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	<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
	<lastBuildDate>Thu, 09 Sep 2010 12:29:42 +0000</lastBuildDate>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
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	</item>
	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<item>
		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<item>
		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
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	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
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	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
]]></content:encoded>
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	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
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	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
]]></content:encoded>
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	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
]]></content:encoded>
	</item>
	<item>
		<title>Comments on: Celiac Disease on the Rise</title>
	<atom:link href="http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/feed/" rel="self" type="application/rss+xml" />
	<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/</link>
	<description>...explorations in complex adaptive systems...</description>
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		<title>By: danielhorowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-6798</link>
		<dc:creator>danielhorowitz</dc:creator>
		<pubDate>Mon, 04 Jan 2010 20:02:26 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-6798</guid>
		<description>Good article from the current Columbia (University) magazine about Celiac. 

http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</description>
		<content:encoded><![CDATA[<p>Good article from the current Columbia (University) magazine about Celiac. </p>
<p><a href="http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html" rel="nofollow">http://www.columbia.edu/cu/alumni/Magazine/Winter2009-10/feature3.html</a></p>
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	<item>
		<title>By: Daniel Horowitz</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-3170</link>
		<dc:creator>Daniel Horowitz</dc:creator>
		<pubDate>Tue, 22 Sep 2009 23:00:54 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-3170</guid>
		<description>&quot;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&quot;

http://www.slate.com/id/2223745/pagenum/all/</description>
		<content:encoded><![CDATA[<p>&#8220;Celiac patients have almost twice the normal risk of cancer, and one-third of them suffer from another autoimmune disease, like Type 1 diabetes, lupus, or multiple sclerosis.&#8221;</p>
<p><a href="http://www.slate.com/id/2223745/pagenum/all/" rel="nofollow">http://www.slate.com/id/2223745/pagenum/all/</a></p>
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		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2492</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Fri, 21 Aug 2009 15:52:42 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2492</guid>
		<description>Thank you for the stats and insights!</description>
		<content:encoded><![CDATA[<p>Thank you for the stats and insights!</p>
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		<title>By: Rivkah Roth DO DNM</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2487</link>
		<dc:creator>Rivkah Roth DO DNM</dc:creator>
		<pubDate>Fri, 21 Aug 2009 14:03:13 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2487</guid>
		<description>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &quot;comfort food addiction)... 
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples... and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes. 
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</description>
		<content:encoded><![CDATA[<p>Why are we surprised about the rise of celiac diagnoses? Yes longer storage rates of grains with higher gluten content plays a role as does the fact that gluten contains a small amount of opioid exorphins (leading to, you guessed it, &#8220;comfort food addiction)&#8230;<br />
But more importantly, we know that HLA-DQ2, DQ8 and other genes are present in over 40% North-American individuals, many of UK northern European or mediterranean backgrounds. We also know that these genes surface in close to 90% of South-American and indigenous peoples&#8230; and, many with other (inaccurate) diagnoses and even diabetes in fact are gluten-intolerant due to the presence of the HLA-DQ2, DQ8 or other genes.<br />
For this reason, the increased consumtion of processed foods worldwide directly relates to increased rates of gluten-intolerance and celiac disease.</p>
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		<title>By: dr ann</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2401</link>
		<dc:creator>dr ann</dc:creator>
		<pubDate>Thu, 20 Aug 2009 18:39:43 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2401</guid>
		<description>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too http://www.sciencedaily.com/releases/2009/08/090820124038.htm</description>
		<content:encoded><![CDATA[<p>Thanks for your explanation. Interesting to note that we are also seeing and increase in type 1 diabetes in kids and that scientists have just linked wheat and this condition too <a href="http://www.sciencedaily.com/releases/2009/08/090820124038.htm" rel="nofollow">http://www.sciencedaily.com/releases/2009/08/090820124038.htm</a></p>
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		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2389</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 23:06:40 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2389</guid>
		<description>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &quot;fitness&quot;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.

In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.

I will point out that there is a third &quot;selective&quot; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)

More confounding still -- and this is the part that most life-science folks don&#039;t understand -- is that evolution is multi-scale and in particular &lt;a href=&quot;http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564&quot; rel=&quot;nofollow&quot;&gt;culture and biology coevolve&lt;/a&gt;.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#039;t strain credulity at all.

One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</description>
		<content:encoded><![CDATA[<p>Yes, I agree this could be a factor.  For any phenotypic change in a population, selective forces can either work towards it (i.e. higher &#8220;fitness&#8221;), against it, or be neutral.  Genetic drift refers to neutral pressure situations.</p>
<p>In the absence of other evidence, one would suspect a celiac condition would either be neutral to overall fitness, or perhaps slightly negative as in the scenario you pose, but not negative enough to overcome massive environmental shifts that trigger manifestation of chronic diseases.</p>
<p>I will point out that there is a third &#8220;selective&#8221; scenario too, which is that the predisposition toward celiac coincidentally co-varies with a trait that is being positively selected for in the population (who knows, maybe celiacs are more fertile :-)</p>
<p>More confounding still &#8212; and this is the part that most life-science folks don&#8217;t understand &#8212; is that evolution is multi-scale and in particular <a href="http://www.amazon.com/Coevolution-Genes-Culture-Human-Diversity/dp/0804721564" rel="nofollow">culture and biology coevolve</a>.  But culture can evolve much faster than biology and so if you look at the system as a whole and admit to the reality that celiac is a condition that involved both biological and cultural factors (i.e. whether you eat a lot of wheat is a culture thing), then the evolutionary pace of the overall system doesn&#8217;t strain credulity at all.</p>
<p>One of the hottest topics in systems biology and evolutionary development is known as facilitated variation (or sometimes the Baldwin Effect), which essentially marries genetics adaptation with non-genetic adaptation (e.g. cultural evolution).</p>
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		<title>By: smerdis</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2385</link>
		<dc:creator>smerdis</dc:creator>
		<pubDate>Wed, 19 Aug 2009 17:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2385</guid>
		<description>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</description>
		<content:encoded><![CDATA[<p>There are other factors. Due to the increasing knowledge of the medical world more diseases are becoming chronic, and people with a chronic disease can lead a more normal life (within the boundaries they have). However more people are likely to have children, with a genetic mutation thereby increasing the risk of developing the disease. Combining an increasing prevalence of genetic disposition of a disease, with increased diagnostic markers and more specific and sensitive (early) testing could account for a increase in the general population. (i guess)</p>
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		<title>By: rafefurst</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2381</link>
		<dc:creator>rafefurst</dc:creator>
		<pubDate>Wed, 19 Aug 2009 16:57:24 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2381</guid>
		<description>On twitter, Dr. Ann and I started this sub-thread, which I&#039;m moving here now...

&lt;blockquote&gt;
&lt;b&gt;Ann&lt;/b&gt;: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.

&lt;b&gt;Rafe:&lt;/b&gt;: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases...)? http://is.gd/2mUxb

&lt;b&gt;Ann:&lt;/b&gt;: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
&lt;/blockquote&gt;

While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</description>
		<content:encoded><![CDATA[<p>On twitter, Dr. Ann and I started this sub-thread, which I&#8217;m moving here now&#8230;</p>
<blockquote><p>
<b>Ann</b>: At this point scientist have no idea, however it is clear based on studies that the uptick is clearly environmentally driven.</p>
<p><b>Rafe:</b>: how can u b be sure genetic drift is not at play in Celiac (&amp; autism &amp; other diseases&#8230;)? <a href="http://is.gd/2mUxb" rel="nofollow">http://is.gd/2mUxb</a></p>
<p><b>Ann:</b>: With your understanding of GD, do U think GD could explain a 4 fold increase over 60 years?
</p></blockquote>
<p>While it seems unlikely that that the fourfold increase could be explained by genetic drift (or even selective pressure) in under three generations, it is possible due to non-linear threshold effects.  In other words, the predisposition towards celiac drifts (or is co-selected for) over many generations and then manifests itself due to a drastic environmental change, such as near total degeneration of the food supply in the last 60 years.</p>
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		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2372</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 20:03:47 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2372</guid>
		<description>I didn&#039;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#039;d like to see a more sophisticated argument.</description>
		<content:encoded><![CDATA[<p>I didn&#8217;t see much treatment of whether the antibody test would be valid on blood samples stored for 50 years.  They asserted that immunoglobulin is stable, but I&#8217;d like to see a more sophisticated argument.</p>
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		<title>By: kevindick</title>
		<link>http://emergentfool.com/2009/08/18/celiac-disease-on-the-rise/#comment-2371</link>
		<dc:creator>kevindick</dc:creator>
		<pubDate>Tue, 18 Aug 2009 19:54:51 +0000</pubDate>
		<guid isPermaLink="false">http://emergentfool.com/?p=1993#comment-2371</guid>
		<description>I&#039;d like to see the whole study.  I can imagine several ways that using an antibody proxy after 50 years might not be indicative.  So this isn&#039;t really a true measure of the disease prevalence.

What would be interesting is if they could show an increase in true disease prevalence over 10 or 20 years.  Then you can fit the curves and be more confident that the antibody proxy is accurate 50 years back.</description>
		<content:encoded><![CDATA[<p>I&#8217;d like to see the whole study.  I can imagine several ways that using an antibody proxy after 50 years might not be indicative.  So this isn&#8217;t really a true measure of the disease prevalence.</p>
<p>What would be interesting is if they could show an increase in true disease prevalence over 10 or 20 years.  Then you can fit the curves and be more confident that the antibody proxy is accurate 50 years back.</p>
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