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New evidence for positive selection helps explain the paternal age effect observed in achondroplasia.
[achondroplasia]
There
are
certain
de
novo
germline
mutations
associated
with
genetic
disorders
whose
mutation
rates
per
generation
are
orders
of
magnitude
higher
than
the
genome
average
.
Moreover
,
these
mutations
occur
exclusively
in
the
male
germ
line
and
older
men
have
a
higher
probability
of
having
an
affected
child
than
younger
ones
,
known
as
the
paternal
age
effect
(
PAE
)
.
The
classic
example
of
a
genetic
disorder
exhibiting
a
PAE
is
achondroplasia
,
caused
predominantly
by
a
single
-nucleotide
substitution
(
c
.
1138
G
>
A
)
in
FGFR
3
.
To
elucidate
what
mechanisms
might
be
driving
the
high
frequency
of
this
mutation
in
the
male
germline
,
we
examined
the
spatial
distribution
of
the
c
.
1138
G
>
A
substitution
in
a
testis
from
an
80
-
year
-old
unaffected
man
.
Using
a
technology
based
on
bead-emulsion
amplification
,
we
were
able
to
measure
mutation
frequencies
in
192
individual
pieces
of
the
dissected
testis
with
a
false-
positive
rate
lower
than
2
.
7
×
10
(
-
6
)
.
We
observed
that
most
mutations
are
clustered
in
a
few
pieces
with
95
%
of
all
mutations
occurring
in
27
%
of
the
total
testis
.
Using
computational
simulations
,
we
rejected
the
model
proposing
an
elevated
mutation
rate
per
cell
division
at
this
nucleotide
site
.
Instead
,
we
determined
that
the
observed
mutation
distribution
fits
a
germline
selection
model
,
where
mutant
spermatogonial
stem
cells
have
a
proliferative
advantage
over
unmutated
cells
.
Combined
with
data
on
several
other
PAE
mutations
,
our
results
support
the
idea
that
the
PAE
,
associated
with
a
number
of
Mendelian
disorders
,
may
be
explained
primarily
by
a
selective
mechanism
.
Diseases
Validation
Diseases presenting
"high frequency of this mutation in the male germline"
symptom
achondroplasia
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