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Purpose of Appendix Believed Found

CambodiaSam sent in this story, which opens: "Some scientists think they have figured out the real job of the troublesome and seemingly useless appendix: It produces and protects good germs for your gut. That's the theory from surgeons and immunologists at Duke University Medical School, published online in a scientific journal this week. For generations the appendix has been dismissed as superfluous. Doctors figured it had no function. Surgeons removed them routinely. People live fine without them. The function of the appendix seems related to the massive amount of bacteria populating the human digestive system, according to the study in the Journal of Theoretical Biology. There are more bacteria than human cells in the typical body. Most are good and help digest food. But sometimes the flora of bacteria in the intestines die or are purged. Diseases such as cholera or amoebic dysentery would clear the gut of useful bacteria. The appendix's job is to reboot the digestive system in that case."

21 of 235 comments (clear)

  1. Polio, Asthma & Allergies by eldavojohn · · Score: 5, Interesting

    I have studied little biology or medical subjects though I've read studies about this same sort of thing happening with asthma, polio & allergies. I think I've posted about this before but anecdotally I noticed there were no farmers who had allergies or asthma as I grew up and worked on farms with them. The young kids would play in hay and run around in the mud outside when it rained. So it seems that a problem with being an overly hygienic society today (as the article notes) is that we don't expose our young to these pathogens early on so they never adapt to them and suffer exposure to them later. This is why I recommend against anyone installing an air purifier in their home. It's a great idea--if you never plan on leaving your home.

    I can't find the research but I thought a long time ago that a German study was done to find out why polio was "a middle class disease." If I recall they found that poor children were exposed to it since birth and rarely suffered from it since they were exposed to it always. The middle class children would be protected as infants but once exposed to it, their bodies would not be able to fight it. The upper class would take all costs to reduce exposure to it at all times--and they could.

    Now this research is interestingly related in that appendicitis may be something that occurs due to our lack of exposure to diseases that destroy all the germs in our body (cholera & certain types of dysentery). Should something happen that would threaten this, our bodies respond poorly to it and the appendix flares up. As this article notes, appendicitis occurs less frequently in underdeveloped countries. Perhaps this is more reinforcement for the idea that protecting your children from germs is a double edged sword.

    --
    My work here is dung.
    1. Re:Polio, Asthma & Allergies by paleo2002 · · Score: 5, Insightful

      I have studied (some) biology, especially from an evolutionary perspective. There are aspects of our immune system that deal with macroscopic threats - parasites, foreign bodies, etc. In modern, industrialized society intestinal parasites and unremoved splinters aren't really a problem so a part of our immune system is left with very little to do. Like a bored child or pet, our immune system goes looking for something to do. It overreacts to pollen, proteins in common foods, and animal dander.

      With the proliferation of antibacterial products, I worry about two things. In the short term, what kind of new allergies will people develop as chemistry continues to replace people's immune systems? In the long term, what kind of backlash are we going to see when microbes begin to develop some sort of resistance to alcohol and other antibacterial agents?

    2. Re:Polio, Asthma & Allergies by NotoriousHood · · Score: 5, Informative

      I was also worried about bacteria adapting to alcohol etc.

      From my research and discussions with doctors etc I've come to learn that bacteria adapt to antibiotics because these agents are very precise and destroy a very narrow type of microorganism, whereas alcohol, chlorine bleach, and all other cleaning agents wipe everything out. There has been no (to my knowledge) increase in resistance to bleach used in the kitchen for instance. It would be like gaining resistance to fire. The properties of these antibacterial agents is just too violent against the cell for evolution to do anything about it.

      I'm sure this could have been said better, but basically antibacterial soap will not create super-deadly strains of bacteria, whereas continued use of antibiotics has and will.

    3. Re:Polio, Asthma & Allergies by tomhudson · · Score: 4, Funny

      > "I was also worried about bacteria adapting to alcohol etc. "

      ... they do ... where do you think all those ugly bacteria come from? Bacteria in bars, seeing other bacteria through beer-bottle goggles, breeding, then trying to gnaw their cilia off the next morning because their mate is coyote-ugly ...

    4. Re:Polio, Asthma & Allergies by king-manic · · Score: 5, Interesting

      I have studied little biology or medical subjects though I've read studies about this same sort of thing happening with asthma, polio & allergies. I think I've posted about this before but anecdotally I noticed there were no farmers who had allergies or asthma as I grew up and worked on farms with them. The young kids would play in hay and run around in the mud outside when it rained. So it seems that a problem with being an overly hygienic society today (as the article notes) is that we don't expose our young to these pathogens early on so they never adapt to them and suffer exposure to them later. This is why I recommend against anyone installing an air purifier in their home. It's a great idea--if you never plan on leaving your home.

      I can't find the research but I thought a long time ago that a German study was done to find out why polio was "a middle class disease." If I recall they found that poor children were exposed to it since birth and rarely suffered from it since they were exposed to it always. The middle class children would be protected as infants but once exposed to it, their bodies would not be able to fight it. The upper class would take all costs to reduce exposure to it at all times--and they could.

      Now this research is interestingly related in that appendicitis may be something that occurs due to our lack of exposure to diseases that destroy all the germs in our body (cholera & certain types of dysentery). Should something happen that would threaten this, our bodies respond poorly to it and the appendix flares up. As this article notes, appendicitis occurs less frequently in underdeveloped countries. Perhaps this is more reinforcement for the idea that protecting your children from germs is a double edged sword.


      The other way to interpret it is that people with severe allergies and who would suffer from polio are exposed to it early and die. As most of the groups outlined have higher infant mortality. It may not be a full explanation but it's certainly a contributing factor. From a evolutionary standpoint those who would have died from allergies/polio/germs due to a weaker system survive in "middle class" society and thus what is rare among the lower class amplifies overtime in the middle class until it reaches soem steady state %.

      --
      "There are more things in heaven and earth, Horatio, than are dreamt of in your philosophy."
    5. Re:Polio, Asthma & Allergies by JanneM · · Score: 4, Interesting

      It's a little trickier than that. It is clear life in general is very good at adapting to just about anything; there's been experiments done where microorganisms have ben pressured to adapt to conditions no less bad than bleach. But a lot of people forget that most adaptations also have negative effects. And if the bad condition is rare enough then it may simply not be worth it, evolutionary speaking, to adapt to it.

      There's a beetle on the British isles that lays its eggs in shallow water. So the female flies around, looking for small water collections (small lakes, ponds, that sort of thing) in which to lay her eggs. But her detection system is simplistic, mainly looking for ground surfaces of a certain size that polarize light. And that includes stuff like wet asphalt and newly washed cars. So there's a lot of beetles diving right into newly clean cars, making a mess at the very least opportune moment.

      But even without cars and asphalt, it's pretty clear her detection system is on the rough side. The reason they don't have better "pond detectors" is most likely that the current one is good enough; a lot of the beetles do hit good water, and a more complex system would penalize the individuals with it (in energy and development time as juveniles if nothing else) more than they'd gain by being more precise with their egg-laying attempts.

      Similarly, from a bacterias point of view, a disinfected surface is rare - really rare. Any adaptation to in with even a slightly negative side effect is likely to disappear unless the individuals and their offspring can rely on staying in that environment for a long time, making it a separate niche. Which they can't since a disinfected surface normally doesn't stay that way. There is no long-term survival benefit in being good at surviving that environment.

      This is why cutting down on antibiotic use would not just slow down resistance, but can actually reverse it. Make the antibiotic rare enough and resistance genes won't remain.

      --
      Trust the Computer. The Computer is your friend.
    6. Re:Polio, Asthma & Allergies by scottv67 · · Score: 5, Informative
      I think I've posted about this before but anecdotally I noticed there were no farmers who had allergies or asthma as I grew up and worked on farms with them.

      I think you may have it backwards: You are saying that there are no farmers with asthma because working on a farm prevents asthma. It's more likely that there are no farmers with asthma because people with asthma do not become farmers. Even though I (someone who has had asthma my entire life) have helped bale hay, milk cows and shovel manure, there is no way that I would *think* of becoming a farmer. Wearing a dust mask while baling hay or doing other chores on the farm is no fun. Being in the barn without some sort of mask is a surefire recipe for having a meeting with Mr. Albuterol later in the day.

      I could come-up with a parallel to your "I've never known farmers with asthma" story by saying "I've never seen a one-armed crab fisherman on the Discovery TV show "Deadliest Catch". I could infer from watch the Deadliest Catch that crab fishing must be a pretty safe line of work because there are no one-armed guys working the crab pots. The reality is there are no one-armed crab fisherman because the one-armed guys do not sign-up for a job that they know would be extremely hazardous for them to do with just one arm.

      This is why I recommend against anyone installing an air purifier in their home. It's a great idea--if you never plan on leaving your home.

      I'm sorry, I didn't catch the name of the medical school you graduated from or where you did your residency in allergy/asthma. Could you post that information one more time? I have an IQAir HealthPro Plus http://www.iqair.us/residential/roomairpurifiers/healthproplus.php that runs in my bedroom every night. That air purifier filters the dust, pollen and other allergens out of air inside my house so that I can breathe more easily - especially during the spring and fall when thing like tree pollen, ragweed and alternaria are bad. The indoor air purifiers also help when local "air quality alerts" are issued. Even if the air outside is filled with small pollutants that are harmful to my lungs, I can come home at the end of the day, run the IQAir and have decent breathable air.

      Here is a little more background on local air quality issues:
      http://dnr.wi.gov/org/aw/air/health/status.asp

      The watch is being issued because of the forecast for elevated levels of fine particles in the air. Fine particle pollution is composed of microscopic dust, soot, liquid droplets and smoke particles that are 2.5 microns or smaller. These fine particles come primarily from combustion sources, such as power plants, factories and other industrial sources, vehicle exhaust, and outdoor fires.

      The Air Quality Index is forecast to reach the orange level, which is considered unhealthy for people in sensitive groups. People in those sensitive groups include those with heart or lung disease, asthma, older adults and children. When an air quality watch is issued, people in those groups are advised to reschedule or cut back on strenuous activities during the watch period.

      People with lung diseases such as asthma and bronchitis and heart disease should pay attention to cardiac symptoms like chest pain and shortness of breath or respiratory symptoms like coughing, wheezing and discomfort when taking a breath, and consult with their physician if they have concerns or are experiencing symptoms. Fine particle pollution deposits itself deep into the lungs and cannot easily be exhaled. People who are at risk are particularly vulnerable after several days of high particle pollution exposure.

      Regarding your comment about air purifiers being a bad idea,

      It's a great idea--if you never plan on leaving your home.

      I can't

    7. Re:Polio, Asthma & Allergies by jez9999 · · Score: 4, Funny

      There has been no (to my knowledge) increase in resistance to bleach used in the kitchen for instance. It would be like gaining resistance to fire. The properties of these antibacterial agents is just too violent against the cell for evolution to do anything about it.

      That's exactly why I clean my hands by setting them on fire. Anything left after it's been put out can stay.

    8. Re:Polio, Asthma & Allergies by scottv67 · · Score: 4, Informative

      They already have allergy treatments. Basically, they give you a shot every few months.

      If you are talking about immunotherapy for the treatment of allergies, the frequency of the injections is more than "every few months". It's more like "once a week". The injections provide an ever-increasing amount of the substance the patient is allergic to in an effort to get the patient's immune system to "chill out". The last time I was receiving these shots, I was getting them every five days (Mon, Fri, Wed, Mon, Fri, etc.). I spent a lot of time sitting in the waiting room at the allergy clinic (you have to sit in the clinic after receiving the shot so the clinic staff can monitor you for an adverse reaction to the shot).

      http://www.allergycapital.com.au/Pages/immth.html

    9. Re:Polio, Asthma & Allergies by irtza · · Score: 4, Insightful

      thank you. If I had mod points, I would boost you up and call it a day.

      Part of what evolution teaches is a thing called "Selective pressure". If there is no pressure, then functionality is lost. For example, species that adapt to caves tend to go blind because destructive mutations to the eyes pose no greater survival risk.

      The same is true for the lower classes vs middle vs upper classes as mentioned in parent. As sickle cell, thalessemia, reactive airway diseases become more treatable, their prevalence will increase or at least come to a steady state. This will also allow other diseases or complications of these conditions to manifest. An example of this would be side-effects of anti-retroviral agents. They can be quite devestating in some cases, but does that mean we stop prescribing them? You can only justify that if you - like Hitler (I thank thee Godwin for this one) - feel that the weak should die to strengthen the gene pool.

      Many people are opposed to the idea of going on hemodialysis or getting an organ transplant. They site examples of people doing poorly on these therapies - about the amount of time they spend in the hospital - about the slew of medications they are on. One must bear in mind that these complications are far better than the alternative - a short miserable existence.

      Look at the life-expectancy of the lower classes vs the middle class and you will see that hygiene has some significant advantages. Soap and antimicrobial agents are one of the few medical instruments that have had a great impact on the overall life-span of society. Most other advances barely left a dent in the overall life-span.

      if someone says its better to have rampant cholera and dysentery wiping out huge populations of children - potentially doubling or tripling infant mortality - just so we don't have as much appendicitis, I would question their judgement greatly.

      As for air purifiers (mentioned somewhere in this thread) - they possibly prevent interstitial lung disease on top of removing allergens.

      --
      When all else fails, try.
    10. Re:Polio, Asthma & Allergies by Cassius+Corodes · · Score: 4, Informative

      Actually in proper hospitals where they rotate the antibacterial agent used to clean the floors - by the time (about a month) when the old agent is used again the resistance has almost completely disappeared from the population. When you are talking about a 20 minute per division life form that is a lot of generations in a month for the resistance to be out competed by more efficient variants.

      --
      Control is an illusion, order our comforting lie. From chaos, through chaos, into chaos we fly
  2. Paper Abstract by nodrogluap · · Score: 5, Informative

    The abstract, for those who don't have access to the journal (article DOI doi:10.1016/j.jtbi.2007.08.032):

    The human vermiform ("worm-like") appendix is a 5 to 10 cm long and 0.5 to 1
    cm wide pouch that extends from the cecum of the large bowel. The architecture of the
    human appendix is unique among mammals, and few mammals other than humans have
    an appendix at all. The function of the human appendix has long been a matter of debate,
    with the structure often considered to be a vestige of evolutionary development despite
    evidence to the contrary based on comparative primate anatomy. The appendix is thought
    to have some immune function based on its association with substantial lymphatic tissue,
    although the specific nature of that putative function is unknown. Based (a) on a recently
    acquired understanding of immune-mediated biofilm formation by commensal bacteria in
    the mammalian gut, (b) on biofilm distribution in the large bowel, (c) the association of
    lymphoid tissue with the appendix, (d) the potential for biofilms to protect and support
    colonization by commensal bacteria, and (e) on the architecture of the human bowel, we
    propose that the human appendix is well suited as a "safe house" for commensal bacteria,
    providing support for bacterial growth and potentially facilitating re-inoculation of the
    colon in the event that the contents of the intestinal tract are purged following exposure to a pathogen.

  3. Re:Reboot? by eldavojohn · · Score: 4, Insightful

    Is the digestive system a computer? Perhaps a better term might be 'repopulate' although it doesn't sound as trendy.

    I suppose you could poke equally as much fun back at the computer science community with:

    Virus? Is a computer the immune system? Fields of science borrow and share terms all the time. People seem to like the term 'reboot' despite it's origins being found in computers. I myself sometimes forget the pure origin of the word. The 'boot' part being from the bootloader of a system which plays a vital role in the bootstrapping process prior to the start of the operating system (if there is one installed). Do you think tailors are annoyed that we stole their bootstrap word?

    Why nitpick terminology when everyone borrows it. Accept descriptive words, don't be prescriptive--I think that's what makes languages fun and interesting instead of boring, dry & dead.
    --
    My work here is dung.
  4. the purpose of the appendix by Anonymous Coward · · Score: 5, Funny

    On the evening of the sixth day of creation, God had an argument with his editors about what to do with some material that all agreed was clever but not an especially great fit. So they decided to move it to the appendix.

  5. System reboot: continue? by lpangelrob · · Score: 5, Funny

    The appendix's job is to reboot the digestive system in that case.

    Gives a new meaning to the term "stack dump". I myself am currently suffering from a stop error. :-(

  6. "produces" by Gothmolly · · Score: 5, Insightful

    Just like leaving meat out in the sun "produces" flies? Didn't we sort all this out back in the 17th century or whatever? Oh wait, its CNN, that paragon of quality journalism.

    --
    I want to delete my account but Slashdot doesn't allow it.
  7. Re:Evolution would have gotten rid of it by pla · · Score: 4, Informative

    Evolution would have gotten rid of it if this part were useless.

    No. Evolution would have gotten rid of it if it caused a net increase in the risk of death between menarche and menopause (males simply don't matter here).

    Now, we might presume at first glance that since appendicitis can kill, and a not-inconsiderable portion of the population will at some point get it. But the lower incidence in underdeveloped countries suggests that its modern danger to us may result largely from lifestyle; and, as we currently chop it out at the first sign of inflammation, we may also overstate the actual risk of death from appendicitis in the absence of treatment.



    Evolution/God does their work quite well I guess.

    You can believe what you want about a deity, and what mechanisms it put into place to run the universe. But beware of animism by ascribing "intent" to abstract statistical descriptions of phenomena.

  8. Re: Evolution would have gotten rid of it by Polemicist · · Score: 5, Informative

    Evolution would have gotten rid of it if this part were useless.

    It is not exactly true that evolution would get rid of a part that has become useless. Evolution through natural selection would tend to remove mainly deleterous (harmful) structures, but structures that are neither harmful nor helpful are masked from natural selection. To explain the loss of the vestigial structures, we must realize that the individual organism has only so many resources (energy, molecules, etc) with which to survive. This causes natural selection to select against structures that use up the organism's resources without contributing to its survival (for example in whales, who still have vestigial hips and leg bones, which serve no function and are much reduced in size).
    This leads to the question of why the structure is still present. There are two major reasons why we would still observe the structure today: time and cost.
    If natural selection only started working on removing the structure in recent time (geologically speaking), it would not be finished instantly in one generation, as natural selection works by tiny modifications that are build on generation after generation. Hence the canon of natural history: Natura non facit saltum (nature makes no leap).
    A second possibility for its continued presence is that further reduction in its size or its total absence would be more disadvantageous the organism's fitness than its presence. This seems to be what the study is suggesting, that even though it is not used to the full extent it once was, there is some tiny function that is still useful enough to justify the resources the organism spends on it.

    --
    We are made wise not by the collection of our past, but by the responsibility for our future. -George Bernard Shaw
  9. Keeping kids healthy by throatmonster · · Score: 5, Informative

    Want to give your offspring the best chance?

    1. Breastfeed. Not just for 6 weeks either. Worldwide average weaning age is 3-4yrs. U.S. is about the worst at this.
    2. Let your kids eat dirt. No, don't encourage it. Just don't freak when it happens.
    3. Be very conservative with immunizations. How many middle class US children are really going to get exposed to Hep? And since thermerisol has finally been removed from vaccination products, the autism rate has finally stopped exploding (despite the fact that studies show no link between the two).
    4. LOTS of physical contact! Breastfed babies get this. It stimulates brain development.
    5. Love the little knuckleheads despite everything.
    6. Learn basic biology and medicine yourself. Your offspring, your responsibility. Knowledge and common sense go a long way towards health.

    We're still learning about biology and medicine. Oh shit, you mean bacteria can evolve to become resistant to antibiotics, and that blanketing the population with antibiotics (antibaterical handsoap, anyone?) causes bigger problems than it solves? I've never heard of a staph infection from a home birth. When women give birth at home around all the same germs they are exposed to anyway, postpartum infections are almost nonexistent.

    OTOH, I will take exception to the idea that there were no allergies and less sickness among rural populations 2 generations ago. There were. The difference is that those kids were just labeled "sickly" and often died back then. Is it a bad thing that those kids have a chance now?

    --
    All pass beyond reach of medicine. None pass beyond the reach of love.
    1. Re:Keeping kids healthy by Loke+the+Dog · · Score: 4, Insightful

      2 and 3 contradict each other. One says immunization by exposure to bacteria/viruses is good, the other says its bad. Admittedly, sterile needles have replaced dirty fingers for the last century. But I don't see why the old method was better than the new one.

  10. Re:Evolution would have gotten rid of it by Spacejock · · Score: 4, Funny

    Of course earlobes are useful. I mean, what else could you possibly hang earrings off ... your privates?