There is an increasing accumulation of evidence showing that the frequency of many human diseases has been formed by evolutionary procedures. Siddiqui et al. 1 performed an amazing study published in this journal, showing that SIGLEC12 gene expression is associated with advanced cancer progression in humans. They performed a multi-level experimental and statistical analysis. In a multi-tissue carcinoma array, the gene product was present in ~80% of tissues and only 35% in a set of normal epithelial tissues. Forced expression of the gene in a SIGLEC12 null carcinoma cell line had the consequence of enriching the transcription of genes associated with cancer progression, especially those related with KRAS and YAP/TAZ pathways. Compared with chimpanzees, it seems that the human receptor Siglec12 has lost its ligand after the human/chimpanzee lineage split, but notably the ligand gene remained in the chimpanzee genome. The authors also found evidence, using the Fst and Tajima D statistics, that a SIGLEC12 null allele in human populations, ranging from 38% in sub-Saharan Africans to 86% in native American populations, is under positive selection. They propose that the functional SIGLEC12 gene is currently under an elimination process in human populations, since its encoded protein, for unknown reasons, activates carcinogenic pathways.This study of Siddiqui et al. 1 adds to previous studies that showed significant evidence for the action of natural selection on cancer genes. All human populations have high incidences of cancer, but some have especially much higher risk for certain cancer types. Voskarides 2 has presented data showing that populations living in extreme cold environments and extreme high altitudes have the highest cancer incidence in the world. Linear regression analysis supports the fact that the cancer-cold association is a world-wide phenomenon. Analysis of 247 Genome Wide Association Studies (GWAS) showed that this association has a genetic base. Cancer genes and especially tumor suppressor genes were found to be under selection in Inuit, Eskimos and Alaska Indians. Genetic variants that contributed to the survival of humans in extreme environments are probably associated with cancer incidence today. A similar evolutionary process was revealed for human populations living at extreme high altitudes, like Ethiopians