{"id":4810,"date":"2019-06-24T14:56:26","date_gmt":"2019-06-24T14:56:26","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/11-1-case-study-hormones-and-health-3\/"},"modified":"2023-11-30T18:51:59","modified_gmt":"2023-11-30T18:51:59","slug":"11-1-case-study-hormones-and-health-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/11-1-case-study-hormones-and-health-3\/","title":{"raw":"9.1\u00a0Case Study: Hormones and Health","rendered":"9.1\u00a0Case Study: Hormones and Health"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_3196\" align=\"alignnone\" width=\"616\"]<img class=\"wp-image-3196\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Chapter-9-case-studey-by-niklas_hamann-Pe4gh8a8mBY-unsplash-scaled-3.jpg\" alt=\"\" width=\"616\" height=\"411\" \/> <em>Figure 9.1.1 Could this woman have PCOS?<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Case Study: Hormonal Havoc<\/h1>\r\n<\/div>\r\nEighteen-year-old Gabrielle checks her calendar. It has been 42 days since her last menstrual period, which is two weeks longer\u00a0than the length of the average woman\u2019s menstrual cycle. Although many women would suspect pregnancy if their period was late, Gabrielle has not been sexually active. She is not even sure she is \u201clate,\u201d because her period has never been regular. Ever since her first period\u00a0when she was 13 years old, her cycle lengths have varied greatly, and there are months where she does not get a period at all. Her mother told her that a girl\u2019s period is often irregular when it first starts, but five years later, Gabrielle\u2019s still has not become regular. She decides to go to the student health center on her college campus to get it checked out.\r\n\r\nThe doctor asks her about the timing of her menstrual periods and performs a pelvic exam. She also notices that Gabrielle is overweight, has acne, and excess facial hair. As she explains to Gabrielle, while these physical characteristics can be perfectly normal, in combination with an irregular period, they can be signs of a disorder of the endocrine \u2014 or hormonal \u2014 system called <a href=\"https:\/\/www.mayoclinic.org\/search\/search-results?q=polycystic%20ovary%20syndrome\">polycystic ovary syndrome<\/a> (PCOS).\r\n\r\nIn order to check for PCOS, the doctor refers Gabrielle for a pelvic ultrasound and sends her to the lab to get blood work done. When her lab results come back, Gabrielle learns that her levels of androgens (a group of hormones) are high, and so is her blood glucose (sugar). The ultrasound showed that she has multiple fluid-filled sacs (known as cysts) in her ovaries. Based on Gabrielle\u2019s symptoms and test results, the doctor tells her that she does indeed have PCOS.\r\n\r\nPCOS is common in young women. It is estimated that 6-10% women of childbearing age have PCOS \u2014 as many as 1.4 million women in in Canada. You may know someone with PCOS, or you may have it yourself.\r\n\r\nRead the rest of this chapter to learn about the glands and hormones of the endocrine system, their functions, how they are regulated, and the disorders \u00ad\u00ad\u2014 such as PCOS \u00ad\u00ad\u2014 that can arise when hormones are not regulated properly. At the end of the chapter, you will learn more about PCOS, its possible long-term consequences (including fertility problems and diabetes), and how these negative outcomes can sometimes be prevented with lifestyle changes and medications.\r\n<div>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">Chapter Overview: Endocrine System<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nIn this chapter, you will learn about the endocrine system, a system of glands that secrete hormones that regulate many of the body\u2019s functions. Specifically, you will learn about:\r\n<ul>\r\n \t<li>The [pb_glossary id=\"2936\"]glands[\/pb_glossary] that make up the [pb_glossary id=\"5985\"]endocrine system[\/pb_glossary], and how [pb_glossary id=\"5661\"]hormone[\/pb_glossary]s act as chemical messengers in the body.<\/li>\r\n \t<li>The general types of endocrine system disorders.<\/li>\r\n \t<li>The types of endocrine hormones \u2014 including steroid hormones (such as sex hormones) and non-steroid hormones (such as insulin) \u2014 and how they affect the functions of their target cells by binding to different types of receptor proteins.<\/li>\r\n \t<li>How the levels of hormones are regulated mostly through negative, but sometimes through positive, feedback loops.<\/li>\r\n \t<li>The master gland of the endocrine system, the [pb_glossary id=\"2938\"]pituitary gland[\/pb_glossary], which controls other parts of the endocrine system through the hormones that it secretes, as well as how the pituitary itself is regulated by hormones secreted from the [pb_glossary id=\"2937\"]hypothalamus[\/pb_glossary] of the brain.<\/li>\r\n \t<li>The [pb_glossary id=\"2958\"]thyroid gland[\/pb_glossary] and its hormones \u2014 which regulate processes including metabolism and calcium [pb_glossary id=\"5761\"]homeostasis[\/pb_glossary] \u2014 how the thyroid is regulated, and the disorders that can occur when there are problems in thyroid hormone regulation (such as hyperthyroidism and hypothyroidism).<\/li>\r\n \t<li>The [pb_glossary id=\"5869\"]adrenal glands[\/pb_glossary], which secrete hormones that regulate processes such as metabolism, electrolyte balance, responses to stress, and reproductive functions, and the disorders that can occur when there are problems in adrenal hormone regulation, such as Cushing\u2019s syndrome and Addison\u2019s disease.<\/li>\r\n \t<li>The [pb_glossary id=\"3197\"]pancreas[\/pb_glossary], which secretes hormones that regulate blood glucose levels (such as insulin), and disorders of the pancreas and its hormones, including [pb_glossary id=\"2969\"]diabetes[\/pb_glossary].<\/li>\r\n<\/ul>\r\nLater chapters in this book will discuss the glands and hormones involved in the reproductive and immune systems in more depth.\r\n\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox shaded\">\r\n\r\nAs you read this chapter, think about the following questions:\r\n<ol>\r\n \t<li>Why can hormones have such broad range effects on the body, as we see in PCOS?<\/li>\r\n \t<li>Which hormones normally regulate blood glucose? How is this related to diabetes?<\/li>\r\n \t<li>What are androgens? How do you think their functions relate to some of the symptoms that Gabrielle is experiencing?<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<h2>Attribution<\/h2>\r\n<strong>Figure 9.1.1<\/strong>\r\n\r\n<a href=\"https:\/\/unsplash.com\/photos\/Pe4gh8a8mBY\" rel=\"cc:attributionURL\">Chapter 9 case study<\/a> [photo] by <a href=\"https:\/\/unsplash.com\/@hamann\">niklas_hamann<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).\r\n<h2>Reference<\/h2>\r\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Polycystic ovary syndrome [online article]. MayoClinic.com. https:\/\/www.mayoclinic.org\/diseases-conditions\/pcos\/multimedia\/polycystic-ovary-syndrome\/img-20007768<\/p>","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_3196\" aria-describedby=\"caption-attachment-3196\" style=\"width: 616px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3196\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Chapter-9-case-studey-by-niklas_hamann-Pe4gh8a8mBY-unsplash-scaled-3.jpg\" alt=\"\" width=\"616\" height=\"411\" \/><figcaption id=\"caption-attachment-3196\" class=\"wp-caption-text\"><em>Figure 9.1.1 Could this woman have PCOS?<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: Hormonal Havoc<\/h1>\n<\/div>\n<p>Eighteen-year-old Gabrielle checks her calendar. It has been 42 days since her last menstrual period, which is two weeks longer\u00a0than the length of the average woman\u2019s menstrual cycle. Although many women would suspect pregnancy if their period was late, Gabrielle has not been sexually active. She is not even sure she is \u201clate,\u201d because her period has never been regular. Ever since her first period\u00a0when she was 13 years old, her cycle lengths have varied greatly, and there are months where she does not get a period at all. Her mother told her that a girl\u2019s period is often irregular when it first starts, but five years later, Gabrielle\u2019s still has not become regular. She decides to go to the student health center on her college campus to get it checked out.<\/p>\n<p>The doctor asks her about the timing of her menstrual periods and performs a pelvic exam. She also notices that Gabrielle is overweight, has acne, and excess facial hair. As she explains to Gabrielle, while these physical characteristics can be perfectly normal, in combination with an irregular period, they can be signs of a disorder of the endocrine \u2014 or hormonal \u2014 system called <a href=\"https:\/\/www.mayoclinic.org\/search\/search-results?q=polycystic%20ovary%20syndrome\">polycystic ovary syndrome<\/a> (PCOS).<\/p>\n<p>In order to check for PCOS, the doctor refers Gabrielle for a pelvic ultrasound and sends her to the lab to get blood work done. When her lab results come back, Gabrielle learns that her levels of androgens (a group of hormones) are high, and so is her blood glucose (sugar). The ultrasound showed that she has multiple fluid-filled sacs (known as cysts) in her ovaries. Based on Gabrielle\u2019s symptoms and test results, the doctor tells her that she does indeed have PCOS.<\/p>\n<p>PCOS is common in young women. It is estimated that 6-10% women of childbearing age have PCOS \u2014 as many as 1.4 million women in in Canada. You may know someone with PCOS, or you may have it yourself.<\/p>\n<p>Read the rest of this chapter to learn about the glands and hormones of the endocrine system, their functions, how they are regulated, and the disorders \u00ad\u00ad\u2014 such as PCOS \u00ad\u00ad\u2014 that can arise when hormones are not regulated properly. At the end of the chapter, you will learn more about PCOS, its possible long-term consequences (including fertility problems and diabetes), and how these negative outcomes can sometimes be prevented with lifestyle changes and medications.<\/p>\n<div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">Chapter Overview: Endocrine System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter, you will learn about the endocrine system, a system of glands that secrete hormones that regulate many of the body\u2019s functions. Specifically, you will learn about:<\/p>\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2936\">glands<\/a> that make up the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_5985\">endocrine system<\/a>, and how <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_5661\">hormone<\/a>s act as chemical messengers in the body.<\/li>\n<li>The general types of endocrine system disorders.<\/li>\n<li>The types of endocrine hormones \u2014 including steroid hormones (such as sex hormones) and non-steroid hormones (such as insulin) \u2014 and how they affect the functions of their target cells by binding to different types of receptor proteins.<\/li>\n<li>How the levels of hormones are regulated mostly through negative, but sometimes through positive, feedback loops.<\/li>\n<li>The master gland of the endocrine system, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2938\">pituitary gland<\/a>, which controls other parts of the endocrine system through the hormones that it secretes, as well as how the pituitary itself is regulated by hormones secreted from the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2937\">hypothalamus<\/a> of the brain.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2958\">thyroid gland<\/a> and its hormones \u2014 which regulate processes including metabolism and calcium <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_5761\">homeostasis<\/a> \u2014 how the thyroid is regulated, and the disorders that can occur when there are problems in thyroid hormone regulation (such as hyperthyroidism and hypothyroidism).<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_5869\">adrenal glands<\/a>, which secrete hormones that regulate processes such as metabolism, electrolyte balance, responses to stress, and reproductive functions, and the disorders that can occur when there are problems in adrenal hormone regulation, such as Cushing\u2019s syndrome and Addison\u2019s disease.<\/li>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3197\">pancreas<\/a>, which secretes hormones that regulate blood glucose levels (such as insulin), and disorders of the pancreas and its hormones, including <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2969\">diabetes<\/a>.<\/li>\n<\/ul>\n<p>Later chapters in this book will discuss the glands and hormones involved in the reproductive and immune systems in more depth.<\/p>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read this chapter, think about the following questions:<\/p>\n<ol>\n<li>Why can hormones have such broad range effects on the body, as we see in PCOS?<\/li>\n<li>Which hormones normally regulate blood glucose? How is this related to diabetes?<\/li>\n<li>What are androgens? How do you think their functions relate to some of the symptoms that Gabrielle is experiencing?<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<h2>Attribution<\/h2>\n<p><strong>Figure 9.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/Pe4gh8a8mBY\" rel=\"cc:attributionURL\">Chapter 9 case study<\/a> [photo] by <a href=\"https:\/\/unsplash.com\/@hamann\">niklas_hamann<\/a> on <a href=\"http:\/\/unsplash.com\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<h2>Reference<\/h2>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Polycystic ovary syndrome [online article]. MayoClinic.com. https:\/\/www.mayoclinic.org\/diseases-conditions\/pcos\/multimedia\/polycystic-ovary-syndrome\/img-20007768<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4810_2936\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_2936\"><div tabindex=\"-1\"><p>Created by: CK-12\/Adapted by Christine Miller<\/p>\n<div id=\"h5p-83\">\n<div class=\"h5p-content\" data-content-id=\"83\"><\/div>\n<\/div>\n<p><em>Figure 6.3.1 How would you classify these people?\u00a0<\/em><\/p>\n<h1>Why Classify?<\/h1>\n<p>What do you see when you look at Figure 6.3.1? Did you sort individuals into categories based in gender, age, body type, facial features, skin colour or other characteristics?\u00a0 As humans, we seem to have a penchant for classifying and labeling people and things. It helps us establish a sense of order in the world around us. The 18th century taxonomist <a href=\"https:\/\/en.wikipedia.org\/wiki\/Carl_Linnaeus\" target=\"_blank\" rel=\"noopener noreferrer\">Carl Linnaeus<\/a>, for example, classified virtually all known living things into different species, genera, families, and other taxonomic categories. His classifications were based on observable phenotypic characteristics, such as skin colour. Modern biological classifications of living things are usually based on phylogenetic relationships. Phylogenies reflect evolutionary history and group together living things that are related by descent from a common ancestor.<\/p>\n<p>Starting with Linnaeus and continuing to the present, scientists and others have attempted to classify human variation. There are three basic approaches to classification: typological, populational, and clinal.<\/p>\n<div>\n<h2>Typological Approach<\/h2>\n<\/div>\n<p>The\u00a0typological approach\u00a0involves creating a\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2650\">typology<\/a><strong>,<\/strong>\u00a0which is a system of discrete types, or categories. This approach was widely used by scientists up through the early 20th century. Racial classifications are typological classifications. They place people into a small number of discrete categories, or\u00a0races<strong>,<\/strong> based on a few readily observable traits, such as skin colour, hair texture, facial features, and body build.<\/p>\n<h2>Racial Classifications and Racism<\/h2>\n<p>Racial classifications of humans probably go back as long as people distinguished \u201cus\u201d from \u201cthem.\u201d An early \u201cscientific\u201d classification of humans into races is Linnaeus\u2019 1735 classification. He divided\u00a0<em>Homo sapiens<\/em>\u00a0into continental races, which he named\u00a0<em>europaeus, asiaticus, americanus,<\/em>\u00a0and\u00a0<em>afer.<\/em> Linnaeus described these races in terms of observable physical traits. He also associated, inaccurately, each race with different personality qualities and behaviors. For example, he described <em>Homo sapiens europaeus<\/em>\u00a0as active and adventurous and\u00a0<em>Homo sapiens afer<\/em>\u00a0as lazy and careless. In 1795, the German naturalist <a href=\"https:\/\/en.wikipedia.org\/wiki\/Johann_Friedrich_Blumenbach\" target=\"_blank\" rel=\"noopener noreferrer\">Johann Friedrich Blumenbach<\/a> proposed five major races of\u00a0<em>Homo sapiens<\/em>, which he named the caucasoid, mongoloid, negroid, American Indian, and Malayan races. Blumenbach thought that the caucasoid race was the original race, and that the other races arose in a process of \u201cdegeneration\u201d from the caucasoids.<\/p>\n<figure id=\"attachment_452\" aria-describedby=\"caption-attachment-452\" style=\"width: 592px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-450\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Huxley_races.png\" alt=\"\" width=\"592\" height=\"274\"><figcaption id=\"caption-attachment-452\" class=\"wp-caption-text\"><em>Figure 6.3.2 Huxley proposed that humans were categorized into nine races, and distributed geographically as shown in this map. Each colour represents one of Huxley\u2019s proposed races. These categories included \u201cAustraloid,\u201d \u201cXanthochroi,\u201d \u201cMelanochori,\u201d \u201cNegroes,\u201d and \u201cMongoloids,\u201d and they are not used today.<\/em><\/figcaption><\/figure>\n<p>In 1870, the English biologist <a href=\"https:\/\/en.wikipedia.org\/wiki\/Thomas_Henry_Huxley\" target=\"_blank\" rel=\"noopener noreferrer\">Thomas Huxley<\/a> classified\u00a0<em>Homo sapiens<\/em> into nine races <span style=\"text-align: initial;font-size: 1em\">which were distributed geographically<\/span>. The map in Figure 6.3.2 shows how Huxley thought the races were distributed worldwide. <span style=\"text-align: initial;font-size: 1em\">Each colour represents one of Huxley\u2019s proposed races. These categories included \u201cAustraloid,\u201d \u201cXanthochroi,\u201d \u201cMelanochori,\u201d \u201cNegroes,\u201d and \u201cMongoloids,\u201d and they are not used today. <\/span>It should be noted that Huxley did not hold such strong negative stereotypes about non-European (or non-caucasoid) races as did his intellectual forebears. Huxley, however, still attributed different behaviors to racial groups that had nothing to do with the colour of their skin or continent of origin.<\/p>\n<p>By the early 20th century, so-called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2652\">scientific racism<\/a><\/strong> was a popular ideology. This was the idea that race is a biological concept and that human behavior is partly determined by race. At around 1950, in a series of groundbreaking studies of skeletal anatomy, anthropologist <a href=\"https:\/\/en.wikipedia.org\/wiki\/Franz_Boas\" target=\"_blank\" rel=\"noopener noreferrer\">Franz Boas<\/a> showed that cranial (skull) shape and size were highly malleable, depending on environmental factors (such as health and nutrition). He contrasted this with\u00a0racial anthropologists'\u00a0claims that head shape is a stable racial trait. In this way, Boas demonstrated that this commonly used racial trait was determined by the environment, and not just genes. Boas also worked to demonstrate that differences in human behavior are not determined primarily by innate biological dispositions, but are largely the result of cultural differences acquired through social learning.<\/p>\n<p>Unfortunately,\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2659\">racism<\/a><\/strong> still persists today \u2014 in society at large, if not in science. This is the association of racial traits (such as skin colour) with unrelated traits (such as intelligence), often leading to prejudice and discrimination against people based only on how they look. The concept of human race is real, not in a biological sense, but in a social sense. Racial stereotypes and racism are deeply ingrained in our history and culture, and they have real material effects on human lives.<\/p>\n<h2>Additional Problems with Typological Classification<\/h2>\n<p>Besides the problem of racism, there are other problems with typological approaches to the biological classification of\u00a0<em>Homo sapiens.<\/em>\u00a0One problem is that most human biological traits are not either present or absent, but instead vary on a continuum. This type of distribution cannot be adequately represented by discrete categories, such as races. The typological approach also results in groupings of people that may be similar in terms of some traits, but not others. How people are grouped together depends on which traits are chosen. In addition, the number of groups that are needed to classify people depends on the number of traits that are used. The greater the number of traits, the greater the number of racial categories there must be. If racial categories depend on the traits chosen to define them, it is clear that the racial classifications are arbitrary and do not reflect biological reality.<\/p>\n<p>Another problem with typological classifications is that they lead to the mistaken belief that people within typological categories are more similar to each other than they are to people in other categories. There is actually more variation\u00a0<em>within<\/em>\u00a0than\u00a0<em>between<\/em> typological groups. An estimated 90 per cent of human genetic variation occurs between people within races, and only 10 per cent occurs between races. Clearly, races are far from homogenous in terms of their genetic composition. In short, we are all more alike than we are different.<\/p>\n<div>\n<h1>Populational Approach<\/h1>\n<\/div>\n<p>By the middle of the 20th century, scientists started advocating a\u00a0<strong>populational approach<\/strong>\u00a0to classifying\u00a0<em>Homo sapiens.<\/em>\u00a0This approach is based on the idea that the breeding population is the only biologically meaningful group. The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2556\">breeding population<\/a><\/strong>\u00a0is the unit of evolution, and it includes people who have mated and produced offspring together for many generations. As a result, members of the same breeding population should share many genetic traits. You would also expect them to have many of the same phenotypic traits, because of their similar genetic makeup.<\/p>\n<p>While the populational approach makes sense in theory, in reality, it can rarely be applied, because most human populations are not closed breeding populations. Some people have always selected mates from outside their local population (even mating with archaic humans such as Neanderthals). This tendency has increased dramatically in recent centuries with the advent of efficient means of traveling long distances. As a consequence, there are very few remaining distinct breeding populations within the human species.<\/p>\n<figure id=\"attachment_452\" aria-describedby=\"caption-attachment-452\" style=\"width: 437px\" class=\"wp-caption alignright\"><img class=\" wp-image-451\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nicobar_Islands.png\" alt=\"Nicobar_Islands\" width=\"437\" height=\"299\"><figcaption id=\"caption-attachment-452\" class=\"wp-caption-text\"><em>Figure 6.3.3 The Andaman Islands are boxed in red on this map of South and Southeast Asia.<\/em><\/figcaption><\/figure>\n<p>An example of one such population is the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Sentinelese\" target=\"_blank\" rel=\"noopener noreferrer\">Sentinelese<\/a>, a small population of hunter-gatherers who live alone on a small island in the Andaman Islands (see the map). The Sentinelese are thought to be direct descendants of the first modern humans to leave Africa, and they may have lived in the Andaman Islands for as long as 60 thousand years. The Sentinelese are also one of the most isolated human populations on Earth. The fact that their language is distinctly different from other Andaman Islands languages is evidence that they have had little contact with other people for thousands of years. Although closed breeding populations (such as the Sentinelese) may be useful for investigating questions about evolutionary processes, they are not useful for classifying most of humanity.<\/p>\n<p>&nbsp;<\/p>\n<div>\n<p><span style=\"font-size: 1.424em\">Clinal Approach<\/span><\/p>\n<\/div>\n<p>By the 1960s, scientists began to use a\u00a0<strong>clinal approach<\/strong>\u00a0to classify human variation. This approach maps variation in traits over geographic regions (such as continents) or even worldwide. Clinal models are a useful way of describing human variation that does not lead to discrete races or other categories of people.<\/p>\n<figure id=\"attachment_452\" aria-describedby=\"caption-attachment-452\" style=\"width: 516px\" class=\"wp-caption alignleft\"><img class=\"wp-image-452 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Map_of_Group_O.png\" alt=\"\" width=\"516\" height=\"284\"><figcaption id=\"caption-attachment-452\" class=\"wp-caption-text\"><em>Figure 6.3.4 Distribution of Type O Blood in Indigenous Populations of the World.<\/em><\/figcaption><\/figure>\n<p>In Figure 6.3.4 you can see a worldwide clinal map for type O blood in the human ABO blood group system. The frequency of this trait is shown for the indigenous populations of various regions. It is lowest throughout Asia and highest in Native American populations in both North and South America. This geographic distribution results from the complex interaction of a variety of factors, including natural selection, genetic drift, and gene flow. You can read more about geographic variation in blood types in the concept <em>Variation in Blood Types.<\/em><\/p>\n<div>\n<p><span style=\"text-align: initial;font-size: 1em\">Clinal maps for many genetic traits show variation that changes gradually from one geographic area to another, which may happen because of the nature of gene flow. Gene flow occurs when mating takes place between people in different populations. The likelihood of mating with others depends on their distance from us. You may not marry the boy or girl next door, but your mate is more likely to be someone in the same state or country than someone on another continent.<\/span><\/p>\n<\/div>\n<p>Natural selection has a major impact on the clinal distribution of some traits, because variation in the traits tracks variation in selective pressures. For example, the environmental stressor of malaria varies throughout Africa with climate, as you can see in the left-hand map below (Figure 6.3.5). The sickle cell trait that protects from malaria has a similar distribution, as shown in the right-hand map.<\/p>\n<div id=\"h5p-84\">\n<div class=\"h5p-content\" data-content-id=\"84\"><\/div>\n<\/div>\n<p><em>Figure 6.3.5\u00a0<\/em><\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.3 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Humans seem to have a need to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2595\">classify<\/a> and label people based on their similarities and differences. Three approaches to classifying human variation include typological, populational, and clinal approaches.<\/li>\n<li>The typological approach involves creating a typology, which is a system of discrete categories, or races. This approach was widely used by scientists until the early 20th century. Racial categories are based on observable phenotypic traits (such as skin colour), but other traits and behaviors are often assumed to apply to racial groups, as well. The use of racial classifications often leads to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2659\">racism<\/a>.<\/li>\n<li>By the mid-20th century, scientists started advocating a population approach. This assumes that the breeding population, which is the unit of evolution, is the only biologically meaningful group. While this approach makes sense in theory, in reality, it can rarely be applied to actual human populations. With few exceptions, most human populations are not closed breeding populations.<\/li>\n<li>By the 1960s, scientists began to use a clinal approach to classify human variation. This approach maps variation in the frequency of traits or alleles over geographic regions or worldwide. Clinal maps for many genetic traits show variation that changes gradually from one geographic area to another. This type of distribution may result from gene flow and\/or natural selection.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.3 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li style=\"margin-top: 0px\">Name the 18th century taxonomist that classified virtually all known living things.<\/li>\n<li>Describe the typological approach to classifying human variation.<\/li>\n<li>Discuss why typological classifications of <em>Homo sapiens <\/em>are associated with racism.<\/li>\n<li>Why is the breeding population considered to be the most meaningful biological group?<\/li>\n<li>Explain why it is generally unrealistic to apply a populational approach to classifying the human species.<\/li>\n<li>What does a clinal map show?<\/li>\n<li>Explain how gene flow and natural selection can result in a gradual change in the frequency of a trait over geographic space.<\/li>\n<li>Most human traits vary on a continuum. Explain why this presents a problem for the typological classification approach.<\/li>\n<li>\n<div id=\"h5p-85\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-85\" class=\"h5p-iframe\" data-content-id=\"85\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Classifying Human Variation\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.3 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=ntimKsWDUpA&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">The Biology of Race in the Absence of Biological Races,<br \/>\nCentre for Genetic Medicine, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=QOSPNVunyFQ<\/p>\n<p style=\"text-align: center\">Nina Jablonski breaks the illusion of skin color, TED, 2009.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=_r4c2NT4naQ<\/p>\n<p style=\"text-align: center\">The science of skin color - Angela Koine Flynn, TED-Ed, 2016.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 6.3.1<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/gYdjZzXNWlg\">Three women sitting by flowers and laughing<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@priscilladupreez\">Priscilla Du Preez<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/qjHtxArSBT8\">Two women sitting on sofa<\/a> by <a href=\"https:\/\/unsplash.com\/@canweallgo\">AllGo<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/-Xv7k95vOFA\">Young people in conversation<\/a> by <a href=\"https:\/\/unsplash.com\/@alexisrbrown\">Alexis Brown<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/zimQNLdnKp0\">Men talking in the cold<\/a> by <a href=\"https:\/\/unsplash.com\/@ann_van_\">Anna Vander Stel<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/-8UEuVWA-Tk\">Laughing by the tracks<\/a> by <a href=\"https:\/\/unsplash.com\/@priscilladupreez\">Priscilla Du Preez<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<\/ul>\n<p><strong>Figure 6.3.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Huxley_races.png\" rel=\"cc:attributionURL\">Huxley_races<\/a> by <a title=\"User:Wobble\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Wobble\">Wobble<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 6.3.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Nicobar_Islands.PNG\" rel=\"cc:attributionURL\">Nicobar_Islands<\/a> is edited by <a href=\"https:\/\/nl.wikipedia.org\/wiki\/Gebruiker:Michiel1972\">M.Minderhoud<\/a> on Wikimedia Commons, and was released into the <a class=\"extiw\" title=\"w:en:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/en:public_domain\">public domain<\/a> by its original author, <a class=\"external text\" href=\"http:\/\/www.demis.nl\/\" rel=\"nofollow\">www.demis.nl<\/a>. (<i>See also\u00a0<a class=\"extiw\" title=\"de:Bild:Demis Best\u00e4tigung.gif\" href=\"https:\/\/de.wikipedia.org\/wiki\/Bild:Demis_Best%C3%A4tigung.gif\">approval email on de.wp<\/a>\u00a0and\u00a0<a title=\"Template talk:PD-Demis\" href=\"https:\/\/commons.wikimedia.org\/wiki\/Template_talk:PD-Demis\">its clarification<\/a>.)<\/i><\/p>\n<p><strong>Figure 6.3.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Map_of_Group_O.png\">Map_of_Group_O<\/a>\/ (Percent of Native population that has the O blood type) by <a class=\"new mw-userlink\" title=\"User:Ephert (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Ephert&amp;action=edit&amp;redlink=1\">Ephert<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license. (Original <a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Mapa_del_grupo_O.GIF\">Spanish edition<\/a> by\u00a0<a title=\"User:Maulucioni\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Maulucioni\">Maulucioni)<\/a><\/p>\n<p><strong>Figure 6.3.5<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Malaria_distribution.jpg\">Malaria distribution<\/a> by <a class=\"extiw\" title=\"wikipedia:User:Muntuwandi\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Muntuwandi\">Muntuwandi<\/a>\u00a0at\u00a0<a class=\"extiw\" title=\"wikipedia:\" href=\"https:\/\/en.wikipedia.org\/wiki\/\">English Wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Sickle_cell_distribution.jpg\">Sickle cell distribution<\/a> by <a class=\"extiw\" title=\"wikipedia:User:Muntuwandi\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Muntuwandi\">Muntuwandi<\/a>\u00a0at\u00a0<a class=\"extiw\" title=\"wikipedia:\" href=\"https:\/\/en.wikipedia.org\/wiki\/\">English Wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/deed.en) license.<\/li>\n<\/ul>\n<h2>References<\/h2>\n<p class=\"hanging-indent\"><span style=\"text-align: initial;font-size: 1em\">Centre for Genetic Medicine. (2015, July 14). The biology of race in the absence of biological races. YouTube. https:\/\/www.youtube.com\/watch?v=ntimKsWDUpA&amp;feature=youtu.be<\/span><\/p>\n<p class=\"hanging-indent\">TED. (2009, August 7). Nina Jablonski breaks the illusion of skin color. YouTube. https:\/\/www.youtube.com\/watch?v=QOSPNVunyFQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2016, February 16). The science of skin color - Angela Koine Flynn. YouTube. https:\/\/www.youtube.com\/watch?v=_r4c2NT4naQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, June 27). Carl Linnaeus. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Carl_Linnaeus&amp;oldid=964690855<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, May 18). Franz Boas. In <em>Wikipedia<\/em>. https:\/\/en.wikipedia.org\/w\/index.php?title=Franz_Boas&amp;oldid=957282443<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, July 5). Johann Friedrich Blumenbach. In <em>Wikipedia<\/em>.\u00a0 https:\/\/en.wikipedia.org\/w\/index.php?title=Johann_Friedrich_Blumenbach&amp;oldid=966196943<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, July 11). Sentinelese. In <em>Wikipedia<\/em>. https:\/\/en.wikipedia.org\/w\/index.php?title=Sentinelese&amp;oldid=967121254<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, July 14). Thomas Henry Huxley. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Thomas_Henry_Huxley&amp;oldid=967701553<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_5985\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_5985\"><div tabindex=\"-1\"><p>The body system which acts as a chemical messenger system comprising feedback loops of the hormones released by internal glands of an organism directly into the circulatory system, regulating distant target organs. In humans, the major endocrine glands are the thyroid gland and the adrenal glands.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_5661\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_5661\"><div tabindex=\"-1\"><p>A hormone is a signaling molecule produced by glands in multicellular organisms that target distant organs to regulate physiology and behavior.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_2938\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_2938\"><div tabindex=\"-1\"><p>Created by: CK-12\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 602px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-461\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Blood-Donation-by-USA-Department-of-Defence-Public-Domain.jpg\" alt=\"Blood donation\" width=\"602\" height=\"401\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.1 A phlebotomist draws blood from a blood donor.<\/em><\/figcaption><\/figure>\n<h1>Giving the Gift of Life<\/h1>\n<p>Did you ever donate blood? If you did, then you probably know that your blood type is an important factor in blood transfusions. People vary in the type of blood they inherit, and this determines which type(s) of blood they can safely receive in a transfusion. Do you know your blood type?<\/p>\n<div>\n<h1>What Are Blood Types?<\/h1>\n<\/div>\n<p style=\"text-align: left\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2702\">Blood<\/a> is composed of cells suspended in a liquid called plasma. There are three types of cells in blood: red blood cells, which carry oxygen; white blood cells, which fight infections and other threats; and platelets, which are cell fragments that help blood clot.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2703\">Blood type<\/a><\/strong>\u00a0(or blood group) is a genetic characteristic associated with the presence or absence of certain molecules, called antigens, on the surface of red blood cells. These molecules may help maintain the integrity of the cell membrane, act as receptors, or have other biological functions. A\u00a0<strong>blood group system<\/strong>\u00a0refers to all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2035\">gene<\/a>(s), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_1942\">alleles<\/a>, and possible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2715\">genotypes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2477\">phenotypes<\/a>\u00a0that exist for a particular set of blood type antigens. Human blood group systems include the well-known ABO and Rhesus (Rh) systems, as well as at least 33 others that are less well known.<\/p>\n<h2>Antigens and Antibodies<\/h2>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2704\">Antigens<\/a><\/strong>\u00a0\u2014<strong>\u00a0<\/strong>such as those on the red blood cells \u2014 are molecules that the immune system identifies as either self (produced by your own body) or non-self (not produced by your own body). Blood group antigens may be proteins, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2210\">carbohydrates<\/a>, glycoproteins (proteins attached to chains of sugars), or glycolipids (lipids attached to chains of sugars), depending on the particular blood group system. If antigens are identified as non-self, the immune system responds by forming antibodies that are specific to the non-self antigens. <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2215\">Antibodies<\/a><\/strong> are large, Y-shaped proteins produced by the immune system that recognize and bind to non-self antigens. The analogy of a lock and key is often used to represent how an antibody and antigen fit together, as shown in the illustration below (Figure 6.5.2). When antibodies bind to antigens, it marks them for destruction by other immune system cells. Non-self antigens may enter your body on pathogens (such as bacteria or viruses), on foods, or on red blood cells in a blood transfusion from someone with a different blood type than your own. The last way is virtually impossible nowadays because of effective blood typing and screening protocols.<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 492px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-462\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Antibody.svg_.png\" alt=\"Antibody Lock and Key model\" width=\"492\" height=\"694\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.2 Model of antigen and matching antibody. Antibodies will detect antigens based on a match in 3-dimensional shape, as per the lock and key model.<\/em><\/figcaption><\/figure>\n<h2>Genetics of Blood Type<\/h2>\n<p>An individual\u2019s <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2703\">blood type<\/a> depends on which <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_1942\">alleles<\/a> for a blood group system were inherited from their parents. Generally, blood type is controlled by alleles for a single <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2035\">gene<\/a>, or for two or more very closely linked genes. Closely linked genes are almost always inherited together, because there is little or no recombination between them. Like other genetic traits, a person\u2019s blood type is generally fixed for life, but there are rare instances in which blood type can change. This could happen, for example, if an individual receives a bone marrow transplant to treat a disease, such as leukemia. If the bone marrow comes from a donor who has a different blood type, the patient\u2019s blood type may eventually convert to the donor\u2019s blood type, because red blood cells are produced in bone marrow.<\/p>\n<div>\n<h1>ABO Blood Group System<\/h1>\n<\/div>\n<p>The\u00a0<strong>ABO blood group system<\/strong> is the best known human blood group system. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2704\">Antigens<\/a> in this system are glycoproteins. These antigens are shown in the list below. There are four common blood types for the ABO system:<\/p>\n<ol>\n<li>Type A, in which only the A antigen is present.<\/li>\n<li>Type B, in which only the B antigen is present.<\/li>\n<li>Type AB, in which both the A and B antigens are present.<\/li>\n<li>Type O, in which neither the A nor the B antigen is present.<\/li>\n<\/ol>\n<h2>Genetics of the ABO System<\/h2>\n<p>The ABO blood group system is controlled by a single<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2035\"> gene<\/a> on <a href=\"https:\/\/en.wikipedia.org\/wiki\/Chromosome_9\">chromosome 9<\/a>. There are three common <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_1942\">alleles<\/a> for the gene, often represented by the letters A , B , and O. With three alleles, there are six possible genotypes for ABO blood group. Alleles A and B, however, are both dominant to allele O and codominant to each other. This results in just four possible phenotypes (blood types) for the ABO system. These genotypes and phenotypes are shown in Table 6.5.1.<\/p>\n<p><strong>Table 6.5.1<\/strong><\/p>\n<p><em>ABO Blood Group System: Genotypes and Phenotypes<\/em><\/p>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 49.9637%\" border=\"0\">\n<tbody>\n<tr>\n<td style=\"width: 35.8231%;text-align: center\" colspan=\"2\"><strong>ABO Blood Group System<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\"><strong>Genotype<\/strong><\/td>\n<td style=\"width: 20.8122%\"><strong>Phenotype (Blood Type, or Group)<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">AA<\/td>\n<td style=\"width: 20.8122%\">A<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">AO<\/td>\n<td style=\"width: 20.8122%\">A<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">BB<\/td>\n<td style=\"width: 20.8122%\">B<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">BO<\/td>\n<td style=\"width: 20.8122%\">B<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">OO<\/td>\n<td style=\"width: 20.8122%\">O<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 15.0109%\">AB<\/td>\n<td style=\"width: 20.8122%\">AB<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>The diagram below (Figure 6.5.3) shows an example of how ABO blood type is inherited. In this particular example, the father has blood type A (genotype AO) and the mother has blood type B (genotype BO). This mating type can produce children with each of the four possible ABO <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2477\">phenotypes<\/a>, although in any given family, not all phenotypes may be present in the children.<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 590px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-463\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ABO_system_codominance.svg_.png\" alt=\"Example of the ABO system codominance\" width=\"590\" height=\"588\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.3 Example of ABO blood group inheritance.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Medical Significance of ABO Blood Type<\/span><\/p>\n<\/div>\n<p>The ABO system is the most important blood group system in blood transfusions. If red blood cells containing a particular ABO antigen are transfused into a person who lacks that antigen, the person\u2019s immune system will recognize the antigen on the red blood cells as non-self. Antibodies specific to that antigen will attack the red blood cells, causing them to agglutinate (or clump) and break apart. If a unit of incompatible blood were to be accidentally transfused into a patient, a severe reaction (called <a href=\"https:\/\/medlineplus.gov\/ency\/article\/001303.htm\">acute hemolytic transfusion reaction<\/a>) is likely to occur, in which many red blood cells are destroyed. This may result in kidney failure, shock, and even death. Fortunately, such medical accidents virtually never occur today.<\/p>\n<p>These antibodies are often spontaneously produced in the first years of life, after exposure to common microorganisms in the environment that have antigens similar to blood antigens. Specifically, a person with type A blood will produce anti-B antibodies, while a person with type B blood will produce anti-A antibodies. A person with type AB blood does not produce either antibody, while a person with type O blood produces both anti-A and anti-B antibodies. Once the antibodies have been produced, they circulate in the plasma. The relationship between ABO red blood cell antigens and plasma antibodies is shown in Figure 6.5.4.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 1016px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-412\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ABO_blood_type.svg_.png\" alt=\"Image shows a table of each blood type, which antigens and antibodies are present, and acceptable blood donor types.\" width=\"1016\" height=\"653\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.4 The relationship between ABO red blood cell antigens and plasma antibodies.<\/em><\/figcaption><\/figure>\n<div>\n<p><em>The antibodies that circulate in the plasma are for different antigens than those on red blood cells, which are recognized as self antigens.<\/em><\/p>\n<\/div>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 273px\" class=\"wp-caption alignright\"><img class=\"wp-image-464 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blood-Donor-and-recipient-ABO-e1588625024858.png\" alt=\"Blood donors and recipients\" width=\"273\" height=\"272\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.5 You can always donate blood to someone who has the same blood type as yours, but you may or may not be able to donate to people who have other blood types, as indicated in this diagram.<\/em><\/figcaption><\/figure>\n<p>Which blood types are compatible and which are not? Type O blood contains both anti-A and anti-B antibodies, so people with type O blood can only receive type O blood. However, they can\u00a0<em>donate<\/em>\u00a0blood to people of\u00a0<em>any<\/em>\u00a0ABO blood type, which is why individuals with type O blood are called\u00a0<strong>universal donors.<\/strong>\u00a0Type AB blood contains neither anti-A nor anti-B antibodies, so people with type AB blood can receive blood from people of any ABO blood type. That\u2019s why individuals with type AB blood are called\u00a0<strong>universal recipients.<\/strong>\u00a0They can donate blood, however,\u00a0<em>only<\/em> to people who also have type AB blood. These and other relationships between blood types of donors and recipients are summarized in the simple diagram to the right.<\/p>\n<h3>Geographic Distribution of ABO Blood Groups<\/h3>\n<p>The frequencies of blood groups for the ABO system vary around the world. You can see how the A and B alleles and the blood group O are distributed geographically on the maps in Figure 6.5.6.<\/p>\n<ul>\n<li>Worldwide, B is the rarest ABO allele, so type B blood is the least common ABO blood type. Only about 16 per cent of all people have the B allele. Its highest frequency is in Asia. Its lowest frequency is among the indigenous people of Australia and the Americas.<\/li>\n<li>The A allele is somewhat more common around the world than the B allele, so type A blood is also more common than type B blood. The highest frequencies of the A allele are in Australian Aborigines, the Lapps (Sami) of Northern Scandinavia, and Blackfoot Native Americans in North America. The allele is nearly absent among Native Americans in Central and South America.<\/li>\n<li>The O allele is the most common ABO allele around the world, and type O blood is the most common ABO blood type. Almost two-thirds of people have at least one copy of the O allele. It is especially common in Native Americans in Central and South America, where it reaches frequencies close to 100 per cent. It also has relatively high frequencies in Australian Aborigines and Western Europeans. Its frequencies are lowest in Eastern Europe and Central Asia.<\/li>\n<\/ul>\n<div>\n<div id=\"h5p-89\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-89\" class=\"h5p-iframe\" data-content-id=\"89\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Global Distribution or Blood Groups\"><\/iframe><\/div>\n<\/div>\n<p><em>Figure 6.5.6 Maps of populations that have the A, B and O alleles.\u00a0<\/em><\/p>\n<\/div>\n<h2>Evolution of the ABO Blood Group System<\/h2>\n<p>The geographic distribution of ABO blood type alleles provides indirect evidence for the evolutionary history of these alleles. Evolutionary biologists hypothesize that the allele for blood type A evolved first, followed by the allele for blood type O, and then by the allele for blood type B. This chronology accounts for the percentages of people worldwide with each blood group, and is also consistent with known patterns of early population movements.<\/p>\n<p>The evolutionary forces of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2686\">founder effect<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2710\">genetic drift<\/a> have no doubt played a significant role in the current distribution of ABO blood types worldwide. Geographic variation in ABO blood groups is also likely to be influenced by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2633\">natural selection<\/a>, because different blood types are thought to vary in their susceptibility to certain diseases. For example:<\/p>\n<ul>\n<li>People with type O blood may be more susceptible to cholera and plague. They are also more likely to develop gastrointestinal ulcers.<\/li>\n<li>People with type A blood may be more susceptible to smallpox and more likely to develop certain cancers.<\/li>\n<li>People with types A, B, and AB blood appear to be less likely to form blood clots that can cause strokes. However, early in our history, the ability of blood to form clots \u2014 which appears greater in people with type O blood \u2014 may have been a survival advantage.<\/li>\n<li>Perhaps the greatest natural selective force associated with ABO blood types is malaria. There is considerable evidence to suggest that people with type O blood are somewhat resistant to malaria, giving them a selective advantage where malaria is endemic.<\/li>\n<\/ul>\n<div>\n<h1>Rhesus Blood Group System<\/h1>\n<\/div>\n<p>Another well-known blood group system is the\u00a0<strong>Rhesus (Rh) blood group system<\/strong>. The Rhesus system has dozens of different antigens, but only five main antigens (called\u00a0D, C, c, E, and e). The major Rhesus antigen is the D antigen. People with the D antigen are called Rh positive (Rh+), and people who lack the D antigen are called Rh negative (Rh-). Rhesus antigens are thought to play a role in transporting ions across cell membranes by acting as channel proteins.<\/p>\n<p>The Rhesus blood group system is controlled by two linked genes on <a href=\"https:\/\/en.wikipedia.org\/wiki\/Chromosome_1\">chromosome 1<\/a>. One gene, called RHD, produces a single antigen, antigen D. The other gene, called RHCE, produces the other four relatively common Rhesus antigens (C, c, E, and e), depending on which alleles for this gene are inherited.<\/p>\n<h2>Rhesus Blood Group and Transfusions<\/h2>\n<p>After the ABO system, the Rhesus system is the second most important blood group system in blood transfusions. The D antigen is the one most likely to provoke an immune response in people who lack the antigen. People who have the D antigen (Rh+) can be safely transfused with either Rh+ or Rh- blood, whereas people who lack the D antigen (Rh-) can be safely transfused only with Rh- blood.<\/p>\n<p>Unlike anti-A and anti-B antibodies to ABO antigens, anti-D antibodies for the Rhesus system are not usually produced by sensitization to environmental substances.\u00a0People who lack the D antigen (Rh-), however, may produce anti-D antibodies if exposed to Rh+ blood. This may happen accidentally in a blood transfusion, although this is extremely unlikely today. It may also happen during pregnancy with an Rh+ fetus if some of the fetal blood cells pass into the mother\u2019s blood circulation.<\/p>\n<h2>Hemolytic Disease of the Newborn<\/h2>\n<p>If a woman who is Rh- is carrying an Rh+ fetus, the fetus may be at risk. This is especially likely if the mother has formed anti-D antibodies during a prior pregnancy because of a mixing of maternal and fetal blood during childbirth. Unlike antibodies against ABO antigens, antibodies against the Rhesus D antigen can cross the placenta and enter the blood of the fetus. This may cause\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK2266\/\"><strong>hemolytic disease of the newborn (HDN)<\/strong><\/a>, also called erythroblastosis fetalis, an illness in which fetal red blood cells are destroyed by maternal antibodies, causing <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2061\">anemia<\/a>. This illness may range from mild to severe. If it is severe, it may cause brain damage and is sometimes fatal for the fetus or newborn. Fortunately, HDN can be prevented by preventing the formation of anti-D antibodies in the Rh- mother. This is achieved\u00a0by injecting the\u00a0mother\u00a0with\u00a0a medication called Rho(D) immune globulin.<\/p>\n<h2>Geographic Distribution of Rhesus Blood Types<\/h2>\n<p>The majority of people worldwide are Rh+, but there is regional variation in this blood group system, as there is with the ABO system. The aboriginal inhabitants of the Americas and Australia originally had very close to 100 per cent Rh+ blood. The frequency of the Rh+ blood type is also very high in African populations, at about 97 to 99 per cent. In East Asia, the frequency of Rh+ is slightly lower, at about 93 to 99 per cent. Europeans have the lowest frequency of the Rh+ blood type at about 83 to 85 per cent.<\/p>\n<p>What explains the population variation in Rhesus blood types? Prior to the advent of modern medicine, Rh+ positive children conceived by Rh- women were at risk of fetal or newborn death or impairment from HDN. This\u00a0was\u00a0an enigma, because presumably, natural selection would work to\u00a0<em>remove<\/em>\u00a0the rarer phenotype (Rh-) from populations. However, the frequency of this phenotype is relatively high in many populations.<\/p>\n<p>Recent studies have found evidence that natural selection may actually favor heterozygotes for the Rhesus D antigen. The selective agent in this case is thought to be\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2718\">toxoplasmosis<\/a>,<\/strong>\u00a0a parasitic disease caused by the protozoan\u00a0<em>Toxoplasma gondii,<\/em> which is very common worldwide. You can see a life cycle diagram of the parasite in Figure 6.5.7. Infection by this parasite often causes no symptoms at all, or it may cause flu-like symptoms for a few days or weeks. Exposure to the parasite has been linked, however, to increased risk of mental disorders (such as schizophrenia), neurological disorders (such as Alzheimer\u2019s), and other neurological problems, including delayed reaction times. One study found that people who tested positive for antibodies to the parasite were more than twice as likely to be involved in traffic accidents.<\/p>\n<figure id=\"attachment_465\" aria-describedby=\"caption-attachment-465\" style=\"width: 627px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-465\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Toxoplasma_gondii_Life_cycle_PHIL_3421_lores.jpg\" alt=\"Toxoplasmosis Life Cycle\" width=\"627\" height=\"822\"><figcaption id=\"caption-attachment-465\" class=\"wp-caption-text\"><em>Figure 6.5.7 Toxoplasmosis (toxoplasma gondii): Infective and diagnostic stages.\u00a0<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"text-align: initial;font-size: 1em\">People who are heterozygous for the D antigen appear less likely to develop the negative neurological and mental effects of <em style=\"text-align: initial;font-size: 1em\">Toxoplasma gondii <\/em>infection<\/span><span style=\"text-align: initial;font-size: 1em\">. This could help explain why both phenotypes (Rh+ and Rh-) are maintained in most populations. There are also striking geographic differences in the prevalence of <a href=\"https:\/\/www.cdc.gov\/parasites\/toxoplasmosis\/gen_info\/faqs.html\">toxoplasmosis<\/a> worldwide, ranging from zero to 95 per cent in different regions. This could explain geographic variation in the D antigen worldwide, because its strength as a selective agent would vary with its prevalence.<\/span><\/p>\n<\/div>\n<div>\n<h1>Feature: Myth vs. Reality<\/h1>\n<table class=\"grid\" style=\"border-collapse: collapse;width: 100%;height: 140px\" border=\"0\">\n<tbody>\n<tr style=\"height: 98px\">\n<td style=\"width: 33.1116%;height: 98px\">\n<h2><span style=\"color: #ff0000\">Myth<\/span><\/h2>\n<\/td>\n<td style=\"width: 66.8884%;height: 98px\">\n<h2><span style=\"color: #339966\">Reality<\/span><\/h2>\n<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.1116%;height: 14px\"><em><span style=\"font-size: 16px\">\"Your nutritional needs can be determined by your ABO blood type. Knowing your blood type allows you to choose the appropriate foods that will help you lose weight, increase your energy, and live a longer, healthier life.\"<\/span><\/em><\/td>\n<td style=\"width: 66.8884%;height: 14px\"><strong><span style=\"font-size: 16px\">This idea was proposed in 1996 in a\u00a0<\/span><em style=\"font-size: 16px\">New York Times<\/em><span style=\"font-size: 16px\">\u00a0bestseller\u00a0<\/span><em style=\"font-size: 16px\">Eat Right for Your Type<\/em><span style=\"font-size: 16px\">, by Peter D\u2019Adamo, a naturopath. Naturopathy is a method of treating disorders that involves the use of herbs, sunlight, fresh air, and other natural substances. Some medical doctors consider naturopathy a pseudoscience. A major scientific review of the blood type diet could find no evidence to support it. In one study, adults eating the diet designed for blood type A showed improved health \u2014 but this occurred in everyone, regardless of their blood type. Because the blood type diet is based solely on blood type, it fails to account for other factors that might require dietary adjustments or restrictions. For example, people with diabetes \u2014 but different blood types \u2014 would follow different diets, and one or both of the diets might conflict with standard diabetes dietary recommendations and be dangerous.<\/span><\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"width: 33.1116%;height: 14px\"><em><span style=\"font-size: 16px\">\"ABO blood type is associated with certain personality traits. People with blood type A, for example, are patient and responsible, but may also be stubborn and tense, whereas people with blood type B are energetic and creative, but may also be irresponsible and unforgiving. In selecting a spouse, both your own and your potential mate\u2019s blood type should be taken into account to ensure compatibility of your personalities.\"<\/span><\/em><\/td>\n<td style=\"width: 66.8884%;height: 14px\"><strong><span style=\"font-size: 16px\">The belief that blood type is correlated with personality is widely held in Japan and other East Asian countries. The idea was originally introduced in the 1920s in a study commissioned by the Japanese government, but it was later shown to have no scientific support. The idea was revived in the 1970s by a Japanese broadcaster, who wrote popular books about it. There is no scientific basis for the idea, and it is generally dismissed as pseudoscience by the scientific community. Nonetheless, it remains popular in East Asian countries, just as astrology is popular in many other countries.<\/span><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.5 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Blood type (or blood group) is a genetic characteristic associated with the presence or absence of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2704\">antigens<\/a> on the surface of red blood cells. A blood group system refers to all of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2035\">gene<\/a>(s), <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_1942\">alleles<\/a>, and possible <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2715\">genotypes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2477\">phenotype<\/a>s that exist for a particular set of blood type antigens.<\/li>\n<li>Antigens are molecules that the immune system identifies as either self or non-self. If antigens are identified as non-self, the immune system responds by forming antibodies that are specific to the non-self antigens, leading to the destruction of cells bearing the antigens.<\/li>\n<li>The ABO blood group system is a system of red blood cell antigens controlled by a single gene with three common alleles on chromosome 9. There are four possible ABO blood types: A, B, AB, and O. The ABO system is the most important blood group system in blood transfusions. People with type O blood are universal donors, and people with type AB blood are universal recipients.<\/li>\n<li>The frequencies of ABO blood type alleles and blood groups vary around the world. The allele for the B antigen is least common, and blood type O is the most common. The evolutionary forces of founder effect, genetic drift, and natural selection are responsible for the geographic distribution of ABO alleles and blood types.\u00a0People with type O blood, for example, may be somewhat resistant to malaria, possibly giving them a selective advantage where malaria is endemic.<\/li>\n<li>The Rhesus blood group system is a system of red blood cell antigens controlled by two genes with many alleles on chromosome 1. There are five common Rhesus antigens, of which antigen D is most significant. Individuals who have antigen D are called Rh+, and individuals who lack antigen D are called Rh-. Rh- mothers of Rh+ fetuses may produce antibodies against the D antigen in the fetal blood, causing hemolytic disease of the newborn (HDN).<\/li>\n<li>The majority of people worldwide are Rh+, but there is regional variation in this blood group system. This variation may be explained by natural selection that favors heterozygotes for the D antigen, because this genotype seems to be protected against some of the neurological\u00a0consequences\u00a0of the common parasitic infection toxoplasmosis.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.5 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define blood type and blood group system.<\/li>\n<li>Explain the relationship between antigens and antibodies.<\/li>\n<li>Identify the alleles, genotypes, and phenotypes in the ABO blood group system.<\/li>\n<li>Discuss the medical significance of the ABO blood group system.<\/li>\n<li>Compare the relative worldwide frequencies of the three ABO alleles.<\/li>\n<li>Give examples of how different ABO blood types vary in their susceptibility to diseases.<\/li>\n<li>Describe the Rhesus blood group system.<\/li>\n<li>Relate Rhesus blood groups to blood transfusions.<\/li>\n<li>What causes hemolytic disease of the newborn?<\/li>\n<li>Describe\u00a0how toxoplasmosis may explain the persistence of the Rh- blood type in human populations.<\/li>\n<li>A woman is blood type O and Rh-, and her husband is blood type AB and Rh+. Answer the following questions about this couple and their offspring.\n<ol type=\"a\">\n<li>What are the possible genotypes of their offspring in terms of ABO blood group?<\/li>\n<li>What are the possible phenotypes of their offspring in terms of ABO blood group?<\/li>\n<li>Can the woman donate blood to her husband? Explain your answer.<\/li>\n<li>Can the man donate blood to his wife? Explain your answer.<\/li>\n<\/ol>\n<\/li>\n<li>Type O blood is characterized by the presence of O antigens \u2014 explain why this statement is false.<\/li>\n<li>Explain why newborn hemolytic disease may be more likely to occur in a second pregnancy than in a first.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.5 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=xfZhb6lmxjk<\/p>\n<p style=\"text-align: center\">Why do blood types matter? - Natalie S. Hodge, TED-Ed, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=qcZKbjYyOfE<\/p>\n<p class=\"title style-scope ytd-video-primary-info-renderer\" style=\"text-align: center\">How do blood transfusions work? - Bill Schutt, TED-Ed, 2020.<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributes<\/h2>\n<p><strong>Figure 6.5.1<\/strong><\/p>\n<p><a href=\"https:\/\/www.defense.gov\/Explore\/News\/Article\/Article\/604005\/\" rel=\"cc:attributionURL\">Following the Blood Donation Trail<\/a> by <i>EJ Hersom\/<\/i> USA Department of Defense is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a>. [<a href=\"https:\/\/www.dimoc.mil\/resources\/limitations\/\">Disclaimer<\/a>: The appearance of U.S. Department of Defense (DoD) visual information does not imply or constitute DoD endorsement.]<\/p>\n<p><strong>Figure 6.5.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Antibody.svg\" rel=\"cc:attributionURL\">Antibody<\/a> by <a title=\"User:Fvasconcellos\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Fvasconcellos\">Fvasconcellos<\/a>\u00a0 on Wikimedia Commons is released into\u00a0the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 6.5.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:ABO_system_codominance.svg\">ABO system codominance.svg<\/a>, adapted by <a href=\"https:\/\/commons.wikimedia.org\/wiki\/User:YassineMrabet\">YassineMrabet<\/a> (original \"Codominant\" image from <a href=\"https:\/\/ghr.nlm.nih.gov\/primer\/inheritance\/riskassessment\">US National Library of Medicine)<\/a>\u00a0<i>on Wikimedia Commons is in the\u00a0<\/i><a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i><\/p>\n<p><strong>Figure 6.5.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:ABO_blood_type.svg\" rel=\"cc:attributionURL\">ABO_blood_type.svg<\/a> by <a class=\"new\" title=\"User:InvictaHOG (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:InvictaHOG&amp;action=edit&amp;redlink=1\">InvictaHOG<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i><\/p>\n<p><strong>Figure 6.5.5<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/8.6\/\" rel=\"cc:attributionURL\">Blood Donor and recipient ABO<\/a>\u00a0by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/8.6\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<\/p>\n<div><img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><\/div>\n<p><strong>Figure 6.5.6<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/File:Map_of_blood_group_a.gif\">Map of Blood Group A<\/a> by <a class=\"extiw\" title=\"en:User:Muntuwandi\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Muntuwandi\">Muntuwandi<\/a>\u00a0at\u00a0<a class=\"external text\" href=\"https:\/\/en.wikipedia.org\/\">en.wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/li>\n<li><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Map_of_blood_group_b.gif\">Map of Blood Group B<\/a> by <a class=\"extiw\" title=\"en:User:Muntuwandi\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Muntuwandi\">Muntuwandi<\/a>\u00a0at\u00a0<a class=\"external text\" href=\"https:\/\/en.wikipedia.org\/\">en.wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/li>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/File:Map_of_blood_group_o.gif\">Map of Blood Group O<\/a> by anthro palomar at\u00a0<a class=\"external text\" href=\"https:\/\/en.wikipedia.org\/\">en.wikipedia<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/\">CC BY-SA 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/3.0\/) license.<\/li>\n<\/ul>\n<p><strong>Figure 6.5.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Toxoplasma_gondii_Life_cycle_PHIL_3421_lores.jpg\" rel=\"cc:attributionURL\">Toxoplasma_gondii_Life_cycle_PHIL_3421_lores<\/a> by Alexander J. da Silva, PhD\/Melanie Moser, <a class=\"extiw\" title=\"w:Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">Centers for Disease Control and Prevention<\/a>'s\u00a0<a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/\" rel=\"nofollow\">Public Health Image Library<\/a> (PHIL<b><a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/details.aspx?pid=3421\" rel=\"nofollow\">#3421<\/a><\/b>) on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Table 6.5.1\u00a0<\/strong><\/p>\n<p><em>ABO Blood Group System: Genotypes and Phenotypes<\/em> was created by Christine Miller.<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 1.424em;font-weight: bold;text-align: initial\">References<\/span><\/p>\n<p class=\"hanging-indent\">Dean, L. (2005). Chapter 4 Hemolytic disease of the newborn. In <em>Blood Groups and Red Cell Antigens<\/em> [Internet]. National Center for Biotechnology Information (US). https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK2266\/<\/p>\n<p class=\"hanging-indent\">Mayo Clinic Staff. (n.d.). Toxoplasmosis [online article]. MayoClinic.org. https:\/\/www.mayoclinic.org\/diseases-conditions\/toxoplasmosis\/symptoms-causes\/syc-20356249<\/p>\n<p class=\"hanging-indent\">MedlinePlus. (2019, January 29). Hemolytic transfusion reaction [online article]. U.S. National Library of Medicine. https:\/\/en.wikipedia.org\/w\/index.php?title=Chromosome_9&amp;oldid=946440619<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, June 29). Why do blood types matter? - Natalie S. Hodge. YouTube. https:\/\/www.youtube.com\/watch?v=xfZhb6lmxjk&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2020, February 18). How do blood transfusions work? - Bill Schutt. YouTube. https:\/\/www.youtube.com\/watch?v=qcZKbjYyOfE&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, May 10). Chromosome 1. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Chromosome_1&amp;oldid=955942444<\/p>\n<p class=\"hanging-indent\">Wikipedia contributors. (2020, March 20). Chromosome 9. In\u00a0<i>Wikipedia. <\/i>\u00a0https:\/\/en.wikipedia.org\/w\/index.php?title=Chromosome_9&amp;oldid=946440619<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_2937\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_2937\"><div tabindex=\"-1\"><p>Created by: CK-12\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-455\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Free_Awesome_Girl_With_Braces_Close_Up.jpg\" alt=\"\" width=\"400\" height=\"409\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.1 Brace yourself!\u00a0<\/em><\/figcaption><\/figure>\n<h1>Oh, the Agony!<\/h1>\n<p>Wearing braces can be very uncomfortable, but it is usually worth it. Braces and other orthodontic treatments can re-align the teeth and jaws to improve bite and appearance. Braces can change the position of the teeth and the shape of the jaws because the human body is malleable. Many phenotypic traits \u2014 even those that have a strong genetic basis \u2014 can be molded by the environment. Changing the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2477\">phenotype<\/a> in response to the environment is just one of several ways we respond to environmental stress.<\/p>\n<div>\n<h1>Types of Responses to Environmental Stress<\/h1>\n<\/div>\n<p>There are four different types of responses that humans may make to cope with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2653\">environmental stress<\/a>:<\/p>\n<ol>\n<li>Adaptation<\/li>\n<li>Developmental adjustment<\/li>\n<li>Acclimatization<\/li>\n<li>Cultural responses<\/li>\n<\/ol>\n<p>The first three types of responses are biological in nature, and the fourth type is cultural. Only adaptation involves genetic change and occurs at the level of the population or species. The other three responses do not require genetic change, and they occur at the individual level.<\/p>\n<div>\n<h1>Adaptation<\/h1>\n<\/div>\n<p>An\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2486\">adaptation<\/a><\/strong>\u00a0is a genetically-based trait that has evolved because it helps living things survive and reproduce in a given environment. Adaptations generally evolve in a population over many generations in response to stresses that last for a long period of time. Adaptations come about through <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2633\">natural selection<\/a>. Those individuals who inherit a trait that confers an advantage in coping with an environmental stress are likely to live longer and reproduce more. As a result, more of their genes pass on to the next generation. Over many generations, the genes and the trait they control become more frequent in the population.<\/p>\n<h2>A Classic Example: Hemoglobin S and Malaria<\/h2>\n<p>Probably the most frequently-cited example of a genetic adaptation to an environmental stress is sickle cell trait. As you read in the previous section, people with sickle cell trait have one abnormal allele (S) and one normal allele (A) for hemoglobin, the red blood cell protein that carries oxygen in the blood. Sickle cell trait is an adaptation to the environmental stress of malaria, because people with the trait have resistance to this parasitic disease. In areas where malaria is endemic (present year-round), the sickle cell trait and its <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_1942\">allele<\/a> have evolved to relatively high frequencies. \u00a0It is a classic example of natural selection favoring <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2474\">heterozygotes<\/a> for a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2035\">gene<\/a> with two <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_1942\">alleles<\/a>. This type of selection keeps both alleles at relatively high frequencies in a population.<\/p>\n<h2>To Taste or Not to Taste<\/h2>\n<p>Another example of an adaptation in humans is the ability to taste bitter compounds. Plants produce a variety of toxic compounds in order to protect themselves from being eaten, and these toxic compounds often have a bitter taste. The ability to taste bitter compounds is thought to have evolved as an adaptation, because it prevented people from eating poisonous plants. Humans have many different genes that code for bitter taste receptors, allowing us to taste a wide variety of bitter compounds.<\/p>\n<p>A harmless bitter compound\u00a0called\u00a0<strong>phenylthiocarbamide (PTC)<\/strong>\u00a0is not found naturally in plants, but it is similar to toxic bitter compounds that\u00a0<em>are<\/em> found in plants. Humans' ability to taste this harmless substance has been tested in many different populations. In virtually every population studied, there are some people who can taste PTC (called tasters), and some people who cannot taste PTC, (called nontasters). The ratio of tasters to non-tasters varies among populations, but on average, 75 per cent of people can taste PTC and 25 per cent cannot.<\/p>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 272px\" class=\"wp-caption alignright\"><img class=\" wp-image-456\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Tongue.jpg\" alt=\"Tongue\" width=\"272\" height=\"288\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.2 The tiny red dots on the surface of the tongue consist of clumps of taste buds that contain receptor proteins for certain chemicals. We can taste those chemicals that bind strongly with any of the receptors.<\/em><\/figcaption><\/figure>\n<p>Like many scientific discoveries, human variation in PTC-taster status was discovered by chance. Around 1930, a chemist named Arthur Fox was working with powdered PTC in his lab. Some of the powder accidentally blew into the air. Another lab worker noticed that the powdered PTC tasted bitter, but Fox couldn't detect any taste at all. Fox wondered\u00a0how to explain\u00a0this difference in PTC-tasting ability. Geneticists soon determined that PTC-taster status is controlled by a single <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2035\">gene<\/a> with two common alleles, usually represented by the letters\u00a0<em>T<\/em>\u00a0and\u00a0<em>t<\/em>. The\u00a0<em>T<\/em> allele encodes a chemical receptor protein (found in taste buds on the tongue, as illustrated in Figure 6.4.2) that can strongly bind to PTC. The other allele, <em>t<\/em>, encodes a version of the receptor protein that cannot bind as strongly to PTC. The particular combination of these two alleles that a person inherits determines whether the person finds PTC to taste very bitter (<em>TT<\/em>), somewhat bitter\u00a0<em>(Tt),<\/em>\u00a0or not bitter at all\u00a0<em>(tt).<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>If the ability to taste bitter compounds is advantageous, why does every human population studied contain a significant percentage of people who are nontasters?\u00a0Why has the nontasting allele been preserved in human populations at all? Some scientists hypothesize that the nontaster allele actually confers the ability to taste some other, yet-to-be identified, bitter compound in plants. People who inherit both alleles would presumably be able to taste a wider range of bitter compounds, so they would have the greatest ability to avoid plant toxins. In other words, the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2474\">heterozygote<\/a> <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2715\">genotype<\/a> for the taster gene would be the most fit and favored by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2633\">natural selection<\/a>.<\/p>\n<p>Most people no longer have to worry whether the plants they eat contain toxins. The produce you grow in your garden or buy at the supermarket consists of known varieties that are safe to eat. However, natural selection may still be at work in human populations for the PTC-taster gene, because PTC tasters may be more sensitive than nontasters to bitter compounds in tobacco and vegetables in the cabbage family (that is, cruciferous vegetables, such as the broccoli, cauliflower, and cabbage pictured in Figure 6.4.3).<\/p>\n<ul>\n<li>People who find PTC to taste very bitter are less likely to smoke tobacco, presumably because tobacco smoke has a stronger bitter taste to these individuals. In this case, selection would favor taster genotypes, because tasters would be more likely to avoid smoking and its serious health risks.<\/li>\n<li>Strong tasters find cruciferous vegetables to taste bitter. As a result, they may avoid eating these vegetables (and perhaps other foods, as well), presumably resulting in a diet that is less varied and nutritious. In this scenario, natural selection\u00a0might\u00a0work against taster genotypes.<\/li>\n<\/ul>\n<p><span style=\"text-align: initial;font-size: 1em\"><\/p>\n<div id=\"h5p-86\">\n<div class=\"h5p-content\" data-content-id=\"86\"><\/div>\n<\/div>\n<p><\/span><\/p>\n<p><em>Figure 6.4.3 Cruciferous vegetables.<\/em><\/p>\n<div>\n<h1>Developmental Adjustment<\/h1>\n<\/div>\n<p>It takes a relatively long time for genetic change in response to environmental stress to produce a population with adaptations. Fortunately, we can adjust to some environmental stresses more quickly by changing in nongenetic ways. One type of nongenetic response to stress is\u00a0<strong>developmental adjustment.<\/strong>\u00a0This refers to phenotypic change that occurs during development in infancy or childhood, and that may persist into adulthood. This type of change may be irreversible by adulthood.<\/p>\n<h2>Phenotypic Plasticity<\/h2>\n<p>Developmental adjustment is possible because humans have a high degree of\u00a0<strong>phenotypic plasticity,<\/strong>\u00a0which is\u00a0the ability to alter\u00a0the<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2477\"> phenotype<\/a> in response to changes in the environment. Phenotypic plasticity allows us to respond to changes that occur within our lifetime, and it is particularly important for species\u00a0(like our own)\u00a0that have a long generation time. With long generations, evolution of genetic adaptations may occur too slowly to keep up with changing environmental stresses.<\/p>\n<h2>Developmental Adjustment and Cultural Practices<\/h2>\n<p>Developmental adjustment may be the result of naturally occurring environmental stresses or cultural practices, including medical or dental treatments. Like our example at the beginning of this section, using braces to change the shape of the jaw and the position of the teeth is an example of a dental practice that brings about a developmental adjustment. Another example of developmental adjustment is the use of a back brace to treat scoliosis (see images in <em>Figure 6.4.4<\/em>). Scoliosis is an abnormal curvature from side to side in the spine. If the problem is not too severe, a brace, if worn correctly, should prevent the curvature from worsening as a child grows, although it cannot straighten a curve that is already present. Surgery may be required to do that.<\/p>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 651px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-457\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Scoliosis_patient_in_cheneau_brace_correcting_from_56_to_27_deg.png\" alt=\"\" width=\"651\" height=\"342\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.4 Scoliosis can be prevented from worsening by shaping the phenotype with a back brace.<\/em><\/figcaption><\/figure>\n<h2>Developmental Adjustment and Nutritional Stress<\/h2>\n<p>An important example of developmental adjustment that results from a naturally occurring environmental stress is the cessation of physical growth that occurs in children who are under nutritional stress. Children who lack adequate food to fuel both growth and basic metabolic processes are likely to slow down in their growth rate \u2014 or even to stop growing entirely. Shunting all available calories and nutrients into essential life functions may keep the child alive at the expense of increasing body size.<\/p>\n<p>Table 6.4.1 shows the effects of inadequate diet on children's' growth in several countries worldwide. For each country, the table gives the prevalence of <strong>stunting<\/strong>\u00a0in children under\u00a0the age of five. Children are considered stunted if their height is at least two standard deviations below the median height for their age in an international reference population.<\/p>\n<p><strong>Table 6.4.1<\/strong><\/p>\n<p><em>Percentage of Stunting in Young Children in Selected Countries (2011-2015)<\/em><\/p>\n<table class=\"grid aligncenter\" style=\"border-collapse: collapse;width: 53.0094%;height: 142px\" border=\"0\">\n<tbody>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 52.9369%;text-align: center\" colspan=\"2\"><strong>Percentage of Stunting in Young Children in Selected Countries (2011-2015)<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 16px\">\n<td style=\"height: 16px;width: 22.19%\"><strong>Country<\/strong><\/td>\n<td style=\"height: 16px;width: 30.7469%\"><strong>Per cent of Children Under Age 5 with Stunting<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">United States<\/td>\n<td style=\"height: 14px;width: 30.7469%\">2.1<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Turkey<\/td>\n<td style=\"height: 14px;width: 30.7469%\">9.5<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Mexico<\/td>\n<td style=\"height: 14px;width: 30.7469%\">13.6<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Thailand<\/td>\n<td style=\"height: 14px;width: 30.7469%\">16.3<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Iraq<\/td>\n<td style=\"height: 14px;width: 30.7469%\">22.6<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Philippines<\/td>\n<td style=\"height: 14px;width: 30.7469%\">33.6<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Pakistan<\/td>\n<td style=\"height: 14px;width: 30.7469%\">45.0<\/td>\n<\/tr>\n<tr style=\"height: 14px\">\n<td style=\"height: 14px;width: 22.19%\">Papua New Guinea<\/td>\n<td style=\"height: 14px;width: 30.7469%\">49.5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>After a growth slow-down occurs and if adequate food becomes available, a child may be able to make up the loss of growth. If food is plentiful, the child may grow more rapidly than normal until the original, genetically-determined growth trajectory is reached. If the inadequate diet persists, however, the failure of growth may become chronic, and the child may never reach his or her full potential adult size.<\/p>\n<p>Phenotypic plasticity of body size in response to dietary change has been observed in successive generations within populations. For example, children in Japan were taller, on average, in each successive generation\u00a0after\u00a0the end of World War II. Boys aged 14-15 years old in 1986 were an average of about 18 cm (7 in.) taller than boys of the same age in 1959, a generation earlier. This is a highly significant difference, and it occurred too quickly to be accounted for by genetic change. Instead, the increase in height is a developmental adjustment, thought to be largely attributable to changes in the Japanese diet since World War II. During this period, there was an increase in the amount of animal protein and fat, as well as in the total calories consumed.<\/p>\n<div>\n<h1>Acclimatization<\/h1>\n<\/div>\n<p>Other responses to environmental stress are reversible and not permanent, whether they occur in childhood or adulthood. The development of reversible changes to environmental stress is called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2483\">acclimatization<\/a>.<\/strong>\u00a0Acclimatization generally develops over a relatively short period of time.\u00a0It may take just a few days or weeks to attain a maximum response to a stress. When the stress is no longer present, the acclimatized state declines, and the body returns to its normal baseline state. Generally, the shorter the time for acclimatization to occur, the more quickly the condition is reversed when the environmental stress is removed.<\/p>\n<h2>Acclimatization to UV Light<\/h2>\n<p>A common example of acclimatization is tanning of the skin (see Figure 6.4.5). This occurs in many people in response to exposure to ultraviolet radiation from the sun. Special pigment cells in the skin, called melanocytes, produce more of the brown pigment melanin when exposed to sunlight. The melanin collects near the surface of the skin where it absorbs UV radiation so it cannot penetrate and potentially damage deeper skin structures. Tanning is a reversible change in the phenotype that helps the body deal temporarily with the environmental stress of high levels of UV radiation. When the skin is no longer exposed to the sun\u2019s rays, the tan fades, generally over a period of a few weeks or months.<\/p>\n<div id=\"h5p-87\">\n<div class=\"h5p-content\" data-content-id=\"87\"><\/div>\n<\/div>\n<p><em>Figure 6.4.5 Tanning of the skin occurs in many people in response to exposure to ultraviolet radiation from the sun.<\/em><\/p>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Acclimatization to Heat<\/span><\/p>\n<\/div>\n<p>Another common example of acclimatization occurs in response to heat. Changes that occur with heat acclimatization include increased sweat output and earlier onset of sweat production, which helps the body stay cool because evaporation of sweat takes heat from the body\u2019s surface in a process called evaporative cooling. It generally takes a couple of weeks for maximum heat acclimatization to come about by gradually working out harder and longer at high air temperatures. The changes that occur with acclimatization just as quickly subside when the body is no longer exposed to excessive heat.<\/p>\n<h2>Acclimatization to High Altitude<\/h2>\n<figure id=\"attachment_458\" aria-describedby=\"caption-attachment-458\" style=\"width: 420px\" class=\"wp-caption alignleft\"><img class=\" wp-image-458\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Nepalese-base-camp-by-Mark-Horrell-on-Flickr-CC-BY-NC-SA-.jpg\" alt=\"Base camp in Nepal\" width=\"420\" height=\"315\"><figcaption id=\"caption-attachment-458\" class=\"wp-caption-text\"><em>Figure 6.4.6 Mountaineers must spend 4-5 days acclimatizing to high altitude before attempting to climb to the summit of Mount Everest.<\/em><\/figcaption><\/figure>\n<p>Short term acclimatization to high altitude occurs as a response to low levels of oxygen in the blood.\u00a0 This reduced level of oxygen is detected by carotid bodies, which will trigger in increase in breathing and heart rate.\u00a0 Over a period of weeks the body will compensate by increasing red blood cell production, thereby improving the oxygen-carrying capacity of the blood.\u00a0 This is why mountaineers wishing to climb to the peak of Mount Everest must complete the full climb in portions; it is recommended that climbers spend 2-3 days acclimatizing for every 600 metres of elevation increase.\u00a0 In addition, the higher to altitude, the longer it make take to acclimatize; climbers are advised to spend 4-5 days acclimatizing at base camp (whether the base camp in Nepal or China) before completing the final leg of the climb to the peak.\u00a0 The concentration of red blood cells gradually decreases to normal levels once a climber returns to their normal elevation.<\/p>\n<div>\n<h1>Cultural Responses<\/h1>\n<\/div>\n<p>More than any other species, humans respond to environmental stresses with learned behaviors and technology. These cultural responses allow us to change our environments to control stresses, rather than changing our bodies genetically or physiologically to cope with the stresses. Even archaic humans responded to some environmental stresses in this way. For example, Neanderthals used shelters, fires, and animal hides as clothing to stay warm in the cold climate in Europe during the last ice age. Today, we use more sophisticated technologies to stay warm in cold climates while retaining our essentially tropical-animal anatomy and physiology. We also use technology (such as furnaces and air conditioners) to avoid temperature stress and stay comfortable in hot or cold climates.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.4 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Humans may respond to <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2653\">environmental stress <\/a>in four different ways: adaptation, developmental adjustment, acclimatization, and cultural responses.<\/li>\n<li>An adaptation is a genetically based trait that has evolved because it helps living things survive and reproduce in a given environment. Adaptations evolve by natural selection in populations over a relatively long period to time. Examples of adaptations include sickle cell trait as an adaptation to the stress of endemic malaria and the ability to taste bitter compounds as an adaptation to the stress of bitter-tasting toxins in plants.<\/li>\n<li>A developmental adjustment is a non-genetic response to stress that occurs during infancy or childhood, and that may persist into adulthood. This type of change may be irreversible. Developmental adjustment is possible because humans have a high degree of phenotypic plasticity. It may be the result of environmental stresses (such as inadequate food), which may stunt growth, or cultural practices (such as orthodontic treatments), which re-align the teeth and jaws.<\/li>\n<li>Acclimatization is the development of reversible changes to environmental stress that develop over a relatively short period of time. The changes revert to the normal baseline state after the stress is removed. Examples of acclimatization include tanning of the skin and physiological changes (such as increased sweating) that occur with heat acclimatization.<\/li>\n<li>More than any other species, humans respond to environmental stress with learned behaviors and technology, which are cultural responses. These responses allow us to change our environment to control stress, rather than changing our bodies genetically or physiologically to cope with stress. Examples include using shelter, fire, and clothing to cope with a cold climate.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.4 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>List four different types of responses that humans may make to cope with environmental stress.<\/li>\n<li>Define adaptation.<\/li>\n<li>\n<div id=\"h5p-88\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-88\" class=\"h5p-iframe\" data-content-id=\"88\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Human Responses to Environmental Stress\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain how natural selection may have resulted in most human populations having people who can and people who cannot taste PTC.<\/li>\n<li>What is a developmental adjustment?<\/li>\n<li>Define phenotypic plasticity.<\/li>\n<li>Explain why phenotypic plasticity may be particularly important in a species with a long generation time.<\/li>\n<li>Why may stunting of growth occur in children who have an inadequate diet? Why is stunting preferable to the alternative?<\/li>\n<li>What is acclimatization?<\/li>\n<li>How does acclimatization to heat come about, and what are two physiological changes that occur in heat acclimatization?<\/li>\n<li>Give an example of a cultural response to heat stress.<\/li>\n<li>Which is more likely to be reversible \u2014 a change due to acclimatization, or a change due to developmental adjustment? Explain your answer.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">6.4 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=upp9-w6GPhU<\/p>\n<p style=\"text-align: center\">Could we survive prolonged space travel? - Lisa Nip, TED-Ed, 2016.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=hRnrIpUMyZQ&amp;t=182s<\/p>\n<p style=\"text-align: center\">How this disease changes the shape of your cells - Amber M. Yates, TED-Ed, 2019.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 6.4.1<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Free_Awesome_Girl_With_Braces_Close_Up.jpg\" rel=\"cc:attributionURL\">Free_Awesome_Girl_With_Braces_Close_Up<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/40645538@N00\" rel=\"nofollow\">D. Sharon Pruitt<\/a> from Hill Air Force Base, Utah, USA on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en\" rel=\"license\">CC BY 2.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en) license.<\/p>\n<p><strong>Figure 6.4.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:%D8%B2%D8%A8%D8%A7%D9%86_tongue.jpg\" rel=\"cc:attributionURL\">Tongue<\/a> by <a class=\"new\" title=\"User:Mahdiabbasinv (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:Mahdiabbasinv&amp;action=edit&amp;redlink=1\">Mahdiabbasinv<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong>Figure 6.4.3<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/PT-GXFtQj-s\">White cauliflower on brown wooden chopping board<\/a> by <a href=\"https:\/\/unsplash.com\/@louishansel\">Louis Hansel @shotsoflouis<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/LpHYbY6Qu_o\">Broccoli on wooden chopping board<\/a> by <a href=\"https:\/\/unsplash.com\/@louishansel\">Louis Hansel @shotsoflouis<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/knGwkn2j4ro\">Green cabbage close up<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@photoliphecjd\">Craig Dimmick<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/2Qzk3EJLNGE\">Cabbage hybrid\/ brussel sprouts<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@darkersolstice\">Solstice Hannan<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/_zV74zUnwmc\">Kale<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@lauramakoj\">Laura Johnston<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/v25z8P-CPB4\">Tiny bok choy at the Asian market<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@twoluckyspoons\">Jodie Morgan<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a>\u00a0(https:\/\/unsplash.com\/license).<\/li>\n<\/ul>\n<p><strong>Figure 6.4.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Scoliosis_patient_in_cheneau_brace_correcting_from_56_to_27_deg.png\" rel=\"cc:attributionURL\">Scoliosis_patient_in_cheneau_brace_correcting_from_56_to_27_deg<\/a> by Weiss H.R. from <a href=\"https:\/\/scoliosisjournal.biomedcentral.com\/articles\/10.1186\/1748-7161-2-19\">Scoliosis Journal\/BioMed Central Ltd<\/a>. on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/deed.en\" rel=\"license\">CC BY 2.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/2.0) license.<\/p>\n<p><strong>Figure 6.4.5<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/21077319@N02\/3667901661\">Tan Lines<\/a> by <a class=\"owner-name truncate\" title=\"Go to k.steudel's photostream\" href=\"https:\/\/www.flickr.com\/photos\/snaks\/\" data-track=\"attributionNameClick\">k.steudel<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/3760162521\/sizes\/l\/\">Twin tan lines (all sizes)<\/a> by <a class=\"owner-name truncate\" title=\"Go to Quinn Dombrowski's photostream\" href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/\" data-track=\"attributionNameClick\">Quinn Dombrowski<\/a>\u00a0on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/14518898810\">Wedding ring tan line<\/a> by <a class=\"owner-name truncate\" title=\"Go to Quinn Dombrowski's photostream\" href=\"https:\/\/www.flickr.com\/photos\/quinnanya\/\" data-track=\"attributionNameClick\">Quinn Dombrowski<\/a>\u00a0on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/\">CC BY-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/2.0\/) license.<\/li>\n<li><a href=\"https:\/\/www.flickr.com\/photos\/29333334@N06\/3792695572\">Tan<\/a> by <a class=\"owner-name truncate\" title=\"Go to Evil Erin's photostream\" href=\"https:\/\/www.flickr.com\/photos\/evilerin\/\" data-track=\"attributionNameClick\">Evil Erin<\/a> on <a href=\"http:\/\/Flickr.com\">Flickr<\/a> is used under a\u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/li>\n<\/ul>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 6.4.6<\/strong><\/p>\n<p><a style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/www.flickr.com\/photos\/markhorrell\/18787430274\/in\/photostream\/\" rel=\"cc:attributionURL\">Nepalese base camp<\/a> by <a class=\"owner-name truncate\" title=\"Go to Mark Horrell's photostream\" href=\"https:\/\/www.flickr.com\/photos\/markhorrell\/\" data-track=\"attributionNameClick\">Mark Horrell<\/a><span style=\"text-align: initial;font-size: 1em\">\u00a0on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a\u00a0<\/span><a style=\"text-align: initial;font-size: 1em\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/\" rel=\"license\">CC BY-NC-SA 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/2.0\/) license.<\/p>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">TED-Ed. (2016, October 4). Could we survive prolonged space travel? - Lisa Nip. YouTube. https:\/\/www.youtube.com\/watch?v=upp9-w6GPhU&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2019, May 6). How this disease changes the shape of your cells - Amber M. Yates. YouTube. https:\/\/www.youtube.com\/watch?v=hRnrIpUMyZQ&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">Weiss, H. (2007). Is there a body of evidence for the treatment of patients with Adolescent Idiopathic Scoliosis (AIS)? [Figure 2 - digital photograph],\u00a0 <i>Scoliosis, <\/i>2(19).\u00a0https:\/\/doi.org\/10.1186\/1748-7161-2-19<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_2958\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_2958\"><div tabindex=\"-1\"><p>Image shows a diagram of Thrombocytes in their normal state and activated.<br \/>\n Thrombocytes (platelets) are typically ovoid during normal circulation, but when activated become super fibrous.  The not activated platelets look like very smooth and the activated platelets look like sea anemones- lots of little projects sticking out of their surface.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_5761\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_5761\"><div tabindex=\"-1\"><p>The ability of an organism to maintain constant internal conditions despite external changes.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_5869\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_5869\"><div tabindex=\"-1\"><p>one of a pair of glands located on top of the kidneys that secretes hormones such as cortisol and adrenaline<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_3197\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_3197\"><div tabindex=\"-1\"><p>Image shows a diagram of Killer T Cell funtion.  An infected cell displays a pathogen antigen on an MHC.  The Killer T Cell interacts with the MHC and in response produces perforin ( a protein that pokes holes in cell membranes) and granzymes (proteins that instruct a cell to carry out programmed cell death). The infected cell dies from the combination of these substances, and as it dies, so does the pathogen inside the infected cell.  The Killer T Cell is free to move on and find and destroy other infected cells.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4810_2969\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4810_2969\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_876\" aria-describedby=\"caption-attachment-876\" style=\"width: 350px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-865\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Hair-by-jessica-dabrowski-TETR8YLSqt4-unsplash-scaled-e1591285640537.jpg\" alt=\"10.5.1 Fancy hair\" width=\"350\" height=\"396\"><figcaption id=\"caption-attachment-876\" class=\"wp-caption-text\"><em>Figure 10.5.1 Hair envy.<\/em><\/figcaption><\/figure>\n<h1>Fashion Statement<\/h1>\n<p>This colourful hairstyle makes quite a fashion statement. Many people spend a lot of time and money on their hair, even if they don\u2019t have an exceptional hairstyle like this one. Besides its display value, hair actually has important physiological functions.<\/p>\n<h1>What is Hair?<\/h1>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3531\">Hair<\/a><\/strong>\u00a0is a filament that grows from a\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3572\">hair follicle<\/a><\/strong>\u00a0in the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2625\">dermis<\/a>\u00a0of the skin. It consists mainly of tightly packed, keratin-filled\u00a0cells\u00a0called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3524\">keratinocytes<\/a><\/strong>. The\u00a0human body\u00a0is covered with hair follicles, with the exception of a few areas, including the mucous membranes, lips, palms of the hands, and soles of the feet.<\/p>\n<h1>Structure of Hair<\/h1>\n<p>The part of the hair located within the follicle is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2451\">hair root<\/a>.<\/strong>\u00a0The root is the only living part of the hair. The part of the hair that is visible above the surface of the skin is the hair shaft. The shaft of the hair has no biochemical activity and is considered dead.<\/p>\n<h2>Follicle and Root<\/h2>\n<p>Hair growth begins inside a follicle (see Figure 10.5.2 below). Each hair follicle contains stem cells that can keep dividing, which allows hair to grow. The stem cells can also regrow a new hair after one falls out. Another structure associated with a hair follicle is a sebaceous gland that produces oily sebum. The sebum lubricates and helps to waterproof the hair. A tiny arrector pili muscle is also attached to the follicle. When it contracts, the follicle moves, and the hair in the follicle stands up.<\/p>\n<figure id=\"attachment_876\" aria-describedby=\"caption-attachment-876\" style=\"width: 731px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-866\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0438_HairFollicleAnatomy_02.png\" alt=\"10.5 Hair Follicle\" width=\"731\" height=\"731\"><figcaption id=\"caption-attachment-876\" class=\"wp-caption-text\">Figure 10.5.2 A hair follicle has a sebaceous gland and an arrector pili muscle.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h2>Shaft<\/h2>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2446\">hair shaft<\/a><\/strong>\u00a0is a hard filament that may grow very long. Hair normally grows in length by about half an inch a month. In cross-section, a hair shaft can be divided into three zones, called the cuticle, cortex, and medulla.<\/p>\n<ul>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2444\">cuticle<\/a><\/strong>\u00a0(or outer coat) is the outermost zone of the hair shaft. It consists of several layers of flat, thin keratinocytes that overlap one another like shingles on a roof. This arrangement helps the cuticle repel\u00a0water. The cuticle is also covered with a layer of\u00a0lipids, just one molecule thick, which increases its ability to repel water. This is the zone of the hair shaft that is visible to the eye.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2441\">cortex<\/a><\/strong> is the middle zone of the hair shaft, and it is also the widest part. The cortex is highly structured and organized, consisting of keratin bundles in rod-like structures. These structures give hair its mechanical strength. The cortex also contains melanin, which gives hair its\u00a0colour.<\/li>\n<li>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2439\">medulla<\/a><\/strong>\u00a0is the innermost zone of the hair shaft. This is a small, disorganized, and more open area at the center of the hair shaft. The medulla is not always present. When it is present, it contains highly pigmented\u00a0cells\u00a0full of keratin.<\/li>\n<\/ul>\n<h1>Characteristics of Hair<\/h1>\n<p>Two visible characteristics of hair are its colour and texture. In adult males, the extent of balding is another visible characteristic. All three characteristics are genetically controlled.<\/p>\n<h2>Hair Colour<\/h2>\n<p>All natural hair colours are the result of <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2462\">melanin<\/a><\/strong>, which is produced in hair follicles and packed into granules in the hair. Two forms of melanin are found in human hair: eumelanin and pheomelanin.\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3894\">Eumelanin<\/a><\/strong>\u00a0is the dominant pigment in brown hair and black hair, and\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3895\">pheomelanin<\/a><\/strong> is the dominant pigment in red hair. Blond hair results when you have\u00a0only a small amount of melanin in the hair. Gray and white hair occur when melanin production slows down, and eventually stops.<\/p>\n<div id=\"h5p-179\">\n<div class=\"h5p-content\" data-content-id=\"179\"><\/div>\n<\/div>\n<p><em>Figure 10.5.3 Variation in hair colouration. Which types of melanin are present for each hair colour shown?<\/em><\/p>\n<h2>Hair Texture<\/h2>\n<p>Hair exists in a variety of textures. The main aspects of hair texture are the curl pattern, thickness, and consistency.<\/p>\n<ul>\n<li>The shape of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3572\">hair follicle<\/a> determines the shape of the hair shaft. The shape of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2446\">hair shaft<\/a>, in turn, determines the curl pattern of the hair. Round hair shafts produce straight hair. Hair shafts that are oval or have other shapes produce wavy or curly hair .<\/li>\n<li>The size of the hair follicle determines the thickness of hair. Thicker hair has greater volume than thinner hair.<\/li>\n<li>The consistency of hair is determined by the hair follicle volume and the condition of the hair shaft. The consistency of hair is generally classified as fine, medium, or coarse. Fine hair has the smallest circumference, and coarse hair has the largest circumference. Medium hair falls in between these two extremes. Coarse hair also has a more open cuticle than thin or medium hair does,\u00a0which causes\u00a0it to be more porous.<br \/>\n<figure id=\"attachment_3896\" aria-describedby=\"caption-attachment-3896\" style=\"width: 346px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-3896\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Curly-hair-by-chris-benson-clvEami9RN4-unsplash-scaled-1.jpg\" alt=\"10.5 Hair Texture\" width=\"346\" height=\"231\"><figcaption id=\"caption-attachment-3896\" class=\"wp-caption-text\">Figure 10.5.4 Curly hair has a differently shaped shaft than straight hair.<\/figcaption><\/figure>\n<\/li>\n<\/ul>\n<h1>Functions of Hair<\/h1>\n<p>In humans, one function of head hair is to provide insulation and help the head retain\u00a0heat. Head hair also protects the skin on the head from damage by <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3537\">UV light<\/a>.<\/p>\n<p>The function of hair in\u00a0<em>other<\/em> locations on the body is debated. One idea is that body hair helps keep us warm in cold weather. When the body is too cold, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2454\">arrector pili<\/a> muscles contract and cause hairs to stand up (shown in Figure 10.5.5), trapping a layer of warm air above the epidermis. However, this is more effective in mammals that have thick hair or fur than it is in relatively hairless human beings.<\/p>\n<figure id=\"attachment_876\" aria-describedby=\"caption-attachment-876\" style=\"width: 423px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-871\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/1024px-PilioerectionAnimation.gif\" alt=\"10.5 Arrector Pili\" width=\"423\" height=\"423\"><figcaption id=\"caption-attachment-876\" class=\"wp-caption-text\"><em>Figure 10.5.5 Arrector pili muscles will make hairs stand erect, more commonly recognized as goose bumps.\u00a0 (1) Epidermis (2) Arrector pili muscle (3) Hair follicle (4) Dermis<\/em><\/figcaption><\/figure>\n<p>Human hair has an important sensory function, as well. Sensory receptors in the hair follicles can sense when the hair moves, whether it moves because of a breeze, or because of the touch of a physical object. The receptors may also provide sensory awareness of the presence of parasites on the skin.<\/p>\n<figure id=\"attachment_876\" aria-describedby=\"caption-attachment-876\" style=\"width: 147px\" class=\"wp-caption alignright\"><img class=\" wp-image-873\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Pout-by-alexander-dummer-Em8I8Z_DwA4-unsplash-scaled-e1591298337111.jpg\" alt=\"10.5 Eyebrows and Emotions\" width=\"147\" height=\"158\"><figcaption id=\"caption-attachment-876\" class=\"wp-caption-text\"><em>Figure 10.5.6 This young child is using her eyebrows to good effect to convey her displeasure.<\/em><\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p>Some hairs, such as the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3900\">eyelashes<\/a>, are especially sensitive to the presence of potentially harmful matter. The eyelashes grow at the edge of the eyelid and can sense when dirt, dust, or another potentially harmful object is too close to the eye. The eye reflexively closes as a result of this sensation. The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3901\">eyebrows<\/a> also provide some protection to the eyes. They protect the eyes from dirt, sweat, and rain. In addition, the eyebrows play a key role in nonverbal communication (see Figure 10.5.6). They help express emotions such as sadness, anger, surprise, and excitement.<\/p>\n<h1>Hair in Human Evolution<\/h1>\n<p>Among mammals, humans are nearly unique in having undergone significant loss of body hair during their evolution. Humans are also unlike most other mammals in having curly hair as one variation in hair texture. Even non-human primates (see Figure 10.5.7) all have straight hair. This suggests that curly hair evolved at some point during human evolution.<\/p>\n<figure id=\"attachment_876\" aria-describedby=\"caption-attachment-876\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-875\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Cotton_top_tamarin_monkey._12046035746.jpg\" alt=\"10.5 Straight hair in non-human primates\" width=\"400\" height=\"293\"><figcaption id=\"caption-attachment-876\" class=\"wp-caption-text\"><em>Figure 10.5.7 Like other non-human primates, this tamarin monkey has straight hair.<\/em><\/figcaption><\/figure>\n<h2>Loss of Body Hair<\/h2>\n<p>One\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2112\">hypothesis<\/a>\u00a0for the loss of body hair in the human lineage is that it would have facilitated cooling of the body by the\u00a0evaporation\u00a0of sweat. Humans also evolved far more <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3566\">sweat glands<\/a>\u00a0than other mammals, which is consistent with this hypothesis, because sweat evaporates more quickly from less hairy skin. Another hypothesis for human hair loss is that it would have led to fewer parasites on the skin. This might have been especially important when humans started living together in larger, more crowded social groups.<\/p>\n<p>These hypotheses may explain why we lost body hair, but they can\u2019t explain why we didn\u2019t also lose head hair and hair in the pubic region and armpits. It is possible that head hair was retained because it protected the scalp from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3537\">UV light<\/a>. As our bipedal ancestors walked on the open savannas of equatorial Africa, the skin on the head would have been an area exposed to the most direct rays of sunlight in an upright hominid. Pubic and armpit hair may have been retained because they served as signs of sexual maturity, which would have been important for successful mating and\u00a0reproduction.<\/p>\n<h2>Evolution of Curly Hair<\/h2>\n<p>Greater protection from UV light has also been posited as a possible selective agent favoring the evolution of curly hair. Researchers have found that straight hair allows more light to pass into the body through the hair shaft via the follicle than does curly hair. In this way, human hair is like a fibre optic cable. It allows light to pass through easily when it is straight, but it impedes the passage of light when it is kinked or coiled. This is indirect evidence that UV light may have been a selective agent leading to the evolution of curly hair.<\/p>\n<h1>Social and Cultural Significance of Hair<\/h1>\n<p>Hair has great social significance for human beings. Body hair is an indicator of biological sex, because hair distribution is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3906\">sexually dimorphic<\/a>. Adult males are generally hairier than adult females, and facial hair in particular is a notable secondary male sex characteristic. Hair may also be an indicator of age. White hair is a sign of older age in both males and females, and male pattern baldness is a sign of older age in males. In addition, hair colour and texture can be a sign of ethnic ancestry.<\/p>\n<p>Hair also has great cultural significance. Hairstyle and colour may be an indicator of social group membership and for better or worse can be associated with specific stereotypes. Head shaving has been used in many times and places as a punishment, especially for women. On the other hand, in some cultures, cutting off one\u2019s hair symbolizes liberation from one\u2019s past. In other cultures, it is a sign of mourning. There are also many religious-based practices involving hair. For example, the majority of Muslim women hide their hair with a headscarf. Sikh men grow their hair long and cover it with a turban. Amish men (like the one pictured in Figure 10.5.8) grow facial hair only after they marry \u2014 but just a beard, and not a mustache.<\/p>\n<figure id=\"attachment_876\" aria-describedby=\"caption-attachment-876\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-876\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Amish-hairstyle.jpg\" alt=\"10.5\" width=\"400\" height=\"267\"><figcaption id=\"caption-attachment-876\" class=\"wp-caption-text\"><em>Figure 10.5.8 This style of facial hair is adopted by most Amish men after they marry.<\/em><\/figcaption><\/figure>\n<p>Unfortunately, sometimes hairstyle, colour and characteristics are used to apply stereotypes, particularly with respect to women.\u00a0 \"Blonde jokes\" are a good example of how negative stereotypes are maintained despite having no actual truth behind them.\u00a0 Many stereotypes related to hair are hidden, even from persons perpetrating the stereotype.\u00a0 Often a hairstyle is judged by another as having ties to gender, sexuality, worldview and\/or socioeconomic status; even when these inferences are woefully inaccurate.\u00a0 It is important to be aware of our own biases and determine if these biases are appropriate - take a look at the collage in Figure 10.5.9.\u00a0 What are your initial reactions?\u00a0 Are these reactions founded in fact?\u00a0 Do you harbor an unfair bias?<\/p>\n<div id=\"h5p-183\">\n<div class=\"h5p-content\" data-content-id=\"183\"><\/div>\n<\/div>\n<p><em>Figure 10.5.9 What are your biases?\u00a0 Are they fair?<\/em><\/p>\n<p>&nbsp;<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.5 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Hair is a filament that grows from a <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3572\">hair follicle<\/a> in the\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2625\">dermis<\/a>\u00a0of the skin. It consists mainly of tightly packed, keratin-filled cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3524\">keratinocytes<\/a>. The\u00a0human body\u00a0is almost completely covered with hair follicles.<\/li>\n<li>The part of a hair that is within the follicle is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2451\">hair root<\/a>. This is the only living part of a hair. The part of a hair that is visible above the skin surface is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2446\">hair shaft<\/a>. It consists of dead cells.<\/li>\n<li>Hair growth begins inside a follicle when stem cells within the follicle divide to produce new keratinocytes. An individual hair may grow to be very long.<\/li>\n<li>A hair shaft has three zones: the outermost zone called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2444\">cuticle<\/a>; the middle zone called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2441\">cortex<\/a>; and the innermost zone called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2439\">medulla<\/a>.<\/li>\n<li>Genetically controlled, visible characteristics of hair include hair colour, hair texture, and the extent of balding in adult males. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_2462\">Melanin<\/a> (<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3894\">eumelanin<\/a> and\/or <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3895\">pheomelanin<\/a>) is the pigment that gives hair its colour. Aspects of hair texture include curl pattern, thickness, and consistency.<\/li>\n<li>Functions of head hair include providing insulation and protecting skin on the head from <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3537\">UV light<\/a>. Hair everywhere on the body has an important sensory function. Hair in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3900\">eyelashes<\/a>\u00a0and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4810_3901\">eyebrows<\/a>\u00a0protects the eyes from dust, dirt, sweat, and other potentially harmful substances. The eyebrows also play a role in nonverbal communication.<\/li>\n<li>Among mammals, humans are nearly unique in having undergone significant loss of body hair during their evolution, probably because sweat evaporates more quickly from less hairy skin. Curly hair also is thought to have evolved at some point during human evolution, perhaps because it provided better protection from UV light.<\/li>\n<li>Hair has social significance for human beings,\u00a0because it is\u00a0an indicator of biological sex, age, and ethnic ancestry. Human hair also has cultural significance.\u00a0Hairstyle may be an indicator of social group membership, for example.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.5 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li>Compare and contrast the hair root and hair shaft.<\/li>\n<li>Describe hair follicles.<\/li>\n<li>\n<div id=\"h5p-184\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-184\" class=\"h5p-iframe\" data-content-id=\"184\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"10.5 Label the hair shaft\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-185\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-185\" class=\"h5p-iframe\" data-content-id=\"185\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"10.5 Quiz\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Explain variation in human hair colour.<\/li>\n<li>What factors determine the texture of hair?<\/li>\n<li>Describe two functions of human hair.<\/li>\n<li>What hypotheses have been proposed for the loss of body hair during human evolution?<\/li>\n<li>Discuss the social and cultural significance of human hair.<\/li>\n<li>Describe one way in which hair can be used as a method of communication in humans.<\/li>\n<li>Explain why waxing or tweezing body hair, which typically removes hair down to the root, generally keeps the skin hair-free for a longer period of time than shaving, which cuts hair off at the surface of the skin.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">10.5 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=8diYLhl8bWU<\/p>\n<p style=\"text-align: center\">Why do some people go bald? - Sarthak Sinha, TED-Ed, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=kNw8V_Fkw28<\/p>\n<p style=\"text-align: center\">Hair Love | Oscar\u00ae-Winning Short Film (Full) | Sony Pictures Animation, 2019.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=hDW5e3NR1Cw<\/p>\n<p style=\"text-align: center\">Why do we care about hair | Naomi Abigail | TEDxBaDinh, TEDx Talks, 2015.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 10.5.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/TETR8YLSqt4\" rel=\"cc:attributionURL\">Hair by jessica-dabrowski-TETR8YLSqt4<\/a>\u00a0[photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@jessiedee\">Jessica Dabrowski<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 10.5.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0438_HairFollicleAnatomy_02.png\" rel=\"cc:attributionURL\">Blausen_0438_HairFollicleAnatomy_02<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0 <\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 10.5.3<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/uX0yUOEYFFU\">Standing tall<\/a> by <a href=\"https:\/\/unsplash.com\/@caticlicks\">Ilaya Raja<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/3C7Qri2QQx8\">Blond-haired woman smiling<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@realbench\">Carlos Lindner<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/nRDopRnkEfI\">Smith Mountain Lake redhead<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@chrisrossharris\">Chris Ross Harris<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/fH55IFx6kXE\">Through the look of experience<\/a> by <a href=\"https:\/\/unsplash.com\/@lauramc\">Laura Margarita Cede\u00f1o Peralta<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<\/ul>\n<p><strong style=\"text-align: initial;font-size: 1em\">Figure 10.5.4<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/clvEami9RN4\" rel=\"cc:attributionURL\">Curly hair by chris-benson-clvEami9RN4<\/a>\u00a0[photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@lordmaui\">Chris Benson<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 10.5.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:PilioerectionAnimation.gif\" rel=\"cc:attributionURL\">1024px-PilioerectionAnimation<\/a> by <a class=\"new\" title=\"User:AnthonyCaccese (page does not exist)\" href=\"https:\/\/commons.wikimedia.org\/w\/index.php?title=User:AnthonyCaccese&amp;action=edit&amp;redlink=1\">AnthonyCaccese<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY-SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/deed.en) license.<\/p>\n<p><strong style=\"text-align: initial;font-size: 1em\"><br \/>\nFigure 10.5.6<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/Em8I8Z_DwA4\" rel=\"cc:attributionURL\">Pout by alexander-dummer-Em8I8Z_DwA4<\/a> [photo] by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@4dgraphic\">Alexander Dummer<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 10.5.7<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Cotton_top_tamarin_monkey._(12046035746).jpg\" rel=\"cc:attributionURL\">Cotton_top_tamarin_monkey._(12046035746)<\/a> by <a class=\"external text\" href=\"https:\/\/www.flickr.com\/people\/88123769@N02\" rel=\"nofollow\">Bernard Spragg. NZ<\/a>, from Christchurch, New Zealand on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en\">CC0 1.0<\/a> Universal<br \/>\nPublic Domain Dedication license (https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/deed.en).<\/p>\n<p><strong>Figure 10.5.8<\/strong><\/p>\n<p><a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/12.5\/\" rel=\"cc:attributionURL\">Amish hairstyle<\/a>\u00a0by <a href=\"https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/12.5\/\">CK-12 Foundation<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\">CC BY-NC 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/) license.<br \/>\n<img src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/logo_ck12.png\" alt=\"\"> <span style=\"font-size: 1em\">\u00a9<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/\">CK-12 Foundation<\/a> <span style=\"font-size: 1em\">Licensed under\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/\"><img class=\"alignnone size-full wp-image-8217\" title=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\" src=\"https:\/\/www.ck12info.org\/wp-content\/uploads\/2016\/05\/icon_licence.png\" alt=\"CK-12 Foundation is licensed under Creative Commons AttributionNonCommercial 3.0 Unported (CC BY-NC 3.0)\"><\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/terms-of-use\/\">Terms of Use<\/a><span style=\"font-size: 1em\">\u00a0\u2022\u00a0<\/span><a style=\"font-size: 1em\" href=\"http:\/\/www.ck12.org\/about\/attribution\/\">Attribution<\/a><br \/>\n<strong>Figure 10.5.9<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/unsplash.com\/photos\/XuHbLw1sUyk\">Rainbow Hair Bubble Man<\/a><sup>\u00a0<\/sup>by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@behrouzix\">Behrouz Jafarnezhad<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/KIg7V5AbTpw\">Pink hair in <span class=\"_20NLS _1ByhS\">Atlanta, United States<\/span><\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@tammeallen\">Tammie Allen<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/vx-PQnfLDDk\">Magdalena 2<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@elashv\">Valerie Elash<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/g_2fwjrDj0M\">Perfect Style<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@darias_big_world\">Daria Volkova<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license)<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/sMR__Unqh5A\">Stay Classy<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@fayizdasma\">Fayiz Musthafa<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license)<\/li>\n<li><a href=\"https:\/\/unsplash.com\/photos\/2OycBCpnUVI\">Take your time<\/a> by <a class=\"_3XzpS _1ByhS _4kjHg _1O9Y0 _3l__V _1CBrG xLon9\" href=\"https:\/\/unsplash.com\/@craft_ear\">Jan Tinneberg<\/a>\u00a0on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license)<\/li>\n<\/ul>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">Blausen.com staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Brainard, J\/ CK-12 Foundation. (2016). Figure 7 This style of facial hair is adopted by most Amish men after they marry [digital image]. In <em>CK-12 College Human Biology<\/em> (Section 12<span style=\"font-size: 1em\">.5<\/span><span style=\"text-align: initial;font-size: 1em\">) [online Flexbook]. CK12.org. https:\/\/www.ck12.org\/book\/ck-12-college-human-biology\/section\/12.5\/<\/span><\/p>\n<p class=\"hanging-indent\">Sony Pictures Animation. (2019, December 5). Hair love | Oscar\u00ae-winning short film (Full) | Sony Pictures Animation. YouTube. https:\/\/www.youtube.com\/watch?v=kNw8V_Fkw28<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, August 25). Why do some people go bald? \u2013 Sarthak Sinha. YouTube. https:\/\/www.youtube.com\/watch?v=8diYLhl8bWU<\/p>\n<p class=\"hanging-indent\">TEDx Talks. (2015, February 4). Why do we care about hair | Naomi Abigail | TEDxBaDinh. YouTube. https:\/\/www.youtube.com\/watch?v=hDW5e3NR1Cw<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-4810","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":4807,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4810","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":3,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4810\/revisions"}],"predecessor-version":[{"id":6443,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4810\/revisions\/6443"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/4807"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4810\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=4810"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=4810"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=4810"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=4810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}