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[WELLS:] Only a small number
of human beings live like this today.
But from the time our species evolved some 200,000 years ago,
until the not-too-distant past,
all of us lived as hunter-gatherers.
Then, around 10,000 years ago,
people started domesticating animals for food,
living in settlements, and cultivating crops.
These cultural changes had profound biological impacts
on our species.
And you're about to encounter one surprising example.
It has to do with a familiar food.
I'm talking about milk,
the main ingredient in some
of our favorite things.
Almost all of us can digest it as babies.
But the story of how many adults can use it
as a food is a fascinating case study--
a study of the co-evolution of human culture and biology.
All infant mammals can digest milk.
In fact, producing milk for babies is a key trait
that distinguishes mammals from all other types of animals.
The main sugar in milk-- lactose--
can't easily pass through the intestinal wall.
So cells here make an enzyme called lactase,
which breaks lactose into glucose and galactose.
These two simpler sugars can then enter the bloodstream
where they can be used for energy.
Around the time young mammals stop drinking milk,
almost all of them stop making lactase,
so they lose their ability to digest milk.
They become "lactose intolerant."
What typically happens when an adult mammal drinks milk?
It's not pretty.
The lactose goes undigested straight
through the small intestine to the large intestine.
Here bacteria eat the sugar
and can cause cramps, gas, and diarrhea.
It's a bad idea to offer a bowl of milk to an adult cat.
We only know of one mammal species
in which some adults can drink milk without getting sick.
Yes, it's us.
Not all of us, but worldwide, about a third
of adults can digest lactose.
This minority is called "lactase persistent"
because their ability to produce the enzyme that breaks
down lactose persists beyond childhood,
and in fact throughout their lives.
How did lactase persistence come about?
Why does it occur only in some people?
I've come to University College London
to start my quest to find out.
Geneticist Dallas Swallow will show me how to figure
out whether someone can digest the sugar in milk.
[SWALLOW:] You're going to do a lactose tolerance test.
[WELLS:] I am.
[SWALLOW:] The idea is to look to see what the level
of glucose is in the blood
of the volunteer before the lactose load has been taken.
[WELLS:] After measuring my baseline glucose level I now
have to chug a liter of milk.
[SWALLOW:] You're allowed to breathe
in between, it's all right!
[WELLS:] If my body is still making lactase,
my blood glucose will shoot up.
After I drank the milk, here's what happened.
No doubt about it: My lactase enzyme is still working.
[SWALLOW:] Where do your family come from?
[WELLS:] Britain on my father's side, Denmark,
Holland on my mother's side.
But kind of northern Europe.
[SWALLOW:] Northern Europe, OK.
[SWALLOW:] You can see first of all that most people
in Europe are lactase persistent.
[WELLS:] My family background makes sense.
In only a few regions is a large majority
of people lactase persistent.
In other parts of the world few adults easily digest lactose.
What exactly is different about people
who are lactase persistent?
To get a clue, researchers looked at DNA.
They first compared the part of the lactase gene
that encodes the enzyme across persistent
and non-persistent people.
They didn't find a change in the DNA
that distinguished the two traits.
So what could explain the difference?
We know that genes, including lactase, are regulated--
turned on or off, dialed up or down--
by other pieces of DNA that act like switches.
In search of a possible mutation in a lactase switch,
a research team identified Finnish families
that had members who were lactase persistent,
as well as those who weren't.
Statistical geneticist Joe Terwilliger was part
of the team.
[TERWILLIGER:] We then looked to see if they shared DNA
around the region where the gene was
that we knew was affecting the metabolism of lactose.
[WELLS:] On chromosome 2, in and around the lactase gene,
a number of shared markers in the DNA allowed Terwilliger
and his colleagues to home in on a segment of DNA likely
to contain the lactase persistence mutation.
By comparing this segment base-by-base,
across lactase-persistent and non-persistent individuals,
they discovered the critical one-base difference--
a T instead of a C at one non-coding position.
The researchers had made an important discovery.
They'd found a mutation that causes lactase persistence
in Finns and other Europeans.
Do all lactase-persistent people carry this mutation?
[SWALLOW:] I thought there would be one mutation,
and that would be it.
So we went off to study samples from Africa,
and to our surprise, we found
that the mutation barely existed.
[WELLS:] Was a different mutation
at work on this continent?
Then a young professor,
geneticist Sarah Tishkoff traveled to a number
of African countries to find out.
[TISHKOFF:] We've now looked at Tanzania,
Kenya and the Sudan, and Ethiopia.
And so we've really looked at a broad range of groups and...
mainly in eastern Africa at this point.
[WELLS:] In one population, the Maasai, Tishkoff
and colleagues found a different lactase persistence mutation
from the one in Europeans.
The two mutations had arisen independently
in two different populations, in each case providing adults
with the ability to digest milk.
Tishkoff was more than pleased.
[TISHKOFF:] Thrilled.
Excited. You know, you rarely...
right? It's so unusual to actually find a variant
that appears to be correlated with such an interesting trait.
[WELLS:] What was special about both the Maasai
and the early Europeans
that might explain why they each independently evolved
this trait?
Both are pastoralists--
people who domesticated animals for food.
[TISHKOFF:] They adore their cows.
They are very possessive of their cows.
This is their monetary system.
Their wealth is determined by their cows.
The culture centers around the cow.
[WELLS:] Was the evolution
of lactase persistence driven by drinking milk?
If so, can we find evidence
of early milk use in these cultures?
In Bristol, England, organic chemist Richard Evershed is
examining fragments of old pots to find out.
[EVERSHED:] These look like they were probably cooking pots,
like the ancient saucepan.
We actually select pottery from the body or the upper parts
of vessels, because obviously fat floats on the surface
of water when you start the cooking process.
[WELLS:] Evershed has examined the fats trapped
in pots from ancient settlements across Europe and Africa
to determine if milk was on the Paleo menu.
[EVERSHED:] It is quite wondrous to think
that you are holding artifacts in your hands that were made
and then used by people just like us.
[WELLS:] To figure out whether these pots
once held milk, Evershed first had
to find a chemical signature of milk fats.
He started analyzing all kinds of fats
from contemporary animals.
[EVERSHED:] We go to farms
where they're using traditional farming methods, raising animals
on natural grazes and pastures as far as possible.
[WELLS:] Comparing the ratios of two carbon isotopes,
in two kinds of molecules in fats,
Evershed watched the measurements pour in.
[EVERSHED:] I sat at my desk with one of my students
and we were looking at some data; and we started to sort
of see patterns in the data.
Clustering in one part of the plot were body fats from pigs.
In another region were body fats from ruminants such as cows.
But there was more.
[EVERSHED:] I can remember the moment like as clear
as day when we sat there.
There were just these points disappearing off the bottom
of the graph.
They were the milk fats.
[WELLS:] Evershed now had a tool to look for evidence
of milk in the ancient pots.
He hoped that the tight pores
of the pottery material would preserve the milk fats.
To find out, his team grinds up potsherds...
and analyzes them with gas chromatography
and mass spectrometry-- just as they did
with present-day animal samples.
Evershed's detective work paid off.
Right where contemporary milk fats showed up,
there was now data from ancient pots.
They once contained milk.
African settlements 7,000
to 5,000 years ago were using dairy.
And potsherds from Europe
and the Middle East showed milk use 9,000 years ago--
the oldest ever discovered.
The dates reach back almost to the dawn of civilization.
Geneticists can date the origins of mutations by analyzing DNA.
Remarkably, the dates for when the European
and African lactase persistence mutations first spread
in populations are a good match with the archaeological evidence
of when people first started using milk in these regions.
How did dairying drive the spread
of the lactase persistence mutations?
Mutations, of course, occur at random.
So before humans kept dairy animals, if a mutation arose
that maintained lactase production,
it could have vanished from the population.
Without milk around, there's no known advantage to the mutation.
But if such a mutation existed when we started dairying,
then it could have increased in frequency in the population,
because lactase persistence now provided a selective advantage.
I spoke with Mark Thomas to find
out just how powerful that advantage was.
[THOMAS:] Mind-bendingly strong.
The estimates have put it at somewhere
around 5 or 10 percent.
Let's just say that it's 5 percent.
What that means is that for every person...
for every 100 people who would have survived
without this trait, 105 would have survived with this trait.
[WELLS:] And multiply that over a few generations, and--
[THOMAS:] And that's every generation,
it goes generation to generation.
You know how quickly generations happen.
[WELLS:] And why?
[THOMAS:] I don't know.
Look, I've got some ideas.
[WELLS:] So what are your ideas?
[THOMAS:] Naturally we have to start first
with just basic nutritional facts.
So, milk is very protein and fat-rich.
Both are good for us.
The protein in milk is of the highest quality.
It's the only food that we're aware of that was produced
with the intention of being consumed.
All other foods generally want to avoid being consumed,
whether consciously or otherwise.
[WELLS:] That's true, that's true.
[THOMAS:] Milk is a relatively uncontaminated fluid,
and so it reduces the exposure to pathogens and parasites.
[THOMAS:] You have these populations,
they're moving into northern Europe.
They're primarily not lactase persistent.
Now, imagine your crops fail.
Now, you become entirely dependent on your milk.
If you are in a famine situation,
so you are borderline starvation,
and you eat something that gives you diarrhea,
you're probably going to die.
And that's exactly the thing that's going to happen
to these people, because they've got nothing else to eat,
and they're eating more and more effectively toxic foods.
So I suspect that that's the real times that sorted
out the lactase-persistent from the lactase-non-persistent.
[WELLS:] While the exact selective advantage
of lactase persistence is still being debated,
it's clear that the nature of this selection was unusual.
It's a rare but powerful case
of what's called gene-culture co-evolution.
[THOMAS:] To understand our biological evolution absolutely
requires an understanding of our cultural evolution as well,
and that means that the human story is more a gene-culture
co-evolutionary story than it is for any other species on Earth.