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Types of mutations !

A mutation is a change in the DNA sequence; depending on where and how it happens it may do nothing, change one amino acid or ruin the whole protein.

Updated 2026-11-01

Key facts

  • Silent: changes the codon but not the amino acid (code degeneracy).
  • Missense: changes one amino acid. E.g. HbS, Glu6Val in β-globin.
  • Nonsense: creates a premature stop codon → truncated protein or degraded mRNA.
  • Frameshift: insertion or deletion not a multiple of 3 → everything after it changes. E.g. Duchenne.
  • Others: splice-site (β-thalassemia), trinucleotide repeat expansion (Huntington, fragile X), large deletions and rearrangements.

In detail

  • Transition: purine for purine or pyrimidine for pyrimidine (A↔G, C↔T). Transversion: purine for pyrimidine.
  • In-frame deletions (multiple of 3) remove amino acids without shifting the frame: they often give partly working proteins (Becker dystrophy, cystic fibrosis ΔF508).
  • Loss of function: usually recessive (one healthy copy is enough). Gain of function or dominant-negative effect: dominant.
  • Germline (heritable, in every cell) versus somatic (in one tissue only; the basis of most cancers). Mosaicism: a mix of cell lines.
  • Mutagens: UV light (pyrimidine dimers), ionising radiation (breaks), alkylating agents, base analogues, intercalators (frameshifts).
  • Polymorphism: a common variant (> 1% of the population), usually without disease effect.
Also called
Genetic variants

Clinical notes

  • Sickle cell disease is the classic missense example; β⁰-thalassemia comes from nonsense or splice mutations.
  • Whether a deletion keeps the reading frame largely explains why Becker dystrophy is milder than Duchenne.
  • Repeat-expansion diseases show anticipation: the disease starts earlier and is more severe in each generation.

Test yourself

Think of the answer, then tap the question to see it.

Why is a 3-nucleotide deletion usually milder than a 2-nucleotide one?

Deleting 3 removes one amino acid and keeps the reading frame; deleting 2 shifts the frame and changes the rest of the protein.

What kind of mutation produces haemoglobin S?

A missense mutation: codon 6 of β-globin changes from glutamic acid to valine.

What is genetic anticipation?

Earlier onset or greater severity in successive generations, typical of trinucleotide repeat expansions.

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Educational information, not medical advice. For any symptom, see a health professional.

Sources: What is a gene variant and how do variants occur?: MedlinePlus Genetics (MedlinePlus, US National Library of Medicine, 2026); What kinds of gene variants are possible?: MedlinePlus Genetics (MedlinePlus, US National Library of Medicine, 2026); Frameshift Mutation (National Human Genome Research Institute (NHGRI), 2026); Textbook of Biochemistry for Medical Students, 6th ed. (Jaypee Brothers Medical Publishers (Vasudevan DM, Sreekumari S, Vaidyanathan K), 2011).

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Representative model, for educational purposes only.