Genetic mutations are changes in the basic sequence of DNA. While some genetic changes are passed down through generations, many arise spontaneously within an individual’s lifetime, a process known as somatic mutation. These alterations occur in any cell of the body except for the reproductive cells. Somatic mutations are a common, ongoing biological event that begins shortly after conception and continues throughout a lifespan.
Defining Somatic Versus Germline Mutations
The distinction between somatic and germline mutations lies in the type of cell affected and the potential for inheritance. A germline mutation is a DNA change present in the egg or sperm cells, passed directly from a parent to their offspring during conception. Since the fertilized egg contains this change, every cell in the child’s body will carry the germline mutation, making it a uniform part of their genetic makeup.
Somatic mutations occur in non-reproductive cells, or “body cells,” after the fertilized egg has begun to divide. Because they are not present in the sperm or egg, these acquired mutations cannot be transmitted to future generations.
When a somatic mutation occurs in a single cell, the altered DNA sequence is copied and passed on to all daughter cells through mitosis. This process creates a localized population, or “clone,” of cells with the altered DNA, which exists alongside the original, unaltered cells. The mutation is thus confined to specific tissues or organs, rather than being present uniformly across the entire body.
How Somatic Mutations Occur
The mechanisms leading to somatic mutations are broadly categorized as either endogenous (internal cellular processes) or exogenous (external environmental exposure).
Endogenous factors are continuous and unavoidable, primarily involving errors during DNA replication. Every time a cell divides, the molecular machinery responsible for copying the genome can introduce mistakes, such as substituting one nucleotide base for another. Also, internal processes like cellular metabolism generate reactive oxygen species, or free radicals, which chemically damage DNA bases. While the cell has DNA repair systems to correct these errors, the repair mechanisms are not perfectly efficient, meaning a small percentage of damage becomes permanent mutations.
Exogenous factors introduce mutations from the outside world, creating changes that leave specific “signatures” on the DNA. For example, ultraviolet (UV) radiation from the sun causes adjacent pyrimidine bases to bond incorrectly, forming a dimer that distorts the DNA helix. Similarly, chemical carcinogens, such as those in tobacco smoke, create bulky adducts that interfere with replication and repair, leading to characteristic mutations. Ionizing radiation, like X-rays, can cause double-strand DNA breaks, which are difficult for the cell to repair without error.
Primary Consequences in Disease
The accumulation of somatic mutations over a lifetime is most prominently associated with the development of cancer. Cancer is a genetic disease driven by the gradual acquisition of mutations in genes that govern cell growth, division, and death. Specific mutations can give a cell a selective advantage, allowing it to divide uncontrollably and evade normal regulatory signals.
The genes most commonly implicated fall into two main groups: oncogenes and tumor suppressor genes. Proto-oncogenes normally promote cell growth, but a somatic mutation can transform them into active oncogenes, causing a gain-of-function that puts growth signals into overdrive. Conversely, tumor suppressor genes, like TP53, normally act as the cell’s brakes, regulating cell cycle progression and initiating programmed cell death. When a somatic mutation causes a loss-of-function in both copies of a tumor suppressor gene, the cell loses its ability to halt aberrant growth.
Beyond cancer, the cumulative effect of somatic mutations contributes to the functional decline observed in many age-related diseases. The continuous buildup of genetic damage in cells with limited regenerative capacity, such as neurons, is hypothesized to play a role in neurodegenerative disorders. Low-level somatic mutations in brain cells can disrupt cellular function, contributing to the tissue deterioration characteristic of conditions like Alzheimer’s disease.
Understanding Genetic Mosaicism
Genetic mosaicism is the structural outcome of a somatic mutation, defining the condition where an individual possesses two or more populations of genetically distinct cells originating from a single fertilized egg. This phenomenon occurs when a mutation arises in a somatic cell after the initial fusion of egg and sperm. The resulting body is a “mosaic” of cells, some carrying the original genome and some carrying the newly acquired mutation.
The overall impact and distribution of the variant cells are determined by the precise timing of the initial somatic mutation. If the mutation occurs very early in embryonic development, the altered cell will give rise to a large proportion of the organism’s cells and tissues. This widespread mosaicism is more likely to cause significant developmental disorders.
If the somatic mutation occurs later in life, such as in an adult skin or blood cell, it will only affect a small, localized clone of cells. This may lead to a benign skin lesion or a specific type of cancer. Genetic mosaicism is thus a spectrum, with the physical manifestation reflecting the developmental stage at which the original genetic error was introduced.

