Myotonic dystrophy type 1 is a neuromuscular affection associated with the expansion of an unstable CTG repeat in the DM protein kinase gene. The disease is characterized by somatic tissue-specific mosaicism and very high intergenerational instability with a strong bias towards expansions. We used transgenic mice carrying more than 300 unstable CTG repeats within their large human genomic environment to investigate the dynamics of CTG repeat germinal mosaicism in males. Germinal mosaicism towards expansions was already present in spermatozoa at 7 weeks of age and continued to increase with age, suggesting that expansions are continuously produced throughout life. To determine the precise stage at which germinal expansions occur during spermatogenesis, we sorted and collected the different germ cell types produced during spermatogenesis from males of different ages and analyzed the CTG repeat mosaicism in each fraction. Strong mosaicisms towards expansions were already observed in spermatogonia before meiosis. In transgenic Msh2-deficient mice, germinal instability of the CTG repeats (only contractions) also occurs premeiotically. No significant difference in mosaicism was detected between spermatogonia and spermatozoa, arguing against continued expansions during postmeiotic stages. This indicates that germinal expansions are produced at the beginning of spermatogenesis, in spermatogonia, by a meiosis-independent mechanism involving MSH2.Myotonic dystrophy type 1 (DM1) is associated with the expansion of a CTG trinucleotide repeat located in the 3Ј untranslated region of the DM protein kinase (DMPK) gene at 19q13. 3 (3, 7, 17, 27). In normal subjects, there are usually between 5 and 37 copies of this repeat, which remains stable following intergenerational transmissions. In DM1 patients, more than 50 CTG repeats are typically present, and the repeat is highly unstable and increases with each generation. The number of CTG repeats is positively correlated with the severity of symptoms and is negatively correlated with age at onset, resulting in an anticipation phenomenon that is particularly obvious in DM1 (19). The behavior of the CTG repeat between generations appears to depend on the sex of the transmitting parent. Paternal transmissions lead to larger expansions for Ͻ100 CTG repeats, whereas maternal transmissions lead to larger expansions when the CTG repeat tract contains Ͼ500 repeats in the transmitting parent (2, 24). In between, both paternal and maternal alleles expand. In addition to intergenerational instability, somatic CTG repeat-length mosaicism is also found in DM1 patients. Inter-and intratissue mosaicisms increasing with age are observed, with a strong bias towards expansions (1,22). DM1 is one of the growing group of diseases caused by dynamic mutations. This group currently comprises more than a dozen diseases, including Huntington's disease (HD), spinocerebellar ataxias, and fragile X syndrome, which are generally associated with CNG trinucleotide repeats (11, 46). The dynamics of the different...