Small anatomical variant has profound implications for evolution of human birth and brain development.

H umans differ from primates and other mammals in a number of anatomies, including having big brains and big babies. The evolutionary origin and adaptive significance of a big brain and the consequent difficulty of giving birth to a big baby have long been discussed. Falk et al. (1), in PNAS, report on a small anatomical difference of the cranium between humans and chimpanzees, and document the presence of this trait in early human ancestors. This trait may have profound importance for understanding evolution of birth and brain development. Falk et al. (1) report on the metopic suture (MS) in modern humans, two species of chimpanzees, and our hominid ancestors, Australopithecus and earlier Homo. MS is the joint between the two frontal bones of the cranium (Fig. 1). In the human fetus and young child, the confluence of MS with the coronal and sagittal sutures is the anterior fontanelle. This is the “soft spot” in a baby’s cranium. Fusion of MS occurs in infancy (2–4), whereas the anterior fontanelle closes by 2 y of age (5). Fusion of MS begins near the nose and progresses toward the anterior fontanelle. As the cranium forms around the developing brain, premature closure of MS causes atypical cranial development (6). Based on large samples of humans and chimpanzees, Falk et al. (1) report that MS fuses at a later age in humans than chimpanzees, with age based on eruption of deciduous and permanent molars. In contrast with humans (as described earlier), Falk et al. (1) report that MS fuses shortly after birth in chimpanzees. Moreover, Falk et al. (1) show that, among adults, an unfused or partially fused MS is seen in a higher proportion in humans than chimpanzees. The authors infer that this difference in persistent MS between adult humans and chimpanzees is causally related to the difference between these species in modal age of MS fusion in infancy. The authors suggest three not mutually exclusive reasons for the adaptive significance of later age of fusion of MS in humans compared with chimpanzees: (i) obstetrical dilemma, (ii) high rate of early postnatal brain growth, and (iii) reorganization of the brain’s frontal cortex. Obstetrical dilemma refers to competing selection pressures on birth canal size in humans: reduction in birth canal size is advantageous for bipedalism but disadvantageous for birth. In this context, an unfused MS and anterior fontanelle facilitate parturition because the fetus’ cranial bones can shift position (i.e., mold) under the forces of uterine contraction and resistant bony pelvis. Molding changes the shape of the fetal head and provides a better “fit” in the mother’s pelvis. The second explanation is postnatal brain growth. Humans have rapid brain growth in infancy, with our brain doubling in weight. Martin (7) showed this contrast in brain growth between humans and rhesus macaques. In humans, the velocity of brain growth is virtually unchanged from fetal development through infancy, whereas, in the monkey brain, growth decelerates near the time of birth and remains at that lower level through infancy. Because sutures fuse when cranial bones are in prolonged contact with one another (8, 9), the exuberant brain growth in human infants keeps the frontal bones separated from one another, and, correspondingly, the MS and anterior fontanelle patent. The third explanation is a partly regionally specific restatement of the second explanation. That is, late closure of MS is a result of growth and reorganization of the brain’s frontal cortex. Humans have a larger frontal cortex than apes, although the proportionate size of our frontal cortex is similar to that of apes (10). The explanations of obstetrical dilemma and rapid growth of the brain have been advanced by others; I believe Falk et al. (1) are the first to propose reorganization of the frontal cortex as an explanation. I have previously assumed that rapid brain growth in the neonate is the probable explanation for MS and anterior fontanelle, and that cranial molding is an obstetrically fortuitous derivative. The suggestion by Falk et al. (1) that late closure of MS and anterior fontanelle is a result of reorganization of the frontal cortex is provocative. The frontal cortex is involved in how humans are distinctly different from other mammals. A nonexhaustive list of traits associated with the frontal cortex includes language, memory, judgment, problem solving, socialization, and motor function. Interestingly, the white matter of our prefrontal cortex increases in volume faster than that of chimpanzees during infancy (11). Perhaps later fusion of MS in humans compared with chimpanzees is related not just to our larger brain or larger frontal cortex, but rather to our fastdeveloping prefrontal cortex. The prefrontal cortex is related to abstract thinking, anticipation of outcomes from particular behaviors, motivation, and social behavior. Size may not be the principal distinguishing feature between humans and apes in the frontal and prefrontal cortices; rather, cytoarchitectonic differences between the species may be more important (10). The comparison by Falk et al. (1) between humans and chimpanzees in age at fusion of MS and in prevalence of unfused and persistent MS in adults, with the attendant proximate and ultimate causes, is interesting enough, but that is not what distinguishes their report. The authors also document a persistent MS and remnant of anterior fontanelle in the famous Taung fossil specimen, which is an early hominid juvenile from South Africa. Taung is the Fig. 1. Arrow indicates persistent MS in adult human (postmortem damage to nose and right orbit). Image courtesy of Dr. Clark Spencer Larsen.