Human germline de novo mutations (DNMs) are both a driver of evolution and an important cause of genetic diseases. In the past few years, whole-genome sequencing (WGS) of parentoffspring trios has facilitated the large-scale detection and study of human DNMs, which has led to exciting discoveries. The overarching theme of all of these studies is that the DNMs of an individual are a complex mixture of mutations that arise through different biological processes acting at different times during human development and life.
De novo mutationsHuman de novo mutations (DNMs, see Glossary) are germline mutations that newly occurred within one generation. While the vast majority of the genome has been inherited from earlier generations, DNMs provide new genetic variation. The consequences of the new genetic mutation can vary widely. While neutral or advantageous mutations might become established in the genome of our species and thereby contribute to human evolution, changes to crucial genetic sequences can also result in misfunctioning of biological systems, resulting in severe disease. One of the earliest known examples of this was Down syndrome, which is caused by a de novo trisomy of chromosome 21 [1][2][3]. In recent years DNMs have been found to be a prominent cause of neurodevelopmental diseases, including intellectual disability, autism, and schizophrenia [4,5]. The unbiased study of de novo point mutations in humans was for many years hampered by the lack of techniques to scan the entire genome in a cost-effective way. The introduction of next-generation sequencing (NGS) technologies has spurred investigations of DNMs in humans [6]. DNMs can refer to a variety of different mutation types, such as single-nucleotide substitutions, insertions, deletions, and copy-number variants (CNVs). In this review we focus on single-nucleotide mutations and review the progress made in this field since the introduction of WGS, exploring their biology and possible underlying mechanisms (Figure 1, Key Figure ), but not the potential pathological consequences.