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Researchers establish best methods to measure genetic variation within the body

Quantifying mutations that accumulate over time could give clues to diseases of aging, cancer development

by Julia Evangelou Strait•November 5, 2026

Illustration of DNA double helixSara Moser/WashU Medicine

In Brief

  • Scientists at WashU Medicine are testing the best ways to understand small genetic changes that build up in our cells as we age.
  • These changes can raise the risk of aging-related diseases and cancer.
  • Three methods combined provide the most comprehensive picture.

Researchers at Washington University School of Medicine in St. Louis are leading national efforts to investigate small DNA changes over time that create genetic differences between tissues within the same person. Called somatic mosaicism, these variations alter how cells operate and play a critical role in aging and disease — especially cancer risk — across the lifespan.

Despite their importance, such DNA changes are rare and difficult to measure. Now, a package of papers publishing in Cell Press journals demonstrates new and innovative strategies to accurately measure and assess the significance of these types of DNA changes across multiple tissue types. WashU Medicine investigators led three of these studies, one published in Cell and two in Cell Genomics.

The research is part of the Somatic Mosaicism across Human Tissues (SMaHT) Network, which is supported by the National Institutes of Health’s (NIH) Common Fund.

WashU Medicine serves as the national organizing center, led by principal investigator Ting Wang, PhD, the Sanford C. and Karen P. Loewentheil Distinguished Professor of Medicine and head of the James S. McDonnell Department of Genetics. WashU Medicine is also the largest of five data production centers, also led by Wang, contributing more than 25% of all the data produced by the network since it launched in 2023.

A person’s genome sequence — all the “letters” making up a person’s complete set of DNA — is often thought of as identical in each cell throughout the body. In practice, DNA is far more complex, with various cells across multiple tissues accumulating different changes, or variants, over time. Much genetic research into disease has focused on inherited variants, which are passed from parents to offspring through the reproductive cells (sperm and eggs) and are a bit easier to identify because they are present in each cell throughout the body.

These new efforts are focused on genetic changes that emerge over the course of a person’s lifetime and in just some cells, which are known as somatic mutations or somatic variants.

“Many of these variations are neutral and harmless, but we also know a lot of diseases are directly linked to somatic variation, especially cancer,” Wang said. “We have a broad understanding that individuals are a genetic mosaic, but we need to define the spectrum of normal somatic variation. Once we have that reference spectrum of normal, we can start to delve into what may lead to disease with the goal of finding ways to mitigate it.”

According to Wang, only recently has genomic sequencing technology advanced to the point that scientists can study the distribution of somatic variants. The major goal of this first set of studies is to verify the accuracy of computational tools the scientists developed to correctly identify — with high statistical sensitivity and specificity — all the rare DNA changes that make up an individual’s genomic mosaic.

How to dissect the effects of genetic changes sprinkled throughout our bodies

In one of the two Cell Genomics studies, led by Wang, the researchers harnessed the extensive sequencing data from the Human Pangenome Reference Consortium, another national genomics effort, this one intended to increase the diversity of the human genome sequences that are pooled into the widely used reference human genome.

WashU Medicine also serves as the national coordinating center for this project, which is led by Wang. The pangenome project data has been heavily used in the past to find inherited genetic variants, but this study is the first to show that the data can also be used to identify somatic DNA variation across any tissue.

In the second Cell Genomics study, led by WashU Medicine’s Sheng Chih (Peter) Jin, PhD, an assistant professor of genetics, the researchers used data from the International HapMap Project, an NIH-funded genome sequencing project that ran from 2002 to 2010.

“We have essentially developed ways to create millions of known somatic mutations synthetically,” Jin said. “We can then use this as a resource to make sure we can accurately tackle the challenge of identifying rare somatic mutations across all types of tissues.”

The flagship paper for this first set of publications, published in Cell, summarizes the results for all of the papers in the package, establishing the accuracy of the sequencing approaches. In addition to co-leading work with the Mayo Clinic on the Cell paper and leading the two Cell Genomics papers, WashU Medicine investigators are co-authors on the remaining papers in the package.

The researchers conclude that three key sequencing strategies — called bulk sequencing, single-cell sequencing and duplex sequencing — are complementary to one another and that combining them provides a comprehensive picture of mosaicism within tissues. With the accuracy of their technologies verified, the researchers are now working toward the goal of analyzing multiple tissue samples from 150 human donors of diverse ancestries and across multiple life stages.

Kong N, Tang Z, Ruttenberg A, Macias-Velasco JF, Li Z, Zhang W, Miao B, Xin Z, Fu Q, Park H, Zhuo X, Mehinovic E, Belter Jr E, Tomlinson C, Garza JE, Dong S, Casey E, Johnson B, Majewski FM, Palmer T, Cheng Y, Lindsay T, Schedl T, Li D, Shen H, Fulton R, SMaHT Network Assembly/Pangenome Working Group, Wang T, Jin SC. A pangenomic method for establishing a synthetic somatic variant resource in HapMap mixtures. Cell Genomics. Oct. 15, 2026. DOI: 10.1016/j.xgen.2026.101358.

This work was supported by the NIH, grant numbers UM1DA058219, 3UM1DA058219-01S1, U24NS132103, U41HG010972 and R35GM152192. 

Fu Q, Xin Z, Miao B, Zhang W, Kong N, Tang Z, Ruttenberg A, Albracht D, Belter Jr EA, Garza JE, Tomlinson C, Mehinovic E, Shen J, Zhuo X, Dong S, Johnson BK, Majewski MF, Palmer T, Jang HJ, Cheng Y, Li Z, Lawson HA, Lindsay T, Li D, Fulton R, Shen H, Jin SC, SMaHT Network Assembly/Pangenome Working Group, Macias-Velasco JF, Wang T. Leveraging human pangenome for improved somatic variant detection. Cell Genomics. Nov. 5, 2026. DOI: 10.1016/j.xgen.2026.101419 

This work was supported by the National Institutes of Health (NIH), grant numbers UM1DA058219, 3UM1DA058219-01S1, U24NS132103, UM1HG010971 and U41HG010972. 

The Somatic Mosaicism across Human Tissues Network (SMaHT), Abyzov A. Comprehensive benchmarking of somatic mutation detection by the SMaHT Network. Cell. Oct. 15, 2026. DOI: 10.1016/j.cell.2026.09.037 

This research is supported by the NIH Common Fund, through the Office of Strategic Coordination/Office of the NIH Director under award numbers U24 MH133204, U24 NS132103, UG3 NS132024, UG3 NS132061, UG3 NS132084, UG3 NS132105, UG3 NS132127, UG3 NS132128, UG3 NS132132, UG3 NS132134, UG3 NS132135, UG3 NS132136, UG3 NS132138, UG3 NS132139, UG3 NS132144, UG3 NS132146, UM1 DA058219, UM1 DA058220, UM1 DA058229, UM1 DA058230, UM1 DA058235 and UM1 DA058236.

All the content is solely the responsibility of the authors and does not necessarily represent the official view of the NIH.

About WashU Medicine

WashU Medicine is a global leader in academic medicine, including biomedical research, patient care and educational programs with 3,100 faculty. Its National Institutes of Health (NIH) research funding portfolio is the second largest among U.S. medical schools and has grown 78% since 2016. Together with institutional investment, WashU Medicine commits over $1.6 billion annually to basic and clinical research innovation and training. Its faculty practice is consistently among the top five in the country, with more than 2,550 faculty physicians practicing at 200 locations. WashU Medicine physicians exclusively staff Barnes-Jewish and St. Louis Children’s hospitals — the academic hospitals of BJC HealthCare — and Siteman Cancer Center, a partnership between BJC HealthCare and WashU Medicine and the only National Cancer Institute-designated comprehensive cancer center in Missouri and southern Illinois. WashU Medicine physicians also treat patients at BJC’s community hospitals in our region. With a storied history in MD/PhD training, WashU Medicine recently dedicated $100 million to scholarships and curriculum renewal for its medical students, and is home to top-notch training programs in every medical subspecialty as well as physical therapy, occupational therapy, and audiology and communications sciences.

Julia covers medical news in genomics, cancer, cardiology, developmental biology, biochemistry & molecular biophysics, and gut microbiome research. In 2022, she won a gold award for excellence in the Robert G. Fenley Writing Awards competition. Given by the Association of American Medical Colleges, the award recognized her coverage of long COVID-19. Before joining Washington University in 2010, she was a freelance writer covering science and medicine. She has a research background with stints in labs focused on bioceramics, human motor control and tissue-engineered heart valves. She is a past Missouri Health Journalism Fellow and a current member of the National Association of Science Writers. She holds a bachelor's degree in engineering science from Iowa State University and a master's degree in biomedical engineering from the University of Minnesota.