Researchers discovered mutation hotspots at transcription start sites (TSSs), where RNA polymerase opens DNA to begin transcription. ERV data across nearly 15,000 genes in over 220,000 people showed a strong hotspot, which was missing from de novo mutation (DNM) studies but reappeared in 11 mosaic datasets. The authors conclude early embryonic (mosaic) mutations cluster at TSSs and recommend re-examining filtered calls and using mosaic-aware analysis to improve genetic-disease studies.
Scientists Find 'Mutation Hotspots' at Gene Start Sites — A Hidden Source of Genetic Change

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