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What is a gene variant and how do variants occur?
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Mutationsanddisorders

What is a gene variant and how do variants occur?

A gene variant is a permanent change in the DNA sequence of a gene, which can be inherited from parents or acquired throughout a person’s lifetime.

Overview

A gene variant is a permanent change in the DNA sequence that makes up a gene. While this type of genetic change was previously known as a gene mutation, the term "gene variant" is considered more accurate because changes in DNA do not always cause disease. These variants can affect one or more DNA building blocks, known as nucleotides, within a gene.

How Variants Occur

Gene variants generally fall into two categories based on how they are acquired:

  • Inherited (Hereditary) Variants: These are passed from parent to child and are present in virtually every cell of the body throughout a person’s life. Because they are present in the parent’s egg or sperm cells—collectively called germ cells—they are also known as germline variants. When fertilization occurs, the resulting DNA contains variants from both parents.
  • Non-inherited (Somatic) Variants: These occur during a person’s lifetime and are present only in specific cells, not every cell in the body. Because they typically occur in somatic cells (cells other than sperm and egg cells), they cannot be passed to the next generation. These may be caused by environmental factors, such as ultraviolet radiation from the sun, or by errors made during DNA replication in cell division.

De Novo Variants

Some genetic changes are described as de novo variants, meaning they are recognized in a child but not in either parent. These can occur in a parent’s egg or sperm cell, or shortly after the egg and sperm unite. As the fertilized egg divides, the variant is incorporated into every cell of the growing embryo. This explains genetic disorders where a child has a variant in every cell despite having no family history of the condition.

Mosaicism

Variants acquired during development can lead to mosaicism, where a set of cells has a different genetic makeup than others. This occurs anytime from embryonic development through adulthood.

  • Somatic Mosaicism: Occurs when a proportion of somatic cells contain the variant while others do not. Depending on the variant and the number of cells affected, this may or may not cause health problems.
  • Germline Mosaicism: Occurs when a proportion of egg or sperm cells contain a variant. In this situation, an otherwise unaffected parent can pass a genetic condition to their child.

Impact on Health

Most variants do not lead to disease, and those that do are uncommon in the general population. Some variants occur frequently enough to be considered common genetic variation; these are responsible for differences such as eye color, hair color, and blood type. While many of these common variations have no negative health effects, some may influence the risk of developing certain disorders.

Frequently Asked Questions

Somatic variants arise in non‑germline cells and are not passed to offspring. However, they can drive the growth of tumors in the affected tissue. If a somatic variant is found in a biopsy, it may guide targeted therapy choices and inform surveillance for other cancers.
Gather a detailed family medical history, including any known genetic conditions. Bring any previous genetic test reports, and be ready to discuss lifestyle factors that could influence somatic mutations (e.g., smoking, sun exposure). Discuss with your provider whether you need to fast or stop certain medications before the test, and confirm that the lab will analyze both germline and, if relevant, somatic DNA.
germline variant is present in every cell, so each of your children has a 50 % chance of inheriting it if you are heterozygous. Some variants have incomplete penetrance, meaning not everyone who inherits them will develop disease. Discuss specific risks with a genetic counselor and consider predictive testing for at‑risk relatives.
sk your genetic counselor to compare your DNA sequence with that of both parents. If the variant appears in neither parent’s germline cells, it is considered de novo. If it is present in one parent, it is inherited. The counselor may also review family history and use specialized software to assess the likelihood of a de novo event.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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