2018, Number 1
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Rev Cub Med Mil 2018; 47 (1)
Relationship between the human being evolutionary process and his predisposition to cancer
Pérez CAE, Benítez SE, García MD
Language: Spanish
References: 48
Page: 58-72
PDF size: 114.06 Kb.
ABSTRACT
Cancer has become the leading cause of morbidity and mortality in many countries.
In recent decades there has been a change in the conceptual paradigm of
neoplastic diseases, which now focuses on the ecological-evolutionary perspective
of these. With the aim of analyzing, with updated elements, the relationship
between the evolutionary process of the human being and his predisposition to
cancer, a systematic review of the literature was made, based on three databases,
Medline, Scopus, and SciELO. Consistency attributes of the reviewed articles were
taken into account, studies with levels IV and V of evidence and those of insufficient
quality were excluded. The current accumulated searches suggest the need to see
the various neoplasms from the perspective of the dynamics of complex systems
and their evolutionary implications. The human evolutionary process has biosocial
peculiarities that predispose it to suffer malignant tumors. Bipedal posture
increased vulnerability to the oncogenic effect of ultraviolet radiation. Sexual
behavior increased the risk of contracting oncogenic virus infections. The transition
to a predominantly meat and the introduction of cooking, resulted in the
incorporation of xenobiotic agents whose metabolism derives carcinogens. The
postponement of human aging became in a longer time for the accumulation of
mutations. Modifications in the sexual and reproductive pattern in women have
influenced their predisposition to breast cancer. In the population genesis of cancer
underlying biosocial foundations linked to the evolutionary process of the species.
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