Transposable elements make up approximately half of the human genome. Apart from an evolutionary role in altering the genomic landscape and gene expression, recent discoveries have brought into focus the scale and impact of active movement by non‐LTR retrotransposons, both in the germline and in somatic niches. Heritable insertions that originate from either early embryonic or germ cell development have contributed to over 100 cases of human genetic diseases. Alu, L1 and SVA contribute to 60%, 25% and 10% of disease‐causing germline insertions, respectively. In contrast, L1 retrotransposition is responsible for the majority of nonheritable (or somatic) insertions found in the brain and many types of cancers. A multidisciplinary effort is required to fully understand the role of active retrotransposition in human physiology and pathophysiology.
Key Concepts
Recently mobilised transposons in the human genome are confined to three types of non‐LTR retrotransposons: L1, Alu and SVA.
Ongoing retrotransposition in the germline has contributed to over 100 cases of tumour and nontumour human genetic diseases, including 21 cases of neurofibromatosis type 1 (NF1).
Early embryonic development is a critical window for retrotransposition and may harbour excessive insertional activities.
Elevated L1 retrotransposition in germ cells is expected in individuals with partially compromised piRNA pathway.
Human brain is a hub for somatic retrotransposition during neuronal development. Its implication on neuronal function or dysfunction (friend or foe) remains to be elucidated.
Human cancers can be categorised into very‐high, high, medium, low and very‐low insertional activity groups. Some insertions are cancer drivers but the majority are likely passenger events.