The crucial bit of the puzzle is that viruses have to be caught from another infected individual and they are usually species-specific. Bacteria, in contrast, often just lurk in the environment (like tetanus), and may thrive on many hosts (as does bubonic plague, for example). The gregarious are therefore at greater risk than the lonely of catching viruses, and Dr Cole thus suggests that past evolution has created a mechanism (the details of which remain unclear) which causes white cells to respond appropriately. Conversely, the lonely are better off ramping up their protection against bacterial infection, which is a bigger relative risk to them.
What Dr Cole seems to have revealed, then, is a mechanism by which the environment (in this case the social environment) reaches inside a person’s body and tweaks its genome so that it responds appropriately. It is not that the lonely and the gregarious are genetically different from each other. Rather, their genes are regulated differently, according to how sociable an individual is. Dr Cole thinks this regulation is part of a wider mechanism that tunes individuals to the circumstances they find themselves in. Where it goes wrong is when loneliness becomes chronic, and the inflammatory response becomes chronic at the same time.
Before civilisation intervened, such chronic loneliness would have been so rare (because isolated individuals are so vulnerable to predation) that evolution would have ignored it. Now, paradoxically, the large population that civilisation makes possible means loneliness is commonplace—and with it consequences that natural selection, which is blind to the future, has not yet had time to deal with.
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