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Table 1 Hypotheses for adaptation or balancing selection in human diseases

From: A Clinical Perspective in Evolutionary Medicine: What We Wish We Had Learned in Medical School

Finding

Disease association

Potential benefit

Selected references

Factor V Leiden

Thromboembolism

Decreased peripartum bleeding

Franchini and Mannucci 2008; Lindqvist and Dahlback 2008

Survival benefit in sepsis

Apo E

Alzheimer’s, cardiovascular disease

Anti-pathogen defense

Finch and Stanford 2004

Decreased diarrhea

Oria et al. 2010

BRCA-1

Breast cancer

Unknown. Evidence for positive selection

O’Connell 2010

None. Evidence for founder effect

Im et al. 2011

Pro-inflammatory pathways involved in obesity

Diabetes, cardiovascular disease

Enhanced innate immunity

Roth et al. 2011

Buffering energetic uncertainties

Kuzawa 1998; Wells 2006