D1.3 Mutation and gene editing

SL & HL+ AHL sectionsSL and HL, with AHL content · Molecules · Theme D

Big questions

  • What causes the base sequence of a gene to change, and is the change ever directed?
  • Why can a single change in DNA be harmless, harmful or the raw material of evolution?

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Gene mutations: substitutions, insertions and deletions

SL & HLSyllabus understandings: D1.3.1

A gene mutation is a change to the base sequence of a gene. It is a structural change at the molecular level: the order of nucleotides in the DNA is altered. Because DNA replication copies whatever sequence is present, a mutation is passed on to every cell produced from the mutated cell. (Changes to whole chromosomes, such as an extra copy of chromosome 21, are a different kind of mutation and are not part of this topic.)

There are three types of gene mutation:

Type What happens Effect on length
Base substitution One base is replaced by a different base, e.g. A replaced by T None
Insertion One or more extra nucleotides are added Longer
Deletion One or more nucleotides are removed Shorter

The effect of a mutation on the protein depends on how it changes the codons, the triplets of bases read during translation (see D1.2 Protein synthesis). The diagram below applies each type of mutation to the same short stretch of the β-globin gene, one of the genes for haemoglobin.

Substitution, insertion and deletion comparedThe first eight codons of the β-globin gene, coding strand, with the amino acids they code for. Original: ATG GTG CAC CTG ACT CCT GAG GAG coding Met Val His Leu Thr Pro Glu Glu. A substitution of T for A in codon 6 changes GAG to GTG, so only one amino acid changes, glutamic acid to valine. Inserting one base or deleting one base in codon 6 shifts the reading frame, so every codon from that point on is different and the amino acids after it change.codonstart1234567Originalno mutationATGMetGTGValCACHisCTGLeuACTThrCCTProGAGGluGAGGluSubstitutionA → T in codon 6ATGMetGTGValCACHisCTGLeuACTThrCCTProGTGValGAGGluInsertion+1 base (C)ATGMetGTGValCACHisCTGLeuACTThrCCTProGCAAlaGGAGlyDeletion−1 base (A)ATGMetGTGValCACHisCTGLeuACTThrCCTProGGGGlyAGAArgRed, underlined amino acids differ from the original. A substitution changes one codon;inserting or deleting one base shifts the reading frame, changing every codon after it.
The same region of the β-globin gene (coding strand) after three kinds of mutation. The substitution in codon 6 changes one amino acid. Inserting or deleting a single base in codon 6 changes every codon from that point on.

Base substitutions are the most common type. They are not all equally likely: swaps between the two purines (A ↔ G) or between the two pyrimidines (C ↔ T), called transitions, are more frequent than swaps between a purine and a pyrimidine (transversions).

Base substitutions, SNPs and the genetic code

SL & HLSyllabus understandings: D1.3.2

Single-nucleotide polymorphisms

When a base substitution in a germ-line cell is inherited and spreads through a population, individuals end up with different bases at that position. A position like this is a single-nucleotide polymorphism (SNP, pronounced “snip”). SNPs are the most common type of genetic difference between people: two unrelated humans differ at roughly one base in every thousand, millions of positions in total. Most SNPs are in non-coding DNA and have no effect.

Why some substitutions change nothing

The genetic code is degenerate: there are 64 codons but only 20 amino acids, so most amino acids are coded for by two, four or even six codons. Codons for the same amino acid usually differ only in the third base. So a substitution in a coding sequence may or may not change an amino acid:

  • Silent (same-sense) mutation: the new codon codes for the same amino acid, e.g. GAG → GAA (both glutamic acid). The polypeptide is unchanged.
  • Missense mutation: the new codon codes for a different amino acid, so one amino acid in the polypeptide is different. The effect can be minor if the new amino acid has similar properties or is in a part of the protein that is not critical, or severe.
  • Nonsense mutation: the codon becomes a stop codon (UAA, UAG or UGA). Translation ends early and a shortened polypeptide, which usually does not function, is produced.

Sickle-cell disease

Sickle-cell disease is caused by a missense mutation in the β-globin gene. In codon 6 the base A is replaced by T on the coding strand: GAG becomes GTG, so the mRNA codon is GUG instead of GAG and valine replaces glutamic acid. The resulting haemoglobin S is less soluble at low oxygen concentrations and forms long fibres that distort red blood cells into a sickle shape. A different substitution in the same codon, GAG → AAG (glutamic acid → lysine), gives haemoglobin C.

Simulation Mutation explorer — edit a gene and see the effect
Examples:

Start of the human β-globin gene (HBB), read 5′→3′ from left to right. Tap a base on the coding strand to select it, then substitute, insert or delete.

startAUGMet
1GUGVal
2CACHis
3CUGLeu
4ACUThr
5CCUPro
6GAGGlu
7GAGGlu
8AAGLys
9UCUSer
10GCCAla
11GUUVal

No base selected.

Substitute with
Insert after it

No mutation

The sequence is the same as the original gene, so the polypeptide is unchanged.

Original polypeptide
Met–Val–His–Leu–Thr–Pro–Glu–Glu–Lys–Ser–Ala–Val …
After mutation
Met–Val–His–Leu–Thr–Pro–Glu–Glu–Lys–Ser–Ala–Val …

Show the genetic code (mRNA codons)
The standard genetic code: first base (row group), second base (column), third base (row)
1st2nd U2nd C2nd A2nd G3rd
UUUU PheUCU SerUAU TyrUGU CysU
UUC PheUCC SerUAC TyrUGC CysC
UUA LeuUCA SerUAA StopUGA StopA
UUG LeuUCG SerUAG StopUGG TrpG
CCUU LeuCCU ProCAU HisCGU ArgU
CUC LeuCCC ProCAC HisCGC ArgC
CUA LeuCCA ProCAA GlnCGA ArgA
CUG LeuCCG ProCAG GlnCGG ArgG
AAUU IleACU ThrAAU AsnAGU SerU
AUC IleACC ThrAAC AsnAGC SerC
AUA IleACA ThrAAA LysAGA ArgA
AUG MetACG ThrAAG LysAGG ArgG
GGUU ValGCU AlaGAU AspGGU GlyU
GUC ValGCC AlaGAC AspGGC GlyC
GUA ValGCA AlaGAA GluGGA GlyA
GUG ValGCG AlaGAG GluGGG GlyG

AUG codes for methionine and is also the start codon. UAA, UAG and UGA are stop codons. Most amino acids have more than one codon: the code is degenerate.

Only the start of the gene is shown, so a frameshift may reach a stop codon further on. Codons are numbered from the first amino acid of mature β-globin; the initial methionine is removed after translation.

Text description of this simulation

The start of the human β-globin gene is shown as codons. For each codon there are three rows: the coding strand of the DNA (5′ to 3′), the mRNA, which has the same sequence with uracil in place of thymine, and the amino acid it codes for, using the standard genetic code. You select a base and then substitute it, insert a base after it or delete it. The polypeptide is translated again at once and the change is classified as silent (same-sense), missense, nonsense (premature stop codon), in-frame insertion or deletion, or frameshift. Example buttons show the sickle-cell substitution (GAG to GTG in codon 6, glutamic acid to valine), the haemoglobin C substitution (GAG to AAG, glutamic acid to lysine), a silent third-base change, a nonsense change, and insertions and deletions of one or three bases. A table of the full genetic code can be opened below the editor.

Insertions, deletions and frameshifts

SL & HLSyllabus understandings: D1.3.3

The consequences of an insertion or deletion depend mainly on whether the number of nucleotides added or removed is a multiple of 3.

Not a multiple of 3: frameshift

mRNA is read in non-overlapping groups of three bases from the start codon, and this grouping is called the reading frame. Inserting or deleting 1, 2, 4, 5 or any other number of bases that is not a multiple of 3 shifts the reading frame. Every codon from the mutation onwards, in the direction of translation, is read in a different set of three. This is a frameshift mutation:

  • the amino acid sequence after the mutation is almost completely different;
  • a stop codon is often brought into frame, so translation ends early and a truncated polypeptide is produced;
  • the polypeptide almost certainly cannot fold into its normal shape or function.

The earlier in a gene the frameshift happens, the more of the polypeptide is affected.

A multiple of 3: in-frame

Inserting or deleting 3, 6, 9 … bases adds or removes whole codons, so the reading frame is kept. The polypeptide gains or loses one or more amino acids at that point, and the rest is translated normally. Even so, the change in structure can stop the protein working, especially if it is in an important region such as an active site.

Large insertions and deletions

Some mutations add or remove hundreds or thousands of bases, for example deleting a whole exon. These almost always stop the polypeptide from functioning, even when the reading frame happens to be kept.

Use the Delete 1 base, Delete 3 bases, Insert 1 base and Insert 3 bases buttons in the mutation explorer above to compare the two cases.

What causes gene mutations?

SL & HLSyllabus understandings: D1.3.4

Errors in replication and repair

Mutations happen even without any outside cause. During DNA replication, DNA polymerase occasionally adds a base that is not complementary to the template. Proofreading by DNA polymerase and later DNA repair enzymes correct almost all of these errors, but a very small fraction remain, and repair itself sometimes makes mistakes. At the next replication the wrong base acts as a template, so the change becomes permanent in one of the daughter molecules. This gives a low background mutation rate: each human is born with roughly 60–70 new mutations that neither parent had.

Mutagens

A mutagen is an agent that increases the mutation rate above the background rate. Most mutagens are also carcinogens, because mutations can cause cancer.

Chemical mutagens react with DNA and change the bases so that they pair incorrectly when copied, or distort the double helix:

  • Benzo[a]pyrene and nitrosamines in tobacco smoke. Benzo[a]pyrene is converted in the body into a compound that bonds to guanine.
  • Mustard gas, used as a chemical weapon, which adds groups to bases and can cross-link the two strands.

Mutagenic radiation carries enough energy to damage DNA:

  • Ultraviolet (UV) radiation (UVB in sunlight; UVC from germicidal lamps, as the ozone layer stops it reaching the ground) is absorbed by DNA bases. It can join two adjacent pyrimidines, typically two thymines, forming a thymine dimer that causes errors when the DNA is copied or repaired. UV in sunlight is the main cause of skin cancer.
  • Ionizing radiation, including X-rays, gamma rays, and alpha and beta particles from radioactive isotopes, breaks one or both DNA strands and damages bases. Faulty repair of the breaks can delete or insert bases.
What causes mutations, and where they matter
Errors in DNA replicationtemplate strandnew strand3′5′5′3′ATTACGGCGTATCGTAATDNA polymeraseT mispaired with GProofreading and repair correct almost all errors. If one is missed,the next replication gives two different DNA molecules:ATTACGGCGCATCGTAATATTACGGCATATCGTAAToriginal sequence (G–C)G–C replaced by A–T:a base substitutionErrors like this give a low background rate of mutation in every cell.Chemical mutagensTAATCGGCATTACGGCATtobacco smokebenzo[a]pyrene from smoke bonds toguanine, changing its shapeWhen the damaged strand is copied, thewrong base can be paired with it:TAATATGCATTACGGCATC–G pair replaced by A–T (substitution)Other chemical mutagens• nitrosamines (in tobacco)• mustard gasMost alter bases so that theypair with the wrong partner.Mutagenic radiationUV radiationX-rays, gamma raysGCATTATACGATGCCGTAGCATGCCGATadjacent thymines joined(thymine dimer)both strands brokenUVB in sunlight (UVC from lamps)UVC is blocked by the ozone layer.Absorbed by bases; links adjacentpyrimidines (T–T dimers), sowrong bases are added when theDNA is copied or repaired.Ionizing radiationX-rays, gamma rays, and alphaand beta particles from radioactiveisotopes. Breaks DNA strands anddamages bases; faulty repair caninsert or delete bases.Mutation is randomCell 1Cell 2genes (coding sequences) shadedhotspotEach cell gets different mutations (▼), in genes and between them.Some bases, such as C in a CG pair, mutate more often than others.No natural mechanism directs a mutation to a particular baseto produce a useful trait: mutations do not arise becausean organism needs them.Somatic cells and germ cellsSomatic (body) cellGerm-line cell (testis or ovary)mutationmitosisa clone of mutant cellsIf genes that control the cell cycleare mutated, cells may divide outof control: a tumour (cancer).✕ Not passed to offspringOnly the individual is affected.meiosisgametefertilizationzygotemitosisEvery cell of the offspringcarries the mutation.✓ Can be inherited
Text description of this animation

A sequence of five diagrams. The first shows DNA polymerase building a new strand and placing T opposite G; if this is not corrected, the next replication gives one normal and one mutant DNA molecule. The second shows a chemical from tobacco smoke bonding to a guanine, which leads to a base substitution when the DNA is copied. The third shows UV radiation joining two adjacent thymines and X-rays or gamma rays breaking both DNA strands. The fourth shows two cells in which mutations have occurred at different, random places in the genome, with one hotspot. The fifth compares a mutation in a body cell, which is passed only to that cell's descendants and may lead to cancer, with a mutation in a germ-line cell, which can be passed to every cell of an offspring.

  1. Errors in DNA replication. DNA polymerase very occasionally adds a base that is not complementary — here T opposite G. Proofreading and repair enzymes correct almost all such errors. If one is missed, the next replication gives one normal DNA molecule and one with an A–T pair where there was a G–C pair — a base substitution. Errors like this cause a low background rate of mutation.
  2. Chemical mutagens. A mutagen is an agent that increases the mutation rate. Tobacco smoke contains chemical mutagens such as benzo[a]pyrene and nitrosamines. Benzo[a]pyrene (after it is processed in the body) bonds to guanine and changes its shape, so when the DNA is copied the wrong base can be paired with it, giving a substitution. Mustard gas is another chemical mutagen.
  3. Mutagenic radiation. Ultraviolet radiation (UVB in sunlight; UVC from lamps, since the ozone layer blocks it outdoors) is absorbed by DNA bases and can join two adjacent pyrimidines, such as two thymines, into a dimer that causes errors when the DNA is copied or repaired. Ionizing radiation — X-rays, gamma rays, and alpha and beta particles from radioactive isotopes — can break one or both DNA strands and damage bases; faulty repair can delete or insert bases.
  4. Mutation is random. Mutations can occur at any base in the genome, in genes and between them, and different cells get different mutations. Some sites are more likely to mutate than others (hotspots), such as cytosines next to guanine. But no natural mechanism directs a mutation to a particular base in order to produce a useful trait.
  5. Somatic cells and germ cells. A mutation in a somatic (body) cell is passed by mitosis only to that cell's descendants, so it is not inherited by offspring. If it affects genes that control the cell cycle, the cells may divide uncontrollably and form a tumour (cancer). A mutation in a germ-line cell in a testis or ovary can be passed to a gamete and then to the zygote, so every cell of the offspring carries it.

Mutation is random

SL & HLSyllabus understandings: D1.3.5

Mutations can happen at any base in a genome: in genes and between them, in essential genes and unimportant ones. Which bases mutate in a particular cell is a matter of chance, so two cells exposed to the same mutagen end up with different mutations.

That does not mean every base is equally likely to change. Mutations are chemical changes, and some happen more readily than others:

  • Transitions (A ↔ G, C ↔ T) are more common than transversions, because the bases involved have similar structures.
  • Some positions are hotspots. In mammals, a cytosine followed by a guanine (a CG site) is often methylated, and methylated cytosine can lose an amino group and become thymine. As a result, C → T changes at CG sites happen at least ten times more often than most other substitutions.
  • The neighbouring bases and the position of a sequence in the genome also affect how often it mutates.

The key point is that no natural mechanism is known that makes a deliberate change to a particular base in order to change a trait. A cell cannot “decide” to mutate the gene it needs. If bacteria are exposed to an antibiotic, resistant mutants were present before the exposure and the antibiotic selects them; the antibiotic did not cause the useful mutation. Experiments in the 1940s–50s, such as replica plating, showed this directly. Mutation provides random variation; natural selection is what makes evolution non-random.

Mutations in germ cells and somatic cells

SL & HLSyllabus understandings: D1.3.6

The consequences of a mutation depend on the type of cell in which it occurs.

Somatic cells

Somatic cells are body cells that do not produce gametes, such as skin, lung or liver cells. A mutation in a somatic cell is passed by mitosis only to that cell’s descendants, forming a clone of mutant cells. It is not inherited by the organism’s offspring. Usually the effect is small, because one cell among billions is affected and it can be replaced.

The most serious exception is cancer. Mutations in genes that control the cell cycle, such as proto-oncogenes, which stimulate division, and tumour suppressor genes such as the gene for p53, which halt it, can lead to uncontrolled cell division and a tumour. Usually several mutations in the same cell line are needed, which is one reason why cancer is more common in older people and in people with long exposure to mutagens, such as smokers.

Germ cells

Germ cells are gametes and the cells that give rise to them, in the testes and ovaries. A mutation in a germ-line cell can be passed on in a gamete. The zygote formed at fertilization then carries the mutation, and because all the cells of the offspring come from the zygote by mitosis, every cell of the offspring has it, including its own germ cells. Germ-line mutations are therefore inherited and can spread through a population over many generations. This is how new alleles, including those that cause genetic diseases, enter the gene pool.

Somatic mutation Germ-line mutation
Cells affected Descendants of one body cell Every cell of the offspring
Inherited? No Yes
Main consequence Possible cancer Possible genetic disease, or a new allele in the population

Mutation as the source of genetic variation

SL & HLSyllabus understandings: D1.3.7

Every new allele ultimately arises by mutation. All the alleles of every gene can be traced back to changes in the base sequence. Meiosis and fertilization produce new combinations of alleles, but they cannot make a new allele. Without mutation, all the alleles that exist would eventually be lost or fixed, and variation would decline.

For an individual organism, most mutations are either:

  • neutral: they are in non-coding DNA, they are silent, or the amino acid change does not affect function; or
  • harmful: they reduce or destroy the function of a protein. The most harmful are lethal.

A few mutations are beneficial in a particular environment. The sickle-cell allele is harmful in people with two copies, but people with one copy are partly protected against malaria, so in regions where malaria is common the allele has risen in frequency. Over many generations, natural selection increases the frequency of beneficial alleles. Mutation is therefore essential for evolution in the long term, especially when the environment changes (see D4.1 Natural selection).

Nature of science: commercial genetic tests

Companies now sell genetic tests directly to the public. A sample of saliva is analysed for hundreds of thousands of SNPs, giving information about ancestry and about variants linked to disease, such as BRCA1 and BRCA2 alleles (breast and ovarian cancer) or the APOE ε4 allele (Alzheimer’s disease).

  • Most results give a change in risk, not a diagnosis. Many people with a “high-risk” variant never develop the disease, and a “low-risk” result does not mean a person is safe.
  • Without expert interpretation, such as genetic counselling, results can cause unnecessary anxiety or false reassurance, and people may make poor decisions about their health.
  • There are also questions of privacy: who owns the data, and could it be used by insurers or employers?

Gene knockout

AHLSyllabus understandings: D1.3.8

Sequencing a genome reveals thousands of genes whose functions are unknown. One way to find out what a gene does is a gene knockout: the gene is deliberately changed so that it is inoperative, and the phenotype of the knockout organism is compared with that of wild-type organisms raised in the same conditions. Any difference shows what the gene’s product normally does. This is a controlled experiment in which the only variable is whether that one gene works.

A gene can be knocked out by deleting part of it, inserting a sequence into it, or causing a frameshift, for example with CRISPR–Cas9 (next section). Details of the techniques are not required.

Investigating gene function by gene knockoutLeft: a normal gene X with its coding sections intact, in a wild-type mouse. Right: the same gene made inoperative, for example by deleting part of it or by causing a frameshift, in a knockout mouse. The two mice are raised in the same conditions and their phenotypes are compared; any difference shows what the product of gene X normally does. For example, mice with the p53 gene knocked out develop tumours at a young age, showing that p53 protects against cancer.Wild typeKnockoutgene X: workinggene X: made inoperative(e.g. part deleted, or a frameshift)knock outnormal phenotypeany change in phenotype?comparesame conditionsThe difference shows what the product of gene X normally does.Example: mice lacking a working p53 gene (a tumour suppressor) develop tumoursat a young age, so p53 normally helps to prevent cancer.Libraries of knockout strains exist for model organisms, e.g. mice, yeast, Arabidopsis.
Gene knockout. Gene X is made inoperative and the knockout organism is compared with wild-type controls. Knockout mice lacking a working p53 gene develop tumours early in life, which shows that the p53 protein normally helps to prevent cancer.

Knockout libraries

Because knockouts are so useful, libraries of knockout organisms have been made for several model organisms used in research:

  • Mice: international projects aim to produce and study a knockout strain for every protein-coding gene, about 20 000. Strains are stored as frozen embryos or sperm and supplied to researchers.
  • Baker’s yeast (Saccharomyces cerevisiae): a collection of strains with each gene deleted in turn. It showed that only about a fifth of yeast genes are essential for growth in the laboratory.
  • Arabidopsis thaliana, the nematode Caenorhabditis elegans and the zebrafish also have large mutant libraries.

Gene editing with CRISPR–Cas9

AHLSyllabus understandings: D1.3.9

Gene editing is making a deliberate, targeted change to the base sequence of a gene. The CRISPR–Cas9 system, developed in 2012 from a defence system in bacteria, made this cheap, fast and precise. Its role in prokaryotes is not required.

How it works

  1. Guide RNA. Scientists design a guide RNA (gRNA). Its first ~20 bases, the spacer, are complementary to the target sequence in the gene to be edited. The rest of the gRNA folds into a shape that binds to Cas9.
  2. Finding the target. Cas9 is an endonuclease, an enzyme that cuts DNA. The Cas9–gRNA complex binds DNA wherever it finds a short PAM sequence (5′-NGG-3′ for the most common Cas9). It separates the strands next to the PAM; if the spacer is complementary to that DNA, it base-pairs with the target strand.
  3. Cutting. Cas9 then cuts both strands, about 3 base pairs from the PAM, making a double-strand break.
  4. Repair. The cell repairs the break, and this is what makes the edit:
    • Non-homologous end joining (NHEJ) joins the ends back together. It often inserts or deletes a few bases, causing a frameshift that knocks out the gene.
    • Homology-directed repair (HDR) copies a DNA template supplied with the Cas9, whose ends match the DNA on each side of the cut. The sequence in the middle of the template is copied into the gene, allowing a precise edit, such as correcting a single base.

To target a different gene, only the spacer of the guide RNA needs to be changed. Newer variants such as base editing and prime editing change bases without cutting both strands.

Gene editing with CRISPR–Cas9AHL
5′3′3′5′target sequence (20 bases)a few bases inserted or deleted at the cut (indel)new sequence copied from the templateCas9guide RNA5′spacer: 20 bases complementary to the targetPAM (5′-NGG-3′)on the upper strandboth strands cut, 3 bases from the PAM(a double-strand break)Repair by non-homologous end joining (NHEJ)The cell joins the cut ends back together. This is error-prone: a fewbases are often inserted or deleted, causing a frameshift, so thegene is knocked out (made inactive).Repair by homology-directed repair (HDR)A DNA template is supplied with the desired sequence between endsthat match the DNA on each side of the cut. The cell copies it, sothe change is precise, for example correcting a single base.repair templateA successful application: exa-cel (Casgevy)Approved in the UK and the USA in 2023 to treat sickle-cell disease.1. The patient’s own blood stemcells (haematopoietic stem cells)are collected.2. Outside the body, Cas9 and aguide RNA cut the DNA of anenhancer of the BCL11A gene;NHEJ repair disrupts it.3. Chemotherapy clears the oldbone marrow cells, then theedited stem cells are infusedback into the patient.4. With less BCL11A, developingred blood cells make fetalhaemoglobin (HbF), whichreduces sickling.Somatic editing: the change is not passed on to the patient’s children.
Text description of this animation

A DNA double helix is shown with a 20-base target sequence followed, on the upper strand, by a short PAM sequence (5′-NGG-3′). The Cas9 enzyme carries a guide RNA whose spacer is complementary to the target. Cas9 binds where it finds a PAM, separates the DNA strands, and the spacer base-pairs with the target strand. Cas9 then cuts both strands three bases from the PAM. The break can be repaired by non-homologous end joining, which often inserts or deletes a few bases and so knocks the gene out, or by homology-directed repair, which copies a supplied DNA template to make a precise change. The last step shows exa-cel (Casgevy), a CRISPR–Cas9 treatment for sickle-cell disease approved in 2023.

  1. Guide RNA and Cas9. Cas9 is an endonuclease (an enzyme that cuts DNA). It is guided by a guide RNA (gRNA) designed in the laboratory. The 5′ end of the gRNA, the spacer, is about 20 bases long and complementary to the target sequence in the gene to be edited; the rest of the gRNA folds into loops that bind it to Cas9.
  2. Finding the target. The Cas9–gRNA complex moves along the DNA and binds where it finds a PAM (protospacer adjacent motif, 5′-NGG-3′ for the commonly used Cas9). It separates the two DNA strands next to the PAM, and if the spacer is complementary to the target strand, it base-pairs with it.
  3. A double-strand cut. When the spacer has paired with the target, Cas9 cuts both strands of the DNA, about 3 base pairs from the PAM. The result is a double-strand break at a precisely chosen position in the genome.
  4. Repair by NHEJ — a knockout. Cas9 is released and the cell repairs the break. Non-homologous end joining (NHEJ) simply joins the cut ends together. It is error-prone and often inserts or deletes a few bases. In a coding sequence this usually causes a frameshift, so the gene is knocked out (made inoperative).
  5. Repair by HDR — a precise edit. If a DNA template is supplied whose ends match the DNA on each side of the cut, the cell can repair the break by homology-directed repair (HDR), copying the template. Whatever sequence is in the middle of the template — for example a corrected base — is written into the gene, so the edit is precise.
  6. Example — exa-cel for sickle-cell disease. Exa-cel (Casgevy) was approved in the UK and the USA in 2023. The patient's own blood stem cells are edited outside the body to disrupt an enhancer of the BCL11A gene, then returned after chemotherapy. With less BCL11A, developing red blood cells switch fetal haemoglobin (HbF) back on, which reduces sickling. Only somatic cells are edited, so the change is not inherited.

A successful application: exa-cel for sickle-cell disease

In 2023, exa-cel (brand name Casgevy) became the first CRISPR–Cas9 treatment to be approved, in the UK and then the USA, for sickle-cell disease. Blood stem cells are collected from the patient and edited outside the body. The edit disrupts an enhancer of the BCL11A gene, which normally switches off fetal haemoglobin (HbF) after birth. After chemotherapy clears the old bone marrow cells, the edited stem cells are returned. Their red blood cells make HbF, which does not sickle and dilutes haemoglobin S, so most treated patients stopped having painful crises. CRISPR–Cas9 is also used in crops: a tomato edited so that an enzyme that makes the signalling molecule GABA is more active, giving fruit with several times more GABA, went on sale in Japan in 2021.

Ethics and regulation

  • Somatic editing, as in exa-cel, affects only the patient, who can give consent. The main issues are safety (including off-target cuts at similar sequences elsewhere), and very high cost, which limits access.
  • Germ-line editing of embryos or gametes would be inherited by all descendants, who cannot consent, and any off-target damage would be passed on. It also raises fears of editing for enhancement rather than treating disease. In 2018 a scientist in China announced the birth of twins whose embryos he had edited; this was widely condemned and he was imprisoned.
  • Scientists in different countries work under different regulatory systems: some ban germ-line editing outright, others allow it for research but not to start a pregnancy. Because the consequences could cross borders, there is an international effort, through scientific summits and the World Health Organization, to harmonize regulation.

Conserved and highly conserved sequences

AHLSyllabus understandings: D1.3.10

Comparing the genomes of different organisms shows that some sequences hardly change. A conserved sequence is shared, with little or no difference, by members of a species or of a related group of species. A highly conserved sequence has changed very little over long evolutionary time, so almost the same sequence turns up even in distantly related species.

Examples:

  • Histone H4, a protein around which DNA is wound in eukaryotic chromosomes. The 102 amino acids of the cow and pea proteins differ at only two positions, even though their lineages separated well over a billion years ago.
  • Genes for ribosomal RNA and ubiquitin, a small protein that labels other proteins for breakdown, are similar in all eukaryotes.
  • Hundreds of ultra-conserved elements, non-coding stretches of 200 or more bases, are identical in humans, mice and rats.
A conserved sequence and two hypotheses to explain itAn illustrative alignment of the DNA coding for the first eight amino acids of histone H4 in a human, a cow and a pea. The amino acid sequence, Ser Gly Arg Gly Lys Gly Gly Lys, is identical in all three. Some third bases of codons differ, but each change gives a codon for the same amino acid. Two hypotheses are shown. Functional requirement: mutations happen, but any that change an amino acid stop the protein working and are removed by natural selection, so only synonymous changes remain. Slower mutation rate: fewer mutations arise in this part of the genome, so all positions, including third bases, change less.Illustrative alignment: start of the histone H4 geneAmino acidSerGlyArgGlyLysGlyGlyLysHumanTCCGGCCGCGGCAAGGGCGGAAAGCowTCCGGTCGCGGAAAGGGCGGGAAAPeaTCAGGACGTGGTAAAGGAGGTAAGAll three code for the same amino acids. Red bases differ from the human sequence:every difference is in a third base and is synonymous (same-sense).1. Functional requirementMutations arise at the normal rate,but any that change the product stopit working, so natural selectionremoves them.Predicts: synonymous changes buildup; amino acid changes do not.2. Slower rate of mutationFewer mutations arise in this partof the genome in the first place, soits sequence changes less.Predicts: all positions, includingthird bases, change slowly.
An illustrative alignment for the start of the histone H4 gene, and the two hypotheses for conservation. The codons are invented for illustration, but the pattern — amino acids identical, some synonymous third-base differences — is typical of real conserved genes.

Two hypotheses

  1. Functional requirement for the gene product. Mutations arise in these sequences at the usual rate, but the gene product is so important, and its structure so finely tuned, that almost any change stops it working. Organisms carrying such mutations survive and reproduce less, so natural selection removes the mutations (purifying selection). For conserved non-coding sequences, this hypothesis implies they have important functions, such as regulating genes, even if these are not yet known.
  2. Slower rate of mutation. Mutation rates are not the same everywhere in the genome. Some regions may be less exposed to damage, or more efficiently repaired, so fewer mutations arise in the first place.

These hypotheses make different predictions. If selection is responsible, synonymous changes (which do not alter the protein) should still accumulate in the gene while amino-acid changes do not. If the mutation rate is low, all positions, including synonymous third bases, should change slowly. For most conserved protein-coding genes, synonymous sites do change, which supports the functional-requirement hypothesis; both factors may contribute for other sequences.

Must-know definitions

Gene mutation
A change to the base sequence of a gene. It is a structural change to the DNA at the molecular level, and it is copied when the DNA replicates.
Base substitution
One base is replaced by a different base, so one codon changes but the length of the gene does not. Substitutions are the origin of single-nucleotide polymorphisms (SNPs).
Silent, missense and nonsense
A silent (same-sense) substitution gives a codon for the same amino acid; a missense substitution changes one amino acid; a nonsense substitution creates a stop codon, so the polypeptide is cut short.
Frameshift mutation
An insertion or deletion of a number of bases that is not a multiple of 3. The reading frame shifts, so every codon after the mutation is changed.
Mutagen
An agent that increases the rate of mutation above the background rate: chemicals (e.g. benzo[a]pyrene and nitrosamines in tobacco smoke, mustard gas) or radiation (UV, X-rays, gamma rays, alpha and beta particles).
Randomness of mutation
Mutations can occur at any base in the genome, although some bases mutate more often. No natural mechanism directs a mutation to a particular base to produce a useful trait.
Germ-line and somatic mutations
A germ-line mutation, in a cell that gives rise to gametes, can be inherited. A somatic mutation, in a body cell, is not inherited but can cause cancer.
Gene knockoutAHL
Deliberately making a gene inoperative in an organism, then comparing its phenotype with the wild type, to find out what the gene does.
CRISPR–Cas9AHL
A gene-editing system in which a guide RNA complementary to a target sequence directs the endonuclease Cas9 to cut both DNA strands at that site; the cell's repair of the cut makes the edit.
Conserved sequenceAHL
A base sequence shared, with little or no difference, by members of a species or of a related group. A highly conserved sequence has changed very little over long evolutionary time.

Common exam mistakes

  • Loses marks Every base substitution changes the amino acid sequence of the polypeptide.

    Write instead Because the genetic code is degenerate, many substitutions (especially of the third base of a codon) give a codon for the same amino acid and are silent. Others change one amino acid (missense) or create a stop codon (nonsense).

  • Loses marks In sickle-cell anaemia the mRNA codon GAG changes to GTG.

    Write instead GTG is the DNA codon on the coding strand. The mRNA codon changes from GAG to GUG, because RNA has uracil instead of thymine; glutamic acid is replaced by valine.

  • Loses marks Any insertion or deletion causes a frameshift.

    Write instead Only insertions or deletions of a number of bases that is not a multiple of 3 cause a frameshift. Inserting or deleting 3 bases adds or removes a codon and keeps the reading frame, though the protein may still not work.

  • Loses marks A frameshift changes only the codon where the mutation happens.

    Write instead A frameshift changes every codon from the mutation onwards, in the direction of translation, and often brings a stop codon into frame so the polypeptide is shortened.

  • Loses marks Organisms mutate in order to adapt, e.g. bacteria mutate to become resistant when they meet an antibiotic.

    Write instead Mutations are random and are not caused by need. Resistant mutants arise by chance, often before the antibiotic is present; the antibiotic then selects them.

  • Loses marks Mutations only happen when a mutagen is present.

    Write instead There is always a low background rate of mutation, mainly from errors in DNA replication and repair that are not corrected. Mutagens increase the rate.

  • Loses marks A mutation that causes skin cancer will be passed on to the person's children.

    Write instead Mutations in somatic (body) cells are passed only to the descendants of that cell by mitosis. Only mutations in germ-line cells, which give rise to gametes, can be inherited.

  • Loses marks All mutations are harmful.

    Write instead Most are neutral or harmful to the individual, but a few are beneficial. Every new allele ultimately arises by mutation, so in the long term it is essential for evolution.

  • Loses marks In CRISPR–Cas9 gene editing, the Cas9 enzyme recognises the target gene's sequence.

    Write instead The guide RNA's spacer finds the target by complementary base pairing; Cas9 needs a PAM next to the target and then cuts both strands. Changing the guide RNA retargets the same Cas9.

    AHL
  • Loses marks Conserved sequences are conserved because mutations cannot happen in them.

    Write instead Mutations can happen anywhere. Sequences may be conserved because natural selection removes changes that stop the product working, or because the mutation rate in that region is lower.

    AHL

Self-test

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Multiple-choice questions

  1. Question 1Part of the coding strand of a gene reads 5′-ATG CCA GTT AAC-3′. After a mutation the same region reads 5′-ATG CAG TTA AC-3′. Which type of gene mutation has occurred?
  2. Question 2In the sickle-cell mutation, codon 6 of the coding strand of the β-globin gene changes from GAG to GTG. In the genetic code, GAG codes for glutamic acid and GUG for valine. What are the mRNA codon and the amino acid at this position in the mutated polypeptide?
  3. Question 3Four mutations occur near the start of the coding sequence of the same gene. Which is most likely to leave the rest of the polypeptide after the mutation unchanged?
  4. Question 4Equal samples of yeast cells were exposed to UV radiation for 0, 10, 20 or 30 seconds and then grown. The number of colonies with a new mutant phenotype per million cells was 2, 15, 31 and 44. Which conclusion is best supported by these data?
  5. Question 5A population of bacteria that had never been exposed to an antibiotic was divided in two. Antibiotic-resistant mutants were found in the untreated half as well as the half later grown with the antibiotic. Which statement is consistent with mutation being random?
  6. Question 6A man develops melanoma, a skin cancer, after a mutation caused by UV radiation in a skin cell. Which statement about this mutation is correct?
  7. Question 7Most gene mutations are either neutral or harmful to the organism in which they occur. Why is gene mutation nevertheless essential for evolution by natural selection?
  8. Question 8AHLMice in which gene Z has been knocked out are raised alongside wild-type mice in the same conditions. The knockout mice have normal growth but cannot maintain their body temperature in the cold. What is the best conclusion?
  9. Question 9AHLIn CRISPR–Cas9 gene editing, what determines the position in the genome where the DNA is cut?
  10. Question 10AHLA gene is compared in 40 species of mammal. Bases that would change an amino acid if mutated are almost identical in all the species, but third bases of codons that do not change the amino acid differ as often as bases in nearby non-coding DNA. Which hypothesis do these data support?

Flashcards

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Prompt

What is a gene mutation?

Last reviewed 19 October 2026. Spotted a mistake? Report it.

Type at least 2 letters.