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. 2018 Jun 29:7:e36133.
doi: 10.7554/eLife.36133.

Predictive regulation and human design

Affiliations

Predictive regulation and human design

Peter Sterling. Elife. .

Abstract

Organisms evolving toward greater complexity were selected across aeons to use energy and resources efficiently. Efficiency depended on prediction at every stage: first a clock to predict the planet's statistical regularities; then a brain to predict bodily needs and compute commands that dynamically adjust the flows of energy and nutrients. Predictive regulation (allostasis) frugally matches resources to needs and thus forms a core principle of our design. Humans, reaching a pinnacle of cognitive complexity, eventually produced a device (the steam engine) that converted thermal energy to work and were suddenly awash in resources. Today boundless consumption in many nations challenges all our regulatory mechanisms, causing obesity, diabetes, drug addiction and their sequelae. So far we have sought technical solutions, such as drugs, to treat complex circuits for metabolism, appetites and mood. Here I argue for a different approach which starts by asking: why does our regulatory system, which evolution tuned for small satisfactions, now constantly demand 'more'?

Keywords: allostasis; consumption; energy constraint; human biology; medicine; neuroscience; reward prediction.

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Conflict of interest statement

PS No competing interests declared

Figures

Figure 1.
Figure 1.. Predictive regulation (allostasis).
The brain’s fundamental challenge is to match the inner needs of metabolism and physiology (bottom left) with the outer needs of behavior. Small input patterns directly drive low-level output mechanisms to produce a rapid response (known as a 'reflex'). Small input patterns are also processed and combined to form larger input patterns that allow informed decisions to be made (for example, if gut is empty, send blood from gut to muscle; otherwise, send blood from kidney to muscle). The brain compares these larger input patterns to stored patterns for historical context (what happened last time?) before deciding on a course of action. The list on the top right shows innate needs served by predictive regulation in the earliest bilaterians, exemplified by Platynereis; H. sapiens has additional innate needs (bottom right). However, both species use the same 'choosing circuit' (which learns by reinforcement of positive reward-prediction errors).
Figure 2.
Figure 2.. The steam engine initiated a sharp rise in atmospheric carbon dioxide.
Concentration of carbon dioxide in the atmosphere (y-axis) as a function of year. The steam engine was patented in 1769.
Figure 3.
Figure 3.. The unbounded consumption of rich food drives metabolic circuits awry.
The brain drives consumptive behaviors that mobilize many different hormones (not shown) from the brain, gut, liver, pancreas, bone, fat, muscle and other tissue. These regulatory hormones eventually require further elevation: for example, sustained high levels of insulin eventually leads to a need for even higher levels of insulin. The end result can be obesity, diabetes, hypertension and a range of other medical conditions.
Figure 4.
Figure 4.. The origins of high blood pressure.
The brain predicts what blood pressure will be needed and then relies on multiple mechanisms to adjust blood pressure accordingly. These mechanisms, operating on different time scales, are shaped by an interconnected network that employs wired signals (sent along neurons), wireless signals (transmitted by hormones), and motivated behaviors, such as an increased appetite for salt. Again, unbounded individual consumption can lead to high-blood pressure.

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