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Content Warning: This section discusses medical experimentation amounting to torture, gender discrimination, and mental illness. It also contains a brief reference to rape.
Author Siddhartha Mukherjee foregrounds his quest to understand genetics against his family’s history with mental-health issues. One of the questions that preoccupies Mukherjee is why illnesses—recurring across generations—manifest in only certain members of a family pool. In the case of his paternal family, for instance, schizophrenia and bipolar disorder have hopscotched through the generations, showing up in two of his father’s brothers, Rajesh and Jagu, and his cousin, Moni. Rajesh, the third-born, considered the family prodigy, began exhibiting symptoms of bipolar disorder by the time he entered his teens. Rajesh died when he was 22, as a result of pneumonia contracted from exposure during a manic fugue.
Jagu, Mukherjee’s fourth-born uncle, was diagnosed with schizophrenia. Jagu came to live with Mukherjee’s parents and grandmother in Delhi when he was a young man, confining himself to his mother’s room while she was alive. After she passed away, Jagu left home to live with a religious sect, and passed away in 1998. Moni, the first-born son of Mukherjee’s oldest uncle, was also diagnosed with schizophrenia. Moni has lived in an assisted group home in Calcutta since 2004, Mukherjee and his father visiting him on occasion. Mukherjee notes that mental illness is linked with genetic preponderance: In 2009, Swedish researchers showed that schizophrenia and bipolar disorder are linked illnesses that tend to run in families.
At the same time, the genome or one’s genetic make-up alone cannot predict which family member may get schizophrenia. The expression of genes also depends on epigenetic or environmental factors. For instance, the Mukherjee family believes the trauma of Partition—the division of British India into the nations of India and Pakistan, accompanied by largescale violence and migration—contributed to the conditions of Rajesh and Jagu. Mukherjee’s widowed grandmother had fled violence-wracked east Bengal (present-day Bangladesh) with her five sons to Calcutta in India.
It is this complex interplay between genes and their triggers which has led Mukherjee to this book. He is also fascinated by the parallels between the gene, the atom, and the byte—three basic units which have come to dominate contemporary science. Mukherjee terms the gene a powerful, yet “dangerous” idea, because of the ethical issues around genetic manipulation.
Mukherjee begins his history of the science of heredity with the question of “likeness” between parents and children that preoccupied philosophers in the ancient world. Pythagoras used his observed working of reproduction to theorize that the “likeness” was transmitted via semen. He believed that male semen travelled through a man’s body to collect data about each part, such as the color of eyes, and transmitted it into the mother’s womb to grow a baby. Highlighting the central role of semen in determining the features of a child, Pythagoras’s theory came to be known as “spermism.”
Spermism was widely accepted in ancient Greece for nearly two centuries, till Aristotle “systematically dismantled” (22) the theory with an unassailable argument: If semen collected all the information about a future child from the male’s parts, how could it produce a daughter? In a radical departure from the prevailing male-centered view of reproduction, Aristotle proposed that females, like males, contribute material for the fetus.
Path-breaking as Aristotle’s formulation was, the science of heredity would not build on it for several centuries. In fact, the next big idea in heredity was the “homunculus” or a miniature human: By the medieval era it was believed that the fully-formed homunculus lived in sperm, simply inflating into a child in the womb in a process called “preformation.” The science of heredity, it seemed, had stalled once again. Only in the 19th century would a paradigm shift occur, with a quiet monk growing peas in a crumbling monastery.
Gregor Johan Mendel, who is now known as the father of genetics, was ordained in the Augustinian order of monks in Brno in 1847. Mendel applied to be a teacher of natural science (the 19th-century term for science) at the local high school, but failed the qualifying exam, and was sent to Vienna for a degree in natural sciences. In Vienna, Mendel was deeply influenced by the physicist Christian Doppler, who demonstrated through experiments that sometimes artificial conditions were needed to prove a natural law.
Mendel is one of two behemoths in the early history of modern genetics; the other is Charles Darwin. In 1831, 22-year-old Darwin, a fresh graduate in natural history from Cambridge, boarded the HMS Beagle as a “gentleman scientist,” whose job would be to help collect specimens—fossils, bones, plants, and rocks—along the journey of the Beagle. Over the five-years-long round-the-world voyage, Darwin’s most momentous stop would prove to be at the Galapagos islands, a lonely South American archipelago, formed of volcanic rocks. At the islands, Darwin collected carcasses of hundreds of birds, from finches to mockingbirds to albatrosses.
Back in England, the animal remains and fossils threw up a strange fact: Most fossils found in an area were none other than gigantic versions of animals still in existence in the same vicinity. That was not the only odd fact: It was also found that the birds from the Galapagos were not vastly different species, but all linked species of finches. Taken together, the two findings made Darwin wonder if the animals of today arose from former species.
Though Darwin’s question amounted to heresy by implying a force other than God had led to creation, Darwin could not let go of his inquiry. The next logical question was what made species descend from others. Darwin found his answer through two sources. One was the common farming practice of breeding, where farmers bred animals to ensure favorable features. The other source was a paper by the cleric Thomas Malthus, in which Malthus argued that nature confronted the problem of human overpopulation by sending difficulties and sicknesses for “natural selection,” ensuring only the fittest survive. It struck Darwin that natural selection “bred” favorable variants of a species, while unfavorable variants died off. In the Galapagos, for instance, an island evolved the gross-beaked (large-beaked) finch, its beak better for breaking seeds. Since this anomaly was more suited for survival, “the freak became the norm” (38).
In 1859, Darwin published his findings in the book, On the Origin of the Species. Aware of the implications of his discovery, he stopped short of saying that modern humans arose from an ancestor.
According to Mukherjee, Darwin was preoccupied with one particular lacuna or “wide blank” in his theory of evolution: How did nature’s “sports” (Darwin’s word for mutations), which were inconstant, regularly transmit their peculiarity to their offspring? Both the capricious and the constant had to work in tandem for evolution to proceed. Darwin could observe these contradictions, but could not come up with a theory of heredity that reconciled them.
The prevailing view of inheritance in Darwin’s time was the theory suggested by Jean-Baptiste Lamarck, a French biologist. Lamarck thought species gave rise to new species through practice and instruction. For instance, an antelope which had to stretch its neck to get to fruit on trees eventually developed a longer neck, passed this trait to its offspring, ultimately giving rise to a giraffe. Darwin’s theory of evolution was obviously different because it did not rest on continual progression (i.e., all antelopes morphing into giraffes), but on chance and natural selection. In Darwin’s theory, one antelope mutated into a long-necked variant, nature selected it, and the variant branched off into a new species.
In the end, Darwin tried to explain evolution and heredity through the concept of “pangenesis,” a theory that “gemmules” or tiny particles carrying hereditary information passed on to the reproductive cells to meet in the womb and blend together, but the theory was discounted.
Mendel failed the natural history exam in Vienna, and returned to Brno in despair, taking the position of a substitute teacher. In his spare time, he began crossing strains of peas in the walled garden of the monastery, inspired by Doppler’s idea that sometimes artificial experiments were needed to prove natural facts. To this extent, he collected 34 strains of peas and bred them to select “true” traits, that is, the traits that would pass unaltered to offspring, such as tall crops that only produced tall crops. He noted that traits came in at least two variants, such as tall and short plants or white and violet flowers; biologists would later call these variants “alleles.”
The critical question behind Mendel’s experiments was the outcome of crossing two plants with true traits, such as a tall plant and a short plant. Over tedious and painstaking experiments that took eight years, Mendel found that the hybrid character was not a blend; rather, offspring tended to follow one parental trait, that is, a plant was either tall or short. The traits which showed up in hybrid offspring were termed ‘dominant,” while the disappeared traits were called “recessive.” The second pattern, to Mendel’s surprise, was that the disappeared recessive traits were not vanished for good. They showed up, perfectly intact, in the cross of two hybrids.
Mendel found that when a plant inherited two recessive alleles, the recessive allele asserted itself as a trait. The persistence of the recessive allele showed the information carried by an individual allele remained intact and indivisible. Though he would not coin the term, Mendel had “discovered the most essential features of a gene” (53).
Despite the enormity of his findings, Mendel would not enjoy acclaim in his lifetime, as his published study attracted little attention. When Mendel shared his findings with the Swiss botanist Carl von Nageli, Nageli dismissed Mendel’s experiments. Mendel eventually gave up on his studies to focus on administrative work as the abbot of the monastery. Mendel died in 1884.
In the last two decades of the 19th century, Dutch botanist Hugo de Vries conducted experiments similar to those of Mendel, though he still “lacked Mendel’s crucial insight” (58) about the alleles. It was during this time that a colleague shared an old paper by “a certain Mendel” (59) with de Vries. De Vries discovered the solution to his experiments in Mendel’s work and rushed off his own paper to publication, though he did not mention Mendel’s contribution.
De Vries took the Mendelian experiment further, planting 50,000 seeds of primroses, and cross-breeding their plants to achieve spectacular mutations such as plants with enormous leaves. De Vries’s biggest achievement was finding a link between evolution and heredity, Darwin and Mendel. Observing the primrose mutations, de Vries proposed that as species compete for resources, nature occasionally and randomly produces unknown traits or alleles. The best adapted alleles are selected, eventually leading to the generation of a new species.
Nearly two decades after his death, Mendel did get his due. Rediscovering the work of Mendel and its contribution to the experiments of De Vries, the English botanist William Bateson “made it his personal mission to ensure that Mendel, once forgotten, would never be ignored” (62). It was also Bateson who coined the term “genetics” for this science, and Bateson who predicted the dangers of pursuing “desirable” genetics.
Mukherjee unpacks the evolution of the idea of “eugenics,” or the now-discredited belief that humans could be “bred” for superior characteristics. The man who coined the term was Francis Galton, Darwin’s first cousin. In 1844, Galton began a series of travels to Africa, which emphasized to him the supposed difference between racial groups. By contrast, Darwin’s interaction with the locals of South America had only proved to him the common ancestry of all human beings.
Galton became consumed with the idea of proving the genetic “superiority” of certain “races.” To this extent, he began to tabulate traits across a population, including subjective attributes like beauty and intelligence. Another set of data Galton collected was on notable men: He found that eminence ran in families. Although Galton acknowledged that eminent men produced eminent sons also because they provided the sons with the necessary social and economic advancement, he refused to further explore the connection between success and environment.
In 1904, Galton presented an argument for eugenics at the London School of Economics, stating that “good specimens” (73) could be bred through favorable marriages. Although Galton’s remarks faced significant opposition from scientists who questioned the very notion of a “superior” human being, other eminent members of society were far more receptive. One of the people supporting eugenics was the novelist H.G. Wells, who went one step further in supporting “negative eugenics,” or the sterilization of “inferior” humans. Wells argued that a “superior” breed could be achieved only in tandem with the weeding out of the weak. Incendiary as they may seem now, these notions were gaining increasing popularity at the turn of the 20th century, soon to lead to the dangerous notion of a “master race” that would be at the heart of Nazi ideology.
Interest in eugenics was on the rise in Germany in the early decades of the 20th century, but in America, it had already become a live national project. By 1920, confinement centers had been formed in the US to isolate people with inheritable conditions so they could not breed further. The Virginia State Colony for Epileptics and the Feebleminded in Lynchburg was one such center for “feebleminded” women. “Feeblemindedness” ostensibly referred to cognitive disability, but often included any woman on the margins of society, including sex workers and feminists.
Mukherjee describes the case of Buck vs Bell, heard before the Supreme Court in 1927, to show the zeal with which eugenicists pursued sterilization. The case was about Emma and Carrie Buck—an impoverished mother-daughter pair. In 1920, Emma was arrested for sex work and dispatched to Lynchburg, where she was sentenced to confinement for life. Young Carrie was sent to foster care, where she was raped by the nephew of her foster parents. After she gave birth to Vivian, Carrie too was sent to Lynchburg in 1924. Soon, Carrie was chosen by Lynchburg’s superintendent Dr. Albert Priddy as a model example for the supposed necessity of mass sterilization.
To pre-empt objections to his project, Priddy had Carrie appear before various courts, where nurses and social workers testified to Carrie’s “feeblemindedness.” Sterilization was approved for Carrie at every pit stop. After Carrie’s lawyers filed an appeal, the case landed up in the US Supreme Court in 1927. Priddy having passed away, the plaintiff was now John Bell, the new prison superintendent. The Supreme Court too quickly declared Carrie fit for sterilization, even though Mukherjee notes, reports had suggested she could read and write well, and showed no signs of mental illness.
The cinching argument was an examination of young Vivian, now herself in foster care, who, according to a nurse, already showed signs of mental “enfeeblement.” The court declared that “three generations of imbeciles” in a family was enough; the bad strain had to be arrested. Carrie underwent tubal ligation in 1927, never to bear another child.
Siddhartha Mukherjee opens the book with his own family story to emphasize how decoding the evolving history of genetics is a personal quest, as reflected in the book’s subtitle, “an intimate history.” Throughout the book, Mukherjee braids the fortunes of his father and mother’s families with questions around inheritance and identity, introducing the theme of Heredity, Environment, and Chance Resisting Simple Determinism. When narrating the story of Rajesh, Jagu, and his grandmother, he notes that the chapter about mental illness is incomplete without the context of the Partition. Rajesh’s first mental health episode followed the Hindu-Muslim riots of Calcutta, the city in which the family had relocated, while Jagu “wilted” (5) when he was taken away from his original home in the east Bengal countryside. Mukherjee observes that his grandmother always believed “if Rajesh’s madness was the madness of arrival, then Jagu’s madness […] was the madness of departure” (5). For both brothers, political upheaval caused personal trauma that may have switched “on” the genes for mental illness.
Narratively, the inclusion of intimate family stories humanizes Mukherjee’s account, collapsing the boundaries between abstract science and lived experience. This narrative technique also extends to other figures in the book, with historical personages like Mendel, Darwin, and Galton presented as three-dimensional characters in their own stories. Mendel’s quiet work in the walled garden is propelled partly by his repeated failures to pass science exams, while Galton’s thirst to prove himself is heightened by the contrast to his more illustrious, better-known cousin. The narrative also adds life to these characters by stressing the painstaking, laborious work that goes into scientific discovery. Here are people who spend years, or even decades, to achieve their quest, without surety of rewards.
As an example, Mendel is described as shelling bushels upon bushels of peas between 1857 and 1864, “compulsively tabulating the results of each hybrid cross” (52). Coupled with such instances of passion, tenderness, and tenacity is the scepter of rejection. Mendel never receives recognition during his lifetime, and is even dissuaded—successfully—from his experiments, with Nageli telling the monk that he should stick to the priesthood. Later, De Vries discovers the enormity of Mendel’s results, rushing his own findings off for publication without mentioning Mendel. As the depiction of De Vries shows, Mukherjee often paints the field of scientific discovery as a heated race, with the personal ambitions of scientists weighing down their objectivity. The aim here is to show how even the most intellectually gifted people are all too human and can sometimes have morally questionable motivations.
Mukherjee’s language in the book is filled with figures of speech, attempting to make the more technical, arcane concepts easier to understand for the general reader. For instance, Mukherjee compares the complex medieval notion of every homunculus resting in its father sperm, all the way back to Adam, as “an infinite series of Russian dolls” (25). Mukherjee also uses lyrical passages to heighten the human parts of his story, which forms a contrast to the more dry, neutral tones favored in publications meant only for other specialists. He describes a visit to Moni, in which he finds his cousin a shell of his former self, observing that though the word “moni” means both gem and the luster of eyes in Bengali, “the twin points of light in [Moni’s] eyes had dulled” (7).
The discovery that genes are both constant and prone to variance is tied with the key theme of The Shifting Line Between Normalcy and Mutation. While “normal” is a manufactured concept in culture, Mukherjee emphasizes that it is also a subjective category in genetics. It is common to stigmatize outliers or “freaks,” but Darwin’s “sports” showed that supposed freaks are the starting point of a species. Normal and mutant are thus forever bound in a circular relationship.
These initial chapters also establish the central theme of The Ethics of Eugenics and Gene Editing in Policy and Medicine. Since inheritance is linked with identity, the idea that inheritance can be manipulated is always seductive to those with dubious agendas. Significantly, Mukherjee uses the phrase “powerful and dangerous” (9, emphasis added) to describe the idea of genes and gene manipulation. While eugenics may seem a thing of the ignoble past, Mukherjee shows how the past is always present. He suggests the need for vigilance is even greater now because gene editing technologies are more effective than ever, already on the doorstep of creating genetically modified human beings.
The narrative also stresses that the slide into extremism often occurs right in the mainstream, rather than unfolding in the fringes of society. Eugenics was not an idea cooked up by the Nazis, but by respectable scientists in England and the United States. It was endorsed by novelists such as H.G. Wells, and made part of policy in states like Virginia. Mukherjee unveils the sinister eugenicist agenda behind popular narratives like Tarzan of the Apes by Edgar Rice Burroughs, the point of which was that the aristocratic Anglo-Saxon Tarzan remembered his “genetic” heritage despite being raised by apes since infancy, even “instinctively” knowing how to eat with a fork and knife. Thus, Anglo-Saxonism was depicted as a “superior” genetic trait that no adverse environment could alter.



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