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Encyclopedia of Health and Medicine

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nucleotide 135<br />

See also CELL STRUCTURE AND FUNCTION; CHROMO-<br />

SOMAL DISORDERS; EDWARDS SYNDROME; INHERITANCE<br />

PATTERNS; MUTATION; PATAU’S SYNDROME; REPLICATION<br />

ERROR.<br />

mutation Permanent alterations in the ALLELE<br />

pairings, or genes, on the chromosomes that pass<br />

on to new cells <strong>and</strong> ultimately to <strong>of</strong>fspring. Mutations<br />

are the process through which genetic<br />

change takes place. Some mutations are beneficial,<br />

some are neutral, <strong>and</strong> some are harmful.<br />

Mutations occur as changes in the GENE’s<br />

NUCLEOTIDE sequences. These changes may take the<br />

form <strong>of</strong><br />

• point mutations, also called base mutations,<br />

which are analogous to changing one letter in a<br />

word <strong>and</strong> occur when one nucleotide substitutes<br />

for another<br />

• deletion mutations, which are analogous to<br />

removing a word from a sentence <strong>and</strong> occur<br />

when the gene drops a nucleotide sequence<br />

• insertion mutations, which are analogous to<br />

adding a word to a sentence <strong>and</strong> occur when<br />

the gene adds a nucleotide sequence<br />

• increased repeat mutations, which occur when<br />

a normally repeated nucleotide repeats extra<br />

times<br />

A germline mutation affects a GAMETE (ovum or<br />

spermatozoon) or ZYGOTE <strong>and</strong> is present from CON-<br />

CEPTION, passing to the child. WILMS’S TUMOR <strong>and</strong><br />

HEMOPHILIA are examples <strong>of</strong> germline mutations<br />

that cause disease. A monogenic MUTATION affects a<br />

single gene. Duchenne’s MUSCULAR DYSTROPHY <strong>and</strong><br />

SICKLE CELL DISEASE are among the conditions that<br />

occur as a result <strong>of</strong> monogenic mutations. Polygenic<br />

mutations involve multiple alleles <strong>of</strong> numerous<br />

genes, <strong>of</strong>ten across chromosomes. Polygenic<br />

mutations <strong>of</strong>ten do not clearly result in GENETIC<br />

DISORDERS though establish GENETIC PREDISPOSITION.<br />

Conditions such as CARDIOVASCULAR DISEASE (CVD),<br />

DIABETES, <strong>and</strong> some types <strong>of</strong> cancer occur as a<br />

result <strong>of</strong> polygenic mutations in combination with<br />

lifestyle (environmental) factors.<br />

See also AUTOSOMAL TRISOMY; CHROMOSOMAL DIS-<br />

ORDERS; LIFESTYLE AND HEALTH.<br />

nucleotide A structural component <strong>of</strong> DNA <strong>and</strong><br />

RNA. A DNA nucleotide contains deoxyribose <strong>and</strong><br />

a nitrogen base <strong>of</strong> adenine, guanine, thymine, or<br />

cytosine, which form pairs called base pairs. An<br />

RNA nucleotide contains ribose <strong>and</strong> a nitrogen<br />

base <strong>of</strong> paired adenine, guanine, uracil, or cytosine.<br />

Each DNA or RNA molecule contains thous<strong>and</strong>s<br />

<strong>of</strong> nucleotides. The order in which the<br />

nucleotides appear is the base sequence <strong>and</strong> conveys<br />

the GENETIC CODE for the proteins the DNA or<br />

RNA molecule encodes. Base sequences, arranged<br />

in triplets (trinucleotides), make up GENES.<br />

See also CELL STRUCTURE AND FUNCTION; CHROMO-<br />

SOME; GENOME.

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