医学考博英语阅读 | 粒腺体影响男性寿命
摘要: 粒腺体(线粒体)是细胞内的能量工厂,其基因仅通过母系遗传,导致男性粒腺体无法在进化中针对雄性生理进行优化,这可能部分解释了为何男性平均寿命普遍短于女性。
- 粒腺体仅通过母亲遗传,使男性粒腺体处于“进化死胡同”,无法适应雄性特有生理需求。
- 由粒腺体基因缺陷引起的疾病(如Leber氏视神经病变)在男性中的发病率和严重程度显著高于女性。
- 包括心肌病、糖尿病和某些耳聋在内的常见疾病也可能存在粒腺体相关的性别差异,但目前医学研究对此关注不足。
- 该假说从进化生物学角度提出新视角,强调需跨学科合作以深入理解性别寿命差异的机制。
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Mitochondria and male lifespan
粒腺体影响男性寿命
Power down
粒腺体阻断
Women outlive men. An evolutionary curiosity may explain this
为什么女性比男性更长寿
Mankiller?
男性健康杀手?
WHY past generations regarded women as the weaker sex is a mystery to anyone who has examined the question objectively, for they are far stronger than men—outliving them in pretty well every society in the world. Partly that is because men are more violent, and their violence is largely directed at other men. But partly it is physiological. Men seem to wear out faster than women do. Yet no one knows why.
过去,人们认为女性比男性弱,而这对于客观地调查过此现象的人来说是个迷,因为女性比男性寿命长,很多国家或地区都是如此。在一定程度上,这可能是因为男性要狂暴一些,而且他们的狂暴是针对其他男性。但也有可能是受生理影响。男性精力耗损要比女性快。个中缘由还没有人知道。

Madeleine Beekman of the University of Sydney, Australia, and her colleagues, however, have a hypothesis. As they outline in a paper in the Philosophical Transactions of the Royal Society, they think at least some of the blame lies with subcellular structures called mitochondria (pictured), which provide the body with its power by burning glucose and using the energy thus released to make ATP, a molecule that is biology’s universal fuel.
玛德琳·比克曼是澳大利亚悉尼大学工作者,她跟同事一起提出一种假说。他们在皇家学会哲学学报发表的一篇论文中指出,男性寿命比女性短的原因可能取决于亚细胞结构,也就是粒腺体。粒腺体通过燃烧葡萄糖为机体提供能量,利用该能量释放三磷腺苷,三磷腺苷是整个机体的燃料。
Mitochondria are intriguing. They are descendants of bacteria that teamed up with the ancestors of animal and plant cells about a billion years ago. As such, they retain their own genes. And this is where the problems start. To avoid fights between genetically different mitochondria in the same cell, most species have arranged for their mitochondria to come from only one parent—usually the mother.
粒腺体很有趣。他们是细菌与十亿年前的动物或植物祖先的衍生物。如此便保留住了基因。这就是问题的开始。从遗传学角度讲,为了避免同一个细胞内不同的粒腺体相互排斥,大多数生物都会选择系属同一个细胞的线粒体,通常是同一个雌细胞。

This means, as Dr Beekman notes, that a male’s mitochondria are stuck in an evolutionary dead end. They cannot evolve in male-specific ways, because no matter how much good they do a male body they inhabit, they will not be passed on to the next generation.
如比克曼博士所提到的一样,雄性线粒体陷入进化死胡同。雄性线粒体不能逐渐形成雄性专一方式,因为雄性线粒体在雄性生物体上栖息的多么好,都不能繁衍到下一代。
Male and female physiologies are sufficiently similar for this not to be a central problem, but Dr Beekman thinks it may matter at the margins. She observes that one disease, called Leber’s hereditary optic neuropathy, which is caused by a faulty mitochondrial gene, occurs in only 10% of women whose cellular power-packs include the damaged gene, but in 50% of men whose mitochondria are so encumbered.
这和女性和男性生生理机能十分相似,但又不是中心问题。比克曼博士认为,这可能关系到margin。她仔细观察了一种名为利伯氏视神经病变的疾病,是有缺陷的粒腺体基因引起的。女性的发病率只有10%,女性细胞还包括受损细胞。而男性发病率高达50%,主要是粒腺体堵塞引起的 。

The gene in question, in other words, is less likely to harm a woman than a man. She then lists a lot of other diseases, including ones far commoner than Leber’s hereditary optic neuropathy (such as cardiomyopathy, diabetes and several forms of deafness) that sometimes or always have a mitochondrial component, and speculates that some of these, too, may prove to be either more common or more serious in men than in women. As far as her searches of the literature can show, this is not something that has yet been looked into.
比克曼博士又列举出了其他疾病,这比利伯氏视神经病变要常见的多(例如心肌病、糖尿病和其他耳聋症),这些疾病有时或经常含有粒腺体成分。男性患此类疾病的发病率比女性高,男性患者也比女性患者病情严重的多。此篇论文的研究程度所达程度并不是如此,而且这类问题早已有人考虑过。
Part of the reason for this absence of information may be that few doctors think like evolutionary biologists, so they fail to ask the appropriate questions. Dr Beekman’s hypothesis may turn out to be wrong. But it sounds eminently plausible, and certainly worth investigating.
关于这些研究缺乏信息可能是因为没有几个医生研究这类问题,比如进化生物学,他们也无法提出合适的问题。比克曼教授的假说也许是错误的,但是,这种假说看起来很有道理,有研究价值。
常见问题
为什么粒腺体只通过母亲遗传会影响男性寿命?
因为粒腺体无法通过父亲传递给后代,自然选择无法优化其在男性体内的功能,可能导致男性对粒腺体相关疾病更易感。
有哪些疾病与粒腺体有关且在男性中更严重?
例如Leber氏遗传性视神经病变、心肌病、糖尿病和某些类型的耳聋,这些疾病在男性中发病率或严重程度更高。
这一理论是否已被医学界广泛证实?
目前仍属假说阶段,虽具合理性但尚未被系统验证,亟需更多结合进化生物学与临床医学的研究。
参考资料
Mitochondria and male lifespan – Royal Society paper
Beekman et al., Philosophical Transactions of the Royal Society, 提出粒腺体母系遗传对男性寿命影响的假说。
Leber's hereditary optic neuropathy
一种由粒腺体DNA突变引起的遗传性眼病,男性患病风险显著高于女性。