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Race and genetics

Researchers have investigated the relationship between race and genetics as part of efforts to understand how biology may or may not contribute to human racial categorization. Today, the consensus among scientists is that race is a social construct, and that using it as a proxy for genetic differences among populations is misleading.[1][2]

Many constructions of race are associated with phenotypical traits and geographic ancestry, and scholars like Carl Linnaeus have proposed scientific models for the organization of race since at least the 18th century. Following the discovery of Mendelian genetics and the mapping of the human genome, questions about the biology of race have often been framed in terms of genetics.[3] A wide range of research methods have been employed to examine patterns of human variation and their relations to ancestry and racial groups, including studies of individual traits,[4] studies of large populations and genetic clusters,[5] and studies of genetic risk factors for disease.[6]

Research into race and genetics has also been criticized as emerging from, or contributing to, scientific racism. Genetic studies of traits and populations have been used to justify social inequalities associated with race,[7] despite the fact that patterns of human variation have been shown to be mostly clinal, with human genetic code being approximately 99.6%-99.9% identical between individuals, and with no clear boundaries between groups.[8][9][3]

Some researchers have argued that race can act as a proxy for genetic ancestry because individuals of the same racial category may share a common ancestry, but this view has fallen increasingly out of favor among experts.[2][10] The mainstream view is that it is necessary to distinguish between biology and the social, political, cultural, and economic factors that contribute to conceptions of race.[11][12]

Overview edit

The concept of race edit

The concept of "race" as a classification system of humans based on visible physical characteristics emerged over the last five centuries, influenced by European colonialism.[13][14] However, there is widespread evidence of what would be described in modern terms as racial consciousness throughout the entirety of recorded history. For example, in Ancient Egypt there were four broad racial divisions of human beings: Egyptians, Asiatics, Libyans, and Nubians.[15] There was also Aristotle of Ancient Greece, who once wrote: "The peoples of Asia... lack spirit, so that they are in continuous subjection and slavery."[16] The concept has manifested in different forms based on social conditions of a particular group, often used to justify unequal treatment. Early influential attempts to classify humans into discrete races include 4 races in Carl Linnaeus's Systema Naturae (Homo europaeus, asiaticus, americanus, and afer)[17][18] and 5 races in Johann Friedrich Blumenbach's On the Natural Variety of Mankind.[19] Notably, over the next centuries, scholars argued for anywhere from 3 to more than 60 race categories.[20] Race concepts have changed within a society over time; for example, in the United States social and legal designations of "White" have been inconsistently applied to Native Americans, Arab Americans, and Asian Americans, among other groups (See main article: Definitions of whiteness in the United States). Race categories also vary worldwide; for example, the same person might be perceived as belonging to a different category in the United States versus Brazil.[21] Because of the arbitrariness inherent in the concept of race, it is difficult to relate it to biology in a straightforward way.

Race and human genetic variation edit

There is broad consensus across the biological and social sciences that race is a social construct, not an accurate representation of human genetic variation.[22][23][24] Humans are remarkably genetically similar, sharing approximately 99.6%-99.9% of their genetic code with one another.[25] We nonetheless see wide individual variation in phenotype, which arises from both genetic differences and complex gene-environment interactions. The vast majority of this genetic variation occurs within groups; very little genetic variation differentiates between groups.[26] Crucially, the between-group genetic differences that do exist do not map onto socially recognized categories of race. Furthermore, although human populations show some genetic clustering across geographic space, human genetic variation is "clinal", or continuous.[22][24] This, in addition to the fact that different traits vary on different clines, makes it impossible to draw discrete genetic boundaries around human groups. Finally, insights from ancient DNA are revealing that no human population is "pure" – all populations represent a long history of migration and mixing.[27]

Sources of human genetic variation edit

Genetic variation arises from mutations, from natural selection, migration between populations (gene flow) and from the reshuffling of genes through sexual reproduction.[28] Mutations lead to a change in the DNA structure, as the order of the bases are rearranged. Resultantly, different polypeptide proteins are coded. Some mutations may be positive and can help the individual survive more effectively in their environment. Mutation is counteracted by natural selection and by genetic drift; note too the founder effect, when a small number of initial founders establish a population which hence starts with a correspondingly small degree of genetic variation.[29] Epigenetic inheritance involves heritable changes in phenotype (appearance) or gene expression caused by mechanisms other than changes in the DNA sequence.[30]

Human phenotypes are highly polygenic (dependent on interaction by many genes) and are influenced by environment as well as by genetics.

Nucleotide diversity is based on single mutations, single nucleotide polymorphisms (SNPs). The nucleotide diversity between humans is about 0.1 percent (one difference per one thousand nucleotides between two humans chosen at random). This amounts to approximately three million SNPs (since the human genome has about three billion nucleotides). There are an estimated ten million SNPs in the human population.[31]

Research has shown that non-SNP (structural) variation accounts for more human genetic variation than single nucleotide diversity. Structural variation includes copy-number variation and results from deletions, inversions, insertions and duplications. It is estimated that approximately 0.4 to 0.6 percent of the genomes of unrelated people differ.[32][33]

Genetic basis for race edit

Much scientific research has been organized around the question of whether or not there is genetic basis for race. In Luigi Luca Cavalli-Sforza's book (circa 1994) "The History and Geography of Human Genes"[34] he writes, "From a scientific point of view, the concept of race has failed to obtain any consensus; none is likely, given the gradual variation in existence. It may be objected that the racial stereotypes have a consistency that allows even the layman to classify individuals. However, the major stereotypes, all based on skin color, hair color and form, and facial traits, reflect superficial differences that are not confirmed by deeper analysis with more reliable genetic traits and whose origin dates from recent evolution mostly under the effect of climate and perhaps sexual selection".

A more up-to-date and comprehensive book authored by geneticist David Reich (2018) reaffirms the conclusion that the traditional views which assert a biological basis for race are wrong:

Today, many people assume that humans can be grouped biologically into "primeval" groups, corresponding to our notion of "races"... But this long-held view about "race" has just in the last years been proven wrong.

— David Reich, Who We Are and How We Got Here, (Introduction, pg. xxiv).

Research methods edit

Scientists investigating human variation have used a series of methods to characterize how different populations vary.

Early studies of traits, proteins, and genes edit

Early racial classification attempts measured surface traits, particularly skin color, hair color and texture, eye color, and head size and shape. (Measurements of the latter through craniometry were repeatedly discredited in the late 19th and mid-20th centuries due to a lack of correlation of phenotypic traits with racial categorization.[35]) In actuality, biological adaptation plays the biggest role in these bodily features and skin type. A relative handful of genes accounts for the inherited factors shaping a person's appearance.[36][37] Humans have an estimated 19,000–20,000 human protein-coding genes.[38] Richard Sturm and David Duffy describe 11 genes that affect skin pigmentation and explain most variations in human skin color, the most significant of which are MC1R, ASIP, OCA2, and TYR.[39] There is evidence that as many as 16 different genes could be responsible for eye color in humans; however, the main two genes associated with eye color variation are OCA2 and HERC2, and both are localized in chromosome 15.[40]

Analysis of blood proteins and between-group genetics edit

 
Geographic distribution of blood group A
 
Geographic distribution of blood group B

Before the discovery of DNA, scientists used blood proteins (the human blood group systems) to study human genetic variation. Research by Ludwik and Hanka Herschfeld during World War I found that the incidence of blood groups A and B differed by region; for example, among Europeans 15 percent were group B and 40 percent group A. Eastern Europeans and Russians had a higher incidence of group B; people from India had the greatest incidence. The Herschfelds concluded that humans comprised two "biochemical races", originating separately. It was hypothesized that these two races later mixed, resulting in the patterns of groups A and B. This was one of the first theories of racial differences to include the idea that human variation did not correlate with genetic variation. It was expected that groups with similar proportions of blood groups would be more closely related, but instead it was often found that groups separated by great distances (such as those from Madagascar and Russia), had similar incidences.[41] It was later discovered that the ABO blood group system is not just common to humans, but shared with other primates,[42] and likely predates all human groups.[43]

In 1972, Richard Lewontin performed a FST statistical analysis using 17 markers (including blood-group proteins). He found that the majority of genetic differences between humans (85.4 percent) were found within a population, 8.3 percent were found between populations within a race and 6.3 percent were found to differentiate races (Caucasian, African, Mongoloid, South Asian Aborigines, Amerinds, Oceanians, and Australian Aborigines in his study). Since then, other analyses have found FST values of 6–10 percent between continental human groups, 5–15 percent between different populations on the same continent and 75–85 percent within populations.[44][45][46][47][48] This view has been affirmed by the American Anthropological Association and the American Association of Physical Anthropologists since.[49]

Critiques of blood protein analysis edit

While acknowledging Lewontin's observation that humans are genetically homogeneous, A. W. F. Edwards in his 2003 paper "Human Genetic Diversity: Lewontin's Fallacy" argued that information distinguishing populations from each other is hidden in the correlation structure of allele frequencies, making it possible to classify individuals using mathematical techniques. Edwards argued that even if the probability of misclassifying an individual based on a single genetic marker is as high as 30 percent (as Lewontin reported in 1972), the misclassification probability nears zero if enough genetic markers are studied simultaneously. Edwards saw Lewontin's argument as based on a political stance, denying biological differences to argue for social equality.[50] Edwards' paper is reprinted, commented upon by experts such as Noah Rosenberg, and given further context in an interview with philosopher of science Rasmus Grønfeldt Winther in a recent anthology.[51]

As referred to before, Edwards criticises Lewontin's paper as he took 17 different traits and analysed them independently, without looking at them in conjunction with any other protein. Thus, it would have been fairly convenient for Lewontin to come up with the conclusion that racial naturalism is not tenable, according to his argument.[52] Sesardic also strengthened Edwards' view, as he used an illustration referring to squares and triangles, and showed that if you look at one trait in isolation, then it will most likely be a bad predicator of which group the individual belongs to.[53] In contrast, in a 2014 paper, reprinted in the 2018 Edwards Cambridge University Press volume, Rasmus Grønfeldt Winther argues that "Lewontin's Fallacy" is effectively a misnomer, as there really are two different sets of methods and questions at play in studying the genomic population structure of our species: "variance partitioning" and "clustering analysis." According to Winther, they are "two sides of the same mathematics coin" and neither "necessarily implies anything about the reality of human groups."[54]

Current studies of population genetics edit

Researchers currently use genetic testing, which may involve hundreds (or thousands) of genetic markers or the entire genome.

Structure edit

 
Principal component analysis of fifty populations, color-coded by region, illustrates the differentiation and overlap of populations found using this method of analysis.
 
Individuals mostly have genetic variants which are found in multiple regions of the world. Based on data from "A unified genealogy of modern and ancient genomes".[55]

Several methods to examine and quantify genetic subgroups exist, including cluster and principal components analysis. Genetic markers from individuals are examined to find a population's genetic structure. While subgroups overlap when examining variants of one marker only, when a number of markers are examined different subgroups have different average genetic structure. An individual may be described as belonging to several subgroups. These subgroups may be more or less distinct, depending on how much overlap there is with other subgroups.[56]

In cluster analysis, the number of clusters to search for K is determined in advance; how distinct the clusters are varies.

The results obtained from cluster analyses depend on several factors:

  • A large number of genetic markers studied facilitates finding distinct clusters.[57]
  • Some genetic markers vary more than others, so fewer are required to find distinct clusters.[58] Ancestry-informative markers exhibit substantially different frequencies between populations from different geographical regions. Using AIMs, scientists can determine a person's ancestral continent of origin based solely on their DNA. AIMs can also be used to determine someone's admixture proportions.[59]
  • The more individuals studied, the easier it becomes to detect distinct clusters (statistical noise is reduced).[58]
  • Low genetic variation makes it more difficult to find distinct clusters.[58] Greater geographic distance generally increases genetic variation, making identifying clusters easier.[60]
  • A similar cluster structure is seen with different genetic markers when the number of genetic markers included is sufficiently large. The clustering structure obtained with different statistical techniques is similar. A similar cluster structure is found in the original sample with a subsample of the original sample.[61]

Recent studies have been published using an increasing number of genetic markers.[58][61][62][63][64][65]

Focus on study of structure has been criticized for giving the general public a misleading impression of human genetic variation, obscuring the general finding that genetic variants which are limited to one region tend to be rare within that region, variants that are common within a region tend to be shared across the globe, and most differences between individuals, whether they come from the same region or different regions, are due to global variants.[66]

Distance edit

Genetic distance is genetic divergence between species or populations of a species. It may compare the genetic similarity of related species, such as humans and chimpanzees. Within a species, genetic distance measures divergence between subgroups. Genetic distance significantly correlates to geographic distance between populations, a phenomenon sometimes known as "isolation by distance".[67] Genetic distance may be the result of physical boundaries restricting gene flow such as islands, deserts, mountains or forests. Genetic distance is measured by the fixation index (FST). FST is the correlation of randomly chosen alleles in a subgroup to a larger population. It is often expressed as a proportion of genetic diversity. This comparison of genetic variability within (and between) populations is used in population genetics. The values range from 0 to 1; zero indicates the two populations are freely interbreeding, and one would indicate that two populations are separate.

Many studies place the average FST distance between human races at about 0.125. Henry Harpending argued that this value implies on a world scale a "kinship between two individuals of the same human population is equivalent to kinship between grandparent and grandchild or between half siblings". In fact, the formulas derived in Harpending's paper in the "Kinship in a subdivided population" section imply that two unrelated individuals of the same race have a higher coefficient of kinship (0.125) than an individual and their mixed race half-sibling (0.109).[68]

Critiques of FST edit

While acknowledging that FST remains useful, a number of scientists have written about other approaches to characterizing human genetic variation.[69][70][71] Long & Kittles (2009) stated that FST failed to identify important variation and that when the analysis includes only humans, FST = 0.119, but adding chimpanzees increases it only to FST = 0.183.[69] Mountain & Risch (2004) argued that an FST estimate of 0.10–0.15 does not rule out a genetic basis for phenotypic differences between groups and that a low FST estimate implies little about the degree to which genes contribute to between-group differences.[70] Pearse & Crandall 2004 wrote that FST figures cannot distinguish between a situation of high migration between populations with a long divergence time, and one of a relatively recent shared history but no ongoing gene flow.[71] In their 2015 article, Keith Hunley, Graciela Cabana, and Jeffrey Long (who had previously criticized Lewontin's statistical methodology with Rick Kittles[49]) recalculate the apportionment of human diversity using a more complex model than Lewontin and his successors. They conclude: "In sum, we concur with Lewontin's conclusion that Western-based racial classifications have no taxonomic significance, and we hope that this research, which takes into account our current understanding of the structure of human diversity, places his seminal finding on firmer evolutionary footing."[72]

Anthropologists (such as C. Loring Brace),[73] philosopher Jonathan Kaplan and geneticist Joseph Graves[74] have argued that while it is possible to find biological and genetic variation roughly corresponding to race, this is true for almost all geographically distinct populations: the cluster structure of genetic data is dependent on the initial hypotheses of the researcher and the populations sampled. When one samples continental groups, the clusters become continental; with other sampling patterns, the clusters would be different. Weiss and Fullerton note that if one sampled only Icelanders, Mayans and Maoris, three distinct clusters would form; all other populations would be composed of genetic admixtures of Maori, Icelandic and Mayan material.[75] Kaplan therefore concludes that, while differences in particular allele frequencies can be used to identify populations that loosely correspond to the racial categories common in Western social discourse, the differences are of no more biological significance than the differences found between any human populations (e.g., the Spanish and Portuguese).[76]

Historical and geographical analyses edit

Current-population genetic structure does not imply that differing clusters or components indicate only one ancestral home per group; for example, a genetic cluster in the US comprises Hispanics with European, Native American and African ancestry.[57]

Geographic analyses attempt to identify places of origin, their relative importance and possible causes of genetic variation in an area. The results can be presented as maps showing genetic variation. Cavalli-Sforza and colleagues argue that if genetic variations are investigated, they often correspond to population migrations due to new sources of food, improved transportation or shifts in political power. For example, in Europe the most significant direction of genetic variation corresponds to the spread of agriculture from the Middle East to Europe between 10,000 and 6,000 years ago.[77] Such geographic analysis works best in the absence of recent large-scale, rapid migrations.

Historic analyses use differences in genetic variation (measured by genetic distance) as a molecular clock indicating the evolutionary relation of species or groups, and can be used to create evolutionary trees reconstructing population separations.[77]

Results of genetic-ancestry research are supported if they agree with research results from other fields, such as linguistics or archeology.[77] Cavalli-Sforza and colleagues have argued that there is a correspondence between language families found in linguistic research and the population tree they found in their 1994 study. There are generally shorter genetic distances between populations using languages from the same language family. Exceptions to this rule are also found, for example Sami, who are genetically associated with populations speaking languages from other language families. The Sami speak a Uralic language, but are genetically primarily European. This is argued to have resulted from migration (and interbreeding) with Europeans while retaining their original language. Agreement also exists between research dates in archeology and those calculated using genetic distance.[58][77]

Self-identification studies edit

Jorde and Wooding found that while clusters from genetic markers were correlated with some traditional concepts of race, the correlations were imperfect and imprecise due to the continuous and overlapping nature of genetic variation, noting that ancestry, which can be accurately determined, is not equivalent to the concept of race.[78]

A 2005 study by Tang and colleagues used 326 genetic markers to determine genetic clusters. The 3,636 subjects, from the United States and Taiwan, self-identified as belonging to white, African American, East Asian or Hispanic ethnic groups. The study found "nearly perfect correspondence between genetic cluster and SIRE for major ethnic groups living in the United States, with a discrepancy rate of only 0.14 percent".[57] Paschou et al. found "essentially perfect" agreement between 51 self-identified populations of origin and the population's genetic structure, using 650,000 genetic markers. Selecting for informative genetic markers allowed a reduction to less than 650, while retaining near-total accuracy.[79]

Correspondence between genetic clusters in a population (such as the current US population) and self-identified race or ethnic groups does not mean that such a cluster (or group) corresponds to only one ethnic group. African Americans have an estimated 20–25-percent European genetic admixture; Hispanics have European, Native American and African ancestry.[57] In Brazil there has been extensive admixture between Europeans, Amerindians and Africans. As a result, skin color differences within the population are not gradual, and there are relatively weak associations between self-reported race and African ancestry.[80][81] Ethnoracial self- classification in Brazilians is certainly not random with respect to genome individual ancestry, but the strength of the association between the phenotype and median proportion of African ancestry varies largely across population.[82]

Critique of genetic-distance studies and clusters edit

 
A change in a gene pool may be abrupt or clinal.

Genetic distances generally increase continually with geographic distance, which makes a dividing line arbitrary. Any two neighboring settlements will exhibit some genetic difference from each other, which could be defined as a race. Therefore, attempts to classify races impose an artificial discontinuity on a naturally occurring phenomenon. This explains why studies on population genetic structure yield varying results, depending on methodology.[83]

Rosenberg and colleagues (2005) have argued, based on cluster analysis of the 52 populations in the Human Genetic Diversity Panel, that populations do not always vary continuously and a population's genetic structure is consistent if enough genetic markers (and subjects) are included.

Examination of the relationship between genetic and geographic distance supports a view in which the clusters arise not as an artifact of the sampling scheme, but from small discontinuous jumps in genetic distance for most population pairs on opposite sides of geographic barriers, in comparison with genetic distance for pairs on the same side. Thus, analysis of the 993-locus dataset corroborates our earlier results: if enough markers are used with a sufficiently large worldwide sample, individuals can be partitioned into genetic clusters that match major geographic subdivisions of the globe, with some individuals from intermediate geographic locations having mixed membership in the clusters that correspond to neighboring regions.

They also wrote, regarding a model with five clusters corresponding to Africa, Eurasia (Europe, Middle East, and Central/South Asia), East Asia, Oceania, and the Americas:

For population pairs from the same cluster, as geographic distance increases, genetic distance increases in a linear manner, consistent with a clinal population structure. However, for pairs from different clusters, genetic distance is generally larger than that between intracluster pairs that have the same geographic distance. For example, genetic distances for population pairs with one population in Eurasia and the other in East Asia are greater than those for pairs at equivalent geographic distance within Eurasia or within East Asia. Loosely speaking, it is these small discontinuous jumps in genetic distance—across oceans, the Himalayas, and the Sahara—that provide the basis for the ability of STRUCTURE to identify clusters that correspond to geographic regions.[61]

This applies to populations in their ancestral homes when migrations and gene flow were slow; large, rapid migrations exhibit different characteristics. Tang and colleagues (2004) wrote, "we detected only modest genetic differentiation between different current geographic locales within each race/ethnicity group. Thus, ancient geographic ancestry, which is highly correlated with self-identified race/ethnicity—as opposed to current residence—is the major determinant of genetic structure in the U.S. population".[57]

 
Gene clusters from Rosenberg (2006) for K=7 clusters. (Cluster analysis divides a dataset into any prespecified number of clusters.) Individuals have genes from multiple clusters. The cluster prevalent only among the Kalash people (yellow) only splits off at K=7 and greater.

Cluster analysis has been criticized because the number of clusters to search for is decided in advance, with different values possible (although with varying degrees of probability).[84] Principal component analysis does not decide in advance how many components for which to search.[85]

The 2002 study by Rosenberg et al.[86] exemplifies why meanings of these clusterings are disputable. The study shows that at the K=5 cluster analysis, genetic clusterings roughly map onto each of the five major geographical regions. Similar results were gathered in further studies in 2005.[87]

Critique of ancestry-informative markers edit

Ancestry-informative markers (AIMs) are a genealogy tracing technology that has come under much criticism due to its reliance on reference populations. In a 2015 article, Troy Duster outlines how contemporary technology allows the tracing of ancestral lineage but along only the lines of one maternal and one paternal line. That is, of 64 total great-great-great-great-grandparents, only one from each parent is identified, implying the other 62 ancestors are ignored in tracing efforts.[88] Furthermore, the 'reference populations' used as markers for membership of a particular group are designated arbitrarily and contemporarily. In other words, using populations who currently reside in given places as references for certain races and ethnic groups is unreliable due to the demographic changes which have occurred over many centuries in those places. Furthermore, ancestry-informative markers being widely shared among the whole human population, it is their frequency which is tested, not their mere absence/presence. A threshold of relative frequency has, therefore, to be set. According to Duster, the criteria for setting such thresholds are a trade secret of the companies marketing the tests. Thus, we cannot say anything conclusive on whether they are appropriate. Results of AIMs are extremely sensitive to where this bar is set.[89] Given that many genetic traits are found to be very similar amid many different populations, the designated threshold frequencies are very important. This can also lead to mistakes, given that many populations may share the same patterns, if not exactly the same genes. "This means that someone from Bulgaria whose ancestors go back to the fifteenth century could (and sometime does) map as partly 'Native American'".[88] This happens because AIMs rely on a '100% purity' assumption of reference populations. That is, they assume that a pattern of traits would ideally be a necessary and sufficient condition for assigning an individual to an ancestral reference populations.

Race, genetics, and medicine edit

There are certain statistical differences between racial groups in susceptibility to certain diseases.[90] Genes change in response to local diseases; for example, people who are Duffy-negative tend to have a higher resistance to malaria. The Duffy negative phenotype is highly frequent in central Africa and the frequency decreases with distance away from Central Africa, with higher frequencies in global populations with high degrees of recent African immigration. This suggests that the Duffy negative genotype evolved in Sub-Saharan Africa and was subsequently positively selected for in the Malaria endemic zone.[91] A number of genetic conditions prevalent in malaria-endemic areas may provide genetic resistance to malaria, including sickle cell disease, thalassaemias and glucose-6-phosphate dehydrogenase. Cystic fibrosis is the most common life-limiting autosomal recessive disease among people of European ancestry; a hypothesized heterozygote advantage, providing resistance to diseases earlier common in Europe, has been challenged.[92] Scientists Michael Yudell, Dorothy Roberts, Rob DeSalle, and Sarah Tishkoff argue that using these associations in the practice of medicine has led doctors to overlook or misidentify disease: "For example, hemoglobinopathies can be misdiagnosed because of the identification of sickle-cell as a 'Black' disease and thalassemia as a 'Mediterranean' disease. Cystic fibrosis is underdiagnosed in populations of African ancestry, because it is thought of as a 'White' disease."[93]

Information about a person's population of origin may aid in diagnosis, and adverse drug responses may vary by group.[58][dubious ] Because of the correlation between self-identified race and genetic clusters, medical treatments influenced by genetics have varying rates of success between self-defined racial groups.[94] For this reason, some physicians[who?] consider a patient's race in choosing the most effective treatment,[95] and some drugs are marketed with race-specific instructions.[96] Jorde and Wooding (2004) have argued that because of genetic variation within racial groups, when "it finally becomes feasible and available, individual genetic assessment of relevant genes will probably prove more useful than race in medical decision making". However, race continues to be a factor when examining groups (such as epidemiologic research).[78] Some doctors and scientists such as geneticist Neil Risch argue that using self-identified race as a proxy for ancestry is necessary to be able to get a sufficiently broad sample of different ancestral populations, and in turn to be able to provide health care that is tailored to the needs of minority groups.[97]

Usage in scientific journals edit

Some scientific journals have addressed previous methodological errors by requiring more rigorous scrutiny of population variables. Since 2000, Nature Genetics requires its authors to "explain why they make use of particular ethnic groups or populations, and how classification was achieved". Editors of Nature Genetics say that "[they] hope that this will raise awareness and inspire more rigorous designs of genetic and epidemiological studies".[98]

A 2021 study that examined over 11,000 papers from 1949 to 2018 in The American Journal of Human Genetics, found that "race" was used in only 5% of papers published in the last decade, down from 22% in the first. Together with an increase in use of the terms "ethnicity," "ancestry," and location-based terms, it suggests that human geneticists have mostly abandoned the term "race."[99]

Gene-environment interactions edit

Lorusso and Bacchini[100] argue that self-identified race is of greater use in medicine as it correlates strongly with risk-related exposomes that are potentially heritable when they become embodied in the epigenome. They summarise evidence of the link between racial discrimination and health outcomes due to poorer food quality, access to healthcare, housing conditions, education, access to information, exposure to infectious agents and toxic substances, and material scarcity. They also cite evidence that this process can work positively – for example, the psychological advantage of perceiving oneself at the top of a social hierarchy is linked to improved health. However they caution that the effects of discrimination do not offer a complete explanation for differential rates of disease and risk factors between racial groups, and the employment of self-identified race has the potential to reinforce racial inequalities.

Objections to racial naturalism edit

Racial naturalism is the view that racial classifications are grounded in objective patterns of genetic similarities and differences. Proponents of this view have justified it using the scientific evidence described above. However, this view is controversial and philosophers[101] of race have put forward four main objections to it.

Semantic objections, such as the discreteness objection, argue that the human populations picked out in population-genetic research are not races and do not correspond to what "race" means in the United States. "The discreteness objection does not require there to be no genetic admixture in the human species in order for there to be US 'racial groups' ... rather ... what the objection claims is that membership in US racial groups is different from membership in continental populations. ... Thus, strictly speaking, Blacks are not identical to Africans, Whites are not identical to Eurasians, Asians are not identical to East Asians and so forth."[102] Therefore, it could be argued that scientific research is not really about race.

The next two objections, are metaphysical objections which argue that even if the semantic objections fail, human genetic clustering results do not support the biological reality of race. The 'very important objection' stipulates that races in the US definition fail to be important to biology, in the sense that continental populations do not form biological subspecies. The 'objectively real objection' states that "US racial groups are not biologically real because they are not objectively real in the sense of existing independently of human interest, belief, or some other mental state of humans."[103] Racial naturalists, such as Quayshawn Spencer, have responded to each of these objections with counter-arguments. There are also methodological critics who reject racial naturalism because of concerns relating to the experimental design, execution, or interpretation of the relevant population-genetic research.[104]

Another semantic objection is the visibility objection which refutes the claim that there are US racial groups in human population structures. Philosophers such as Joshua Glasgow and Naomi Zack believe that US racial groups cannot be defined by visible traits, such as skin colour and physical attributes: "The ancestral genetic tracking material has no effect on phenotypes, or biological traits of organisms, which would include the traits deemed racial, because the ancestral tracking genetic material plays no role in the production of proteins it is not the kind of material that 'codes' for protein production."[105][page needed] Spencer contends that certain racial discourses require visible groups, but disagrees that this is a requirement in all US racial discourse.[citation needed][undue weight? ]

A different objection states that US racial groups are not biologically real because they are not objectively real in the sense of existing independently of some mental state of humans. Proponents of this second metaphysical objection include Naomi Zack and Ron Sundstrom.[105][106] Spencer argues that an entity can be both biologically real and socially constructed. Spencer states that in order to accurately capture real biological entities, social factors must also be considered.[citation needed][undue weight? ]

It has been argued that knowledge of a person's race is limited in value, since people of the same race vary from one another.[78] David J. Witherspoon and colleagues have argued that when individuals are assigned to population groups, two randomly chosen individuals from different populations can resemble each other more than a randomly chosen member of their own group. They found that many thousands of genetic markers had to be used for the answer to "How often is a pair of individuals from one population genetically more dissimilar than two individuals chosen from two different populations?" to be "Never". This assumed three population groups, separated by large geographic distances (European, African and East Asian). The global human population is more complex, and studying a large number of groups would require an increased number of markers for the same answer. They conclude that "caution should be used when using geographic or genetic ancestry to make inferences about individual phenotypes",[107] and "The fact that, given enough genetic data, individuals can be correctly assigned to their populations of origin is compatible with the observation that most human genetic variation is found within populations, not between them. It is also compatible with our finding that, even when the most distinct populations are considered and hundreds of loci are used, individuals are frequently more similar to members of other populations than to members of their own population".[108]

This is similar to the conclusion reached by anthropologist Norman Sauer in a 1992 article on the ability of forensic anthropologists to assign "race" to a skeleton, based on craniofacial features and limb morphology. Sauer said, "the successful assignment of race to a skeletal specimen is not a vindication of the race concept, but rather a prediction that an individual, while alive was assigned to a particular socially constructed 'racial' category. A specimen may display features that point to African ancestry. In this country that person is likely to have been labeled Black regardless of whether or not such a race actually exists in nature".[109]

Criticism of race-based medicines edit

Troy Duster points out that genetics is often not the predominant determinant of disease susceptibilities, even though they might correlate with specific socially defined categories. This is because this research oftentimes lacks control for a multiplicity of socio-economic factors. He cites data collected by King and Rewers that indicates how dietary differences play a significant role in explaining variations of diabetes prevalence between populations.

Duster elaborates by putting forward the example of the Pima of Arizona, a population suffering from disproportionately high rates of diabetes. The reason for such, he argues, was not necessarily a result of the prevalence of the FABP2 gene, which is associated with insulin resistance. Rather he argues that scientists often discount the lifestyle implications under specific socio-historical contexts. For instance, near the end of the 19th century, the Pima economy was predominantly agriculture-based. However, as the European American population settles into traditionally Pima territory, the Pima lifestyles became heavily Westernised. Within three decades, the incidence of diabetes increased multiple folds. Governmental provision of free relatively high-fat food to alleviate the prevalence of poverty in the population is noted as an explanation of this phenomenon.[110]

Lorusso and Bacchini argue against the assumption that "self-identified race is a good proxy for a specific genetic ancestry"[100] on the basis that self-identified race is complex: it depends on a range of psychological, cultural and social factors, and is therefore "not a robust proxy for genetic ancestry".[111] Furthermore, they explain that an individual's self-identified race is made up of further, collectively arbitrary factors: personal opinions about what race is and the extent to which it should be taken into consideration in everyday life. Furthermore, individuals who share a genetic ancestry may differ in their racial self-identification across historical or socioeconomic contexts. From this, Lorusso and Bacchini conclude that the accuracy in the prediction of genetic ancestry on the basis of self-identification is low, specifically in racially admixed populations born out of complex ancestral histories.

See also edit

References edit

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Further reading edit

  • Helms JE, Jernigan M, Mascher J (January 2005). (PDF). The American Psychologist. 60 (1): 27–36. doi:10.1037/0003-066X.60.1.27. PMID 15641919. S2CID 1676488. Archived from the original (PDF) on 2019-02-26.
  • Keita SO, Kittles RA, Royal CD, et al. (November 2004). "Conceptualizing human variation". Nature Genetics. 36 (11 Suppl): S17–20. doi:10.1038/ng1455. PMID 15507998.
  • Koenig, Barbara A.; Lee, Sandra Soo-jin; Richardson, Sarah S., eds. (2008). Revisiting Race in a Genomic Age. New Brunswick (NJ): Rutgers University Press. ISBN 978-0-8135-4324-6. This review of current research includes chapters by Jonathan Marks, John Dupré, Sally Haslanger, Deborah A. Bolnick, Marcus W. Feldman, Richard C. Lewontin, Sarah K. Tate, David B. Goldstein, Jonathan Kahn, Duana Fullwiley, Molly J. Dingel, Barbara A. Koenig, Mark D. Shriver, Rick A. Kittles, Henry T. Greely, Kimberly Tallbear, Alondra Nelson, Pamela Sankar, Sally Lehrman, Jenny Reardon, Jacqueline Stevens, and Sandra Soo-Jin Lee.
  • Lieberman, Leonard; Kirk, Rodney C.; Corcoran, Michael (2003). (PDF). Przegląd Antropologiczny – Anthropological Review. 66: 3–21. ISSN 0033-2003. Archived from the original (PDF) on 2011-06-08. Retrieved 2010-09-12.
  • Long JC, Kittles RA (August 2003). "Human genetic diversity and the nonexistence of biological races". Human Biology. 75 (4): 449–71. doi:10.1353/hub.2003.0058. PMID 14655871. S2CID 26108602.
  • Miththapala, Sriyanie; Seidensticker, John; O'Brien, Stephen J. (1996). "Phylogeographic Subspecies Recognition in Leopards (Panthera pardus): Molecular Genetic Variation". Conservation Biology. 10 (4): 1115–1132. doi:10.1046/j.1523-1739.1996.10041115.x.
  • Ossorio P, Duster T (January 2005). "Race and genetics: controversies in biomedical, behavioral, and forensic sciences". The American Psychologist. 60 (1): 115–28. doi:10.1037/0003-066X.60.1.115. PMID 15641926.
  • Parra EJ, Kittles RA, Shriver MD (November 2004). "Implications of correlations between skin color and genetic ancestry for biomedical research". Nature Genetics. 36 (11 Suppl): S54–60. doi:10.1038/ng1440. PMID 15508005.
  • Sawyer SL, Mukherjee N, Pakstis AJ, et al. (May 2005). "Linkage disequilibrium patterns vary substantially among populations". European Journal of Human Genetics. 13 (5): 677–86. doi:10.1038/sj.ejhg.5201368. PMID 15657612.
  • Rohde DL, Olson S, Chang JT (September 2004). "Modelling the recent common ancestry of all living humans". Nature. 431 (7008): 562–6. Bibcode:2004Natur.431..562R. CiteSeerX 10.1.1.78.8467. doi:10.1038/nature02842. PMID 15457259. S2CID 3563900.
  • Serre D, Pääbo S (September 2004). "Evidence for Gradients of Human Genetic Diversity Within and Among Continents". Genome Research. 14 (9): 1679–85. doi:10.1101/gr.2529604. PMC 515312. PMID 15342553.
  • Smedley A, Smedley BD (January 2005). "Race as biology is fiction, racism as a social problem is real: Anthropological and historical perspectives on the social construction of race". The American Psychologist. 60 (1): 16–26. CiteSeerX 10.1.1.568.4548. doi:10.1037/0003-066X.60.1.16. PMID 15641918.

race, genetics, researchers, have, investigated, relationship, between, race, genetics, part, efforts, understand, biology, contribute, human, racial, categorization, today, consensus, among, scientists, that, race, social, construct, that, using, proxy, genet. Researchers have investigated the relationship between race and genetics as part of efforts to understand how biology may or may not contribute to human racial categorization Today the consensus among scientists is that race is a social construct and that using it as a proxy for genetic differences among populations is misleading 1 2 Many constructions of race are associated with phenotypical traits and geographic ancestry and scholars like Carl Linnaeus have proposed scientific models for the organization of race since at least the 18th century Following the discovery of Mendelian genetics and the mapping of the human genome questions about the biology of race have often been framed in terms of genetics 3 A wide range of research methods have been employed to examine patterns of human variation and their relations to ancestry and racial groups including studies of individual traits 4 studies of large populations and genetic clusters 5 and studies of genetic risk factors for disease 6 Research into race and genetics has also been criticized as emerging from or contributing to scientific racism Genetic studies of traits and populations have been used to justify social inequalities associated with race 7 despite the fact that patterns of human variation have been shown to be mostly clinal with human genetic code being approximately 99 6 99 9 identical between individuals and with no clear boundaries between groups 8 9 3 Some researchers have argued that race can act as a proxy for genetic ancestry because individuals of the same racial category may share a common ancestry but this view has fallen increasingly out of favor among experts 2 10 The mainstream view is that it is necessary to distinguish between biology and the social political cultural and economic factors that contribute to conceptions of race 11 12 Contents 1 Overview 1 1 The concept of race 1 2 Race and human genetic variation 2 Sources of human genetic variation 3 Genetic basis for race 4 Research methods 4 1 Early studies of traits proteins and genes 4 1 1 Analysis of blood proteins and between group genetics 4 1 2 Critiques of blood protein analysis 4 2 Current studies of population genetics 4 2 1 Structure 4 2 2 Distance 4 2 3 Critiques of FST 4 3 Historical and geographical analyses 4 4 Self identification studies 4 5 Critique of genetic distance studies and clusters 4 6 Critique of ancestry informative markers 5 Race genetics and medicine 5 1 Usage in scientific journals 5 2 Gene environment interactions 6 Objections to racial naturalism 6 1 Criticism of race based medicines 7 See also 8 References 9 Further readingOverview editThe concept of race edit See also Race human categorization The concept of race as a classification system of humans based on visible physical characteristics emerged over the last five centuries influenced by European colonialism 13 14 However there is widespread evidence of what would be described in modern terms as racial consciousness throughout the entirety of recorded history For example in Ancient Egypt there were four broad racial divisions of human beings Egyptians Asiatics Libyans and Nubians 15 There was also Aristotle of Ancient Greece who once wrote The peoples of Asia lack spirit so that they are in continuous subjection and slavery 16 The concept has manifested in different forms based on social conditions of a particular group often used to justify unequal treatment Early influential attempts to classify humans into discrete races include 4 races in Carl Linnaeus s Systema Naturae Homo europaeus asiaticus americanus and afer 17 18 and 5 races in Johann Friedrich Blumenbach s On the Natural Variety of Mankind 19 Notably over the next centuries scholars argued for anywhere from 3 to more than 60 race categories 20 Race concepts have changed within a society over time for example in the United States social and legal designations of White have been inconsistently applied to Native Americans Arab Americans and Asian Americans among other groups See main article Definitions of whiteness in the United States Race categories also vary worldwide for example the same person might be perceived as belonging to a different category in the United States versus Brazil 21 Because of the arbitrariness inherent in the concept of race it is difficult to relate it to biology in a straightforward way Race and human genetic variation edit There is broad consensus across the biological and social sciences that race is a social construct not an accurate representation of human genetic variation 22 23 24 Humans are remarkably genetically similar sharing approximately 99 6 99 9 of their genetic code with one another 25 We nonetheless see wide individual variation in phenotype which arises from both genetic differences and complex gene environment interactions The vast majority of this genetic variation occurs within groups very little genetic variation differentiates between groups 26 Crucially the between group genetic differences that do exist do not map onto socially recognized categories of race Furthermore although human populations show some genetic clustering across geographic space human genetic variation is clinal or continuous 22 24 This in addition to the fact that different traits vary on different clines makes it impossible to draw discrete genetic boundaries around human groups Finally insights from ancient DNA are revealing that no human population is pure all populations represent a long history of migration and mixing 27 Sources of human genetic variation editMain article Human genetic variationGenetic variation arises from mutations from natural selection migration between populations gene flow and from the reshuffling of genes through sexual reproduction 28 Mutations lead to a change in the DNA structure as the order of the bases are rearranged Resultantly different polypeptide proteins are coded Some mutations may be positive and can help the individual survive more effectively in their environment Mutation is counteracted by natural selection and by genetic drift note too the founder effect when a small number of initial founders establish a population which hence starts with a correspondingly small degree of genetic variation 29 Epigenetic inheritance involves heritable changes in phenotype appearance or gene expression caused by mechanisms other than changes in the DNA sequence 30 Human phenotypes are highly polygenic dependent on interaction by many genes and are influenced by environment as well as by genetics Nucleotide diversity is based on single mutations single nucleotide polymorphisms SNPs The nucleotide diversity between humans is about 0 1 percent one difference per one thousand nucleotides between two humans chosen at random This amounts to approximately three million SNPs since the human genome has about three billion nucleotides There are an estimated ten million SNPs in the human population 31 Research has shown that non SNP structural variation accounts for more human genetic variation than single nucleotide diversity Structural variation includes copy number variation and results from deletions inversions insertions and duplications It is estimated that approximately 0 4 to 0 6 percent of the genomes of unrelated people differ 32 33 Genetic basis for race editMuch scientific research has been organized around the question of whether or not there is genetic basis for race In Luigi Luca Cavalli Sforza s book circa 1994 The History and Geography of Human Genes 34 he writes From a scientific point of view the concept of race has failed to obtain any consensus none is likely given the gradual variation in existence It may be objected that the racial stereotypes have a consistency that allows even the layman to classify individuals However the major stereotypes all based on skin color hair color and form and facial traits reflect superficial differences that are not confirmed by deeper analysis with more reliable genetic traits and whose origin dates from recent evolution mostly under the effect of climate and perhaps sexual selection A more up to date and comprehensive book authored by geneticist David Reich 2018 reaffirms the conclusion that the traditional views which assert a biological basis for race are wrong Today many people assume that humans can be grouped biologically into primeval groups corresponding to our notion of races But this long held view about race has just in the last years been proven wrong David Reich Who We Are and How We Got Here Introduction pg xxiv Research methods editScientists investigating human variation have used a series of methods to characterize how different populations vary Early studies of traits proteins and genes edit See also Race classification of human beings Early racial classification attempts measured surface traits particularly skin color hair color and texture eye color and head size and shape Measurements of the latter through craniometry were repeatedly discredited in the late 19th and mid 20th centuries due to a lack of correlation of phenotypic traits with racial categorization 35 In actuality biological adaptation plays the biggest role in these bodily features and skin type A relative handful of genes accounts for the inherited factors shaping a person s appearance 36 37 Humans have an estimated 19 000 20 000 human protein coding genes 38 Richard Sturm and David Duffy describe 11 genes that affect skin pigmentation and explain most variations in human skin color the most significant of which are MC1R ASIP OCA2 and TYR 39 There is evidence that as many as 16 different genes could be responsible for eye color in humans however the main two genes associated with eye color variation are OCA2 and HERC2 and both are localized in chromosome 15 40 Analysis of blood proteins and between group genetics edit nbsp Geographic distribution of blood group A nbsp Geographic distribution of blood group BBefore the discovery of DNA scientists used blood proteins the human blood group systems to study human genetic variation Research by Ludwik and Hanka Herschfeld during World War I found that the incidence of blood groups A and B differed by region for example among Europeans 15 percent were group B and 40 percent group A Eastern Europeans and Russians had a higher incidence of group B people from India had the greatest incidence The Herschfelds concluded that humans comprised two biochemical races originating separately It was hypothesized that these two races later mixed resulting in the patterns of groups A and B This was one of the first theories of racial differences to include the idea that human variation did not correlate with genetic variation It was expected that groups with similar proportions of blood groups would be more closely related but instead it was often found that groups separated by great distances such as those from Madagascar and Russia had similar incidences 41 It was later discovered that the ABO blood group system is not just common to humans but shared with other primates 42 and likely predates all human groups 43 In 1972 Richard Lewontin performed a FST statistical analysis using 17 markers including blood group proteins He found that the majority of genetic differences between humans 85 4 percent were found within a population 8 3 percent were found between populations within a race and 6 3 percent were found to differentiate races Caucasian African Mongoloid South Asian Aborigines Amerinds Oceanians and Australian Aborigines in his study Since then other analyses have found FST values of 6 10 percent between continental human groups 5 15 percent between different populations on the same continent and 75 85 percent within populations 44 45 46 47 48 This view has been affirmed by the American Anthropological Association and the American Association of Physical Anthropologists since 49 Critiques of blood protein analysis edit While acknowledging Lewontin s observation that humans are genetically homogeneous A W F Edwards in his 2003 paper Human Genetic Diversity Lewontin s Fallacy argued that information distinguishing populations from each other is hidden in the correlation structure of allele frequencies making it possible to classify individuals using mathematical techniques Edwards argued that even if the probability of misclassifying an individual based on a single genetic marker is as high as 30 percent as Lewontin reported in 1972 the misclassification probability nears zero if enough genetic markers are studied simultaneously Edwards saw Lewontin s argument as based on a political stance denying biological differences to argue for social equality 50 Edwards paper is reprinted commented upon by experts such as Noah Rosenberg and given further context in an interview with philosopher of science Rasmus Gronfeldt Winther in a recent anthology 51 As referred to before Edwards criticises Lewontin s paper as he took 17 different traits and analysed them independently without looking at them in conjunction with any other protein Thus it would have been fairly convenient for Lewontin to come up with the conclusion that racial naturalism is not tenable according to his argument 52 Sesardic also strengthened Edwards view as he used an illustration referring to squares and triangles and showed that if you look at one trait in isolation then it will most likely be a bad predicator of which group the individual belongs to 53 In contrast in a 2014 paper reprinted in the 2018 Edwards Cambridge University Press volume Rasmus Gronfeldt Winther argues that Lewontin s Fallacy is effectively a misnomer as there really are two different sets of methods and questions at play in studying the genomic population structure of our species variance partitioning and clustering analysis According to Winther they are two sides of the same mathematics coin and neither necessarily implies anything about the reality of human groups 54 Current studies of population genetics edit This section needs to be updated The reason given is All references are more than 13 years old Please help update this article to reflect recent events or newly available information December 2022 Researchers currently use genetic testing which may involve hundreds or thousands of genetic markers or the entire genome Structure edit nbsp Principal component analysis of fifty populations color coded by region illustrates the differentiation and overlap of populations found using this method of analysis nbsp Individuals mostly have genetic variants which are found in multiple regions of the world Based on data from A unified genealogy of modern and ancient genomes 55 Several methods to examine and quantify genetic subgroups exist including cluster and principal components analysis Genetic markers from individuals are examined to find a population s genetic structure While subgroups overlap when examining variants of one marker only when a number of markers are examined different subgroups have different average genetic structure An individual may be described as belonging to several subgroups These subgroups may be more or less distinct depending on how much overlap there is with other subgroups 56 In cluster analysis the number of clusters to search for K is determined in advance how distinct the clusters are varies The results obtained from cluster analyses depend on several factors A large number of genetic markers studied facilitates finding distinct clusters 57 Some genetic markers vary more than others so fewer are required to find distinct clusters 58 Ancestry informative markers exhibit substantially different frequencies between populations from different geographical regions Using AIMs scientists can determine a person s ancestral continent of origin based solely on their DNA AIMs can also be used to determine someone s admixture proportions 59 The more individuals studied the easier it becomes to detect distinct clusters statistical noise is reduced 58 Low genetic variation makes it more difficult to find distinct clusters 58 Greater geographic distance generally increases genetic variation making identifying clusters easier 60 A similar cluster structure is seen with different genetic markers when the number of genetic markers included is sufficiently large The clustering structure obtained with different statistical techniques is similar A similar cluster structure is found in the original sample with a subsample of the original sample 61 Recent studies have been published using an increasing number of genetic markers 58 61 62 63 64 65 Focus on study of structure has been criticized for giving the general public a misleading impression of human genetic variation obscuring the general finding that genetic variants which are limited to one region tend to be rare within that region variants that are common within a region tend to be shared across the globe and most differences between individuals whether they come from the same region or different regions are due to global variants 66 Distance edit Genetic distance is genetic divergence between species or populations of a species It may compare the genetic similarity of related species such as humans and chimpanzees Within a species genetic distance measures divergence between subgroups Genetic distance significantly correlates to geographic distance between populations a phenomenon sometimes known as isolation by distance 67 Genetic distance may be the result of physical boundaries restricting gene flow such as islands deserts mountains or forests Genetic distance is measured by the fixation index FST FST is the correlation of randomly chosen alleles in a subgroup to a larger population It is often expressed as a proportion of genetic diversity This comparison of genetic variability within and between populations is used in population genetics The values range from 0 to 1 zero indicates the two populations are freely interbreeding and one would indicate that two populations are separate Many studies place the average FST distance between human races at about 0 125 Henry Harpending argued that this value implies on a world scale a kinship between two individuals of the same human population is equivalent to kinship between grandparent and grandchild or between half siblings In fact the formulas derived in Harpending s paper in the Kinship in a subdivided population section imply that two unrelated individuals of the same race have a higher coefficient of kinship 0 125 than an individual and their mixed race half sibling 0 109 68 Critiques of FST edit While acknowledging that FST remains useful a number of scientists have written about other approaches to characterizing human genetic variation 69 70 71 Long amp Kittles 2009 stated that FST failed to identify important variation and that when the analysis includes only humans FST 0 119 but adding chimpanzees increases it only to FST 0 183 69 Mountain amp Risch 2004 argued that an FST estimate of 0 10 0 15 does not rule out a genetic basis for phenotypic differences between groups and that a low FST estimate implies little about the degree to which genes contribute to between group differences 70 Pearse amp Crandall 2004 wrote that FST figures cannot distinguish between a situation of high migration between populations with a long divergence time and one of a relatively recent shared history but no ongoing gene flow 71 In their 2015 article Keith Hunley Graciela Cabana and Jeffrey Long who had previously criticized Lewontin s statistical methodology with Rick Kittles 49 recalculate the apportionment of human diversity using a more complex model than Lewontin and his successors They conclude In sum we concur with Lewontin s conclusion that Western based racial classifications have no taxonomic significance and we hope that this research which takes into account our current understanding of the structure of human diversity places his seminal finding on firmer evolutionary footing 72 Anthropologists such as C Loring Brace 73 philosopher Jonathan Kaplan and geneticist Joseph Graves 74 have argued that while it is possible to find biological and genetic variation roughly corresponding to race this is true for almost all geographically distinct populations the cluster structure of genetic data is dependent on the initial hypotheses of the researcher and the populations sampled When one samples continental groups the clusters become continental with other sampling patterns the clusters would be different Weiss and Fullerton note that if one sampled only Icelanders Mayans and Maoris three distinct clusters would form all other populations would be composed of genetic admixtures of Maori Icelandic and Mayan material 75 Kaplan therefore concludes that while differences in particular allele frequencies can be used to identify populations that loosely correspond to the racial categories common in Western social discourse the differences are of no more biological significance than the differences found between any human populations e g the Spanish and Portuguese 76 Historical and geographical analyses edit Current population genetic structure does not imply that differing clusters or components indicate only one ancestral home per group for example a genetic cluster in the US comprises Hispanics with European Native American and African ancestry 57 Geographic analyses attempt to identify places of origin their relative importance and possible causes of genetic variation in an area The results can be presented as maps showing genetic variation Cavalli Sforza and colleagues argue that if genetic variations are investigated they often correspond to population migrations due to new sources of food improved transportation or shifts in political power For example in Europe the most significant direction of genetic variation corresponds to the spread of agriculture from the Middle East to Europe between 10 000 and 6 000 years ago 77 Such geographic analysis works best in the absence of recent large scale rapid migrations Historic analyses use differences in genetic variation measured by genetic distance as a molecular clock indicating the evolutionary relation of species or groups and can be used to create evolutionary trees reconstructing population separations 77 Results of genetic ancestry research are supported if they agree with research results from other fields such as linguistics or archeology 77 Cavalli Sforza and colleagues have argued that there is a correspondence between language families found in linguistic research and the population tree they found in their 1994 study There are generally shorter genetic distances between populations using languages from the same language family Exceptions to this rule are also found for example Sami who are genetically associated with populations speaking languages from other language families The Sami speak a Uralic language but are genetically primarily European This is argued to have resulted from migration and interbreeding with Europeans while retaining their original language Agreement also exists between research dates in archeology and those calculated using genetic distance 58 77 Self identification studies edit Jorde and Wooding found that while clusters from genetic markers were correlated with some traditional concepts of race the correlations were imperfect and imprecise due to the continuous and overlapping nature of genetic variation noting that ancestry which can be accurately determined is not equivalent to the concept of race 78 A 2005 study by Tang and colleagues used 326 genetic markers to determine genetic clusters The 3 636 subjects from the United States and Taiwan self identified as belonging to white African American East Asian or Hispanic ethnic groups The study found nearly perfect correspondence between genetic cluster and SIRE for major ethnic groups living in the United States with a discrepancy rate of only 0 14 percent 57 Paschou et al found essentially perfect agreement between 51 self identified populations of origin and the population s genetic structure using 650 000 genetic markers Selecting for informative genetic markers allowed a reduction to less than 650 while retaining near total accuracy 79 Correspondence between genetic clusters in a population such as the current US population and self identified race or ethnic groups does not mean that such a cluster or group corresponds to only one ethnic group African Americans have an estimated 20 25 percent European genetic admixture Hispanics have European Native American and African ancestry 57 In Brazil there has been extensive admixture between Europeans Amerindians and Africans As a result skin color differences within the population are not gradual and there are relatively weak associations between self reported race and African ancestry 80 81 Ethnoracial self classification in Brazilians is certainly not random with respect to genome individual ancestry but the strength of the association between the phenotype and median proportion of African ancestry varies largely across population 82 Critique of genetic distance studies and clusters edit nbsp A change in a gene pool may be abrupt or clinal Genetic distances generally increase continually with geographic distance which makes a dividing line arbitrary Any two neighboring settlements will exhibit some genetic difference from each other which could be defined as a race Therefore attempts to classify races impose an artificial discontinuity on a naturally occurring phenomenon This explains why studies on population genetic structure yield varying results depending on methodology 83 Rosenberg and colleagues 2005 have argued based on cluster analysis of the 52 populations in the Human Genetic Diversity Panel that populations do not always vary continuously and a population s genetic structure is consistent if enough genetic markers and subjects are included Examination of the relationship between genetic and geographic distance supports a view in which the clusters arise not as an artifact of the sampling scheme but from small discontinuous jumps in genetic distance for most population pairs on opposite sides of geographic barriers in comparison with genetic distance for pairs on the same side Thus analysis of the 993 locus dataset corroborates our earlier results if enough markers are used with a sufficiently large worldwide sample individuals can be partitioned into genetic clusters that match major geographic subdivisions of the globe with some individuals from intermediate geographic locations having mixed membership in the clusters that correspond to neighboring regions They also wrote regarding a model with five clusters corresponding to Africa Eurasia Europe Middle East and Central South Asia East Asia Oceania and the Americas For population pairs from the same cluster as geographic distance increases genetic distance increases in a linear manner consistent with a clinal population structure However for pairs from different clusters genetic distance is generally larger than that between intracluster pairs that have the same geographic distance For example genetic distances for population pairs with one population in Eurasia and the other in East Asia are greater than those for pairs at equivalent geographic distance within Eurasia or within East Asia Loosely speaking it is these small discontinuous jumps in genetic distance across oceans the Himalayas and the Sahara that provide the basis for the ability of STRUCTURE to identify clusters that correspond to geographic regions 61 This applies to populations in their ancestral homes when migrations and gene flow were slow large rapid migrations exhibit different characteristics Tang and colleagues 2004 wrote we detected only modest genetic differentiation between different current geographic locales within each race ethnicity group Thus ancient geographic ancestry which is highly correlated with self identified race ethnicity as opposed to current residence is the major determinant of genetic structure in the U S population 57 nbsp Gene clusters from Rosenberg 2006 for K 7 clusters Cluster analysis divides a dataset into any prespecified number of clusters Individuals have genes from multiple clusters The cluster prevalent only among the Kalash people yellow only splits off at K 7 and greater Cluster analysis has been criticized because the number of clusters to search for is decided in advance with different values possible although with varying degrees of probability 84 Principal component analysis does not decide in advance how many components for which to search 85 The 2002 study by Rosenberg et al 86 exemplifies why meanings of these clusterings are disputable The study shows that at the K 5 cluster analysis genetic clusterings roughly map onto each of the five major geographical regions Similar results were gathered in further studies in 2005 87 Critique of ancestry informative markers edit Ancestry informative markers AIMs are a genealogy tracing technology that has come under much criticism due to its reliance on reference populations In a 2015 article Troy Duster outlines how contemporary technology allows the tracing of ancestral lineage but along only the lines of one maternal and one paternal line That is of 64 total great great great great grandparents only one from each parent is identified implying the other 62 ancestors are ignored in tracing efforts 88 Furthermore the reference populations used as markers for membership of a particular group are designated arbitrarily and contemporarily In other words using populations who currently reside in given places as references for certain races and ethnic groups is unreliable due to the demographic changes which have occurred over many centuries in those places Furthermore ancestry informative markers being widely shared among the whole human population it is their frequency which is tested not their mere absence presence A threshold of relative frequency has therefore to be set According to Duster the criteria for setting such thresholds are a trade secret of the companies marketing the tests Thus we cannot say anything conclusive on whether they are appropriate Results of AIMs are extremely sensitive to where this bar is set 89 Given that many genetic traits are found to be very similar amid many different populations the designated threshold frequencies are very important This can also lead to mistakes given that many populations may share the same patterns if not exactly the same genes This means that someone from Bulgaria whose ancestors go back to the fifteenth century could and sometime does map as partly Native American 88 This happens because AIMs rely on a 100 purity assumption of reference populations That is they assume that a pattern of traits would ideally be a necessary and sufficient condition for assigning an individual to an ancestral reference populations Race genetics and medicine editMain article Race and health There are certain statistical differences between racial groups in susceptibility to certain diseases 90 Genes change in response to local diseases for example people who are Duffy negative tend to have a higher resistance to malaria The Duffy negative phenotype is highly frequent in central Africa and the frequency decreases with distance away from Central Africa with higher frequencies in global populations with high degrees of recent African immigration This suggests that the Duffy negative genotype evolved in Sub Saharan Africa and was subsequently positively selected for in the Malaria endemic zone 91 A number of genetic conditions prevalent in malaria endemic areas may provide genetic resistance to malaria including sickle cell disease thalassaemias and glucose 6 phosphate dehydrogenase Cystic fibrosis is the most common life limiting autosomal recessive disease among people of European ancestry a hypothesized heterozygote advantage providing resistance to diseases earlier common in Europe has been challenged 92 Scientists Michael Yudell Dorothy Roberts Rob DeSalle and Sarah Tishkoff argue that using these associations in the practice of medicine has led doctors to overlook or misidentify disease For example hemoglobinopathies can be misdiagnosed because of the identification of sickle cell as a Black disease and thalassemia as a Mediterranean disease Cystic fibrosis is underdiagnosed in populations of African ancestry because it is thought of as a White disease 93 Information about a person s population of origin may aid in diagnosis and adverse drug responses may vary by group 58 dubious discuss Because of the correlation between self identified race and genetic clusters medical treatments influenced by genetics have varying rates of success between self defined racial groups 94 For this reason some physicians who consider a patient s race in choosing the most effective treatment 95 and some drugs are marketed with race specific instructions 96 Jorde and Wooding 2004 have argued that because of genetic variation within racial groups when it finally becomes feasible and available individual genetic assessment of relevant genes will probably prove more useful than race in medical decision making However race continues to be a factor when examining groups such as epidemiologic research 78 Some doctors and scientists such as geneticist Neil Risch argue that using self identified race as a proxy for ancestry is necessary to be able to get a sufficiently broad sample of different ancestral populations and in turn to be able to provide health care that is tailored to the needs of minority groups 97 Usage in scientific journals edit Some scientific journals have addressed previous methodological errors by requiring more rigorous scrutiny of population variables Since 2000 Nature Genetics requires its authors to explain why they make use of particular ethnic groups or populations and how classification was achieved Editors of Nature Genetics say that they hope that this will raise awareness and inspire more rigorous designs of genetic and epidemiological studies 98 A 2021 study that examined over 11 000 papers from 1949 to 2018 in The American Journal of Human Genetics found that race was used in only 5 of papers published in the last decade down from 22 in the first Together with an increase in use of the terms ethnicity ancestry and location based terms it suggests that human geneticists have mostly abandoned the term race 99 Gene environment interactions edit Lorusso and Bacchini 100 argue that self identified race is of greater use in medicine as it correlates strongly with risk related exposomes that are potentially heritable when they become embodied in the epigenome They summarise evidence of the link between racial discrimination and health outcomes due to poorer food quality access to healthcare housing conditions education access to information exposure to infectious agents and toxic substances and material scarcity They also cite evidence that this process can work positively for example the psychological advantage of perceiving oneself at the top of a social hierarchy is linked to improved health However they caution that the effects of discrimination do not offer a complete explanation for differential rates of disease and risk factors between racial groups and the employment of self identified race has the potential to reinforce racial inequalities Objections to racial naturalism editRacial naturalism is the view that racial classifications are grounded in objective patterns of genetic similarities and differences Proponents of this view have justified it using the scientific evidence described above However this view is controversial and philosophers 101 of race have put forward four main objections to it Semantic objections such as the discreteness objection argue that the human populations picked out in population genetic research are not races and do not correspond to what race means in the United States The discreteness objection does not require there to be no genetic admixture in the human species in order for there to be US racial groups rather what the objection claims is that membership in US racial groups is different from membership in continental populations Thus strictly speaking Blacks are not identical to Africans Whites are not identical to Eurasians Asians are not identical to East Asians and so forth 102 Therefore it could be argued that scientific research is not really about race The next two objections are metaphysical objections which argue that even if the semantic objections fail human genetic clustering results do not support the biological reality of race The very important objection stipulates that races in the US definition fail to be important to biology in the sense that continental populations do not form biological subspecies The objectively real objection states that US racial groups are not biologically real because they are not objectively real in the sense of existing independently of human interest belief or some other mental state of humans 103 Racial naturalists such as Quayshawn Spencer have responded to each of these objections with counter arguments There are also methodological critics who reject racial naturalism because of concerns relating to the experimental design execution or interpretation of the relevant population genetic research 104 Another semantic objection is the visibility objection which refutes the claim that there are US racial groups in human population structures Philosophers such as Joshua Glasgow and Naomi Zack believe that US racial groups cannot be defined by visible traits such as skin colour and physical attributes The ancestral genetic tracking material has no effect on phenotypes or biological traits of organisms which would include the traits deemed racial because the ancestral tracking genetic material plays no role in the production of proteins it is not the kind of material that codes for protein production 105 page needed Spencer contends that certain racial discourses require visible groups but disagrees that this is a requirement in all US racial discourse citation needed undue weight discuss A different objection states that US racial groups are not biologically real because they are not objectively real in the sense of existing independently of some mental state of humans Proponents of this second metaphysical objection include Naomi Zack and Ron Sundstrom 105 106 Spencer argues that an entity can be both biologically real and socially constructed Spencer states that in order to accurately capture real biological entities social factors must also be considered citation needed undue weight discuss It has been argued that knowledge of a person s race is limited in value since people of the same race vary from one another 78 David J Witherspoon and colleagues have argued that when individuals are assigned to population groups two randomly chosen individuals from different populations can resemble each other more than a randomly chosen member of their own group They found that many thousands of genetic markers had to be used for the answer to How often is a pair of individuals from one population genetically more dissimilar than two individuals chosen from two different populations to be Never This assumed three population groups separated by large geographic distances European African and East Asian The global human population is more complex and studying a large number of groups would require an increased number of markers for the same answer They conclude that caution should be used when using geographic or genetic ancestry to make inferences about individual phenotypes 107 and The fact that given enough genetic data individuals can be correctly assigned to their populations of origin is compatible with the observation that most human genetic variation is found within populations not between them It is also compatible with our finding that even when the most distinct populations are considered and hundreds of loci are used individuals are frequently more similar to members of other populations than to members of their own population 108 This is similar to the conclusion reached by anthropologist Norman Sauer in a 1992 article on the ability of forensic anthropologists to assign race to a skeleton based on craniofacial features and limb morphology Sauer said the successful assignment of race to a skeletal specimen is not a vindication of the race concept but rather a prediction that an individual while alive was assigned to a particular socially constructed racial category A specimen may display features that point to African ancestry In this country that person is likely to have been labeled Black regardless of whether or not such a race actually exists in nature 109 Criticism of race based medicines edit Troy Duster points out that genetics is often not the predominant determinant of disease susceptibilities even though they might correlate with specific socially defined categories This is because this research oftentimes lacks control for a multiplicity of socio economic factors He cites data collected by King and Rewers that indicates how dietary differences play a significant role in explaining variations of diabetes prevalence between populations Duster elaborates by putting forward the example of the Pima of Arizona a population suffering from disproportionately high rates of diabetes The reason for such he argues was not necessarily a result of the prevalence of the FABP2 gene which is associated with insulin resistance Rather he argues that scientists often discount the lifestyle implications under specific socio historical contexts For instance near the end of the 19th century the Pima economy was predominantly agriculture based However as the European American population settles into traditionally Pima territory the Pima lifestyles became heavily Westernised Within three decades the incidence of diabetes increased multiple folds Governmental provision of free relatively high fat food to alleviate the prevalence of poverty in the population is noted as an explanation of this phenomenon 110 Lorusso and Bacchini argue against the assumption that self identified race is a good proxy for a specific genetic ancestry 100 on the basis that self identified race is complex it depends on a range of psychological cultural and social factors and is therefore not a robust proxy for genetic ancestry 111 Furthermore they explain that an individual s self identified race is made up of further collectively arbitrary factors personal opinions about what race is and the extent to which it should be taken into consideration in everyday life Furthermore individuals who share a genetic ancestry may differ in their racial self identification across historical or socioeconomic contexts From this Lorusso and Bacchini conclude that the accuracy in the prediction of genetic ancestry on the basis of self identification is low specifically in racially admixed populations born out of complex ancestral histories See also editList of Y chromosome haplogroups in populations of the world History of anthropometry Historical uses of anthropometry section 4 2 Race identity and cranio facial description Human subspecies Classification of the human speciesPages displaying short descriptions of redirect targets Human Genetic Diversity Lewontin s Fallacy 2003 paper by A W F Edwards Zionism race and geneticsReferences edit Using Population Descriptors in Genetics and Genomics Research A New Framework for an Evolving Field Consensus Study Report National Academies of Sciences Engineering and Medicine 2023 In humans race is a socially constructed designation a misleading and harmful surrogate for population genetic differences and has a long 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July 2005 The whole side of it an interview with Neil Risch by Jane Gitschier PLOS Genetics 1 1 e14 doi 10 1371 journal pgen 0010014 PMC 1183530 PMID 17411332 Malaria and the Red Cell Archived 2011 11 27 at the Wayback Machine Harvard University 2002 Hogenauer C Santa Ana CA Porter JL et al December 2000 Active intestinal chloride secretion in human carriers of cystic fibrosis mutations an evaluation of the hypothesis that heterozygotes have subnormal active intestinal chloride secretion Am J Hum Genet 67 6 1422 1427 doi 10 1086 316911 PMC 1287919 PMID 11055897 Yudell Michael Roberts Dorothy DeSalle Rob Tishkoff Sarah 2016 Taking Race out of Human Genetics Science 351 6273 564 65 Bibcode 2016Sci 351 564Y doi 10 1126 science aac4951 PMID 26912690 S2CID 206639306 Schwartz Robert S 2001 Racial Differences in the Response to Drugs Pointers to Genetic Differences New England Journal of Medicine 344 18 1393 1396 doi 10 1056 NEJM200105033441810 PMID 11333999 Archived from the original on 2003 09 01 Retrieved 2009 10 28 Bloche Gregg M 2004 Race Based Therapeutics New England Journal of Medicine 351 20 2035 2037 doi 10 1056 nejmp048271 PMID 15533852 Drug information for the drug Crestor Archived 2009 09 26 at the Wayback Machine Warnings for this drug state People of Asian descent may absorb rosuvastatin at a higher rate than other people Make sure your doctor knows if you are Asian You may need a lower than normal starting dose Risch N Burchard E Ziv E Tang H 2002 Categorization of humans in biomedical research genes race and disease Genome Biol 3 7 1 12 doi 10 1186 gb 2002 3 7 comment2007 PMC 139378 PMID 12184798 Census Race and Science Nature Genetics 24 2 97 98 2000 doi 10 1038 72884 PMID 10655044 Geneticists curb use of race Science 374 6572 1177 3 December 2021 a b Lorusso Ludovica Bacchini Fabio 2015 A reconsideration of the role of self identified races in epidemiology and biomedical research Studies in History and Philosophy of Biological and Biomedical Sciences 52 56 64 doi 10 1016 j shpsc 2015 02 004 PMID 25791919 Revelations Shut Up and Listen Palgrave Macmillan 2011 doi 10 1057 9780230362987 0004 ISBN 978 0 230 36298 7 retrieved 2021 01 28 Spencer Quayshawn 2015 Philosophy of race meets population genetics Studies in History and Philosophy of Biological and Biomedical Sciences 52 49 doi 10 1016 j shpsc 2015 04 003 PMID 25963045 Spencer Quayshawn 2015 Philosophy of race meets population genetics Studies in History and Philosophy of Biological and Biomedical Sciences 52 51 doi 10 1016 j shpsc 2015 04 003 PMID 25963045 Spencer Quayshawn 2015 Philosophy of race meets population genetics Studies in History and Philosophy of Biological and Biomedical Sciences 52 46 47 doi 10 1016 j shpsc 2015 04 003 PMID 25963045 a b Zach Naomi 2003 Philosophy of Science and Race Taylor amp Francis ISBN 9781134728022 Sundstrom R 2002 Race as a human kind Philosophy amp Social Criticism 28 91 115 doi 10 1177 0191453702028001592 S2CID 145381236 Witherspoon DJ Wooding S Rogers AR et al May 2007 Genetic Similarities Within and Between Human Populations Genetics 176 1 351 9 doi 10 1534 genetics 106 067355 PMC 1893020 PMID 17339205 Witherspoon DJ Wooding S Rogers AR et al May 2007 Genetic Similarities Within and Between Human Populations Genetics 176 1 358 doi 10 1534 genetics 106 067355 PMC 1893020 PMID 17339205 Sauer N J January 1992 Forensic anthropology and the concept of race if races don t exist why are forensic anthropologists so good at identifying them Social Science amp Medicine 34 2 107 111 doi 10 1016 0277 9536 92 90086 6 PMID 1738862 Duster Troy 2015 A post genomic surprise The molecular reinscription of race in science law and medicine The British Journal of Sociology 66 1 1 27 doi 10 1111 1468 4446 12118 PMID 25789799 Hunt L M Megyesi M S Fall 2007 The ambiguous meanings of the racial ethnic categories routinely used in human genetics research Social Science and Medicine 66 2 349 361 doi 10 1016 j socscimed 2007 08 034 PMC 2213883 PMID 17959289 via Science Direct Assets Further reading editHelms JE Jernigan M Mascher J January 2005 The meaning of race in psychology and how to change it a methodological perspective PDF The American Psychologist 60 1 27 36 doi 10 1037 0003 066X 60 1 27 PMID 15641919 S2CID 1676488 Archived from the original PDF on 2019 02 26 Keita SO Kittles RA Royal CD et al November 2004 Conceptualizing human variation Nature Genetics 36 11 Suppl S17 20 doi 10 1038 ng1455 PMID 15507998 Koenig Barbara A Lee Sandra Soo jin Richardson Sarah S eds 2008 Revisiting Race in a Genomic Age New Brunswick NJ Rutgers University Press ISBN 978 0 8135 4324 6 This review of current research includes chapters by Jonathan Marks John Dupre Sally Haslanger Deborah A Bolnick Marcus W Feldman Richard C Lewontin Sarah K Tate David B Goldstein Jonathan Kahn Duana Fullwiley Molly J Dingel Barbara A Koenig Mark D Shriver Rick A Kittles Henry T Greely Kimberly Tallbear Alondra Nelson Pamela Sankar Sally Lehrman Jenny Reardon Jacqueline Stevens and Sandra Soo Jin Lee Lieberman Leonard Kirk Rodney C Corcoran Michael 2003 The Decline of Race in American Physical Anthropology PDF Przeglad Antropologiczny Anthropological Review 66 3 21 ISSN 0033 2003 Archived from the original PDF on 2011 06 08 Retrieved 2010 09 12 Long JC Kittles RA August 2003 Human genetic diversity and the nonexistence of biological races Human Biology 75 4 449 71 doi 10 1353 hub 2003 0058 PMID 14655871 S2CID 26108602 Miththapala Sriyanie Seidensticker John O Brien Stephen J 1996 Phylogeographic Subspecies Recognition in Leopards Panthera pardus Molecular Genetic Variation Conservation Biology 10 4 1115 1132 doi 10 1046 j 1523 1739 1996 10041115 x Ossorio P Duster T January 2005 Race and genetics controversies in biomedical behavioral and forensic sciences The American Psychologist 60 1 115 28 doi 10 1037 0003 066X 60 1 115 PMID 15641926 Parra EJ Kittles RA Shriver MD November 2004 Implications of correlations between skin color and genetic ancestry for biomedical research Nature Genetics 36 11 Suppl S54 60 doi 10 1038 ng1440 PMID 15508005 Sawyer SL Mukherjee N Pakstis AJ et al May 2005 Linkage disequilibrium patterns vary substantially among populations European Journal of Human Genetics 13 5 677 86 doi 10 1038 sj ejhg 5201368 PMID 15657612 Rohde DL Olson S Chang JT September 2004 Modelling the recent common ancestry of all living humans Nature 431 7008 562 6 Bibcode 2004Natur 431 562R CiteSeerX 10 1 1 78 8467 doi 10 1038 nature02842 PMID 15457259 S2CID 3563900 Serre D Paabo S September 2004 Evidence for Gradients of Human Genetic Diversity Within and Among Continents Genome Research 14 9 1679 85 doi 10 1101 gr 2529604 PMC 515312 PMID 15342553 Smedley A Smedley BD January 2005 Race as biology is fiction racism as a social problem is real Anthropological and historical perspectives on the social construction of race The American Psychologist 60 1 16 26 CiteSeerX 10 1 1 568 4548 doi 10 1037 0003 066X 60 1 16 PMID 15641918 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