New Genetics and Society ISSN: 1463-6778 (Print) 1469-9915 (Online) Journal homepage: http://www.tandfonline.com/loi/cngs20 Epigenetics for the social sciences: justice, embodiment, and inheritance in the postgenomic age Maurizio Meloni To cite this article: Maurizio Meloni (2015) Epigenetics for the social sciences: justice, embodiment, and inheritance in the postgenomic age, New Genetics and Society, 34:2, 125-151, DOI: 10.1080/14636778.2015.1034850 To link to this article: http://dx.doi.org/10.1080/14636778.2015.1034850 Published online: 12 May 2015. Submit your article to this journal Article views: 378 View related articles View Crossmark data Citing articles: 5 View citing articles Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=cngs20 Download by: [Royal Hallamshire Hospital] Date: 12 July 2016, At: 12:57 New Genetics and Society, 2015 Vol. 34, No. 2, 125 –151, http://dx.doi.org/10.1080/14636778.2015.1034850 Epigenetics for the social sciences: justice, embodiment, and inheritance in the postgenomic age Maurizio Meloni∗ Institute for Advanced Study, School of Social Science, Princeton, USA Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 (Received 11 May 2014; final version received 10 December 2014) In this paper, I firstly situate the current rise of interest in epigenetics in the broader history of attempts to go “beyond the gene” in twentieth-century biology. In the second part, after a summary of the main differences between epigenetic and genetic mutations, I consider what kind of implications the sui generis features of epigenetic mutations may have for the social sciences. I focus in particular on two sites of investigation: (a) the blurring of the boundaries between natural and social inequalities in theories of justice and their possible implications for public policy and public health and (b) a deepening of the notion that the constitution of the body is deeply dependent on its material and socially shaped surroundings (“embodied constructivism”). In conclusion, I advance some cautionary reflections on some of the (known and unprecedented) problems that the circulation of epigenetics in wider society may present. Keywords: epigenetics; natural/social inequalities; public health implications Introduction Epigenetics represents one of the key terms with which to grasp the profile of the new biological landscape that has taken shape in the so-called postgenomic age (so-called because it is conventionally used to define the period dating after the completion of the Human Genome Project in 2003). Of this postgenomic age, with its tensions and promises, hypes and controversies, epigenetics is a perfect incarnation and an excellent theoretical spyglass through which to see the changing thought-style (and possibly ethos) of the biosciences in this early twenty-first century. Epigenetics was originally conceived by embryologist Conrad H. Waddington (1905 – 1975; see Slack 2002) as the investigation of the unfolding of genetic material into a final phenotype (1942; see Holliday 1990, 2006). Today, it is increasingly understood in a molecular sense, as “the study of changes in gene function that are mitotically and/or meiotically heritable and that do not entail a ∗ Emails: [email protected], [email protected] # 2015 Taylor & Francis Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 126 M. Meloni change in the sequence of DNA” (Armstrong 2014). In the context of a postgenomic proliferation of – omics studies (genome, microbiome, transcriptome, exposome, etc.) – epigenetics’ contribution is the study of the epigenome, the set of the potentially “heritable changes in gene expressions that occur in the absence of changes to the DNA sequence itself” (Dolinoy and Jirtle 2008). In this article, I have a threefold goal. First, I situate the last decade’s explosion of interest in epigenetics within a broader perspective that takes in the tensions and persisting challenges to notions of hard-heredity in the history of biology, and genetics in particular. Second, I investigate some of the possible implications of epigenetics for social science and wider society. I will look in particular at two ossified conceptual dichotomies in political and social theory that are likely to be challenged by the rise of epigenetics: (a) the boundary between natural and social inequalities in theories of justice and (b) the opposition between biomedical and social constructionist views of the body. Finally, I will address some of the counterintuitive implications that claims of a replacement of hard-heredity (heritable material impervious to direct environmental influences) with an epigenetic or soft view of inheritance (heredity is malleable, modulated by direct environmental variations) may have on public policy and public health. The context: from the crisis of the gene to the “reactive genome” The quest for mechanisms of nongenetic inheritance is far from new in the history of biology. Repeated attempts to go “beyond the gene” (Sonneborn 1949; Sapp 1987) and search for extrachromosomal forms of inheritance (Harwood 1993) have characterized twentieth-century biology more than textbook histories of biology allows to think. Far from being an ideological return to Lysenko, as polemically claimed (Maderspacher 2010), the current rise of interest in the mechanisms of epigenetic inheritance can be better seen as the last symptom of a longer term crisis in the notion of the gene with important implications for modern evolutionary theory and a remaking of the notion of heredity. Postgenomic genome A crisis in the notion of the gene is nothing new. The gene has always been a concept in “tension” (Falk 2003), situated in a complex history of experimental, technological, and conceptual settings (Beurton et al. 2003; Rheinberger and Müller-Wille 2010). However, what has happened after the completion of the Human Genome Project has made this crisis even more conspicuous. To paraphrase Portin (2002, 274), our current postgenomic understanding has outgrown conventional knowledge of the gene. In a postgenomic context, where it is becoming harder to maintain a realist and particulate notion of the gene (Barnes and Dupré 2008), what is increasingly brought to light is the reactivity Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 New Genetics and Society 127 of the new postgenomic genome to environmental signals (Keller 2012, 2014; see also Gilbert 2003; Griffiths and Stotz 2013). The genome is best described today as a “vast reactive system” (Keller 2012), a mechanism “for regulating the production of specific proteins in response to the constantly changing signals it receives from its environment” (Keller 2014, 2427). This shift in focus from the centrality of DNA to its broader regulatory (cellular and environmental) context may open the way to a different view of evolution and inheritance. Whereas the “transmission genetics” model (Mameli 2005; Amundson 2005) saw heredity merely as the simple passage of DNA from one generation to another (see also: Müller-Wille and Rheinberger 2012), we are today increasingly encouraged to look at the fact that “heredity involves more than DNA”, and that variations arising during development may be inherited (Jablonka and Lamb 2008). The same so-called central dogma of molecular biology, which states the unidirectional nature of the flow of information from DNA to protein (Crick 1970), is increasingly challenged on the ground that information can also go in the reverse direction (Dupré 2012). It is in this turbulent intellectual context that the current wave of interest in epigenetics has to be situated (Jablonka and Raz 2009). Enter epigenetics Bases and mechanisms To understand epigenetics, it is a good idea to start from the biochemical bases of the process, namely the fact that, in eukaryotic cells, DNA is tightly wrapped into chromatin and that modifications of the chromatin structure can affect DNA expression (Meaney and Szyf 2005; Feil and Fraga 2012). DNA methylation (the most recognized mechanism of epigenetic mutations, and studied since the late 1960s, see Holliday 2006, see however Daxinger and Whitelaw 2012) is one such change by which the attachment of a methyl group to a DNA base results in chromatin de-activation and inhibition of gene transcription. Methylation works therefore as a sort of “physical barrier to transcription factors” (Gluckman et al. 2011) and is regulated by nutritional and environmental factors, especially during phases of early development (Dolinoy and Jirtle 2008). Further epigenetic mechanisms include histone modification and regulation by non-coding RNA, although they are considered less stable than methylation patterns. There are several excellent examples of very visible phenotypic changes in the animal kingdom driven by changes in methylation patterns as a result of different environmental exposures and nutritional inputs. For instance, in honeybees (Apis mellifera), genetically identical larvae following differential feeding (royal jelly versus less rich food) produce alternative adult phenotypic (sterile worker and fertile queen: Kucharski et al. 2008). Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 128 M. Meloni In experimental contexts, the most well-known case of nutritional control of alternative phenotypic outcomes is probably the switching on and off of the agouti gene in mice that is obtained by feeding a rich in methyl-donor diet to pregnant agouti mice. Exposing the pregnant mouse to lack of methyl-rich donor diet results into hypomethylation (and enhanced expression) of the promoter of the agouti gene. This brings to highly visible phenotypic changes because offspring are no longer slim and brown, but yellow, fat, and prone to diabetes (Waterland and Jirtle 2003). If we move from nutritional to behavioral exposures, the most well-known case is Meaney’s group study on how high versus low licking and grooming behaviors in rats alter the methylation patterns of the promoter of the glucocorticoid receptor in pups (Weaver et al. 2004; see an updated review in Lutz and Turecki 2014). The most hotly debated issue in epigenetics concern probably the stability and evolutionary significance of transgenerational epigenetic inheritance (Richards 2006; Jablonka and Raz 2009; Daxinger and Whitelaw 2010, 2012; Grossniklaus et al. 2013; Lim and Brunet 2013; Heard and Martienssen 2014). To clarify what is at stake here, it is important to distinguish two alternative, but often confused, aspects that go under the label of epigenetic transgenerational effects: (a) germ line inheritance (where the epigenetic signature is not entirely cleared in gametogenesis and can be transmitted through the germ line: Chong and Whitelaw 2004; see Anway et al. 2005) and (b) non-germ line, experience-dependent epigenetic inheritance (where the epigenetic signature is re-established in each successive generation by the reoccurrence of the “behaviour or environment that induces the mark”, also known as “niche recreation”: Gluckman et al. 2011) as in the case of the Meaney’s group studies above mentioned. The possibility of transgenerational epigenetics phenomena in humans remains very controversial. There are very well-known epidemiological studies on the transgenerational effects of chronic disease in individuals prenatally exposed to famine during the Dutch Hongerwinter (Hunger Winter) in 1944 –1945 during German occupation (Heijmans et al. 2008; Painter et al. 2008), as well as studies on the link between ancestors’ access to food and longevity drawn from the historical record of the Overkalix cohorts in Northern Sweden (Bygren, Kaati, and Edvinsson 2001).1 These studies establish connections between malnutrition in utero and in early life, and persisting metabolic disorders (up to six decades later that is including the second generation, Painter et al. 2008) via changes in the human epigenome. The debate, however, on the mechanisms, significance, and magnitude of these transgenerational2 effects remains very much open, given the fact that the erasure of methylation marks between generations is what is in principle to be expected in mammalian development (although not a universal phenomenon in other organisms, and not complete even in mammals, see Richards 2006, and Lim and Brunet 2013, on “unconventional modes of inheritance”).3 Cautiousness is certainly necessary, as scientists remind us that there is still a “long way to go” to fully understand “the New Genetics and Society 129 Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 involvement of epigenetics in environmentally triggered phenotypes and diseases” (Feil and Fraga 2012, 107; see also Heard and Martienssen 2014). The uniqueness of epigenetic mutations Scientific controversies and hype undoubtedly surround epigenetic research (Meloni and Testa 2014). Speculation on such a scientifically unstable field may be seen as premature. However, recognition of exaggerated claims and controversial issues is not a sufficient reason to shy away from the potential of epigenetic research, especially when understood in sophisticated postgenomic frameworks. My argument is that what we already know about epigenetics and the new reactive view of the genome that is emerging from postgenomics offer us enough conceptual elements to think in a different way the separation of the human world into a “biological” and a “social” domain that was characteristics of the century of the gene (and a reflex of its hard-hereditarian framework). Before assessing some of the distinctive implications of epigenetics for the social sciences, it is important to recap the uniqueness displayed by epigenetic mechanisms when compared to genetic ones. As the following table indicates (elaborating on Jablonka and Lamb 1995; Rando and Verstrepen 2007; Loi, Del Savio, and Stupka 2013; Landecker and Panofsky 2013), the crucial differences between epigenetic and genetic mutations can be summed up in seven dimensions: Epigenetic mutations (1) Sensitivity to the environment in short social time span Epigenetics as a mechanism for flexible and dynamic responses to the solicitations from a changing environment Directed variation as a consequence of a “specific environmental agent inducing specific and predictable heritable changes” (Jablonka and Lamb 1995) The randomness of epigenetic variations is questioned (Jablonka and Lamb 2005; Rando and Verstrepen 2007). Non-random, although not necessarily adaptive responses (Jablonka and Lamb 1995) (2) Potential reversibility through practice, lifestyle or therapy (e.g. pharmacological intervention) and other post hoc interventions (Szyf 2009) Genetic mutations (1) Unresponsive to direct environmental signals (with exceptions of accidental effects, such as mutations due to exposure to X-rays, nuclear radiations, etc.) Random mutations: “independent of selective pressure” (Rando and Verstrepen 2007); only due “to the imperfections of the copy-system or to non-directed effects of environmental factors” (Jablonka and Lamb 1995) (2) Not affected by lifestyle in “short” social time, only over a long evolutionary timescale (e.g. gene-culture coevolution: lactase persistence in specific human populations with increased nutrition from dairy) 130 M. Meloni Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 (3) Early programming In utero or perinatal events set stably epigenetic marks Embedding of early-life experiences and earlylife environment in the genome via epigenetic mechanisms (Champagne and Curley 2009; Szyf and Bick 2013) Genome-wide effects of epigenetic responses to early-life adversity (McGowan et al. 2011) (4) Short-term adaptive flexibility Stable enough to allow intergenerational transmissibility over a certain (limited) number of generations Many ecological challenges are too transient to be “dealt with effectively by changes in gene frequencies”, but “too chronic to be efficiently buffered by homeostasis or allostasis”: hence, importance of an epigenetic adjustment to variable environmental and behavioral experiences (Kuzawa and Bragg 2012; see Jablonka and Raz 2009) (5) Tissue and cell specificity (different epigenetic marks depending on different cells) One body many epigenomes (Wade 2009) (6) Time dependency: epigenetic marks will change depending on the time a sample is taken Age-related changes (7) Unit of inheritance: broad The whole cellular architecture, or gene’s phenotype (Jablonka and Lamb 1995) including DNA, chromatin structure, etc. (3) Insensitive to in utero or post-natal events (with the exceptions of events indicated in 1) No link between early-life events and genetic sequences (4) Long-term adaptive flexibility Inherited features acting only over long evolutionary timescale/countless generations Thousands of years before fixing a change in the genetic pool (5) One body one genome (although this is increasingly challenged: chimerism, mosaicism, see Dupré 2012, Chap. 7) (6) One-time DNA sample invariant for life No change of DNA during life (7) Unit of inheritance: narrow The nucleotide sequence It is building upon this specificity and singularity of epigenetic phenomena that it is possible to anticipate some of the possible reconfigurations of the relationship between the biological and the social in a postgenomic scenario. A significant body of scholarship has already started to outline the implications of these anticipated differences between the specific features of this nongenetic pathway of inheritance vis-à-vis a genetic one. Many of the points in the table have already received a significant level of attention in social science investigation. Issues of extended personal, social, and legal responsibility arise from points 1–2 (Rothstein, Cai, and Marchant 2009; Dupras, Ravitsky, and Williams-Jones 2014; Hedlund 2012). Increasing attention and intervention on the maternal body are an effect of point 3 which clearly situates mothers and their behaviors at the center of epigenetic attention (Richardson, forthcoming; Richardson et al. 2014), often interlaced with racial themes (Mansfield 2012). Risk of classifying sub-populations with New Genetics and Society 131 Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 different epigenetic marks because of the reproduction/perpetuation of hard social conditions (Katz 2013 ; Meloni 2014; Meloni and Testa 2014) is a consequence of point 4. And the issue of a new class of sensitive information in need of privacy protection arises from point 5 (Rothstein, Cai, and Marchant 2009). In the second part of this article, I will therefore direct my attention to two other possible implications of epigenetic research for social and political science, which have received relatively less attention so far. In conclusion, I will raise a prudent warning about some unforeseen implications that the circulation of epigenetics in wider society may present. Epigenetics and political theory: blurring the boundaries between natural and social inequalities How much is genetic luck really due to luck? The first area in which I would like to measure the social implications of epigenetics research may seem speculative, but has important implications in the way notions of inequalities and theories of justice are constructed. Differences between “natural” and “non-natural” features of human experience are amongst the most deeply rooted assumptions in Western metaphysics. This dichotomy has been visible since Antiquity in both medical thinking (Galen) and theories of justice (Plato, Aristotle). In both fields, the separation between “natural” and “not natural” plays the same powerful function to distinguishing what is within human control and what is outside it. In medical thinking, categories like “naturals” and “non-naturals” were still influential until early modernity to mark the boundaries between non-mutable and modifiable aspects of human life: temperament and constitution for the first, nutrition, and climate for the latter (Beltran 2002; Müller-Wille and Rheinberger 2012). In socio-political thought, we see at stake a similar dichotomy (Beteille 1983; Lewens 2010). In Plato and Aristotle, notions of natural inequalities perform a key function in sustaining a stratified view of society. From its classical origin, the notion of natural inequality represents what lies outside the domain of justice and human intervention. If an inequality is rooted in nature, there is less (or no) reason to intervene. In various forms, such a way of thinking has persisted until the twentieth century, with very few exceptions. Theologically oriented traditions in political theory that have built the conception of nature upon notions of deity have further performed this function (Daston and Vidal 2007). What is particularly striking is that this idea of a state of nature as radically prior to, and uncontaminated by, social relationships has found a novel legitimation in modernity through the incorporation of biological arguments into public affairs. Talks of innate, natural or congenital differences between races, classes, or genders stemming from biological thinking have re-legitimized ideas of natural inequalities in politics (Beteille 1983). Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 132 M. Meloni In particular, political theorists in the twentieth century have referred explicitly to genetics to provide an example of something that is separated or prior to the political domain. Genetics has been often taken as a perfect case of a diverse distribution of talents (the so-called genetic lottery) on which justice has no reason to intervene or, at the very least, morality rather than justice can be invoked to justify some sort of rectification. In large areas of political theory, with the exception probably of some egalitarian or consequentialist thinkers,4 genetic disadvantage is seen as a natural asset whose unfortunate effects can be mitigated or neutralized in a decent society but on which there is no obligation to intervene. The bottom line argument in much political philosophy seems to be, as Lewens writes in an insightful article that when, as in the case of genetics, “inequality is nobody’s fault, it is not the concern of justice to correct it” (2010, 265). As Buchanan and colleagues have remarked, conventional thought in political theory is that: nature, or the natural, is often thought to be not only that which is given but also that which must be accepted as beyond human control. In that sense, to say that something is due to nature is to relegate that to the realm of fortune or misfortune, rather than justice or injustice. ( . . . ) It is not surprising, then, that to a large extent traditional thinking about justice has associated natural disadvantages with misfortune rather than injustice, since there was little or nothing that could be done to prevent them. (2000, 83, my italics) Tom Nagel’s classical article on Nature and Justice is very representative of this way of thinking for which society has to be seen as less “accountable for those inequalities in whose generation nature plays a central role” (1997, 305; Lewens 2010). It is not by chance that Nagel picks as a key example a degenerative illness produced by a defective gene to make the argument for the different weight that should be assigned to social and natural inequalities, that is, to make a distinction between injustice and bad luck (or “natural unfairness”). What Nagel hints at are spheres of human life that “have nothing to do with justice, and that are not mandatory in the same way” (1997, 303): genetics would be one of these cases. Nagel may represent here a particularly conspicuous example of this social/ natural distinction. However, he is not the only one to take this distinction as significant. In Rawls for instance, such a dichotomy between the natural and social is also taken for granted. As he famously wrote in A Theory of Justice, “The natural distribution is neither just nor unjust” (Rawls 1971, 87). His semi-consequentialism implies that “natural primary goods, such as ‘health and vigour, intelligence and imagination’, fall outside the master patterns by which feasible alternative basic structures are assessed” (Pogge 1989, 64; Lewens 2010). More recently, in another very influential article, Anderson (1999, 331) claims that the “distribution of natural assets” has to be seen out of a “democratic equality” framework. Only the response of institutions to this distribution, she believes, is politically relevant, but natural assets are not as such socialized. And many other examples could be given. Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 New Genetics and Society 133 What shall we do with the idea of natural inequalities in an epigenetic age? Over the last decades, philosophers of biology have convincingly illustrated the conceptual confusion of the innate/acquired distinction (Griffiths 2002). In the light of a developmentalist view of biology and genetics, it is easy for them to argue against any neat distinction between the “effects of natural differences from effects of social differences” (Lewens 2010, 271). The first argument I want to make here, expanding in particular on an important article by Loi, Del Savio, and Stupka (2013), is that epigenetics makes the inappropriateness of the natural/social divide for political theory highlighted by Lewens even more flagrant. Epigenetics provides “a chain of connections” (Loi, Del Savio, and Stupka 2013, 143) between what we used to think of separately as “social” and “natural” inequalities, radically cutting across the distinction between these two domains. From what we have said in the first part of the article, epigenetics seems to point to the existence of a double social opening in the architecture of the gene. Upstream, genetic expression is regulated by the incorporation of certain environmental exposures; downstream, genetic expression can be reversed via social and pharmacological intervention (Szyf 2009). This double hole in the structure of the gene calls radically into question the leakproof separation of the “genetics” from the “social” and, accordingly, the equation of genetics with a natural lottery. Identifying genetics with a lottery implies understanding it as operating blindly and immune from the distortions of social structures. The notion of a lottery implies the idea of a game of chance (Buchanan et al. 2000, 83), a matter of mere misfortune upon which no call for responsibility can be made. In abstract, being born with a faulty gene (Nagel’s case) may be thought of as just poor chance. The idea of a genetic lottery fits well with the twentieth-century view of heredity as a mere transmission of DNA sequence. However, things become more complicated in epigenetic scenarios when we include in heredity not only DNA sequence but also how these sequences are expressed. If we take seriously, as epigeneticists claim, the possibility that genetic expression may incorporate our early life experiences or even the experiences of our ancestors, the picture of the relationship between the social and the natural, misfortune and choice, appears to change significantly. How much of a role can be given to “poor chance” in cases like the Dutch Hunger Winter, in which biological disadvantage of two generations is seen as a direct consequence of the social hardship suffered in 1944? And in other scenarios where smoking, alcohol, styles of nurturing, or various psychosocial factors seem to directly affect the well-being of present and future generations? The implications of these studies for public health are clearly far-reaching. Novel interesting studies inspired by a developmentalist and epigenetic approach have already started to elaborate a model by which social conditions and material contexts experienced by past generations may become biologically embedded and somatically transmitted in specific social groups. In these novel models, social Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 134 M. Meloni factors such as nutrition, health care, financial and social capital, education and public policies in general are embodied and transmitted transgenerationally, thus perpetuating disadvantaged situations (see the “maternal fitness model”, Wells 2007, 2010; and the “intergenerational phenotypic inertia model”, for instance: Kuzawa and Sweet 2009). These studies highlight that neat boundaries between what is “given in nature”, and therefore not subject to the demands of justice (for instance genetic malfunctioning), and what is instead “socially transmitted” (the long-term effects of unjust social structures), appear very precarious to maintain. To the extent that the social operates via the biological and vice versa, chance and choice tend increasingly to overlap. This is why epigenetics has the potential to represent an interesting problematization for theories of justice (Loi, Del Savio, and Stupka 2013). Where should a political demand for justice stop if these epigenetic findings will be further confirmed? And where are the boundaries between personal and collective responsibility in a context where social factors seem so massively engaged in producing aspects of our own individual biology? Of course, it is not my goal here to adjudicate between different approaches to theories of justice. Different political philosophers will look in different ways at the potential implications of epigenetics. Epigenetics will probably not be a significant change for the two opposite positions of radical libertarians and luck egalitarians (justice as equality of fortune). For the first, no matter the social or natural origins of an inequality, everyone will be entitled to her/his own lottery ticket received at birth. For the latter, arbitrary (unchosen) original conditions, be them natural or social, have to be corrected, so the “faulty gene” of traditional genetic explanation would be no different from an abnormal methylation pattern caused by (or, associated with) “unjust” social structure.5 However, leaving these two positions aside, for the remaining arc of socio-political theories, taking epigenetics seriously will have important implications, although the nature of those implications may be less unidirectional than many have noticed so far. Loading the genetic dices? To reiterate the argument: if genetics is a lottery, from an epigenetic point of view, “the dice are loaded in the womb” (Gardner 2012). Arguments à la Nagel about a defective gene’s effects being out of the scope of social justice will be assessed carefully. At least a second look will be required to adjudicate whether there is a sense in which previous unjust social situations may have had an influence in abnormal genetic functioning. More importantly, because of its supposed protection from the distortion of social structures, the notion of a genetic lottery still possesses a democratic and egalitarian allure in the eyes of many political philosophers. This argument has New Genetics and Society 135 a long tradition in biology (firstly in Weismann 1891), and was remade in the last two decades by Francis Fukuyama, when he claimed that far from being “inherently unfair” “because it condemns certain people to lesser intelligence, or bad looks, or disabilities of one sort or another”, the genetic lottery is actually: Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 profoundly egalitarian, since everyone, regardless of social class, race or ethnicity, has to play in it. The wealthiest man can and often does have a good-for-nothing son ( . . . ) the genetic lottery guarantees that the son or daughter of a rich and successful parent will not necessarily inherit the talent and abilities that created conditions conducive to the parents’ success. (2002, 156)6 My argument is that this democratic allure of genetics will be easily lost if epigenetics prevails. Epigenetic findings undermine Fukuyama’s view that the genetic lottery is inherently impartial and blind. In an epigenetic view, the genetic lottery (genetic transmission + genetic expression) is always influenced by the social disparities of the past, from individual behaviors (smoking, etc.) to social processes (war, poverty, injustice, etc.). If genes have their own biological memory, the genetic lottery loses its original veil of ignorance. It brings the mark of a certain social inertia, is no longer impartial, and we cannot fully count on it as a fair referee distributing randomly natural assets. Such a denaturalization of the genetic lottery has two profound implications. On one side, it may be used for broadening the scope of theories of justice. In their seminal book on genetics and justice, Buchanan and colleagues anticipated a colonization of the natural by notions of justice from the viewpoint of new genetic technologies making possible a change of human nature (2000). In a different sense, epigenetics may bring a similar colonization of the natural via social justice. Loi, Del Savio, and Stupka (2013) have argued that a deconstruction of the natural/social border implies that luck-egalitarian proposals in which there are no moral differences between unchosen natural and social disadvantages, and Rawlsian approaches that are limited to social inequalities, will increasingly come to overlap. To the extent that for instance class inequalities are now seen to operate via biological endowments, the Rawlsian principle for a fair equality of opportunity can be broadened to include biological assets (Loi, Del Savio, and Stupka 2013). On the other side, however, this translation of epigenetic themes in public policy and public health debates may be less unidirectional (expanding justice) than this liberal agenda might like. Here is where some knowledge of the history of biopolitics may help. What has not to be forgotten is that the public health implications of soft-inheritance are full of problematic and often counterintuitive aspects. Lamarckism in public policy, of which today epigenetics would be an actualization, has always been an ambiguous force (Bowler 1984; Meloni, forthcoming). It can be used to promote social reform because, obviously, investing massively on the social is not a wasted effort if good habits can be passed on across generations (as “leftLamarckians” like Paul Kammerer highlighted in the 1920s). Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 136 M. Meloni However, the inheritance of acquired characters is a double-edged sword: also bad habits can become bad biology, and the scars of past exposures and traumas can give rise to ideas of specific groups being “too damaged7” to be rescued. Inheritance in sum can be “poisoned”, as a recent headline in The Economist (2013) has significantly claimed, commenting on new epigenetics studies.8 If one looks at the debate in Europe and America until the 1910s, when soft-hereditarian ideas were still used in public policy and public health debates, this notion of a poisoned heredity (or a “racial poison”) was widespread and not always employed for progressive goals. For instance, the notion that alcoholism or life in the slums could irremediably damage not only the germ-plasm of exposed people but also that of their offspring was quite common at the time. In sum, the sins of the fathers would leave the new generation in a situation of biological inferiority from the very beginning. Upon this poisoned heredity, a racism or classism complementary to but different from its more famous hard-hereditarian version was easily promoted (Meloni, forthcoming). Several neo-Darwinians and Mendelians, from Wallace to Haldane and Huxley, have highlighted over time these problematic aspects of Lamarckian inheritance. However, the most significant use of this anti-Lamarckian argument in social policy to my knowledge was made in the 1920s by Soviet geneticist and eugenicist Yuri Filipchenko when he claimed, in Loren Graham’s words, that if Lamarckism not Mendelism was true: all socially or physically deprived groups, races, and classes of people-such as the proletariat and peasantry and the nonwhite races-would have inherited the debilitating effects of having lived for centuries under deprived conditions. Far from promising rapid social reform, the inheritance of acquired characteristics would mean that the upper classes are not only socially and economically advantaged, but genetically privileged as well, a result of centuries of living in a beneficial environment. Thus the proletariat in Soviet Russia would never be capable of running the state; it was genetically lamed by the inheritance of the effects of its poverty. (1977, my italics; see also Babkov 2013) As I will say in my critical final coda, Filipchenko’s argument may still have its significance today. The rise of the epigenetic body: how social structures get under the skin A second contribution of epigenetics to a reformulation of the relationship between the biological and the social is in the area of theories of embodiment. Since the 1990s, we have witnessed in social theory (Shilling 2003; Williams, Birke, and Bendelow 2003) and social epidemiology (Krieger 2001a, 2001b, 2004, 2011; Krieger and Davey Smith 2004) to an increasing recourse to the notion of “embodiment” to undermine the sterile opposition between biomedical models (endogenous causes of disease) on one side, and social constructionist views (body as the effect of language/power structures), on the other. New Genetics and Society 137 Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 As I will highlight next, also in theories of embodiment, epigenetics can significantly contribute to undermine established dichotomies between the “natural” and the “social”. Embodiment before embodiment As social epidemiologists are well aware of, there is a long and oft-forgotten history (Waitzkin 2005) of how social conditions are literally inscribed into human bodies and socioeconomic disparities are replicated in the bodily structures of people affected by these differences (Krieger 2005, 2011). The writings of the French doctor and economist René Villermé, of cell-biologist Rudolf Virchow, as well as Friedrich Engels’ classical work on the destructive impact of industrialization on the physiological and moral life of the working class (1844), can be read as nineteenth-century anticipation of an embodiment paradigm (see extended references in Krieger and Davey Smith 2004; Waitzkin 2005). The paradox, however, is that in the twentieth century, such references to the way class differences are manifest in the visual cues of people (“class physiognomies”: Laurell, quoted in Krieger 2005), have been rather marginalized in social epidemiological studies (Shaw, Tunstall, and Davey Smith 2003). Such discourse was seen as too resonant with darker biologistic arguments from Lombrosian psychiatry to eugenics. In the last two decades, however, something has started to change again in this domain. From neuroscience to social epidemiology, it seems possible again to invoke the physiological and the somatic level in social explanations, without falling back into classical deterministic arguments. Rather, what is emphasized in this new wave of studies is the continuous and plastic interchange of the body with its material surroundings. The new embodiment Since the 1990s, cumulative evidence of the impact of social contexts on the human body has become increasingly available. Data from biomedical and psychoneuroimmunological research have highlighted the dependence of neuroendocrine and immune functions on social structures and social and psychological processes (Cacioppo 1994; Cohen and Herbert 1996), and emphasized how social characteristics and structures of neighborhood and communities (Diez Roux, Jacobs, and Kiefe 2002; Sampson 2003) have a profound impact on well-being and cardiovascular health. Social relationships, social integration, support, and social networks have been increasingly linked to longevity, and seen as “intrinsically beneficial” to physical health (Seeman 1996; Cohen 2004; Brown et al. 2009; Cohen and JanickiDeverts 2009; Kok and Fredrickson 2010). On the other side, social isolation and rejection, loneliness, and disruption of social networks are increasingly seen Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 138 M. Meloni as major causes for morbidity and mortality (Cacioppo et al. 2002, 2006; Cacioppo and Patrick 2008; Cacioppo, Hawkley, and Thisted 2010). Moving from the individual body to the “body economic”, there is now an increasing number of studies focusing on the way in which austerity policies and inequalities are literally “killing” factors (Stuckler and Basu 2013; Therborn 2014). These recent works constitute the apex of a longer tradition of social research on the way in which inequality, discrimination, and racism literally harm health (Clark et al. 1999; Krieger 2001a, 2001b, 2011, 2004). Probably the most significant and investigated construct in this area, for its implications for public health, is socioeconomic status (SES). Since the early 1990s, studies on SES discovered a strong link between low social status and higher mortality rates (Marmot et al. 1991). Detailed studies exist today connecting SES to asthma (Chen et al. 2006), changes in immune responses (Chen et al. 2003; Dowd and Aiello 2009), increased cardiovascular disease risk factors (particularly amongst non-Hispanic Blacks: Sharma et al. 2004), abnormal cortisol secretion in young children (Lupien et al. 2000, 2001), dysregulation of the stress axis and response (Evans and Kim 2007). In general, the pathways by which SES is seen to drive disease include systemic inflammation, cellular processes, and genomic pathways (Chen and Miller 2013; see also Wolfe, Evans, and Seeman 2012). Finally, in the last decade, neuroscience has gained the lion’s share in this literature on the embodiment of social influences and the effects of SES in particular. At the core of the recent wave of neuroscientific studies is the growing appreciation for the plasticity of the brain, including the adult brain (Rosenzweig and Barnes 2003; Rubin 2009; McEwen and Gianaros 2010). The recognition of plasticity, how the brain constantly responds to and is literally shaped by environmental contexts, makes possible to establish increasing connections between social settings and brain morphology and functions. Several neuroscience-based studies have addressed directly how SES impacts not only cognitive and emotional development, but also the volumes of the hippocampus and the amygdala, memory, and certain aspects of executive function, including cognitive control (respectively: Noble, Norman, and Farah 2005; Farah et al. 2006; Noble, McCandliss, and Farah 2007; Hackman and Farah 2009; Hackman, Farah, and Meaney 2010; Noble et al. 2012). Two recent fMRI studies have reported SES differences in the function of certain language-supporting brain regions, namely the left fusiform (Noble et al. 2006) and left inferior frontal gyrus (Raizada et al. 2008). Epigenetic research plays a twofold function in this context. First, it provides a key missing link to explain the molecular pathways by which transient environmental factors can leave marks or be inscribed on the biological body. The often elusive role of social factors (poverty, inequality, stress, etc.) in affecting body, brain, and behavior is likely to find a less ethereal mechanism in epigenetic mutations (Champagne 2008; Miller 2010; Vineis, Stringhini, and Porta 2014). New Genetics and Society 139 Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 Obviously, if the trend toward transgenerational epigenetic inheritance consolidates, the mechanism will involve the exposed as well as unexposed generations. Second, epigenetics represents the conceptual climax of a more profound appreciation of the many material flows connecting the wider environment and the body (Niewöhner 2015). I will conclude this section looking at the potential present in epigenetics to move toward a more ecosocial view of embodiment (Krieger 2011), beyond superficial interactionism. The epigenetic body: embodied constructivism beyond the genetic body Several works have recently emphasized the potential in the epigenetic discourse of undermining the still influential idea of a body autonomous and insulated from its material surroundings. Especially when understood in a broader ecological sense, epigenetics becomes a perfect epitome for the extreme porosity between the milieu and the body (Niewöhner 2011; Guthman and Mansfield 2013; Landecker and Panofsky 2013). Meaney’s experiments on the transmission of inadequate mothering in rats are illustrative of this dynamic for which social events become regulative of the organism physiology. Certain behavioral exposures (low licking/grooming) shape changes in methylation patterns which modify genetic expression and neurochemical responses in the brain. This modifies the physiology of the pups that, once adult, will reproduce the inducing behavior and consequently modify their environmental niche, thus shaping the biological life of the forthcoming generations. In epigenetics, therefore, the dictum that “bodies express ecology” (Piersma and van Gils 2011) seems to find a stronger confirmation. We are well beyond, as Niewöhner insightfully writes, Western views of the individual as separated from the external world by their “impenetrable” skin. An “altogether different degree of entanglement between body and context” is brought to light (Niewöhner 2011, 12). What is important to emphasize here is that this openness of the epigenetic body to the world is a significant rupture with the mainstream lesson of twentieth-century biology, especially genetics (Meloni and Testa 2014). The “genetic body” was built on a segregation of the somatic from the genotypic level (Griesemer 2002). First, through the Weismannian separation of the soma from the germ line (imperviousness of the hereditary material). Second, this passivity of the somatic level was powerfully reinforced by the so-called central dogma of molecular biology which stated that no information can travel back from protein to DNA. Relegated to the passive end of the genetic chain of information (Gudding 1996), the agency, situatedness, and reality of the body were elided in twentieth-century genetics (Keller 2001; Robert 2004). Not by chance, as social epidemiologists and historians of medicine have noted (Krieger 2011; Rosenberg 2012), the mainstream biomedical approach, with its search for inward causes, ended up viewing the body as a passive biophysical abstraction with no serious consideration of its Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 140 M. Meloni embedding in local surroundings, nor appreciation of it being marked by material and local contexts (Lock 1993, 2001, 2013; Lock and Nguyen 2010). Against this marginalization of the body in twentieth-century genetics and biomedicine, epigenetics, especially when theorized in sophisticated conceptual frameworks, can be seen as a decisive advance toward what can here be called “embodied constructivism”, a position that tries to overcome the shortcomings of both reductionistic biomedical theories of the body and disembodied social constructionist views. Although used sometimes in phenomenological contexts, the term “embodied constructivism” is here named after the “constructivist interactionism” of developmental systems theory (DST). In the spirit of DST, it is meant as an invitation to think in terms of non-dichotomous, jointly determined, and reciprocally contingent biosocial factors when explaining human development and social life (Gray 1992; Oyama 2000; Griffiths and Gray 2005). Expanding on the “parity thesis” of DST (i.e. equality between the role of DNA and non-DNA elements in explaining development), embodied constructivism defines a non-hierarchical and relational ontology in which social structures can be seen as the sources, as well as the effects, of biological factors. There is a genetic component to social processes, as there is a social shaping and driving of genetic expression (Landecker and Panofsky 2013). Biological realities always emerge socially situated and “interwoven with meanings” and culture is always in human biology (Goodman 2013). A good example of what I mean by embodied constructivism is the recent work by Clarence Gravlee on the material pathways through which “race becomes biology”. The article explores the double biosocial movement by which racism and social inequalities (as a sociocultural categories) are embedded and materialized in the “the biology of racialized groups and individuals”; while at the same time embodied inequalities (the biological level) perpetuate and reinforce “a racialized understanding of human biology” (Gravlee 2009, 54). Epigenetics can fruitfully complement this line of thought: the body bears the inscriptions of its socially and materially situated milieu, and the milieu is constituted by the socially modulated present and past biographies of the body (nutritional, metabolic, behavioral, toxicological, psychosocial, cultural, etc.). Not only is genetic expression socially modulated (that is influenced by power structures in society), but it is also the source of novel environments that will shape in their turn the “socially modulated biologies of further generations of organisms. The causal arrows go both ways, and the ontology of the gene as content and the environment as context ceases to make sense” (Landecker and Panofsky 2013, 351). Critical coda: soft-inheritance and its quandary I have mainly focused in my article on the theoretical potential of epigenetics to bring together biology and the social sciences after the acrimonious conflicts of the twentieth century, conflicts partly determined by taking a narrow view of the Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 New Genetics and Society 141 biological and equating heredity with transmission genetics. In the light of this, it would be tempting to say that, in the novel postgenomic scenario, we finally have the opportunity to speak of the biological in the social sciences with less anxiety about biomedical reductionism or the return of eugenics. Although tempting, it would be more careful to postpone this claim. The reason for this cautiousness comes, in my view, from two main lines of argument. First, there are too many uncertainties not only about the biological significance of the epigenetics revolution but also about which stakeholders are going to prevail in the epigenetic arena. It is far from obvious that gene-centrism will be effectively overcome rather than reinforced by epigenetic findings (Lock 2005, 2012; Richardson, forthcoming; Waggoner and Uller 2015). The epigenetics revolution has been compared to the Gramscian passive revolution (Meloni and Testa 2014): a revolution that is less a radical break and more a limping compromise with existing forces. The analogy seems valid especially in the sense that underneath the surface of hyped claims about a rupture with gene-centrism, the prevailing tendency is to use epigenetic marks as a sort of “fifth letter” of the genetic code and a tonic for the unkept promises of various genetic projects. A second, different but likewise important line of critical reflection originates from opposite reasons. It is the possibility that a new epigenetic approach will prevail in wider society as a distinctive way to understand the relationship between human beings and their biology. It is possible (much more so than three decades ago) that hard-heredity will no longer be considered the only game in town. This idea has been at the center of my article: with the advent of epigenetics, a paradigm is emerging that is very different from previous articulations of genetics and society. If we look at the two main implications of epigenetics for the social sciences as I have described them: (1) the denaturalization of the genetic lottery and (2) the deepening of the notion of embodiment – what seems to emerge as common point is the erasure of any residual distance between the biological and the social in the ontology of human beings. To reiterate the previous findings: present social contexts get under the skin and deeply impregnate our biology; various past environmental events shape our genetic lottery, at least at the level of its expression; local social events become embedded in human biology potentially contributing to differences and variation amongst human groups. The bottom line is that a demarcation between the biological and the social becomes increasingly untenable. However, this blurring of the line between the biological and the social may assume several contradictory guises in society, with unpredictable effects upon moral reasoning. What it is often too easily forgotten is that the separation of the biological from the social established by hard-heredity played a complex conceptual and political role in the early twentieth century. In favoring an emancipation of the sociocultural from its biological bases, hard-heredity became (somehow paradoxically) a helpful construct for cultural anthropologists eager to get rid of the “vitiated mixture” (Kroeber 1915) between the heredity and civilization, Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 142 M. Meloni symbolized by the Lamarckian trends in social sciences (Stocking 1968). It is undeniable that Kroeber, one of the fathers of cultural anthropology, saw in hard-heredity his best ally to get rid of racialist discourses that were part and parcel of neo-Lamarckian social science (Stocking 1968; Kronfeldner 2009). Of course, there was an awful lot of racism also amongst Mendelians (as Boas well knew), but Kroeber thought that by taking advantage of the separation of heredity from culture, this latter (aka the Superorganic) could become a space that is much more malleable by human effort. If we are heading therefore toward a potentially neo-Lamarckian situation where social experiences can become part of our biological memories, we need to consider carefully what this may imply for the social sciences. Leaving aside ontological questions about the robustness of the category of the “social” (and therefore of “social sciences”) in a situation of continuous osmosis between “the biological” and “the sociocultural”, some more directly political questions remain to be answered for the epigenetic scenario. For instance: How will the plethora of epigenetic studies showing how various traumas travel across generations be translated into public policy? How complete will the identification be between specific groups and the pathogenic environments to which they have been historically exposed? Will this become the basis for reproducing and consolidating structural differences in society (class, gender, and race)? What if epigenetic discourses on different levels of methylation between social groups are used to underwrite new discourses on “the biological inferiority of the poor” (Katz 2013) or on an incapacity of the poor to seriously take care of themselves (Mansfield 2012)? Will the embedding of the body in its own socioeconomic context become so profound as to be seen as an unbreakable chain? Or will the novel emphasis on the reversibility of epigenetic signatures always keep open the possibility of change even for the most “damaged” social groups? It is likely that the answer will be somewhere in between this two. As Eva Jablonka has pointed out (personal communication), a critique à la Filipchenko on the permanent scars left by historical oppression on the proletariat is based on the idea that with time epigenetic effects become more difficult to reverse. This does not need to be, however, as the reversibility of epigenetic signatures can depend on different factors, such as the persistence of certain environmental conditions, etc. Epigeneticists seem in sum more optimistic today about the easy reversibility of epigenetic marks. Scientifically, this may be a satisfying answer, but the political conditions in which the costs of reversing bad epigenetic signatures will take place are not for scientists to decide. We too often take for granted the naturalness of our human rights framework in which we expect epigenetics to help promoting better schools for children, or more serious cures for traumatized people. However, what the last century has taught us is that when the broader political conditions deteriorate, even good scientific ideas such as Mendelian inheritance can easily be turned into ammunitions for race or class discrimination. Therefore, in principle, the relatively easy reversibility of epigenetic marks should be a Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 New Genetics and Society 143 reassuring answer against fears of a new biological racism or classism under epigenetic guises. However, how costly for society this reversibility will be is not in the hands of scientists. Cost –benefit considerations on the availability of public resources to invest on such policies, or political considerations on the opportunity to do so is not a scientific but a political decision. These are the set of problems to which this article has no answer, but nonetheless need to be raised to set the perimeter of the specific ethos of our postgenomic world. Certainly many of these social sciences translations appear speculative at present, given the uncertain status of epigenetic research and, particularly, transgenerational inheritance, as said above. However, we must also not forget that much of the science behind eugenics (the unit of character hypothesis for instance) was, to say the least, precarious and controversial at the time (and in the end wrong), but this did not stop a direct translation of these scientific arguments into harsh policy measures, under certain existing conditions of “law and sentiment”, as Galton would have said. My mixed conclusion is that, as usual in the history of how biological arguments are imported into the public sphere, there is no one-to-one relationship between scientific theories and social values (Meloni, forthcoming): much will depend on the broader socio-political context in which science circulates. Epigenetics has lots of potential to rethink the relationship between the biological and the social world. However, even the best conceptual framework may be open to the most unpredictable and sometimes unfortunate socio-political outcome. This is why social and political scientists need to be prepared to the many nuances of the novel scenario. Acknowledgments Thanks to Eva Jablonka, Danielle Allen, Didier Fassin, and Alexandre Guerrero for helpful comments and bibliographic suggestions on the text. Of course, all the responsibility for the claims made is exclusively mine. Thanks as usual to Andrew Turner for his help with the English language in the text. Thanks also to John Dupré and the Egenis Centre, College of Social Sciences & International Studies, Exeter University (UK) for offering me an Honorary Senior Lectureship that has be very helpful in carrying out this research. Disclosure statement No potential conflict of interest was reported by the author. Funding I acknowledge the contribution of a Marie Curie ERG grant, FP7-PEOPLE-2010-RG (research titled “The Seductive Power of the Neurosciences: An Intellectual Genealogy”), of a CAS/University of Nottingham pilot grant on epigenetics, and of a Institute for Advanced Study (School of Social Science), Princeton, NJ, annual membership funding. 144 M. Meloni Notes 1. 2. 3. Downloaded by [Royal Hallamshire Hospital] at 12:57 12 July 2016 4. 5. 6. 7. 8. See a subsequent work by the same group on the transgenerational effects (on the male line) of smoking during puberty in Pembrey et al. (2006). Often, a technical distinction is introduced between inter-generational (or parental) and transgenerational effects, with the former shorter and limited to two generations, and the second spanning over multiple generations (see Grossniklaus et al., 2013; Heard and Martienssen, 2014). A recent interesting update on epigenetic inheritance is Dias and Ressler (2014) study on the transgenerational effects of olfactory sensitivity in mice. See for a comment Szyf (2014). It is the case of so-called luck egalitarians for which any inequality of fortune, that is beyond one’s control, no matter whether natural or social, needs to be corrected in society (for instance in authors like Cohen and Dworkin; see for a critique Anderson, 1999). A similar disregard for the difference between natural and social in the cause of unfair situations applies in principle also to a full-fledged consequentialist position, for which what matters is the nature of the outcome. Although the key “moral” distinction in luck egalitarianism, which is between option luck and brute luck, that is between choices and circumstances (Anderson, 1999; Tan 2012) may also be in trouble in an epigenetic view. 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