
The dramatic acceleration of human evolution during
the recent 2.5 million years and the dominant role of
humans on earth today are not the result of random
selection during this period. Human evolution is the
result of a unique combination of genetic, metabolic,
environmental and dietary conditions.
The underlying genetic precondition for the evolution
of man was a genetic mutation that occurred 40 million
years ago in our ancestors: the loss of endogenous
ascorbate production. This genetic mutation left all
descendants dependent on dietary ascorbate intake and
set their metabolism apart from other species which
continued endogenous ascorbate production at an average
daily rate of several thousand milligrams per day
compared to the human bodyweight. The loss of endogenous
ascorbate production resulted in a significant drop of
body ascorbate concentrations in our ancestors. This
fact may have triggered a first leap towards the
evolution of man which occurred about 40 million years
ago.
The Ice Ages, starting about 2.5 million years ago,
became the environmental trigger condition for the
evolution of man. Human evolution was particularly
accelerated during the most recent Ice Ages, when our
ancestors had migrated to the Northern Hemisphere and
other parts of the world directly exposed to harsh
climatic conditions. The cooling of the earth led to a
decreased vegetation and to a limited availability of
essential nutrients.
The dietary trigger condition for the evolution of
man was an insufficient intake of vitamin C. During
glaciation the ancestor of man shared with other mammals
a limited food supply and a deficiency in most essential
nutrients. Ascorbate deficiency, however, became a
characteristic condition in the metabolism of our
ancestors.
Scurvy was the greatest threat to the evolutionary
survival of our ancestors particularly during the
millennia of glaciation. While other mammals were
protected during the Ice Ages from scurvy by their
endogenous ascorbate synthesis, billions of our
ancestors died from this disease.
The greatest evolutionary pressure during the
evolution of man was the need for genetic and metabolic
countermeasures to limit the fatal consequences of
scurvy. These genetic countermeasures against scurvy had
a selective evolutionary advantage over millions of
generations.
In ascorbate deficiency the weakest sites of the body
are the blood vessels, and hemorrhagic blood loss
through the scorbutic vascular wall is a frequent cause
of death in scurvy. The vascular wall became the focus
of genetic countermeasures that protect the
ascorbate-deficient walls against fatal blood loss.
Advantageous genetic features counteracting scurvy
became the genetic and metabolic base for the evolution
of man. The more effective a genetic or metabolic
feature protected the vascular walls against scorbutic
blood loss, the greater was its contribution to the
development and differentiation of the human body during
the evolution of man.
The single most important metabolic feature for the
evolution of man was aporotein(a). In association with
LDL, apo(a) became the most effective mechanism to
stabilize the ascorbate-deficient vascular wall. As an
adhesive protein expressed in the brain and the testes,
apo(a) was involved in determining decisive evolutionary
advantages: intelligence and fertility.
In general, all metabolic factors that become
available at increased concentrations during ascorbate
deficiency have to be considered a metabolic promoters
of evolution. These metabolic factors include lipid
substrates (cholesterol, triglycerides), and
lipoproteins (Lp(a), LDL, VLDL).
The genetic adaptation was accelerated by the fact
that ascorbate deficiency greatly favored the rate of
genetic mutations. This increased mutation rate favored
the selective evolutionary advantage of genetic and
metabolic features counteracting scurvy an
simultaneously promoting evolution.
The genetic mutation that resulted in the loss of
endogenous ascorbate synthesis in the ancestor of man
became a two-sided sword. On one side it let to a great
death toll from scurvy and other diseases in the
descendants; on the other side this mutation was a
decisive genetic precondition for man to become the
dominant species on earth.
The critical role of ascorbate deficiency during
human evolution has immediate implications for the
health of human beings today. While scurvy is
essentially unknown today, chronically insufficient
dietary intake is widespread. Ascorbate deficiency is a
precondition for the most frequent human diseases today,
including cardiovascular diseases, diabetes, and many
other diseases. These diseases are essentially unknown
in animals producing high amounts of ascorbate
endogenously and they can be prevented in humans by
optimum dietary ascorbate supplementation.
Conclusion
In this paper I presented decisive missing pieces in
the puzzle of human evolution. The remaining questions
may largely be answered by a new scientific discipline:
metabolic anthropology. The solution to the puzzle of
human evolution and its direct implications for human
health today is a modest contribution by an individual
scientists, but it may turn out to be a major step for
mankind.
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References
Rath, M., Pauling, L. A unified theory of
human cardiovascular disease leading the way to the
abolition of this disease as a cause for human
mortality. Journal of Orthomolecular Medicine 1992; 7:
5-15
Rath M, Pauling L, Hypothesis:
Lipoprotein (a) is a surrogate for ascorbate.
Proceedings of the National Academy of Sciences USA
1990; 87: 6204-6207
Rath M, Pauling L. Apoprotein(a) is an
adhesive protein. Journal of Orthomolecular Medicine
1991; 6:139-143.
Calvin W. The ascent of mind, Ice Age
climates and the evolution of intelligence. Bantam
Books, New York, Toronto London, Sydney, Auckland
1991.
Fraga CG, Motchnik PS, Shigenaga MK,
Helbock HJ. Jacob RA, Ames BN. Ascorbic acid protects
against endogenous oxidative DANN damage in human sperm.
Proceedings of the National Academy of Sciences USA
1991; 88: 11003-11006.
Clementson CAB: Vitamin C, Volume I-III.
Florida: CRC Press, Inc. 1989.
Burns JJ, Rivers JM, Machlin LJ, eds.
Third Conference on Vitamin C, Annals of the New York
Academy of Sciences 1987, 498.
Hynes R.O.: Fibronectins. Springer-Verlag
Series in Molecular Biology, Springer-Verlag, New York
1990.
Rath, M., Pauling, L. Solution to the
puzzle of human cardiovascular disease: its primary
cause is ascorbate deficiency leading to the deposition
of lipoprotein (a) and fibrinogen/fibrin in the vascular
wall. Journal of Orthomolecular Medicine 1991;
6:125-134.
Tomlinson J.E., McLean J.W., Lawn R.M.:
Rhesus monkey apolipoprotein(a). Sequence, evolution and
sites of synthesis. Journal of Biological Chemistry
1989; 26664: 5957-5965.
Van Biervliet JP, Labeur C, MNichiels G,
Usher DC, Rosseneu M. Lipoprotein(a) profiles and
evolution in newborns. Atherosclerosis 1991, 86:
173-181.
Eccles JC. The human mystery. Routledge
& Kegan Paul, London, Boston, Melbourne and Henley
1984.
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