“…Hypoxanthine‐guanine phosphoribosyltransferase ( HPRT1 ) mutations in T lymphocytes (T‐cells) have been used for several decades as reporters of in vivo somatic mutations in humans, with increases in the frequency of these mutations serving as a useful marker for environmental genotoxic exposures (Albertini, 2001; Albertini et al, 1982, 2001; Morley et al, 1983; Tates & Lambert, 1999). Increases in HPRT mutant frequencies (MFs) also are found in clinical situations characterized by heightened immunological activity such as in autoimmune diseases and cancer (Abramson et al, 1999; Cannons et al, 1998; Kaitz et al, 2022; Lodge et al, 1994, 1996; van den Berg et al, 1995). In these cases, the MF elevations are thought to be due to increased T‐cell proliferation (Abramson et al, 1999), which can be both mutagenic and serve to amplify pre‐existing T‐cell mutants.…”