Conventional Darwinian evolution is based on random mutations causing adaptive change. In contrast to that, evolution due to epigenetic inheritance offers the opportunity to trace the causal relationships, particularly when seen from the cellular-molecular level. Using this approach, the exaptive changes in adaptation to gas exchange from the lung alveolus to the unicellular have been traced (Torday JS, Rehan VK. The evolutionary continuum from lung development to homeostasis and repair. Am J Physiol Lung Cell Mol Physiol. 2007 Mar;292(3):L608-11; Torday and Rehan. Evolution, the Logic of Biology. Wiley, Hoboken, 2017) with gaps along the way due to the novelty of this approach. However, such gaps could be filled, and other physiologic traits could similarly be elucidated, leading to a new way of understanding physiologic evolution independent of function, particularly as it relates to dysfunction in disease.

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