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Biology · Variability and its forms

Gene mutations

Gene mutations are changes in the chemical structure of genes that are transmitted to cells during DNA replication cycles and manifest in offspring as new trait variants. Such rearrangements affect the nucleotide sequence and can radically alter the structure of synthesized proteins.

FrequencySimple base substitutions account for about 20% of all spontaneous mutations in the genome.
Stop codonsThe appearance of UAA, UAG, or UGA triplets within a gene leads to premature termination of protein synthesis.
TransposonsMobile elements make up to 5% of the genome; their insertion causes mutations of the insertion type.
4 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

Main mechanisms of gene structure alteration

Mutations at the gene level are realized through several basic molecular scenarios:

  • Base substitution. Most often occurs in the coding part of an exon directly during DNA replication.
  • Frameshift. A change in the initial number of nucleotide pairs. It occurs via deletion (loss of a segment) or duplication (its doubling).
  • Inversion. Rotation of the nucleotide sequence within a structural gene by exactly 180°. Notably, the reading frame does not shift with such a rotation.
  • Splicing mutations. Point substitutions localized at the exon-intron boundaries. They disrupt the crucial process of nucleotide sequence splicing during RNA maturation.
  • Dynamic mutations. An expansion process in which the number of specific triplet repeats (e.g., CTT or CGG) uncontrollably increases. This can affect both coding and non-coding DNA regions.
  • Insertion. Incorporation of mobile elements (transposons) into a gene.

Molecular level: types of substitutions and their consequences

At the molecular level, all simple nitrogenous base substitutions are divided into two major classes. Transitions (simple substitutions) are characterized by the replacement of a purine with another purine (e.g., adenine with guanine) or a pyrimidine with a pyrimidine (thymine with cytosine). Transversions (cross-substitutions) are rearrangements in which a purine base is replaced by a pyrimidine, or vice versa.

Any such substitution leads to the formation of one of three types of mutant codons that determine the further fate of the protein:

  1. Missense mutations (missense — loss of sense). The meaning of the genetic code changes, and a completely different amino acid is incorporated into the growing polypeptide chain.
  2. Neutral mutations. Synonymous substitutions occur. Due to the degeneracy of the genetic code, a base change does not entail a change in the properties of the synthesized molecule — the functional activity of the protein is preserved.
  3. Nonsense mutations (nonsense — nonsense). A stop codon suddenly appears within the structural gene. This leads to premature termination: the polypeptide chain is truncated, and the synthesized proteins become unable to perform their direct functions.
Test your knowledge on the topicTasks from the "Biology" course bank — immediate answers and explanations.

Frameshift

The reading frame is a strict sequence of nucleotides from the initiation to the termination codon, consisting of triplets that encode amino acids. The frameshift mechanism is triggered by insertions, duplications, deletions, or base shifts.

The essence of the phenomenon is that the mutation fatally alters all triplets located after the alteration point. The main result of such a shift is a sharp increase in the probability of accidental stop codons and, consequently, premature termination of translation.

Frameshifts can be caused by:

  • Chemical agents: for example, acridine compounds. They cause spatial deformation of the DNA double helix structure, which provokes the insertion or loss of nucleotides during replication.
  • Physical factors: exposure to X-ray radiation (very frequently causes multiple deletions).
  • Mobile genetic elements: prokaryotic and eukaryotic transposons are extended nucleotide sequences. They are capable of spontaneously changing their position in the genome, and their integration generates insertion-type mutations.

Clinical examples of gene mutations

A classic example of high functional divergence of genes is provided by globin genes, where more than 300 different point amino acid substitutions have been identified.

  • Sickle cell anemia (SCA). The disease is caused by a substitution in the 6th triplet of the alpha-globin gene. The molecular mechanism consists of replacing adenine with thymine (the GAG codon changes to GTG). This leads to the replacement of the amino acid glutamine with valine. Homozygous carriers of this trait develop SCA.
  • Hemoglobin Cranston (Hemoglobin Cranston). The disease is caused by the insertion of two nucleotides in the 145th triplet of the beta-globin gene. A frameshift occurs: the normal stop codon UAA turns into the coding ACU. Chain synthesis does not stop, 11 additional amino acids are added (the chain lengthens to 157 amino acids). As a result, an extremely unstable hemoglobin is formed.
  • Cystic fibrosis. The cause is a point mutation in the form of a deletion of three adjacent nucleotides at position 508. The consequence is the loss of an amino acid critically important for the function of the resulting protein.
  • Beta-thalassemia. The pathology is due to other globin gene mutations leading to the appearance of corresponding clinical alleles.

Briefly: answers to topical questions

Which specific hereditary diseases are caused by dynamic mutations (trinucleotide repeat expansion)?

Huntington's disease is caused by dynamic mutations (trinucleotide repeat expansion).

  • Huntington's disease is a hereditary neurodegeneration characterized by late onset (40–50 years) and relentless progression with complete loss of motor and mental abilities. The disease arises due to a mutation in the coding part of a gene (chromosome 4) encoding the huntingtin protein, where an increase in the number of CAG repeats occurs.
How to memorize

For quick memorization of mutation types by consequences: Missense — Changes amino acid, Nonsense — No protein (stop codon), Neutral — Nothing changes.

Class and exam questions

What is the main difference between transition and transversion?

During transition, bases of the same type are substituted for one another (purine for purine, pyrimidine for pyrimidine). Transversion involves a cross-substitution where a purine is replaced by a pyrimidine or vice versa.

Does the reading frame shift during the inversion of a gene segment?

No, it does not shift. During inversion, the nucleotide order is simply rotated by 180 degrees within a specific region, but the total number of nucleotides does not change, so no frameshift occurs.

Why is protein function not disrupted in a neutral mutation?

Due to the degeneracy property of the genetic code, the same amino acid can be encoded by different triplets. A base substitution leads to the appearance of a synonymous codon, so the protein assembles correctly.

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What else to study on this topic

  • Mechanisms of trinucleotide repeat expansion in dynamic mutations
  • The effect of splicing mutations on mRNA maturation processes
  • Interaction of acridine compounds with the structure of the DNA double helix
  • The role of transposons in the evolution of eukaryotic genomes

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