It's even possible that very recent changes in society and the workplace could underpin the recent rise in cases of autism. Simon Baron-Cohen, director of the Autism Research Centre at the University of Cambridge, was struck by how many of the parents of children with autism who he tested were really good "systematizers"—people who understand the world according to rules or laws. They also were more likely to have a father who worked in engineering. He wonders if the increase in autism diagnoses could be partly due to "assortative mating"—that is, people picking mates like themselves. People with autism spectrum disorder are often detail oriented and analytical, and today they might have an easier time finding a spouse with similar abilities than they would have in past eras. Baron-Cohen notes that in the late 1950s, only 2 percent of the undergraduates at Massachusetts Institute of Technology were women; now, 50 percent are. So, he's setting up a study to test whether assortative mating among people with a genetic predisposition for autism could be fueling the birth of more children with autism.
The human brain, which has evolved into a cognitive machine unique in the world, is likely to change even more in the future. Our niche in nature, says Stephen Pinker, an experimental psychologist at Harvard University who studies the evolution of language and the mind, is the "cognitive niche." In research published last year, Wray identified genes that control glucose metabolism in the brain as among those most recently evolved. Those changes may have been essential to fueling the human brain's growth to a size twice that of our nearest cousin, the chimpanzee. "If you make a big brain, it's an energy hog," Wray says. "It's like putting a V-8 engine in a tiny little car." It could also help explain why chimpanzees don't get diabetes, while humans do.
Tinkering. Take that souped-up brain and put it in the texting, Twittering, 24-7 world we've recently created for ourselves, and it's easy to imagine that we will become superspeedy multitaskers—or more complacent cubicle dwellers. However, this progress comes too slowly for some. "The world is changing so rapidly that biological evolution is not where the action is," says Nick Bostrom, a professor at the University of Oxford and cofounder of the World Transhumanist Association, which seeks to use science to improve humankind. He, for one, doesn't care to wait through a few hundred generations for improvements. Genetic engineering will help short term, he says, and then nanotechnology will step in, altering the biochemistry of the human body at the flip of a switch. "If we're thinking several hundred years out, then much more radical intervention may be feasible."
Unfortunately for those like Bostrom, who see humans as one big fixer-upper project, the human genome has so far proved to be remarkably resistant to tinkering. Since 1990, when gene therapy was first tested in humans, doctors have been trying to repair defective genes by injecting healthy ones. The method has shown only limited success and has failed to deliver as a treatment for common conditions such as heart disease. And gene therapy fixes only somatic genes, which aren't inherited. Germline therapy, which would create heritable mutations, is a far more complex—and contentious—challenge.
Notwithstanding the obstacles, Bostrom's wish list for improved human traits includes a longer "health span," with fewer years of human life spent struggling against cancer, heart disease, and dementia. Enhanced cognitive abilities would be nice, too. "Perhaps physical attractiveness would be a popular trait," he says.
There's as yet no way to select for attractiveness, but parents can choose a few of an offspring's genes if they're willing to try preimplantation genetic diagnosis. In PGD, doctors carefully vacuum a single cell from a 3-day-old embryo and test certain genes before deciding whether to place the embryo into a woman's uterus. The technique, which must be used in combination with in vitro fertilization, was invented almost 20 years ago as a way to reduce the odds of a child inheriting a deadly genetic disorder, such as Tay-Sachs.