“…Mosaic chromosomal alterations (mCAs) are large clonal structural somatic alterations detected in the whole blood-derived DNA, which are characterized by whole-chromosomal or sub-chromosomal level changes, including gain, loss, and copy-neutral loss of heterozygosity (CN-LOH). In addition to the crucial role of aging in the exponential increase of mCAs 26,27 , several other factors have also been reported to help shape the mCA landscapes, such as ambient air pollutants 28 , hazardous chemicals 29,30 , radiation 31 , and unhealthy lifestyles 32,33,34,35 , suggesting that mCAs can be viewed as an internal genomic signature associated with both internal and external exposures 36 . In the past decades, large population-based studies have established the effect of chromosomal mosaicism on early human embryogenesis 37,38 , birth defects 39,40 and a broad range of adult diseases 41,42 and cancers 26,27,31,43,44,45 .…”