Hum Genet (2001) 108 : 249–254DOI 10.1007/s004390100485
Ulrike Sauermann · Peter Nürnberg · Fred B. Bercovitch · John D. Berard · Andrea Trefilov · Anja Widdig · Matt Kessler · Jörg Schmidtke · Michael Krawczak
Increased reproductive success of MHC class II heterozygous males among free-ranging rhesus macaques
Received: 27 November 2000 / Accepted: 11 January 2001 / Published online: 7 March 2001
Abstract Gene conversion and balancing selection have
sity (Parham and Ohta 1996). By virtue of indirect rea-
been invoked to explain the ubiquitous diversity of the
soning, over-dominant and frequency-dependent selection
antigen-presenting proteins encoded in the vertebrate ma-
have become the most widely accepted explanations for
jor histocompatibility complex (MHC). In the present
the maintenance of intra-species MHC polymorphism
study, direct evidence for over-dominant selection pro-
(Hedrick and Thomson 1983; Hughes and Nei 1988;
moting MHC diversity in primates is provided by the ob-
Takahata and Nei 1990; Hill et al. 1991) and a variety of
servation that, in a large free-ranging population of rhesus
parasites are thought to be critical for both models. In-
macaques, males heterozygous at MHC class II locus
deed, an influence of particular MHC alleles or of ho-
Mamu-DQB1 sired significantly more offspring than ho-
mozygosity for certain MHC allelic classes upon morbid-
mozygotes (the male-specific selection coefficient s equals
ity in pathogen-infected individuals has been observed in
0.34). This heterozygote advantage appeared to be inde-
humans (Hill et al. 1991; Thursz et al. 1997, 1999; Car-
pendent of the actual male Mamu-DQB1 genotype. No
rington et al. 1999) and other primates (Evans et al. 1999;
similar effect emerged for a captive group of monkeys of
Sauermann et al. 2000). Choice of mating partners with
similar genetic background but under veterinary care.
differing MHC genotypes (sexual selection), on the otherhand, can promote polymorphism without invoking hand-icaps and might be involved in kin recognition (Singh et
al. 1987; Potts et al. 1991). Finally, a heterozygote excesspotentially explicable by maternal-fetal selection (Black
The antigen-presenting proteins encoded by genes of the
and Hedrick 1997) has been observed in isolated human
major histocompatibility complex (MHC) play a key role
populations. Prenatal wastage in MHC class-I-matched
in many species in terms of their capability to initiate a
couples has also been reported to occur in non-human pri-
specific immune response. One of the most remarkable
characteristics of these proteins is their persistent diver-
Although none of the above theories are mutually ex-
clusive, their relative importance has been subject to con-troversial debate. Previous studies that have examined the
association between MHC genotype and reproductive fit-
Deutsches Primatenzentrum, Arbeitsgruppe Primatengenetik,
ness in higher vertebrates have generally adopted indirect
measures of reproductive success, including mating pref-
erences (Wedekind et al. 1995), male ornamentation (von
Institut für Medizinische Genetik, Universitätsklinikum Charité,
Schantz et al. 1996) and allele frequency distributions
(Wenink et al. 1998). The scientific merit of these studies
F. B. Bercovitch · J. D. Berard · Matt Kessler
notwithstanding, however, the most rigorous test for the
Caribbean Primate Research Center, University of Puerto Rico,
strength of any MHC-associated selective pressure would
PO Box 1053, Sabana Seca, Puerto Rico 00952, USA
be to determine the actual number of progeny produced.
In an ongoing long-term study of the reproductive be-
Institut für Humangenetik, Medizinische Hochschule,
haviour of rhesus macaques (Macaca mulatta), we have
been able to relate directly biological fitness (reproductive
success) with genotypes at MHC class II locus Mamu-
DQB1 in three social groups of monkeys from the Cayo
University of Wales College of Medicine,
Santiago colony, Puerto Rico. We have observed that sig-
Heath Park, Cardiff CF14 4XN, UK e-mail: krawczak@cardiff.ac.uk
nificantly more offspring are sired by heterozygous males
compared with homozygous males, a result that provides
1987). Survival analysis of male rhesus macaques was performed
direct evidence for over-dominant selection (heterozygote
using the LIFETEST procedure as implemented in the SAS/STATsoftware package (Version 6, Fourth Edition, Chapter 26).
advantage) promoting MHC diversity in non-human pri-
LIFETEST allows non-parametric survival time distributions to be
mates. At the same time, mate choice has been found to be
estimated from both failure (“dead”) and censoring (“alive”) data.
independent of Mamu-DQB1 genotype, so that sexual se-
Differences in survival times were tested for significance by means
lection could be excluded from playing an important role
of a log-rank χ2 statistic. The expected degree of allele sharing be-
tween reproductively successful mating partners was determinedvia simulation. To this end, the observed genotypes of mothers andactual sires were randomly redistributed over infants (10,000 repli-cations), and the mean allele sharing between parents recorded.
Goodness-of-fit between observed and expected allele sharing wasassessed by χ2 analysis. Finally, Fisher’s exact test was used to
compare Mamu-DQB1 allele frequencies between male cate-gories, whereas mean ages of sires at first offspring birth were
Three social groups of rhesus macaques were analysed in the pre-
compared by Student’s t test.
sent study. Two of them (groups R and S) reside on Cayo Santi-ago, a 15-ha island located offshore Puerto Rico and populatedwith rhesus monkeys that have been subject to numerous behav-
ioural studies (Kessler and Berard 1989). Cayo Santiago is a semi-natural enviroment where veterinary care is limited to tetanus in-occulations being given to all yearlings and 2-year-olds. During
the annual trapping season, blood samples are taken for research
purposes from all yearlings and other selected animals. Socialgroup M, in contrast, resides in an outdoor enclosure of 0.4 ha at
Paternity analysis (Nürnberg et al. 1998) was performed
Sabana Seca Field Station, Puerto Rico, where it has been kept
for all animals residing in or born into groups S, R and M
since 1984. Tetanus shots are given every year and Ivermectin, abroad-band antihelminth, is administered twice a year in group M.
of Cayo Santiago between 1989 and 1997 (n=1453). Data
If animals become severely injured, lose weight and/or develop di-
from the two free-ranging social groups R and S were
arrhoea, they are removed from the group and appropriate treat-
combined, since these troops live in close proximity and
ment is initiated. Groups R and S are not subject to any veterinary
regular male migration occurs between them. Of the 598
intervention. All three groups comprise decendants of the 409 mon-keys originally brought to Cayo Santiago in 1938.
sirehoods established in groups R/S, a total of 487(81.4%) were from a heterozygote male, whereas 111(18.6%) were from a homozygote (Table 1). Since all off-
spring had descended from males that had been consid-ered as a potential sire for at least 200 infants, the same
Paternity testing using 10 microsatellites (Nürnberg et al. 1998)was performed for all animals residing in or born into groups S, R
threshold was also used to define which males had not
and M between 1989 and 1997 (n=1453). Since the employed
been reproductively successful (“vain potential sirehood”;
markers yield a combined (theoretical) paternity exclusion rate
30 homozygotes, 80 heterozygotes). These criteria re-
larger than 99.9%, no more than one potential sire was expected toresult for the majority of mother-infant pairs. For a given infant, allmales older than 40 months by, and alive at least 200 days prior to,
Table 1 Male reproductive success and Mamu-DQB1 heterozy-
the infant’s date of birth were considered as probable sires. Candi-
gosity (numbers in brackets refer to reproductively successful
date sires for group R and S infants were allowed to come from
both free-ranging groups. Sirehood was regarded as establishedwhen a male reached a log-likelihood ratio (LR) in favour of pa-
ternity that was (1) larger than two (corresponding to a standard-
ized paternity probability of 99%) and (2) at least one unit larger
than the LR of any other male. Likelihood calculations (Krawczak
1999) were carried out based upon the overall microsatellite allelefrequencies observed in the colony and assuming a mutation rate
of 10–3 per locus. By these means, 598 sirehoods could be estab-
lished in groups S and R and 129 sirehoods could be established in
Mamu-DQB typing was performed as previously described
(Sauermann et al. 1996). Rhesus DQA and DQB loci are in strong
linkage disequilibrium (Sauermann 1998), so that homozygosity
for DQB1 could be confirmed by DQA1 analysis in order to mini-
The mean number of offspring per potential sire was tested for sig-
b2×11, 12, 13, 14, 19, 2×23 and 25 offspring
nificant differences between paternal Mamu-DQB1 genotypes us-
ing a randomization test with 10,000 replications (Edgington
sulted in a mean offspring number (± standard error, SE)
Table 2 Female reproductive success and Mamu-DQB1 het-
of 2.32±0.26 for heterozygous males and 1.52±0.25 for
erozygosity (n number of females, µ mean number of offspring perfemale, SE standard error of mean female offspring number, P as
homozygotes, suggesting a selection coefficient s of
determined by a one-sided randomization test for heterozygote ad-
(2.32-1.52)/2.32=0.34. The difference between the two
genotypes was statistically significant (one-sided random-ization, P=0.03). The average heterozygosity per animal
at the microsatellites used for paternity testing was 0.85
for Mamu-DQB1 homozygotes and 0.86 for heterozy-gotes. A potential genome-wide decrease in heterozygos-
ity and any consequent inbreeding depression can there-
fore be excluded from affecting Mamu-DQB1 homozy-
In group M, which has been kept in an enclosure and is
subject to medical care, 80 infants had been sired by 41heterozygous males (mean 1.95±0.74) as opposed to 69
reach statistical significance (one-sided randomization,
offspring who were descendents of 19 homozygotes
P=0.12). We may therefore conclude that the reproductive
(mean 3.63±1.50). The criterion for a reproductively un-
advantage associated with Mamu-DQB1 heterozygosity
successful male was vain potential sirehood for at least 30
in free-ranging rhesus macaques on Cayo Santiago is
animals. The mean difference between the two genotypes
stronger in, or is confined to, males. No difference in off-
was not statistically significant (two-sided randomization
spring number per female was observed in group M.
test, P=0.29), mainly because most of the excess homozy-gote reproductivity could be attributed to four males only. Nevertheless, the results imply that the Mamu-DQB1 lo-
cus is subject to over-dominant selection among male rhe-sus macaques in the two free-ranging groups R and S but
In order to assess whether the observed male heterozygote
advantage in groups R and S was explicable in terms of agenotype-dependent bias in mating preference, the levelof Mamu-DQB1 allele-sharing between mothers and sires
Over-dominant selection and male demography
was determined for couples in which both partners hadbeen genotyped (Table 3). When the observed allele-shar-
One possible explanation for a difference in male repro-
ing was compared with its expectation based upon 10,000
ductive success associated with Mamu-DQB1 heterozy-
simulations of random mating in the respective popula-
gosity would be a shorter life expectancy of homozygotes.
tion, a trend towards increased allele-sharing only became
However, the 358 heterozygous males in groups R and S
apparent in group M (zero or one allele shared vs two al-
that had been genotyped for Mamu-DQB1 had a mean life
leles shared: χ2=3.27, 1 df, P=0.07). In groups R and S,
span (± SE) of 155.1±5.8 months, whereas for the 114 the sharing of zero or one allele occurred slightly more
homozygotes, the corresponding figure was 152.8±10.6
frequently than expected but the difference was not sig-
months. These results indicate that the potentially fertile
nificant (χ2=0.57, 1 df, P>0.45) . There was thus no evi-
life span of heterozygotes is only marginally (i.e.
dence that mother-sire genotype similarity at Mamu-
115.1/112.8=1.02) longer than that of homozygotes and
DQB1 conferred a reproductive advantage or disadvan-
explains no more than approximately 4% of the excess
tage in the two free-ranging groups. In addition, the fre-
fertility of heterozygote males. Alternatively, heterozy-
quency distribution of Mamu-DQB1 alleles among repro-
gotes could have sired offspring earlier than homozy-
ductively successful males was not significantly different
gotes, thereby gaining an advantage over the latter at the
from that observed among unsuccessful males (Table 4,
beginning of their reproductive phase. The mean age of Fisher’s exact P=0.51 for groups R and S, P=0.90 for
a sire at the birth of its first offspring was indeed lower for the 130 reproductively successful heterozygotes(100.2±2.8 months) compared with the 43 homozygotes
Table 3 Mother-sire allele-sharing at Mamu-DQB1. Expected
(102.3±6.2 months) but the difference was only small and
frequencies were determined by simulation involving the random
not statistically significant (t=0.350, 171 df, P>0.3).
combination of mating partners in the respective population(10,000 replications)
No Mamu-DQB1 heterozygote advantage among females
Among the females in groups R and S with at least one
offspring, Mamu-DQB1 heterozygotes had a slightly
higher reproductive success than homozygotes (Table 2).
However, the difference in mean offspring number be-
tween the two genotypes was only 13% and failed to
Table 4 Mamu-DQB1 allele
tive pressure that is at least one order of magnitude higher
Among the rhesus macaques residing on Cayo Santi-
ago, MHC loci DQA, DQB and, to a lesser extent, DRB
are in strong linkage disequilibrium with one another
(Sauermann 1998; Khazand et al. 1999). This tight associ-
ation need not necessarily be attributed to inbreeding
since DQ-DRB haplotypes identical to those segregating
on Cayo Santiago have also been found in rhesus
macaques from other locations (Khazand et al. 1999).
Furthermore, our results imply that whole DQ-DRB hap-
lotypes, rather than single alleles, are subject to over-
dominant selection and theoretical considerations suggest
that over-dominant selection would indeed be sufficient to
explain at least the strong linkage disequilibrium observed
between rhesus macaque DQA and DQB genes (Slatkin
Inbreeding seems to be avoided in rhesus macaques by
females choosing a new mating partner in each breeding
group M). Thus, single alleles also did not appear to be
season. A whole ensemble of traits is known to regulate
particularly associated with any increased male reproduc-
male mating success, including dominance status, age,
troop tenure time, body weight, fat level and “novelty”(Berard et al. 1994; Bercovitch and Nürnberg 1996, 1997;Berard 1999). All of these traits vary during life. In the
present report, we have highlighted Mamu-DQB1 as a ge-netic marker that is not subject to any environmental
There is a growing body of literature regarding the influ-
change but nevertheless has direct implications for male
ence of MHC genotypes upon survival rates and repro-
reproductive success. However, allele frequencies at
ductive activity in various species. However, a subtle but
Mamu-DQB1 are similar among reproducing and non-re-
very important difference exists between these two pa-
producing males in all three social groups. The existence
rameters and actual reproductive success, the latter repre-
of Mamu-DQB1 alleles specifically promoting male fe-
senting the only critical issue for the evolutionary mainte-
cundity can thus be excluded. Furthermore, since mothers
nance of MHC diversity. The most rigorous test for any
in free-ranging groups R and S show no preference for
MHC-associated heterozygote advantage is therefore to
sires with Mamu-DQB1 alleles differing from their own,
perform a field study and to determine reproductive suc-
no evidence has been found for an association between
cess directly. Ideally, such a study would be conducted in
Mamu-DQB1 and mate choice acting as a means of in-
a natural environment and would carefully control for
possible confounding factors. By the very nature of the
The most plausible explanation for the increased repro-
study design and purpose, however, such requirements are
ductive success of free-ranging Mamu-DQB1 heterozy-
gous males that is independent of the actual genotype is
We have demonstrated here that, under the quasi-nat-
increased resistance to the debilitating effects of injury
ural conditions of Cayo Santiago, the reproductive suc-
and parasite infection. Although most common parasites
cess of male rhesus macaques is higher for heterozygotes
including Stronglyoides, Balantidium coli and Trichuris
at MHC class II gene locus Mamu-DQB1 than for ho-
are unlikely to represent a major cause of death on Cayo
mozygotes. It should be emphasized that this observation
Santiago (Knezevich 1998), parasites such as helminths
is unlikely to be attributable to false assignments of sire-
may nevertheless cause lethargy and reduce the ability of
hood since errors in paternity assessment are rare (Nürn-
a male to obtain access to females. Variable propensity to
berg et al. 1998) and Mamu-DQB1 genotyping is unlikely
parasite load would thus explain why antihelminth treat-
to be biased in any systematic way. Based upon theoreti-
ment has served to augment the reproductive success of
cal considerations and sequence data, selection maintain-
Mamu-DQB1 homozygous males in captive group M. In-
ing MHC diversity is generally thought to be weak in hu-
terestingly, all three males removed from group M be-
mans and selection coefficients (s) are expected to be of
tween 1991 and 1995 and treated for parasite infestation
the order of 0.01 (Satta et al. 1994). By contrast, our data
because of diarrhoea/underweight status were Mamu-
on rhesus macaques suggest that s equals 0.34, a figure al-
most as high as empirical estimates obtained for HLA-A
Since heterozygosity at Mamu-DQB1 does not appear
and HLA-B loci in South Amerindian families, where s is
to have any positive influence upon female reproductive
0.46 (Black and Hedrick 1997). Taken together, it emerges
success, we may surmise that the selective pressure at this
that, under certain demographic and ecological circum-
locus is sex-specific. Such a discrepancy is not unex-
stances, primates can be subject to MHC-associated selec-
pected in a female-philopatric male-dispersed species such
as macaques. Female rank, and therefore access to food,
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DOCUMENTED CASE STUDIES BY DR. SHARI LIEBERMAN AND OTHERS 34. ASTHMA DA is a 43-year old woman, who was first seen by the ONDAMED® practitioner in January, 2006. She suffered from severe asthma since puberty. DA needed to use the inhaler at least twice per day to manage her condition. She has also been on prednisone on and off over the course of 7 years when her condition became worse.
Termo de Consentimento Informado Ipratrópio, Formoterol, Formoterol+Budesonida, Salmeterol+Fluticasona e Tiotrópio. Eu,______________________________________(nome do(a) paciente), abaixo identificado(a) e firmado(a), declaro ter sido informado(a) claramente sobre todas as indicações, contraindicações, principais efeitos colaterais e riscos relacionados ao uso dos medicament