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Biochemistry · Template Biosyntheses

DNA mutations

Mutatio

DNA mutations are unrepaired changes in the primary structure of deoxyribonucleic acid. They occur under the influence of endogenous and exogenous factors, lead to altered protein structure, and underlie both evolutionary variability and hereditary diseases.

Core conceptA stable change in the primary structure of genetic material
Most commonPoint mutations (specifically, nucleotide substitutions)
CausesPolymerase errors, repair failures, mutagens, and radiation
TypesSubstitutions, deletions, and insertions of nucleotides
5 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Causes and mechanisms of occurrence

Mutations occur when changes in the primary structure of DNA go unnoticed and unrepaired by cellular systems. The main causes include errors in DNA polymerase function during replication, failures of DNA repair systems, and the influence of a harsh external environment (e.g., radiation) and internal chemical mutagens.

Chemical mutagens can act in various ways:

  • Alkylating agents. They attach an alkyl group to the N7 position of the guanine purine ring. This alters its ionization capacity: during subsequent DNA replication, thymine is inserted opposite such a modified guanine (instead of normal cytosine). As a result, in the next cell generation, the G—C pair is permanently replaced by A—T.
  • Intercalating agents. These are substances that physically insert (intercalate) between the nitrogenous bases of the DNA helix, disrupting its geometry and hindering normal replication.

Classification of point mutations (substitutions)

The most studied and common type of damage is point mutations. The most frequent variant is the substitution of one nucleotide for another. Depending on how this change affects the encoded protein, three types of mutations are distinguished.

Type of substitutionChange in mRNAEffect on protein structure
SilentCodon meaning is preserved (synonymous substitution)None. The protein remains normal due to the degeneracy of the genetic code.
MissenseChange in codon meaningOne amino acid is replaced by another, which may disrupt protein function.
NonsenseFormation of a premature stop codonSynthesis is aborted, producing a functionally inactive, shortened molecule.
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Reading frame shift

In addition to substitutions, point defects include insertions and deletions. The scale of their consequences depends on the number of nucleotides involved:

  1. Without a reading frame shift. Occurs when the number of added or lost nucleotides is a multiple of three (e.g., a whole triplet). The meaning of the remaining codons does not change. The protein will simply be lengthened or shortened by the corresponding number of amino acids while retaining its core structure.
  2. With a reading frame shift (frameshift mutation). Occurs when the number of deleted or inserted nucleotides is not a multiple of three. This is a fatal change: all information downstream of the mutation site is read incorrectly by the ribosome. As a result, a peptide with a random amino acid sequence is synthesized. Often, such a shift leads to the accidental formation of a stop codon shortly after the mutation site, preventing the formation of a full-length protein.

Impact on the organism and evolution

Mutations can affect not only coding regions but also regulatory elements. For example, defects in promoter CpG islands lead to reduced or completely absent gene expression, even if the coding part is undamaged.

Clinical consequences heavily depend on the cell type:

  • Mutations in germ cells are inherited and cause hereditary diseases in offspring by altering protein structure and function.
  • Mutations in somatic cells are not inherited, but they provoke functional disorders (metabolic, morphological) in the carrier organism itself.

At the same time, genetic variability is the driving force of evolution (phylogenesis). Gene amplification processes, independent mutations in their copies (divergence), and recombination of chromosomal segments during meiosis (crossing over) lead to the emergence of new properties and families of related proteins.

Briefly: answers to topical questions

What groups are chemical mutagens divided into according to their mechanism of action?

Chemical mutagens are classified into several groups depending on their molecular mechanism of action on DNA.

  • Alkylating agents — attach an alkyl group to nitrogenous bases (e.g., to N7 of guanine), altering their bonding properties.
  • Base analogs — incorporate into the DNA chain instead of normal nucleotides and undergo tautomeric transformations, inducing transitions.
  • Deaminating agents — cause the removal of an amino group from bases, altering their complementary pairing ability.
  • Intercalating agents — insert between adjacent bases in the DNA molecule, increasing the distance between them and causing a reading frame shift during replication.

What endogenous factors lead to damage to the primary DNA structure?

According to sources, damage to the primary DNA structure and the occurrence of mutations can be caused by: • errors in DNA polymerase function; • errors or failures of DNA repair systems; • spontaneous hydrolytic cleavage of purine or pyrimidine bases; • spontaneous deamination of bases: cytosine → uracil, adenine → hypoxanthine, guanine → xanthine; • acetaldehyde as a toxic product of ethanol metabolism: forms adducts with proteins and DNA.

What are the main mechanisms of DNA damage repair?

The main repair mechanisms indicated in the sources: • base excision repair (BER): DNA glycosylase removes the damaged base, AP endonuclease cuts the backbone, DNA polymerase β fills the gap, DNA ligase seals the nick; • nucleotide excision repair for pyrimidine dimers: recognition of deformation, incisions by UV endonuclease, fragment removal, resynthesis by DNA polymerase, ligation; • repair of lost nitrogenous bases involving DNA insertase: the enzyme attaches the missing base to deoxyribose according to the complementarity rule; • direct repair for certain lesions, such as O6-methylguanine: O6-methylguanine-DNA methyltransferase transfers the methyl group from DNA to its own cysteine residue, restoring guanine; • replicative repair: correction of nucleotide mismatch errors during replication; • post-replication repair: recombination between daughter DNA molecules and gap filling; • SOS system: inducible enzymes activated during multiple damages, which can be a source of mutations.

Which hereditary diseases are associated with impaired DNA repair systems?

Diseases often leading to malignant cell transformation are associated with the loss or hereditary defect of repair genes.

  • Xeroderma pigmentosum (Xeroderma pigmentosum) — a defect in excision repair enzymes, preventing the removal of thymine dimers.
  • Ataxia-telangiectasia — a defect in the ATM kinase responsible for DNA break repair.
  • Nijmegen breakage syndrome — a defect in the NBS1 gene, also responsible for DNA break repair.
  • Other pathologies: Hereditary nonpolyposis colorectal cancer, Bloom syndrome, and Fanconi anemia.
How to memorize

To easily remember the types of substitutions: Missense — Meaning changes (different amino acid), Nonsense — No meaning (stop codon generated), Silent — Silent (no effect on the protein).

Class and exam questions

What happens if a single nucleotide deletion occurs?

A reading frame shift will occur. All codons located downstream of the deleted nucleotide will be read with an offset, leading to the synthesis of a protein with a completely random amino acid sequence or premature termination of translation.

Is a mutation necessarily inherited?

No. Only DNA damage that occurred in germ cells is inherited. If a mutation occurred in a somatic (body) cell, it will affect only the organism itself, but not its descendants.

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What else to study on this topic

  • Mechanism of action of alkylating and intercalating mutagens
  • Properties of the genetic code (degeneracy)
  • Function of DNA repair systems
  • Recombination and crossing over during meiosis
  • Regulatory mutations and CpG islands

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