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Polymorphism for a 1.6-Mb deletion of the human Y chromosome persists through balance between recurrent mutation and haploid selection.

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TLDR
It is suggested that the existence of this deletion as a polymorphism reflects a balance between haploid selection, which culls gr/gr-deleted Y chromosomes from the population, and homologous recombination, which continues to generate newgr/gr deletions.
Abstract
Many human Y-chromosomal deletions are thought to severely impair reproductive fitness, which precludes their transmission to the next generation and thus ensures their rarity in the population. Here we report a 1.6-Mb deletion that persists over generations and is sufficiently common to be considered a polymorphism. We hypothesized that this deletion might affect spermatogenesis because it removes almost half of the Y chromosome's AZFc region, a gene-rich segment that is critical for sperm production. An association study established that this deletion, called gr/gr, is a significant risk factor for spermatogenic failure. The gr/gr deletion has far lower penetrance with respect to spermatogenic failure than previously characterized Y-chromosomal deletions; it is often transmitted from father to son. By studying the distribution of gr/gr-deleted chromosomes across the branches of the Y chromosome's genealogical tree, we determined that this deletion arose independently at least 14 times in human history. We suggest that the existence of this deletion as a polymorphism reflects a balance between haploid selection, which culls gr/gr-deleted Y chromosomes from the population, and homologous recombination, which continues to generate new gr/gr deletions.

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Citations
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Structural variation in the human genome

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The biology of infertility: research advances and clinical challenges

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Male Reproductive Disorders and Fertility Trends: Influences of Environment and Genetic Susceptibility

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Genetics of male infertility.

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Eaa/emqn best practice guidelines for molecular diagnosis of y chromosomal microdeletions

TL;DR: In the light of the recent advance in the knowledge of the Y chromosome sequence and of the mechanism of microdeletion it was agreed that the basic 1999 protocol, based on two multiplex polymerase chain reactions each covering the three AZF regions, is still fully valid and appropriate for accurate diagnosis.
References
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Journal ArticleDOI

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TL;DR: The rate of mutation at which the gene for haemophilia appears in the population of London is estimated at about once in 50,000 human life cycles, with the milder type arising less frequently by mutation than the severe type.
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Recombination between palindromes P5 and P1 on the human Y chromosome causes massive deletions and spermatogenic failure.

TL;DR: The discovery of breakpoint hotspots suggest that factors in addition to homology underlie these deletions, which are the largest of all human interstitial deletions for which deletion junctions and complete intervening sequence are available.
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Recent common ancestry of human Y chromosomes: Evidence from DNA sequence data

TL;DR: It is estimated that the spread of Y chromosomes out of Africa is much more recent than previously was thought, and the data indicate substantial population growth in the effective number of human Y chromosomes.
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Hierarchical Patterns of Global Human Y-Chromosome Diversity

TL;DR: A nested cladistic analysis (NCA) demonstrated that both population structure processes (recurrent gene flow restricted by isolation by distance and long-distance dispersals) and population history events were instrumental in explaining this tripartite division of global NRY diversity.
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Occurrence of hemophilia in the United States

TL;DR: Application of age‐specific prevalence rates from the six surveillance states to the U.S. population resulted in an estimated national population of 13,320 cases of hemophilia A and 3,640 cases of Hemophilia B in 1994, and the prevalence by race/ethnicity was 13.2 cases/100,000 among white, 11.0 among African American, and 11.5 among Hispanic males.
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