Here is the abstract by Lynch on the issue.
Mutation and Human Exceptionalism: Our Future Genetic Load.
Lynch M1.
Author information
Abstract
Although the human germline mutation rate is higher than that in any other well-studied species, the rate is not exceptional once the effective genome size and effective population size are taken into consideration. Human somatic mutation rates are substantially elevated above those in the germline, but this is also seen in other species. What is exceptional about humans is the recent detachment from the challenges of the natural environment and the ability to modify phenotypic traits in ways that mitigate the fitness effects of mutations, e.g., precision and personalized medicine. This results in a relaxation of selection against mildly deleterious mutations, including those magnifying the mutation rate itself. The long-term consequence of such effects is an expected genetic deterioration in the baseline human condition, potentially measurable on the timescale of a few generations in westernized societies, and because the brain is a particularly large mutational target, this is of particular concern. Ultimately, the price will have to be covered by further investment in various forms of medical intervention. Resolving the uncertainties of the magnitude and timescale of these effects will require the establishment of stable, standardized, multigenerational measurement procedures for various human traits.
A review of the article:
A Weakened Gene Pool Why Humanity’s DNA May be in Trouble in the Future
''We are all living longer than our ancestors because of better healthcare, sanitation and so on. This is obviously a good thing for each of us as individuals. But the effects on the DNA of humankind may not be so wonderful.
A new review in GENETICS explains this potential problem pretty well. It has to do with DNA changes or mutations that pop up in each generation. And the loss of the ability to weed out the ones with minor, negative effects.
Over time, these minor mutations might build up and have serious consequences. Left unchecked, our DNA might decline in quality, generation after generation.
Now that isn’t to say that this article says that DNA quality is only going to go downhill. With screening and maybe even fixing broken genes (gene editing), we may eventually lose really bad mutations from the gene pool. So future generations may not get as many deadly genetic diseases as we do today.
But it is the mutations that just cause minor problems that are, well, potentially the problem. We will not be able to easily find and screen for these. And combined they may have real consequences for humanity.
The idea is that these mutations with small effects will keep building up in our DNA because they are not deadly in the modern world. Eventually enough mutations will build up to weaken the human genetic pool. Death by a thousand cuts…
We may see increases in autism and other brain related issues, get cancer earlier and so on. We will be more sickly in general.''