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Q J Med 2003; 96:953–954 doi:10.1093/qjmed/hcg153 Biologic What’s the difference It is no longer fashionable to believe that Man has dominion over all the animals; we are increasingly made aware that we are only a particular branch of the Animalia. However, we are clearly different from even the great apes, and the fact that we have around 60% of our genes in common with the banana does not mean it is 60% as sentient (even if first-year medical students are taken as a baseline). So the inevitable comparisons and subsequent brouhaha that will be made when the genome of Pan troglodytes is published (98.5% of our genes in common, rights for chimps, should chimps have the vote, etc.) raises the question of what makes us human. It is perhaps not surprising that the fact that 80% of mouse genes have a 1:1 orthologue in the human genome and more than 99% have some homologue has not aroused the same kind of response: mice are not even nearly men. The chimpanzee is our nearest relative among the apes, and the lineages of Pan and Homo diverged somewhere between 5 and 7 million years ago. In a recent column, I discussed how the rates of genetic change occurs over a period of time and how most of the sequence changes that accumulate between species are selectively neutral, in that they fail to contribute to phenotypic or functional changes. So what changes make the difference and how can they be studied? It seems that a relatively large number of potential hominids evolved from our Pan ancestors, and that most of these lines were unsuccessful, if Homo sapiens is the desired endpoint. Our critical features include a large brain, bipedalism (with consequent skeletal adaptations), small canines, serious tool making ability (dependent on opposable thumbs) and language. Earlier hominids had small brains, bigger teeth and shorter legs, but Neanderthal man had a bigger brain and body than Homo sapiens; form alone does not explain his failure, and clearly form cannot confer such great advantages that success as a species is assured. These phenotypic changes that define us did not follow a smooth ‘upward’ path of relentless improvement driven by selection. As one example, there was a period of around a million years between the Early and Middle Pleistocene when QJM vol. 96 no. 12 ! brain size did not change significantly. In addition, examination of the brains of chimpanzees and gorillas using modern investigative techniques in magnetic resonance imaging has shown that the asymmetry of Broca’s area that is a feature of the human brain is also found in the great apes. The increase in size of this area on the left is a thus a change that precedes the development of speech, but the use of the hands in communication is common to all of these animals—perhaps communication per se is the driver. The receptive area for speech in the posterior part of the temporal lobe is also larger on the left in Homo sapiens and appears to have been in Neanderthals, Homo habilis and Homo erectus, but it is also asymmetrical in chimpanzees.1 Carroll2 has reviewed subtle changes in cyto-architecture in the relevant areas of cortex between Man and chimpanzee, and also comments on the increase in size of area 10 of the prefrontal cortex in H. sapiens, and its specialized structure when compared with that of apes. This type of quantitative change is not difficult to arrange in genetic terms and may have required no new genes.3 Our rounded cranial vault and flat face are, of course, a product of how the facial and cranial skeletons develop. Human infants have bigger brains and less developed skulls than baby chimps but the ultimate size of skull (human vs. chimp) shows no real difference—of course, cranial capacity is greatly different. The relative pace of development of various components of the skull may be the critical step, a regulatory phenomenon rather than the result of the working of a gene (or genes) of large effect. Other articles in this series have emphasized that most variations in traits are polygenically determined and often involve changes in the non-coding regulatory regions of genes, that they are slow (the observed rates of change are much slower than would be possible if all mechanisms of genetic change were exploited), and that genes that affect transcription factors and members of signal transduction pathways are most likely to be involved. So it is unlikely that we will find genes of large effect that differentiate us from the great apes, and the discussion makes it clear (I hope) that we Association of Physicians 2003; all rights reserved. 954 Biologic might be looking for differences in timing of expression or reading rates—changes in gene function rather than gene product. Recent observations on duplications provide possible mechanisms for change in gene function. When duplications between vertebrate genomes are compared as we get more and more complete data sets, it becomes clear that this mechanism of genetic change produces non-identical repeats in chromosomes (duplications are found in human chromosome 16 and the apes, but not in an identical form). Here is one difference that might produce a genetic drive: closely related genes may operate in a different way to produce different outcomes as a result of this type of change. However, perhaps more significant, in one major respect, is that some genes have altered their function after minor sequence change and are, for example, specifically associated with speech. In Man, FOXP2 mutations are associated with speech and language disorders. This gene codes for a transcription factor, but it differs from the homologous gorilla and chimpanzee gene in only two sequences (and from the mouse by only four), changes probably occurring in the last 200 000 years in hominids. Perhaps two changes are enough! But we have not yet found the other genes undoubtedly involved in linguistic skill development, and so are unable to ‘weight’ the effects of this particular change. All of this suggests that what differences there are between the genomes of various apes might be considered to be trivial in some terms, smaller than the range of variation that exist between individual members of the same species, say. This misses the point: it is almost certainly alteration of the regulation of the activity of closely comparable or identical structural genes during development that produces the morphological changes that define the differences between species. This is why, in my view, the attempt of Craig Venter to make a complete genome from scratch4 is doomed, even for the proposed eco-tidying bacterium. If as few as 265–350 genes are all that is needed, it might be possible in technical terms; the genome of the 7500 nucleotide poliovirus has been synthesized. The problem is deciding what is necessary: you can’t put all the possible combinations together in a testing programme, and the function of most genes is unknown. And how do you start it off? (the viruses cheat—they use an existing set of starters in the cells they infect). Nevertheless, this exciting experiment is probably indicative of the best way to resolve the problem of what makes us human experimentally; it will be possible in theory to construct a genome that produces a defined phenotypic change in a defined experimental system. Many of these exist (palatal shelves, tooth buds, limb buds, liver anlage, pancreas, nephrogenic buds, etc.). Add microarray analyses, quantitative trait genetics, population genetics and the comparative study of vertebrate genomes, and we have many systems that may identify genes that are important in producing phenotypic change with time. But whether we should look at skull development, bipedal adaptation, reduction in canine size, the development of the hand or the acquisition of speech, is anyone’s guess. Colin Berry References 1. Gannon PJ, Holloway RL, Broadfield DC, Braun AR. Asymmetry of chimpanzee planum temporale: Humanlike patterns of Wernike’s brain language area homolog. Science 1998; 279:220–2. 2. Carrol SB. Genetics and the making of Homo sapiens. Nature 2003; 422:849–57. 3. Berry CL. The new mapping. Q J Med 2003; 96:459–60. 4. Zimmer C. Tinker, Taylor: Can Venter stitch together a genome from scratch. Science 2003; 299:1006–7.