Hey, Douglas. We've pretty much understood for a while the various mechanisms, at least the basics, that arrive at our seeing autosomal DNA "pile-up" regions or, more technically, areas of excess IBD sharing (a listed summary at the bottom). I put together a little "cheat-sheet" (it's in PDF format) last year of some particular areas on different chromosomes to be extra cautious about when it comes to evaluating matching segments. But these relate to the human population as a whole, and pile-up regions come in different flavors.
Chr 22 can sometimes be a problem. Under the outdated GRCh37 genome reference assembly we still use for genealogy (released June 2013, one major and 14 patch release versions ago) it's 51,304,566 base pairs long; in the newer GRCh38 assembly it's a bit shorter, 50,818,468 base pairs long. Chr 22 is an acrocentric chromosome (explained in the cheat-sheet) so the first ~12,200,000 positions can't be used accurately for genealogy. The centromeric and pericentromeric regions account for positions ~12,200,001 to 17,900,000. Global population levels of excess IBD sharing have been reported at positions 16,051,881 through 25,095,451. And there are 969 known protein-coding genes on the chromosome starting after the 16 million bp mark and including some large ones like IGL, MY018B, TTC28, the aptly-named LARGE1, and others. That latter can be an important consideration due to something called genetic linkage which prevents segments breaking within a gene or its closest flanking neighbor alleles...keeps us from getting the equivalent of a Star Trek transporter scramble where pieces end up where they're not supposed and cause deleterious affect to the organism.
Basically, the first half of Chr 22 isn't of much use for genealogy. And we have to keep in mind that our typical autosomal microarray tests target around 15% of the tested SNPs in exonic regions, those areas involved in coding genes, because the companies are interested in clinical and pharmacological applications. Some of these are population/genealogy relevant, but the majority are not.
Too, MyHeritage has earned a reputation for being a bit...aggressive with matching. They employ what they call a "stitching" algorithm that tries to infer when two smaller segments are showing as distinct and separate, and if parameters are met MyHeritage will synthetically "stitch" them together and report it as being a single segment. This is essentially the opposite of what AncestryDNA's Timber algorithm does in its attempt to remove potential false-positive matches. My vote is that the AncestryDNA approach is the more accurate of the two.
I know that no one wants me to take a deep dive (and a few thousand very dry words) into an explanation of factors that can lead to excess IBD sharing, though I do believe it's one of the elements at the heart of many incorrect DNA matching representations, particularly triangulations. So I'll just do a quick bullet-summary for now. Basic explanations can be found with a little Google-fu, but it will take reading some journal articles to get a good grasp of them; Google Scholar can help with that (and I just now added five recent papers to the ISOGG "Identical by descent" page). Most of these factors deal with biological functions that take place during the two stages and multiple phases of meiosis; one deals with still-maturing genomic information:
The centromere effect: Centromere-proximal crossovers are suppressed; crossovers do not occur close to the centromere in highly repetitive (HR) heterochromatic areas. As the density gradually becomes less repetitive (LR) toward the adjacent euchromatin the suppression becomes less strong.
Non-pericentromeric heterochromatic regions: Other areas of HR heterochromatin also do not participate in meiotic recombination. Similar to the pericentromeric areas, the degree of crossover suppression weakens as the heterochromatin becomes less densely repetitive along the chromosome.
Crossover interference: the non-random placement of crossovers with respect to each other during meiosis. This is an apparent regulatory function to assure that crossovers on the same chromosome are distributed well apart from one another. Ergo the double-strand break(s) on a particular chromosome that occur first may help dictate what other regions along the chromosome might or might not be subsequent candidates for additional breaks and crossovers.
Genetic linkage: The nearer two genes and any associated, flanking exons are on a chromosome, the lower the chance of a double-strand break during crossover separating them, and the more likely they are to be inherited together. There are areas of some chromosomes that contain greater gene density than others; you can browse around the NIH Genome Data Viewer to get an idea visually of where protein coding genes reside.
Linkage disequilibrium: At first glance it seems it should be the opposite of genetic linkage, but it's really a sibling, and an important one for pile-ups. From Wikipedia: "Linkage disequilibrium (LD) is the non-random association of alleles at different loci in a given population. Loci are said to be in linkage disequilibrium when the frequency of association of their different alleles is higher or lower than what would be expected if the loci were independent and associated randomly. Linkage disequilibrium is influenced by many factors, including selection, the rate of genetic recombination, mutation rate, genetic drift, the system of mating, population structure, and genetic linkage. As a result, the pattern of linkage disequilibrium in a genome is a powerful signal of the population genetic processes that are structuring it. In spite of its name, linkage disequilibrium may exist between alleles at different loci without any genetic linkage between them and independently of whether or not allele frequencies are in equilibrium (not changing with time)."
Crossover hotspots: Our understanding here has been increasing and there are as many as 50,000 hotspots identified across different populations. These are areas of the genome that show empirically higher rates of double-strand breaks and crossovers than would occur from a baseline expectation. Some of these sites are "fragile," meaning that they have a greater tendency toward double-strand breaks and crossover, and are identifiable by certain trinucleotide repeats. It's worth another reminder here that all our genealogy testing companies continue to use an outdated version of genome reference assembly which doesn't incorporate newer understanding of crossover hotspots...and crossovers are what form the segments we use for atDNA and upon which we base the rather imprecise calculation of centiMorgans.
Imprecise understanding of recombination rates across the genome: Related to the above, the advent of fiscally accessible whole genome sequencing starting circa 2013 has shown that our understanding of recombination rates estimation is still somewhat rudimentary and is limited by insufficient amounts of informative genetic data and/or by high computational costs; this area of genomic information is still developing (Zhou, Browning, and Browning; 2020).
We need a stronger grasp of this, and then we need to factor it properly into centiMorgan calculation in an updated genome reference assembly or, perhaps, move to a pangenomic approach and do away with the notion of a single reference map. A distressing factoid (at least to me): of the 20 donor genomes the current reference was meant to draw information from, about 70% of the reference sequence was obtained from a single individual (Ballouz, et al. 2019).
We often hear quite a lot about DNA recombination being random. In truth, it's pretty far from being a purely random process.
The short message is that pile-up regions occur in a spectrum, ranging from genetic linkage preserving significant blocks of protein-coding and related exonic DNA across global populations, to pile-ups that are continental-level indicative of broad-scale population bottleneck events, to regional- and even familial-level haplotypic pile-ups that express as blocks of DNA carried forward for many generations.