By S. Jay Olshansky, Robert N. Butler, and Bruce A. Carnes
Illustrations by Thom Graves
When Michelangelo painted The Creation of Adam on the ceiling of the Sistine Chapel, he portrayed the Renaissance view of humanity as having been molded by the hand of its creator, a "perfect" physical specimen. Charles Darwin, when drafting his theory of evolution, presented imperfections in humans' anatomic structures and functions as the strongest evidence for his theory. It now appears they were both right.
A coordinated network of molecular processes providing cells with nearly flawless surveillance, maintenance, and repair capabilities exemplifies the "perfection" of the human body. Living things need this precision in order to survive to reproductive maturity in the face of a hostile environment and the toxic debris that the cellular machinery of life generates. Meanwhile, subtle changes and imperfections at every level of biological organization give rise to the diseases and ...