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. 2021 Apr 16;41(4):718–728. doi: 10.1007/s10875-021-01037-z

Table 1.

Inborn errors of immunity (IEIs) caused by somatic mosaicism. Diseases here are those in which mosaic somatic variants lead to disease in patients. Not included are variants in asymptomatic individuals (for example gonadal mosaicism) or revertant mosaicism that in some cases can alleviate a disease phenotype. *Indicates disease was initially reported or predominantly mosaic

Disease phenotype Gene Chr GOF or LOF mechanism Type of mosaicism demonstrated VAF in blood and/or cell type References
Autoimmune lymphoproliferative syndrome (ALPS) FAS Chr10 LOF Somatic

1–35% in blood

(50% in DNTs)

[1820]
RAS-associated autoimmune leukoproliferative disease (RALD) KRAS* Chr12 GOF Somatic NA [21, 22]
NRAS* Chr1 GOF Somatic 50% [14, 23]
Autoinflammatory disorders CAPS NLRP3 Chr1 GOF Somatic 2–45% [14, 17, 2430]
NLRC4 GOF NLRC4 Chr2 GOF Somatic 30% [31]
TRAPS TNFRSF1A Chr12 GOF Gonosomal 18–30% [32]
Blau syndrome NOD2 Chr16 GOF Somatic, gonosomal 7–13% [33, 34]
SAVI TMEM173 Chr5 GOF Somatic NA [35, 36]
VEXAS UBA1* ChrX LOF Somatic

35–80% in blood

60–95% in myeloid cells

[37]
JAK1 GOF JAK1* Chr1 GOF Somatic 27% [38]
Hypereosinophilic syndrome STAT5B* Chr17 GOF Somatic 10–46% [39]
Chronic Granulomatous disease CYBB ChrX LOF Somatic NA [40]
Inflammation, neutropenia bone marrow failure, and lymphoproliferation caused by TLR8 (INFLTR8) TLR8* ChrX GOF Somatic 8–26% [41]

Abbreviations: CAPS, cryopyrin-associated autoinflammatory syndrome; CINCA, chronic infantile neurological, cutaneous, and articular syndrome; DNT, double-negative T cells; GOF, gain-of-function; LOF, loss-of-function; NA, not available; SAVI-STING, associated vasculopathy with onset in infancy; TRAPS, tumor-necrosis-factor-receptor-associated periodic syndrome; VAF, variant allele frequency; VEXAS, vacuoles, E1 enzyme, X-linked, autoinflammatory, somatic