key: cord-0001458-lr302hur authors: Quintana-Murci, Lluís; Clark, Andrew G. title: Population genetic tools for dissecting innate immunity in humans date: 2013-03-08 journal: Nat Rev Immunol DOI: 10.1038/nri3421 sha: 6cee8f2a5f9127d61ba40a7be025e399166e802f doc_id: 1458 cord_uid: lr302hur Innate immunity involves direct interactions between the host and microorganisms, both pathogenic and symbiotic, so natural selection is expected to strongly influence genes involved in these processes. Population genetics investigates the impact of past natural selection events on the genome of present-day human populations, and it complements immunological as well as clinical and epidemiological genetic studies. Recent data show that the impact of selection on the different families of innate immune receptors and their downstream signalling molecules varies considerably. This Review discusses these findings and highlights how they help to delineate the relative functional importance of innate immune pathways, which can range from being essential to being redundant. Individuals display variable ability to fight infections, as well as variable susceptibility to inflammatory and autoimmune diseases. Evidence that has accumulated since the 1950s suggests that such heterogeneity partly reflects differences in the genetic make-up of the human host [1] [2] [3] . Particularly in the past decade, genetic studies have provided numerous examples of genes accounting for differences in susceptibility to rare or common infectious diseases. The advent of new technologies, such as DNA microarrays and next-generation sequencing, has greatly accelerated the field of human genetics, making it possible to evaluate the contribution of genetic diversity to differences in immunity to infection at the level of the entire genome. For example, recent studies have revealed the power of whole-exome sequencing for dissecting the immunological mechanisms that underlie the pathogenesis of severe, rare infectious diseases [4] [5] [6] . Likewise, some genome-wide association studies on viral, bacterial and parasitic infections have increased knowledge on the genetic basis of susceptibility to common infectious diseases at the population level 3, 7 . Although these studies have provided the proof-of-concept that increased susceptibility to infectious diseases may result from various types of inborn errors of immunity, only a few cases are fully understood at the genetic level 1 . Population genetics can be applied to investigate how natural selection has shaped the variability of host defence genes in the human population [8] [9] [10] . The fields of comparative immunology and evolutionary immunobiology have greatly improved our knowledge of the origins and evolution of innate and adaptive immune systems in multiple organisms 11, 12 . Here, we do not attempt to review these topics, but instead focus on how humans have adapted to the pressure imposed by microorganisms through variation in their genomes. Among the different types of adaptation, those affecting immune function are among the most dynamic because the counter-evolution of pathogens drives the need for continuous adaptive change (BOX 1) . It is precisely because of this strong and ever-renewing demand for adaptation that genes in the immune system acquire unique and clear signatures of natural selection. Innate immunity is at the front line of host defence against pathogens and is also important for the symbiotic partnership between the host and its microbiota. Thus, innate immunity-associated genes provide an excellent model for the study of the selective pressure that is exerted by microorganisms on the host genome. The innate immune systems of plants, invertebrates and vertebrates involve genes that can be classified into various groups on the basis of their function in immune surveillance, signal transduction or effector response to microorganisms [13] [14] [15] [16] , and these genes have evolved under the constant environmental pressure of microorganisms. In addition, in vertebrates, innate immunity precedes and shapes adaptive immune responses, so variations in vertebrate innate immunity genes may have important consequences for the quantity and quality of downstream B and T cell responses. Thus, the crucial roles of the proteins encoded by innate immunity genes make them ideal targets of natural selection and valuable tools for population genetics studies. A technology that involves capturing the exonic portion of the genome (roughly 2-3% of the human genome) using microarrays and then applying next-generation sequencing. This approach remains more affordable than whole-genome sequencing and retains the most likely sources of genetic disease risk. This technology is increasingly being used in medical genetics studies. Genome-wide association studies (GWAS) . Unbiased genome-wide screens in which associations between genetic variation and a phenotype or trait of interest are identified by genotyping cases (for example, diseased individuals) and controls (for example, healthy individuals). The dominant technology used so far has been genomewide single-nucleotide polymorphism arrays. A measure of the capacity of an organism to survive and reproduce. With the emergence of data sets of genomic variation in an increasing number of human populations 17, 18 , we can now scan genomes for signatures of selection and exploit them to identify the innate immune mechanisms that have a major biological role in host defence. This Review summarizes some of the major findings regarding how selection has shaped the evolution of several families of innate immunity genes in humans and underscores how selection has refined human antimicrobial defences. We also describe how population genetics studies have provided important insights in terms of the biological relevance of the mechanisms triggered by innate immunity molecules, and we discuss the contrasting selection patterns detected in innate immune genes involved in single-gene and complex disease risk. The different modes of selection. There are different forms of selection (FIG. 1) , and each of them leaves a distinctive molecular signature in the targeted genomic region. Such signatures can be detected by an increasing number of statistical tests 10, 19 . Selection often maintains the prototype gene by eliminating mutations that compromise organism fitness, as most mutations are more likely to perturb rather than improve protein function. The process by which deleterious mutations are culled from the population is called purifying selection or negative selection and is the most pervasive form of selection acting on genomes. At the population level, genes tend to carry the same number of synonymous mutations (no amino acid change) and non-synonymous mutations (amino acid change), despite the fact that random mutagenesis actually generates nearly twice as many non-synonymous changes. The reduced number of non-synonymous single-nucleotide polymorphisms (SNPs) observed as compared with the non-synonymous mutation rate indicates the elimination of many non-synonymous mutations through purifying selection 20 . Selection may also occur when a novel mutation is favourable in a population, which results in an increase in the frequency of the mutation. This is referred to as positive Darwinian selection, and it is thought to be one of the ways in which adaptive evolution occurs. The spread of the lactase allele, which is associated with the ability to digest milk as adults, in various human populations that adopted dairying practices is an emblematic example of positive selection 21 . It is also possible that variants have an advantage when rare in the population (frequencydependent selection) or that heterozygotes for a specific mutation have the highest fitness (heterozygote advantage). These two situations give rise to balancing selection 22 : a selective regime that maintains variation in the population. A prime example of balancing selection is provided by the MHC region, in which high levels of polymorphism are preserved through various mechanisms, including sexual selection and pathogen diversity [23] [24] [25] [26] . The legacy of selection on our genomes. Scanning the human genome for balancing selection events is challenging and, except for the MHC locus, few genes show the molecular signature of this form of selection 27 . Interspecies and intraspecies studies of proteincoding sequences have helped to identify proteins that are rapidly evolving as a result of positive selection. One of the first genome-wide selection scans compared protein-coding sequences from the human, chimpanzee and mouse genomes, and found that immunity-related genes are among the functional classes that display the clearest evidence of positive selection 28 . Subsequent studies have confirmed these early observations and indicated essential immunity-related genes that have undergone strong recurrent changes in both humans and nonhuman primates [29] [30] [31] . Similarly, interspecies studies have established that extensive purifying selection has prevented the accumulation of functional diversity on genes throughout the genome, including many genes involved in innate immunity 31 . In contrast to interspecies studies, which detect old selective events, population genetic approaches (that is, intraspecific studies) detect more recent selective events within a species by making use of polymorphism data. The advantage of intraspecific approaches is that they study selection within human populations and pinpoint functionally important genomic regions that may account for phenotypic variation in health and disease. The need to secure a large collection of genome-wide polymorphism data gave rise to the International HapMap Project 17 and the more recent launch of the 1000 Genomes Project 18,32 , which enable the detection of selection with the greatest resolution. Box 1 | Pathogen counter-adaptation to the host: the case of influenza While humans evolve towards improved immunity to infection, pathogens concurrently evolve to circumvent host immunity. Novel insights into the co-evolution of the immune system and pathogens in humans have come from the study of the evolution of influenza viruses. Viruses are unable to reproduce in the absence of a host cell, so their evolution is inexorably linked to the fate of their host. Influenza viruses have been among the most common causes of mortality throughout history, which highlights their successful evolution. Phylogenetic analyses of influenza A viruses from numerous mammalian species, including humans, suggest that mammalian influenza strains ultimately derive from the avian pool 140 . Intriguingly, studies of the pattern of CpG dinucleotides in the genomes of influenza A viruses since the flu pandemic in 1918 indicate that when an influenza virus crosses from birds to humans, the virus evolves to reduce its CpG content, thus mimicking the lower CpG content of human genes compared with avian genes 141, 142 . Consistently, influenza B virus, which has been infecting humans for longer than influenza A virus, has evolved to contain extremely low levels of CpG 141 . Greenbaum and colleagues 141 favoured the interesting hypothesis that host gene mimicry may reflect a mechanism through which viruses avoid detection by innate immune receptors. It has been speculated that still-unidentified intracellular receptors may be able to sense unmethylated CpGs of RNA viruses. This has proven to be the case for DNA viruses, wherein unmethylated CpG DNA of the virus can be detected by Toll-like receptor 9 (TLR9) 143 . Interestingly, the 1918 H1N1 influenza strain had a much higher CpG content than other human-adapted influenza strains, and this might have triggered an exceptionally strong, aberrant immune response, known as a cytokine storm, in H1N1-infected patients 144 , killing up to 50 million people worldwide. Deaths from the SARS epidemic in 2003 (REF. 145) and from H5N1 bird flu 146 are likely to have involved cytokine storms, as both diseases are characterized by the high mortality of young, otherwise healthy people. Further studies of host-pathogen co-evolution in humans that include a wider range of pathogens and take advantage of whole-genome sequencing technologies will undoubtedly contribute to our understanding of the biology and genetics of infectious disease, and they may have important epidemiological implications in the context of emerging and re-emerging diseases. Substitutions of one nucleotide for another in the DNA sequence of an exon that do not alter the corresponding amino acid sequence. Synonymous mutations that occur outside protein-coding genes are broadly known as silent mutations. Synonymous and silent mutations are often assumed to be neutral. Nucleotide substitutions in an exon that, in contrast to synonymous changes, alter the amino acid sequence of a protein. Depending on how radical the amino acid change is, the impact of a non-synonymous mutation on protein function is variable and subject to natural selection to different extents. (SNPs). Bi-allelic (typically) base-pair substitutions, which are the most common forms of genetic polymorphism. The International HapMap Project has built a haplotype map of the human genome and reports the common patterns of human genetic variation based on the results of genotyping analyses. This freely available data set reports information on the allelic frequencies of up to 3 million single-nucleotide polymorphisms distributed throughout the genome, across different human populations. The 1000 Genomes Project aims to provide a large number of complete human genome sequences from individuals from different ethnic backgrounds. The advantage of this project is that it provides information on all forms of DNA polymorphism as well as on low-frequency and rare variants, which are absent in the HapMap Project. Numerous genome-wide selection scans in humans have been performed to date (reviewed in REF. 33) . Similarly to interspecies studies, intraspecific approaches have shown that positively selected regions of the genome are often involved in immunity [34] [35] [36] [37] . More than 300 immunity-related genes were detected as putative targets of positive selection 8 , although a fraction of them could be spurious signals and further validation is needed 33 . Nevertheless, these observations suggest that functional variations in a large proportion of immunity genes have conferred a specific selective advantage for host survival, including protection from pathogens and tolerance to microbiota. Besides genome-wide scans, another highly effective means of gaining insight into the role of selection on immune processes is to take a targeted approach that focuses on genes with particular immune functions: such an approach would make subsequent functional investigations more feasible. Innate immunity involves the coordinated action of families of receptors, known as pattern-recognition receptors (PRRs) or microbial sensors, that respond to a wide range of microorganisms through the detection of specific, conserved microbial patterns or molecules 14, 15, 38 . The biological importance of these microbial sensors is highlighted by the fact that many of them share remarkable structural and functional similarities among vertebrates, invertebrates and plants 16 . In humans, several receptor families are involved in the cellular arm of innate immunity, including the membrane-bound Toll-like receptors (TLRs) and C-type lectin receptors (CLRs), and the cytosolic RIG-I-like receptors (RLRs), NOD-like receptors (NLRs) and other DNA sensors [39] [40] [41] [42] [43] . In addition, complement receptors and ficolins are circulating proteins that constitute the humoral arm of innate immunity 44 . Following ligand binding, receptors induce the activation of distinct signalling pathways that involve adaptor molecules, which mediate signalling, and effector molecules, such as interferons (IFNs) or antimicrobial peptides (AMPs), which are required for the eradication of pathogens or danger signals. Blue circles indicate neutral polymorphisms. a | Purifying selection removes deleterious alleles (indicated by black circles) from the population. The pace at which deleterious mutations are purged from the population depends on their effect on host survival, which can range from lethal (immediately removed from the population) to mildly deleterious (tolerated but kept at low population frequencies). These mutations tend to be associated with rare, severe disorders (for example, Mendelian susceptibility to infection at the individual level). b | Positive selection increases the frequency of an advantageous mutation (indicated by a red circle) in the population. Advantageous mutations can be fixed (completed selective sweep) or polymorphic (ongoing selective sweep; not shown) in the population. Positively selected mutations are often associated with common traits (for example, higher resistance to infection at the population level), which present complex modes of inheritance. c | Balancing selection maintains polymorphism in the population as a result of heterozygote advantage and frequency-dependent advantage (not shown). In the illustrated example, a mutation (indicated by a purple circle) confers a selective advantage at the heterozygote state, so individuals who are heterozygous at this particular position (for example, individuals who possess the anaemia-associated haemoglobin D (HbS) allele sickle-cell variant and are exposed to Plasmodium falciparum) have a greater fitness than homozygous individuals. The complement system is a family of serum proteins and cell-surface receptors that participate in innate and adaptive immunity, and is one of the main effector mechanisms of antibodymediated immunity. They act in concert to mediate inflammation, enhance B and T cell immunity, and regulate self-reactive B cells. A group of humoral proteins that contain a collagen-like domain and a fibrinogen-like domain. They can bind carbohydrate molecules on pathogens, apoptotic and necrotic cells to activate the lectin-complement pathway. In this section, we discuss the major differences in the evolution of some families of innate receptors and their downstream molecules. We focus on the genes that have been most studied by population genetic analyses in humans and closely related primate species. Moreover, we explain how the observed differences in the intensity and form of selection can inform us about the functional relevance of these innate immunity genes [8] [9] [10] 45 . Notably, genes targeted by strong purifying selection are likely to fulfil functions that are essential. By contrast, genes evolving under more relaxed constraints (such as weaker purifying selection or neutrality) may have variably redundant functions in immune signalling. Finally, genes targeted by positive or balancing selection are possibly involved in mechanisms in which genetic variation has conferred a selective advantage to the population. Population genetics studies have provided important insights in terms of the evolution and function of TLRs [45] [46] [47] [48] [49] [50] [51] [52] [53] . In humans, TLRs are broadly subdivided into two groups: those primarily expressed at the cell surface (TLR1, Natural selection can take different forms and act at different timescales, leaving specific molecular signatures in the targeted genomic region. The analysis of such molecular signatures of selection in already-known or newly identified genetic variants of innate immune genes can provide useful information about their function, biological relevance and potential association to disease susceptibility. The molecular signatures described for each type of selection are shown in the table and can, in some cases, be similar between the different selection types and be confounded by population demographic processes, such as population expansions, structure or bottlenecks (a dramatic reduction of the size of a population). The molecular signatures of balancing selection are the most difficult to detect, and most tests have little power to detect this selection type, which is in some cases indistinguishable from other types of selection. Different statistical methods have been developed to detect molecular signatures of selection, and each method has strengths and weaknesses. Inter-species neutrality tests based on the comparison of non-synonymous and synonymous (or silent) mutations, such as the ratio of non-synonymous to synonymous substitutions (dN/dS ratio) or McDonald-Kreitman-related tests, are particularly suitable for detecting old selective events (up to a few million years) and are mostly robust to demographic factors, but they are too conservative and have little power to detect recent events of selection. These tests, as well as the Hudson-Kreitman-Aguadé (HKA) test, also use information from divergence data between species (for example, human versus chimpanzee). Tests based on the allele frequency spectrum, such as Tajima's D, Fu and Li's D and F, and Fay and Wu's H tests, detect more recent selective events (<250,000 years) and are powerful for detecting completed or quasi-completed selective sweeps, but they are highly sensitive to demographic factors. Tests based on differences between populations, such as F ST , which examines the variation in allele frequencies between human populations, are powerful for detecting selective differences among populations, especially those that occurred after the out-of-Africa dispersals (<60,000 years). In addition, these tests can detect rapid, strong changes in selective pressures between closely related populations but are sensitive to demographic factors (especially bottlenecks). Lastly, tests based on haplotype length and homozygosity, such as the long-range haplotype (LRH), integrated haplotype score (iHS), linkage disequilibrium decay (LDD) and cross population extended haplotype homozygosity (XP-EHH) tests, are very powerful in the detection of very recent events of positive selection (<30,000 years) and are relatively robust to demographic factors, but they are sensitive to strong variation (that is, the presence of hotspots) in recombination along the genome. The list of statistical methods presented here is not exhaustive, and they have been extensively reviewed elsewhere (see REFS 10, 19 and specific references therein). Purifying/negative selection TLR2, TLR4, TLR5, TLR6 and TLR10), which detect predominantly pathogen-associated molecular patterns from bacteria, fungi and protozoa, and those expressed within endosomes (TLR3, TLR7, TLR8 and TLR9), which primarily recognize nucleic acids from viruses and bacteria 14, 38, 39 . Comparative interspecies studies have shown that species-wide positive selection has accelerated the divergence of some TLRs among primates, with the strongest evidence obtained for TLR1 and TLR4 (REFS 48, 51, 53) . These two TLRs contain the highest number of positively selected codons, several of which are involved in ligand binding or in interaction with the TLR4 coreceptor MD2 (also known as LY96) 51 . This high interspecies divergence suggests that the presence or absence of pathogens that are sensed by TLR1 and TLR4 may be one of the most important variants in the ecological niches of the different primate species. Within species, and in humans in particular, balancing selection was initially proposed to be pervasive among innate immunity genes 52 , including some TLRs. However, most intraspecific studies thus far converge towards the opposite conclusion: TLRs, taken as a set, have mainly evolved under the action of purifying selection 46, 47, 49, 51 , which highlights their indispensability. More precisely, intracellular TLRs evolve under the strongest purifying selection (FIG. 2) , and neither nonsense nor damaging missense mutations are tolerated at these genes 46 . By contrast, the selective constraints on cellsurface TLRs are much more relaxed, and these TLRs present high levels of genetic and functional diversity across populations 46, 54 . In the human population, up to 23% of individuals have damaging missense mutations and up to 16% present a nonsense mutation in at least one cell-surface TLR 46,50 , suggesting higher redundancy. The case of TLR5 -the receptor of flagellin -is particularly extreme, as the R392X nonsense variant, which has a dominant-negative effect 55 , is present at high frequencies (up to 23%) in Europeans and South Asians 46, 50 . This suggests that TLR5 is not crucial for immunity to infection against at least some flagellated bacteria, and that accessory mechanisms of flagellin recognition, such as those involving the cytosolic receptor Ice protease-activating factor (IPAF; also known as NLRC4) 56 , may provide sufficient protection. The evolutionary relaxation characterizing some TLRs appears to be specific to humans when compared with other primates 51 . This observation has been associated with reductions in the size of human populations (during the out-of-Africa migration), which compromised the efficiency of purifying selection and resulted in an increased frequency of deleterious alleles 57 . However, it is tempting to speculate that such an evolutionary relaxation might also indicate that pathogens recognized by cell-surface TLRs have imposed a milder burden on humans than on other primates. In some cases, genetic variation at cell-surface TLRs may be advantageous for the host, as attested by the signature of positive selection detected in the TLR6-TLR1-TLR10 cluster (BOX 4) . Together, the major differences in the intensity of selection between intracellular and cell-surface TLRs indicate that the two groups differ in their biological relevance, with intracellular TLRs being essential and cell-surface TLRs being more redundant. This evolutionary dichotomy is likely to reflect the differences of the two TLR groups in terms of their subcellular localization, the type of microorganisms and ligands that they target, and their self-reactive potential 14, 38, 39 . Cell-surface TLRs detect microbial molecules, such as bacterial cell-surface lipopolysaccharides or flagellin, which are usually very distinct from host molecules. By contrast, intracellular TLRs principally sense nucleic acids, such as double-stranded RNA of viruses or the unmethylated CpG islands of bacterial and viral DNA. Although these microbial nucleic acids can be distinguished from host nucleic acids on the basis of specific chemical modifications 58 , there is still the risk that intracellular TLRs could be stimulated 'inappropriately' by self-derived nucleic acids, which may lead to autoimmunity [59] [60] [61] [62] . Thus, the extreme conservation Similarly to vertebrates, plants (not discussed further here) and invertebrates have microbial sensors that regulate their innate immunity 13, 16 . In insects, peptidoglycan recognition proteins (PGRPs) and Gram-negative binding proteins (GNBPs) drive the production of antimicrobial peptides (AMPs) downstream of the immune deficiency (IMD) and Toll pathways 13, 147 . Moreover, cell-surface receptors, such as the Eater/Nimrod and scavenger receptor families, mediate defensive phagocytosis 13 . Phagocytosis receptors tend to evolve under positive selection [148] [149] [150] , whereas microbial sensors such as PGRPs and GNBPs evolve under purifying selection 148, 149, 151 . Although signalling molecules are not expected to interact directly with pathogen molecules, some genes in the Toll and IMD pathways, such as Relish and Dredd, evolve under the strongest positive selection 148, 149, [151] [152] [153] . It seems therefore that signalling genes display more signs of positive selection than do microbial sensors, although several genes provide exceptions to this rule 149 . An interesting parallel is observed in humans, in which signalling molecules (TIR-containing adaptors) also display more signs of positive selection than the corresponding receptors (Toll-like receptors) 46, 51, 78, 79 . AMPs in Drosophila spp. show little indication of positive selection 149, 154, 155 , which is in contrast with the signatures of positive and balancing selection in mammal AMPs [88] [89] [90] [91] . These disparities may be explained by differences in the specificity and targeting of AMPs following adaptation to distinct pathogen suites and by possible non-immune roles of mammalian AMPs 156 . The comparison of innate immunity gene evolution in insects and humans has highlighted the differences in function of the innate immune components in the two species. Differences in pathogen exposure and in host physiology and the impressive degree of pleiotropy of innate immune genes, which can vary between species, may impose different evolutionary constraints on these genes in insects and mammals. Toll is a prime example, as in flies it is also involved in dorsal-ventral embryonic patterning 13 , whereas, in mammals,Toll homologues mainly function as microbial sensors. Collectins C-type lectins that have a collagen-like domain. One group of collectins, the secreted lectins, consists of mannose-binding lectin (MBL), bovine conglutinin (BKg) and collectin 43 (CL43) in blood, and the two mucosal-associated proteins surfactant protein A (SPA) and SPD. The other group of collectins consists of the newly discovered non-secretedtype collectin liver 1 (CL-L1) and membrane-type collectin placenta 1 (CL-P1). Pentraxins constitute a superfamily of evolutionarily conserved proteins characterized by a cyclic multimeric structure and the presence in the carboxyl terminus of a pentraxin domain. They are prototypic components of the humoral arm of innate immunity. The lectin-complement pathway involves carbohydrate recognition by patternrecognition receptors, such as mannose binding lectin (MBL) and ficolins, and the subsequent activation of associated unique enzymes that are known as MBL-associated serine proteases (MASPs). Other complement pathways include the classical-complement pathway and the alternativecomplement pathway. of intracellular TLRs might reflect the very narrow window they have to ensure effective pathogen sensing while preventing dangerous recognition of host nucleic acids and thereby minimizing the risk of autoimmunity. Recent population genetics data have increased our understanding of the relative importance of the different members of the RLR and NLR families [63] [64] [65] . Similarly to intracellular TLRs, RLRs and NLRs detect signs of infection or danger within the cell 14, [40] [41] [42] . The three RLR members, retinoic acid-inducible gene I protein (RIG-I; also known as DDX58), melanoma differentiation-associated protein 5 (MDA5; also known as IFIH1) and LGP2 (also known as DHX58), detect viral RNA and induce inflammatory cytokines and type I and type III IFNs 41 . RIG-I and MDA5 sense directly viral molecules, whereas LGP2 acts as a regulator of RIG-I and MDA5 signalling. The NLR proteins, which have a structure that closely resembles that of the resistance proteins (also known as R proteins) in plants 16 , are encoded by a family of 22 genes, which include the 14 members of the large NACHT, LRR and pyrin domain-containing protein (NALP) subfamily (NALP1-NALP14), the five nucleotide-binding oligomerization domain-containing (NOD) proteins (NOD1, NOD2, NLR family CARD domain containing 3 (NLRC3), NLRC5 and NLR family member X1 (NLRX1)) and other proteins, such as MHC class II transactivator (CIITA), IPAF and NLR family, apoptosis inhibitory protein (NAIP) 40, 42 . NLRs either activate nuclear factor-κB and mitogen-activated protein kinases to induce inflammatory responses or participate in large cytoplasmic protein complexes called inflammasomes 40, 42 . RLRs evolve under weaker constraints (weak purifying selection or neutrality) compared with other families of innate receptors, and this suggests that there is some degree of redundancy in their roles (FIG. 2) . Within the RLR family, RIG-I displays the most constrained amino acid-altering variation, particularly in the carboxyterminal and helicase domains (which are involved in RNA recognition) 65 . This may reflect the fact that RIG-I senses a broader range of RNA viruses than MDA5, which only recognizes picornaviruses. Moreover, the particular structure of RIG-I viral substrates (short doublestranded RNAs and 5′-triphosphate single-stranded RNAs) 41 may have stricter binding requirements than MDA5 substrates (long double-stranded RNAs). Among NLRs, most NALPs have evolved under strong purifying selection (10 of the 14 NALPs) 64 (FIG. 2) , reflecting the rapid elimination from the population of mutations at these genes as a result of their highly deleterious effects. These observations are consistent with the idea that NALPs have acquired a function that is essential and non-redundant in host survival. By contrast, the weaker selective constraints characterizing IPAF, CIITA and most NOD subfamily members 64 testify to their higher degree of redundancy. In some cases, certain genetic variants at some RLRs or NLRs (for example MDA5, LGP2, NALP1, NALP14 or CIITA) have been targeted by positive selection in specific human populations, suggesting that functional variation at these genes and the resulting changes in the downstream immunological mechanisms have allowed for increased host survival under specific environmental pressures [63] [64] [65] . Taken together, population genetics studies have shown that the NALPs have evolved under much stronger selective constraints than other NLR members and RLRs, and the extreme NALP conservation may reflect the type of the ligands that are likely to be sensed by these molecules and/or the important nature of the responses triggered by them. These hypotheses need now to be experimentally validated. In contrast to the cellular receptors described above, there are only scarce population genetics studies on secreted receptors, such as complement receptors, collectins, ficolins and pentraxins, which are all involved in highly diverse functions (for example, phagocytosis, opsonization and apoptosis) 44, 66, 67 . However, the case of the mannose-binding lectin (MBL) -an extensively-studied collectin that binds a broad range of microorganisms and activates the lectin-complement pathway 66,68 -neatly illustrates the value of the population genetics approach for determining the ecological relevance of genes and mechanisms in immunity to infection. Conflicting results have been obtained by clinical and epidemiological genetic studies as to the detrimental or beneficial effects of MBL deficiency 69, 70 . MBL deficiency has been associated, although not conclusively, with increased susceptibility to several infectious diseases, such as meningococcal infection or HIV infection 71 . However, MBL-deficiency alleles are common worldwide (they occur in up to 30% of individuals) 69, 72, 73 , suggesting that they may also have a protective effect, as reported for infections with intracellular pathogens such as Mycobacterium tuberculosis and Leishmania spp. 74, 75 . Several studies support the notion that positive selection has targeted the Toll-like receptor 6 (TLR6)-TLR1-TLR10 gene cluster in humans. Single-nucleotide polymorphisms (SNPs) in this genomic region highly differentiate Europeans from other populations (which is a sign of positive selection), as indicated by a genome-wide scan for selection 36 . Furthermore, variation in this genomic region has been linked to disease phenotypes [119] [120] [121] 157 . The positively selected haplotype is present at high frequencies in Europe (in up to 30% of individuals) and is characterized by three amino acid changes: two in TLR1 (N248S and I602S) and one in TLR6 (P249S) 46 . The TLR1 I602S mutation appears to be the genuine target of positive selection, as functional analyses indicate that this mutation remarkably impairs agonist-induced nuclear factor-κB activation by up to 60% 46, 119, 157, 158 . So, an attenuation of TLR1mediated signalling, leading to a weaker inflammatory response, might have conferred a selective advantage in Europeans, which would explain the high frequency (50%) of the I602S hypo-responsiveness mutation in Europe. Strikingly, the TLR6-TLR1-TLR10 cluster has been proposed to be a hotspot of positive selection, as it appears to have also been targeted by positive selection in the chimpanzee and orang-utan genomes 159 . These results provide a remarkable example of a selective advantage provided by variation in the TLRs to both humans and primates. Functional analysis of this genomic region in non-human primates is now needed to elucidate whether such a shared hotspot of positive selection reflects a case of parallel or convergent evolution, or adaptations towards different phenotypic directions involving the same locus. TLR1 TLR4 TLR4 TLR10 TLR2 Some population genetics studies have proposed that balancing selection has driven MBL2 diversity 47, 72 , but others have failed to detect any evidence of selection favouring the increased frequency of deficiency alleles 73, 76 . Indeed, when analysing larger population data sets, the pattern of MBL2 variation appears to be consistent with neutral evolution 73 . These population genetics observations provide novel insights that inform the long-standing and highly controversial debate as to whether MBL is protective, deleterious or both, and they suggest instead that the immunological mechanisms triggered by this lectin are largely redundant. So, other molecules or pathways, such as the ficolins or the C1q-dependent classical pathway, may compensate for MBL deficiency. Future studies exploring whether the genes involved in these pathways have compensatory mutations in MBL-deficient individuals should help to substantiate this hypothesis. Linking the evolutionary fate of innate immune receptors with their corresponding adaptors, which associate with receptor proteins and initiate downstream signalling 14 , can further increase our knowledge of the biological relevance of specific immune pathways. This is best exemplified by population genetics data on the five Toll/IL-1R (TIR) domain-containing adaptors: myeloid differentiation primary response protein 88 (MYD88), Toll/interleukin-1 receptor domain-containing adapter protein (MAL; also known as TIRAP), TIR domain-containing adapter molecule 1 (TRIF; also known as TICAM1), TIR domain-containing adapter molecule 2 (TRAM; also known as TICAM2) and sterile alpha and TIR motifcontaining protein (SARM), which are involved in the initiation of signalling downstream of TLRs and IL-1R-like receptors 14, 77 . Across primates, the five adaptors have evolved under strong selective constraints 48 . In humans, MYD88 and TRIF display the highest degree of purifying selection (FIG. 2) , indicating that the signals mediated by these two molecules are essential and non-redundant 78 . Conversely, MAL, TRAM and SARM are subject to more relaxed constraints, which indicates that their functions are more dispensable. The selective regime that has constrained the evolution of adaptor proteins to different extents has not prevented these genes from undergoing some episodes of positive selection 78, 79 . Collectively, the integration of population genetics data from the TLRs and TIR-containing adaptors has shed light on the mechanisms and pathways triggered by these molecules 78 (FIG. 2) . MYD88 has a pan-adaptor role 77 , so a strong constraint is expected, but TRIF has also evolved under strong purifying selection despite not functioning as a pan-adaptor. TRIF is involved in signalling downstream of TLR3 and TLR4 (REF. 77 ), and of these two only TLR3 evolves under purifying selection 46 . Indeed, clinical genetic studies have revealed that rare mutations affecting the TLR3-TRIF pathway underlie herpes simplex virus 1 (HSV-1) encephalitis in childhood 45, 80, 81 . This suggests that the entire pathway activated by TLR3 in a TRIFdependent manner is non-redundant in host defence, at least against HSV-1 (REFS 45, 78) . Together with immunological, clinical and epidemiological approaches, future population genetics studies aiming to dissect the selective signatures at the level of entire signalling pathways will allow us to further delineate the most critical mechanisms involved in innate immunity to infection. The signalling pathways initiated by adaptor proteins culminate in the expression of cytokines, including interleukins and IFNs, chemokines, members of the tumour necrosis factor (TNF) family and growth factors. Among these effector molecules, IFNs have been extensively studied 82 , but the biological relevance of the different IFN subtypes for host survival remains largely unknown. Like other families of innate immunity genes, IFNs belong to a multi gene family of highly paralogous loci, so gene conversion can markedly alter their genetic diversity, making population genetics data more difficult to interpret 83 . Recent analyses have shown that the three IFN families and their individual members have followed very different evolutionary trajectories, ranging from highly constrained to redundant and expendable 84, 85 . Some type I IFNs, such as IFNα6, IFNα8, IFNα13 and IFNα14 and the type II IFNγ, have evolved under strong purifying selection, displaying very low levels or even a complete absence, as in the case of IFNγ, of amino acid-altering genetic variation (FIG. 3a) . Clinical genetic studies have shown that immunodeficiencies due to defects in the type I IFN pathway strongly affect antiviral immunity, and disorders of the IFNγ circuit are associated with Mendelian susceptibility to mycobacterial disease (MSMD) 82 . The integration of population and clinical genetic data thus indicates that at least IFNγ and a subgroup of type I IFNs have a crucial, nonredundant role in antiviral and anti-mycobacterial immunity, respectively 82, 84, 85 . By contrast, other type I IFN subtypes (mainly IFNα10 and IFNε, but also IFNα1, IFNα4, IFNα7, IFNα16 and IFNα17) have accumulated missense or nonsense mutations at high population frequencies (FIG. 3a) , suggesting that their functions largely overlap with those of other IFN subtypes 84 . The varying degrees of genetic diversity and redundancy displayed by type I IFNs suggest that there may be variability in the antiviral potencies and/or expression pattern of the different IFN subtypes. Finally, genetic variants at type III IFNs have been targeted by positive selection, conferring a selective advantage to Eurasian populations 84 (FIG. 3b) . Another set of effector molecules that have been thoroughly studied with population genetics approaches are the AMPs. In particular, the defensins are an AMP family with broad antimicrobial activities and non-immune functions, such as in reproduction or cell signalling 86 . In humans, the α-and β-defensin multigene families contain multiple paralogous genes, with some genes displaying copy-number variability 87, 88 . Comparative analyses of α-and β-defensins in human and non-human primates have revealed that episodes of purifying, positive and balancing selection have driven the evolution of these gene families [88] [89] [90] [91] . These complex patterns may reflect the need to preserve the functional integrity of these molecules while favouring, in several cases, functional Type III IFN STAT1 STAT1 P P GAS Antimycobacterial immunity Nature Reviews | Immunology Type I IFN IFNA1 IFNA2 IFNA4 IFNA5 IFNA6 IFNA7 IFNA8 IFNA10 IFNA13 IFNA21 IFNB1 IFNE IFNK IL28A IFNG IL28B IL29 IFNW1 IFNA14 IFNA16 IFNA17 JAK1 JAK2 JAK2 JAK1 JAK1 TYK2 IFNAR1 STAT1 STAT2 P P IRF9 V 1388T>G R70K A112T D188N H160Y 685C>T -37C>G -3180A>G V V VI IV IV IV III III III II II II I I diversity to provide responses to a wide range of pathogens. An interesting example of increased functional diversity is provided by the human β-defensin gene DEFB1, which has evolved under the action of longterm balancing selection 91 , a process that is thought to be extremely rare outside the MHC genes. The balancing selective event has been localized to the promoter region of DEFB1, where increased functional variation (through heterozygosity) appears to have conferred a selective advantage, possibly against severe sepsis 91, 92 . For each circle, the proportion of chromosomes carrying at least one non-synonymous polymorphism is shown in red, and the proportion carrying at least one nonsense polymorphism is shown in black. The blue segment corresponds to the proportion of chromosomes carrying neither non-synonymous nor nonsense polymorphisms. The IFN subtypes in boxes are those for which statistical significance of strong purifying selection was obtained 84, 85 . A schematic representation of the signalling pathways activated by the interaction of type I, type II and type III IFNs with their corresponding receptors is also presented. b | Type III IFNs are the only group of IFNs that have evolved under the action of positive selection, specifically in European and Asian populations. The scheme shows the distribution of the genetic variants under positive selection across the genomic region in which the three type III IFN genes are located. Note that one of the positively selected single-nucleotide polymorphisms (SNPs) in the interleukin-28B (IL28B) region (SNP -3180A>G, rs12979860) has been recently found to lay within the newly discovered IFNL4 gene, which is located upstream of IL28B 123 . Highlighted mutations result in amino acid changes, whereas the rest are non-coding SNPs. Signatures of positive selection were detected in Asia for the variants in IL28A and IL28B, and in both Asia and Europe for that in IL29. Figure is modified from REF. 84 . GAS, IFNγ-activated site; IFNAR, IFNα/β receptor; IFNγR, IFNγ receptor; IFNλR1, IFNλ receptor 1 (also known as IL-28Rα); IL-10Rβ, IL-10 receptor-β; IRF9, IFN regulatory factor 9; ISRE, interferon-stimulated response element; JAK, Janus kinase; STAT, signal transducer and activator of transcription; TYK, tyrosine kinase. The random fluctuations in allele frequencies over time that are due to chance alone. A protein domain that is found in many proteins that are involved in cellular signalling processes, including apoptosis, inflammation and development. This domain mediates proteinprotein interactions. Overall, population genetics studies of effector molecules such as IFNs or AMPs emphasize the complex events of selection characterizing these molecules. Although the nature of such variable pressures is not totally clear, the identification of individual genes, such as specific IFN subtypes, subject to strong constraints or to positive evolution paves the way for additional studies to evaluate the potential of these molecules for use in vaccination, diagnosis and treatment. The examples discussed above illustrate how the delineation of the selection mode that has driven the diversity of innate immunity genes can complement immunological and clinical and epidemiological genetic studies. Receptors such as endosomal TLRs and most NALPs, adaptors such as MYD88 and TRIF or effector molecules such as a subset of type I IFNs and IFNγ have been targeted by strong purifying selection 46, 48, 51, 64, 78, 84, 85 , highlighting the essential and non-redundant nature of the immunological mechanisms involved. Moreover, the fact that selective constraints acting on RLRs are weaker than those acting on endosomal TLRs 46,51,65 , even though both types of receptors detect nucleic acids, might reflect some degree of redundancy for RLR-mediated antiviral immunity. Similarly, the weaker constraints acting on most NOD, IPAF and CIITA subfamily members and cellsurface TLRs with respect to NALPs 46,64 suggest greater redundancy in the pathways triggered by the former molecules in response to microbial products and stress signals (FIG. 2) . Extreme cases of redundancy are provided by molecules such as MBL or TLR5, for which the frequency of loss-of-function alleles can increase in the population by genetic drift 46, 50, 73, 76 . This contrasts with other situations in which gene loss has conferred an advantage to the host. For example, the increased frequencies of loss-offunction alleles of DARC (which encodes Duffy antigen/ chemokine receptor) or CASP12 (which encodes inactive caspase 12) is a result of positive selection that is likely to be due to their protective effects against Plasmodium vivax infection and sepsis, respectively 93, 94 . The occurrence of positive selection attests to more dynamic immunological mechanisms, variation in which has been beneficial for the host [8] [9] [10] 45 . These positive selection events can be ancient and shared by all humans. Such is the case for the adaptor MYD88 (REF. 78 ): a functional change in this protein may have favoured the survival of the entire human species. The human MYD88 differs from its primate orthologue by a single amino acid substitution (H80Q), which might represent the target of selection 48, 78 . This variant is located within the DEATH domain, which is crucial for downstream protein-protein interactions, and mutations in this domain have been associated with defective immunity to infection 95, 96 . Conversely, other events of positive selection seem to be more recent and restricted to specific populations, such as those detected at some RLRs, NLRs, TIR-containing adaptors and type III IFNs [63] [64] [65] 78, 79, 84 . So, the advantage conferred by such events is more dependent on environmental variables, possibly related to exposure to pathogens. For example, a variant in MDA5 (R460H) has been targeted by positive selection in Europeans and Asians 63,65 , suggesting an advantage to host defence that could be related to the sensing of particular RNA viruses by this sensor. Population genetics thus helps us to differentiate between genes with a high degree of redundancy and genes that are essential and non-redundant. The identification of essential genes is particularly important for molecules with poorly described functions, such as most NALPs, as this helps to prioritize which genes should be studied from an immunological standpoint. Does the evolution of innate immunity genes and their signatures of selection reflect a quest for improved host defence against pathogenic microorganisms? The answer is yes, but not exclusively. It is obvious that pathogens are likely to be a major force exerting pressure on host genes 26, 97 . However, we coexist with millions of symbiotic, generally non-pathogenic microorganisms, and these can also be recognized by innate immunity receptors [98] [99] [100] [101] [102] . Furthermore, these receptors are not only involved in the mere sensing of microorganisms but also in functions that ensure tissue development and tissue homeostasis, including inflammatory control, autophagy and apoptosis. For example, some TLRs appear to be involved in central nervous system development, and some NALPs seem to have roles in intestinal homeostasis, early development and reproduction 40, 103, 104 . Moreover, innate receptors, including TLRs and RLRs, have also been implicated in autoimmune pathogenesis 60, 61, [105] [106] [107] . In light of this, the traditional view of pathogens as the only force driving the evolution of immunity genes may be too simplistic, as non-infection-related factors may have further contributed to the patterns of selection observed at these genes. For example, given the increasing range of functions attributed to NALP3, which acts as both a microbial sensor and a regulator of intestinal homeostasis 40,104 , its extreme conservation may not only attest to a major role in controlling infection but also reflect the evolutionary equilibrium reached by the host to maintain a peaceful coexistence with the symbiotic microbiota. Selection and disease susceptibility Unequal selective pressures are expected to be exerted on genes associated with Mendelian, single-gene disorders or with complex disease risks 31, 108 . At the genomewide level, genes associated with Mendelian disease are enriched in signs of purifying selection 31, 34, 109 , as their deleterious mutations are usually not transmitted to the next generation as a result of early death, and thus have low (<1%) population frequencies 110 (FIG. 1) . In the context of innate immunity, for example, mutations in the strongly constrained TIR-MYD88 and TLR3-TRIF pathways have been associated with increased susceptibility to life-threatening infections by pyogenic bacteria 96, 111 and HSV-1 (REFS 80, 81) , respectively. Likewise, mutations in NALP3, which is subject to the highest degree of purifying selection among NALPs 64 , have been associated with severe inflammatory diseases 104, 112, 113 . Finally, mutations in genes affecting the production or activity of IFNγ, which is subject to the strongest purifying selection of all IFNs 84,85 , have been associated with MSMD 82, 114 . These clinical examples further support the notion that immunity-related genes that evolve under purifying selection are of major biological relevance in host survival, and their mutations are likely to predispose individuals to early-onset, life-threatening disease 115 . Mutations associated with complex disease risk generally have a lower penetrance and are therefore able to reach higher frequencies in the population (>5-10%) than single-gene disease susceptibility alleles 20, 108 . Genes with alleles that contribute to complex diseases in adults display signs of less pervasive purifying selection 109, 115 . For example, although missense mutations are tolerated in some innate immunity genes (for example, TLR1, TLR4 and TLR10), weak negative selection keeps them at low population frequency (FIG. 2) , attesting to their nonnegligible impact on host fitness 46, 49 . Likewise, mutations in weakly constrained or even neutrally evolving genes might subtly modulate complex susceptibility to disease, as illustrated by the case of MBL, variation in which may have an effect in particular, narrow conditions, such as co-existent morbidity 116 . Thus, weakly constrained genes generally have a more modest impact on host survival and may be involved in complex susceptibility to infection at the population level. Finally, genes associated with complex disease susceptibility are generally enriched for signals of positive selection 31, 37, 109, 117 . Specifically, positively selected variants in TLR1, MDA5, CIITA or NALP1 (REFS 46, (63) (64) (65) have been associated with infectious, autoimmune or inflammatory diseases 106, [118] [119] [120] [121] [122] . Likewise, variation in type III IFNs, including five SNPs in IL28B (also known as IFNL3), two in IL28A (also known as IFNL2) and one in IL29 (also known as IFNL1), has been targeted by positive selection 84 (FIG. 3b) . Interestingly, the positively selected SNPs in the IL28B region, one of which now lies within the newly discovered IFNL4 gene 123 , have been associated with spontaneous clearance of hepatitis C virus (HCV) and a better response to treatment for chronic HCV infection [123] [124] [125] [126] [127] . This suggests that the nature of the selective advantage conferred by these IFNs is increased resistance to viral infection. Collectively, the overlap between the positive selection events detected at some genes and their association with susceptibility to complex disease provides an important proof-of-concept for the added, predictive value of population genetics. This is particularly important for evaluating the potential implications in human disease of other, as-yet-uncharacterized variants targeted by positive selection. Furthermore, there is increasing evidence to suggest that, in some cases, positively selected mutations lead, directly or indirectly, to maladaptation and are associated with immune dysfunction, such as autoimmunity and inflammation 8, 128 . For example, the positively selected MDA5 R460H variant seems to increase the risk of psoriasis 106 . Similarly, positive selection has increased the frequency of the V1059M mutation in NALP1 among Europeans 64 , despite also increasing the frequency of the linked L155H NALP1 mutation, which is associated with autoimmune disorders including Addison's disease, type 1 diabetes and vitiligo 118, 129 . Likewise, DEFB1 haplotypes that have been proposed to be maintained by balancing selection because they confer protection against sepsis 91, 92 seem to predispose to asthma and atopy 130 . Although further clinical and epidemiological genetics work is needed, these examples provide additional evidence in favour of the hygiene hypothesis, according to which the current increased incidence of autoimmune and inflammatory disorders may result, at least partially, from past events of selection that increased host resistance to infection 128 . The distinction between genes involved in single-gene disorders and complex diseases, as well as between the type of selective patterns that are expected to characterize them, is not always clear-cut. For example, genes associated with inflammatory bowel disease (IBD), the genetic basis of which is complex, are enriched in genes involved in Mendelian primary immunodeficiencies, including MSMD 131 . Likewise, genes can display complex signatures of selection, such as those detected at NOD2, variation in which has been associated with Crohn's disease 131, 132 . At the gene level, the diversity of NOD2 is largely consistent with neutrality 64 , but some NOD2 Crohn's diseaserisk alleles have been proposed to be maintained in the European population by balancing or recent positive selection 131, 133 , although this remains highly controversial. Such conflicting signatures of selection may reflect the complex, multiple phenotypes with which NOD2, or its interacting gene networks, have been associated, including Crohn's disease, ulcerative colitis, Blau syndrome and mycobacterial infections 131 . Here, we have described specific examples of how population genetics studies can offer important functional insights into innate immunity. The evolutionary dissection of innate immunity genes allows us to rank them with respect to their biological relevance and also informs us about their respective contribution to immunity-related disorders. However, immune systems do not evolve one gene at a time; instead, selective pressures are likely to affect multiple interacting genes, resulting in polygenic adaptation 134 . Furthermore, such pressures can be numerous and related to various diseases simultaneously, as in the case of NOD2 alleles. Thus, genes in functional networks might show coordinated signatures of selection, as recently proposed for a group of antibacterial innate immunity genes (that is, some TLR pathways), in which the position of each gene in the network conditions its evolvability and therefore its adaptability 135 . The recent advent of whole-genome sequencing data sets from human populations provides us with tools to test these hypotheses and also enables the analysis of additional families of innate immunity molecules, including CLRs, cytosolic DNA sensors, chemokines and members of the TNF family. For this, improved statistical methods for detecting epistatic interactions or selection in gene networks are needed. Population genetics studies of selection have traditionally followed a gene-centric view, focusing on qualitative changes at the protein level. However, selection can also target non-coding regions of the genome, such as regulatory elements 136 . For example, changes in gene expression levels can indeed constitute a target for adaptive evolution, as illustrated by the fact that polymorphisms in regulatory elements (that is, expression quantitative trait loci (eQTLs)) are enriched for signs of positive selection 137 . Furthermore, regulatory variation is increasingly documented as being associated with phenotypic variation, both benign and disease-associated 136, 138, 139 . Multidisciplinary approaches (such as those used by the ENCODE Consortium 136 ) that combine whole-genome sequencing data, expression and proteomic profiles, chromatin accessibility and DNA methylation marks from different cell types challenged with different immune stimuli should facilitate an unbiased assessment of the immunological mechanisms favouring our past and present survival in the natural setting. Finally, future population genetics studies may help us to understand diverse aspects of immune function, including interaction with the gut microbiota, interplay with viruses and transposable elements, and geneenvironment interactions. Indeed, the extent to which host genetic diversity drives, or co-evolves with, changes in the microbiota remains to be explored in much further detail. Similarly, detailed genotype-to-phenotype studies of large population cohorts from different ethnic backgrounds and exposed to different environments will help us to delineate the relative contribution of the modern environment to the present-day natural variation of immune responses. Notably, the change in dietary habits and the use of domesticated animals since the advent of agriculture 10,000 years ago (which is an instant in evolutionary time), life in large cities and the extended use of modern antibiotics have radically altered our exposure to microorganisms. As our immune systems evolved in a totally different context of diet and microbial exposure, interaction of our genetic make-up with these new environmental factors may lead to phenotypes associated with disease states, such as inappropriate inflammatory responses or autoimmunity. So, the integration of all these data into a population genetics framework will help us to identify immunological mechanisms with adaptive or maladaptive roles in the immunity of modern human populations. The challenge that lies ahead now is to apply knowledge of population genetics to infer molecular details of immune responses and design effective therapies. Expression quantitative trait loci (eQTLs). Genomic loci in which genetic variants alter individual differences in quantitative levels of gene expression. The goal of the Encyclopedia of DNA Elements (ENCODE) Consortium is to systematically map regions of transcription, transcription factor association, chromatin structure and histone modification. In doing so, it provides new insights into the organization and regulation of the human genome and constitutes an expansive resource of functional annotations for biomedical research. Human genetics of infectious diseases: between proof of principle and paradigm Human genetics of infectious diseases: a unified theory Human genetic susceptibility to infectious disease Whole-exome-sequencing-based discovery of human FADD deficiency Whole-exome sequencing-based discovery of STIM1 deficiency in a child with fatal classic Kaposi sarcoma Gain-of-function human STAT1 mutations impair IL-17 immunity and underlie chronic mucocutaneous candidiasis References 4-6 report the first identifications of Mendelian defects related to an infectious disease using whole-exome approaches Human genetic susceptibility to intracellular pathogens From evolutionary genetics to human immunology: how selection shapes host defence genes Immunology in natura: clinical, epidemiological and evolutionary genetics of infectious diseases Positive natural selection in the human lineage The evolution of adaptive immune systems The evolution and genetics of innate immunity The host defense of Drosophila melanogaster Pattern recognition receptors and inflammation Recognition of microorganisms and activation of the immune response How do plants achieve immunity? Defence without specialized immune cells The International HapMap 3 Consortium. Integrating common and rare genetic variation in diverse human populations The 1000 Genomes Project Consortium. A map of human genome variation from population-scale sequencing This study and reference 10 are excellent reviews of how natural selection acts. They list the signatures and implications of natural selection, along with the different methods used for detecting selection on the basis of population genetic data Most rare missense alleles are deleterious in humans: implications for complex disease and association studies Convergent adaptation of human lactase persistence in Africa and Europe An elegant example of a second independent mutation in the same gene resulting in a parallel adaptation in humans to metabolize milk throughout life Balancing selection and its effects on sequences in nearby genome regions Is mate choice in humans MHC-dependent? Heterozygosity at individual amino acid sites: extremely high levels for HLA-A and -B genes Pattern of nucleotide substitution at major histocompatibility complex class I loci reveals overdominant selection Pathogen-driven selection and worldwide HLA class I diversity Targets of balancing selection in the human genome The first genome-wide analysis of genes evolving under positive selection in the human evolutionary lineage A scan for positively selected genes in the genomes of humans and chimpanzees Patterns of positive selection in six Mammalian genomes Natural selection on proteincoding genes in the human genome This study and reference 18 report the first large-scale population study based on complete human genome sequences Constructing genomic maps of positive selection in humans: where do we go from here? Natural selection has driven population differentiation in modern humans A clear demonstration that natural selection, often pathogen mediated, drives adaptive differences among geographically distinct human populations A map of recent positive selection in the human genome Signals of recent positive selection in a worldwide sample of human populations Genome-wide detection and characterization of positive selection in human populations Genetic analysis of host resistance: toll-like receptor signaling and immunity at large Toll-like receptors and their crosstalk with other innate receptors in infection and immunity NLR functions beyond pathogen recognition Immune signaling by RIG-I-like receptors The inflammasomes Signaling by myeloid C-type lectin receptors in immunity and homeostasis An integrated view of humoral innate immunity: pentraxins as a paradigm Human TLRs and IL-1Rs in host defense: natural insights from evolutionary, epidemiological, and clinical genetics Evolutionary dynamics of human Toll-like receptors and their different contributions to host defense Signatures of natural selection are not uniform across genes of innate immune system, but purifying selection is the dominant signature Natural selection in the TLR-related genes in the course of primate evolution Excess of rare amino acid polymorphisms in the Toll-like receptor 4 in humans A history of recurrent positive selection at the toll-like receptor 5 in primates Adaptation and constraint at Toll-like receptors in primates Balancing selection is the main force shaping the evolution of innate immunity genes The evolutionary history of the CD209 (DC-SIGN) family in humans and non-human primates TLR4 polymorphisms, infectious diseases, and evolutionary pressure during migration of modern humans A common dominant TLR5 stop codon polymorphism abolishes flagellin signaling and is associated with susceptibility to Legionnaires' disease Cytosolic flagellin requires Ipaf for activation of caspase-1 and interleukin 1β in salmonella-infected macrophages A well-documented case that the out-of-Africa migration resulted in a bottleneck that increased the amount of deleterious mutations among non-African populations Suppression of RNA recognition by Toll-like receptors: the impact of nucleoside modification and the evolutionary origin of RNA Nucleic acid-sensing TLRs as modifiers of autoimmunity Toll-like receptors in systemic autoimmune disease Autoreactive B cell responses to RNA-related antigens due to TLR7 gene duplication Toll-like receptors 7, 8, and 9: linking innate immunity to autoimmunity Population genetics of IFIH1: ancient population structure, local selection and implications for susceptibility to type 1 diabetes The evolutionary landscape of cytosolic microbial sensors in humans The selective footprints of viral pressures at the human RIG-I-like receptor family The lectincomplement pathway -its role in innate immunity and evolution Collections and ficolins: humoral lectins of the innate immune defense Mannose-binding lectin and its genetic variants Human mannose-binding lectin in immunity: friend, foe, or both? Mannan-binding lectin deficiency -good news, bad news, doesn't matter? Impact of mannosebinding lectin on susceptibility to infectious diseases Sequence analysis of the mannosebinding lectin (MBL2) gene reveals a high degree of heterozygosity with evidence of selection Evolutionary insights into the high worldwide prevalence of MBL2 deficiency alleles Mannose-binding protein B allele confers protection against tuberculous meningitis Mannan-binding lectin enhances susceptibility to visceral leishmaniasis Searching for signals of evolutionary selection in 168 genes related to immune function The family of five: TIR-domain-containing adaptors in Toll-like receptor signalling Evolution of the TIR domaincontaining adaptors in humans: swinging between constraint and adaptation Functional and genetic evidence that the Mal/TIRAP allele variant 180L has been selected by providing protection against septic shock Herpes simplex virus encephalitis in human UNC-93B deficiency TLR3 deficiency in patients with herpes simplex encephalitis Inborn errors of interferon (IFN)-mediated immunity in humans: insights into the respective roles of IFN-α/β, IFN-γ, and IFN-λ in host defense Gene conversion and evolution of gene families: an overview The first population genetic study of human IFNs that demonstrated that the different IFN families, and individual IFN subtypes, differ widely in their biological relevance for host defence Evolutionary genetics evidence of an essential, nonredundant role of the IFN-γ pathway in protective immunity Defensins in innate antiviral immunity Allelic recombination between distinct genomic locations generates copy number diversity in human β-defensins Copy number polymorphism and expression level variation of the human α-defensin genes DEFA1 and DEFA3 Directional and balancing selection in human β-defensins Comparative genomics and evolution of the α-defensin multigene family in primates The signature of long-standing balancing selection at the human defensin β-1 promoter Genomic variations within DEFB1 are associated with the susceptibility to and the fatal outcome of severe sepsis in Chinese Han population Complex signatures of natural selection at the Duffy blood group locus Spread of an inactive form of caspase-12 in humans is due to recent positive selection IRAK-4-and MyD88-dependent pathways are essential for the removal of developing autoreactive B cells in humans Pyogenic bacterial infections in humans with MyD88 deficiency This study demonstrates that the selective pressures imposed by pathogens have been among the strongest influences on the patterns of diversity of the human genome Interactions between the microbiota and the immune system The gut microbiota shapes intestinal immune responses during health and disease A new vision of immunity: homeostasis of the superorganism Recognition of commensal microflora by toll-like receptors is required for intestinal homeostasis Lymphoid tissue genesis induced by commensals through NOD1 regulates intestinal homeostasis Toll-like receptor 8 functions as a negative regulator of neurite outgrowth and inducer of neuronal apoptosis Inflammasomes in health and disease Genome-wide association analyses identify 13 new susceptibility loci for generalized vitiligo Carriers of rare missense variants in IFIH1 are protected from psoriasis Rare variants of IFIH1, a gene implicated in antiviral responses, protect against type 1 diabetes Population genetics models of common diseases Natural selection on genes that underlie human disease susceptibility Darwinian and demographic forces affecting human protein coding genes Pyogenic bacterial infections in humans with IRAK-4 deficiency Association of mutations in the NALP3/CIAS1/PYPAF1 gene with a broad phenotype including recurrent fever, cold sensitivity, sensorineural deafness, and AA amyloidosis Mutation of a new gene encoding a putative pyrin-like protein causes familial cold autoinflammatory syndrome and Muckle-Wells syndrome Inborn errors of IL-12/23-and IFN-γ-mediated immunity: molecular, cellular, and clinical features Life-threatening infectious diseases of childhood: single-gene inborn errors of immunity? An elaborated view of the genetic architecture of infectious diseases, whereby life-threatening infectious diseases in childhood result mostly from rare single-gene variations of large effect, whereas the genetic component of predisposition to secondary infections in adults is genetically more complex Association between deficiency of mannose-binding lectin and severe infections after chemotherapy Evolutionary processes acting on candidate cis-regulatory regions in humans inferred from patterns of polymorphism and divergence NALP1 in vitiligo-associated multiple autoimmune disease Cutting edge: a common polymorphism impairs cell surface trafficking and functional responses of TLR1 but protects against leprosy Full-exon resequencing reveals Toll-like receptor variants contribute to human susceptibility to tuberculosis disease Polymorphism N248S in the human Toll-like receptor 1 gene is related to leprosy and leprosy reactions MHC2TA is associated with differential MHC molecule expression and susceptibility to rheumatoid arthritis, multiple sclerosis and myocardial infarction A variant upstream of IFNL3 (IL28B) creating a new interferon gene IFNL4 is associated with impaired clearance of hepatitis C virus Genetic variation in IL28B predicts hepatitis C treatment-induced viral clearance IL28B is associated with response to chronic hepatitis C interferon-α and ribavirin therapy Genome-wide association of IL28B with response to pegylated interferon-α and ribavirin therapy for chronic hepatitis C References 123-127 report one of the most convincing genome-wide associations of a host genetic factor with complex susceptibility to infection and response to treatment The hygiene hypothesis: an evolutionary perspective A coding polymorphism in NALP1 confers risk for autoimmune Addison's disease and type 1 diabetes Asthma and atopy are associated with DEFB1 polymorphisms in Chinese children The most comprehensive analysis of the genetic architecture of IBD. The study showed an extensive overlap between IBD loci and loci that are linked to other disorders The genetics and immunopathogenesis of inflammatory bowel disease Crohn's disease risk alleles on the NOD2 locus have been maintained by natural selection on standing variation The genetics of human adaptation: hard sweeps, soft sweeps, and polygenic adaptation Genetic adaptation of the antibacterial human innate immunity network An integrated encyclopedia of DNA elements in the human genome Gene expression levels are a target of recent natural selection in the human genome Linking disease associations with regulatory information in the human genome Personal and population genomics of human regulatory variation Up to new tricks -a review of cross-species transmission of influenza A viruses Patterns of evolution and host gene mimicry in influenza and other RNA viruses Comparison of avian and human influenza A viruses reveals a mutational bias on the viral genomes Signal transduction pathways mediated by the interaction of CpG DNA with Toll-like receptor 9 Aberrant innate immune response in lethal infection of macaques with the 1918 influenza virus An interferon-γ-related cytokine storm in SARS patients Confronting potential influenza A (H5N1) pandemic with better vaccines The Drosophila systemic immune response: sensing and signalling during bacterial and fungal infections Contrasting evolutionary patterns in Drosophila immune receptors Dynamic evolution of the innate immune system in Drosophila Elevated polymorphism and divergence in the class C scavenger receptors of Drosophila melanogaster and D. simulans Natural selection drives Drosophila immune system evolution Evolutionary dynamics of immune-related genes and pathways in disease-vector mosquitoes Adaptive evolution of Relish, a Drosophila NF-κB/IκB protein The evolution of antifungal peptides in Drosophila Molecular population genetics of inducible antibacterial peptide genes in Drosophila melanogaster A β-defensin mutation causes black coat color in domestic dogs A common human TLR1 polymorphism regulates the innate immune response to lipopeptides Human TLR1 deficiency is associated with impaired mycobacterial signaling and protection from leprosy reversal reaction Human and non-human primate genomes share hotspots of positive selection We would like to thank M. Albert, L. Barreiro The authors declare no competing financial interests. Lluís Quintana-Murci's homepage: http://www.pasteur.fr/research/heg Andrew G. Clark's homepage: http://mbg.cornell.edu/faculty-staff/faculty/clark.cfm