Mutation rates of microsatellites vary greatly among loci. The causes of this heterogeneity remain largely enigmatic yet are crucial for understanding numerous human neurological diseases and genetic instability in cancer. In this first genome-wide study, the relative contributions of intrinsic features and regional genomic factors to the variation in mutability among orthologous human-chimpanzee microsatellites are investigated with resampling and regression techniques. As a result, we uncover the intricacies of microsatellite mutagenesis as follows. First, intrinsic features (repeat number, length, and motif size), which all influence the probability and rate of slippage, are the strongest predictors of mutability. Second, mutability increases nonuniformly with length, suggesting that processes additional to slippage, such as faulty repair, contribute to mutations. Third, mutability varies among microsatellites with different motif composition likely due to dissimilarities in secondary DNA structure formed by their slippage intermediates. Fourth, mutability of mononucleotide microsatellites is impacted by their location on sex chromosomes vs. autosomes and inside vs. outside of Alu repeats, the former confirming the importance of replication and the latter suggesting a role for gene conversion. Fifth, transcription status and location in a particular isochore do not influence microsatellite mutability. Sixth, compared with intrinsic features, regional genomic factors have only minor effects. Finally, our regression models explain ∼90% of variation in microsatellite mutability and can generate useful predictions for the studies of human diseases, forensics, and conservation genetics.[Supplemental material is available online at www.genome.org.]Microsatellites, i.e., tandemly recurring nucleotide sequences of short (1-6 bp) motifs, are ubiquitous in eukaryotic genomes and undergo rapid length changes due to insertion or deletion of one or multiple repeat units (Ellegren 2004;Pearson et al. 2005). Microsatellite mutation rates are high (10
4מ-10 2מ mutations per locus per generation in humans) and vary greatly among loci (Ellegren 2004). The causes of this variation are not completely understood but are of great interest because microsatellite instability is implicated in cancer (Oda et al. 2005), expansions of microsatellites are responsible for over 40 neurological disorders (Pearson et al. 2005), and microsatellites are widely used markers in forensics and conservation genetics (Ellegren 2004). The most commonly proposed mutation mechanism for microsatellites is strand slippage, occurring predominantly during replication (Ellegren 2004); because of homology among microsatellite repeats, the two DNA strands might realign incorrectly after dissociation, introducing a loop at one strand and leading to microsatellite expansion/contraction (Ellegren 2004). However, experimental evidence indicates formation of unorthodox secondary DNA structures at microsatellites not only during replication but also during reco...