What Is an Insertion Mutation? Causes and Effects

Deoxyribonucleic acid, or DNA, serves as the fundamental instruction manual for all living organisms. This intricate molecule contains the genetic information that dictates an organism’s development, function, and characteristics. Changes to this precise blueprint, known as genetic mutations, can occur and sometimes alter the instructions, leading to various biological outcomes.

Defining Insertion Mutations

An insertion mutation is a genetic alteration characterized by the addition of one or more nucleotide base pairs into a DNA sequence. Imagine new letters unexpectedly added to a sentence, changing its meaning. Similarly, in DNA, these added nucleotides can range from a single base to an entire chromosome segment. This distinguishes insertions from deletions, which remove nucleotides, or substitutions, which replace them.

Mechanisms of Insertion

Insertion mutations can arise through several biological processes during DNA handling. A common mechanism involves errors during DNA replication, particularly in regions with repetitive DNA sequences. This process is known as replication slippage or slipped-strand mispairing, where the DNA polymerase enzyme temporarily detaches and misaligns the DNA strands, leading to the insertion of extra nucleotides in the newly synthesized strand. This can especially occur in microsatellite regions, which are prone to such errors.

Another cause of insertions is the activity of transposable elements, often called “jumping genes.” These mobile genetic elements can excise themselves from one genomic location and insert into another, introducing new DNA sequences. Viral DNA integration can also lead to insertions, as some viruses integrate their genetic material into the host cell’s genome.

Impact on Genetic Function

Insertions can alter gene expression and protein function. When the number of inserted nucleotides is not a multiple of three, it causes a “frameshift mutation.” DNA is read in groups of three base pairs, called codons, each coding for a specific amino acid. A frameshift mutation shifts this reading frame, leading to an entirely different sequence of codons downstream from the insertion. This often results in a nonfunctional or severely altered protein.

Frameshift insertions frequently introduce a premature stop codon, signaling the cell to cease protein synthesis earlier than intended. This results in a truncated, or shortened, protein that is usually nonfunctional or has impaired activity. Even if the insertion is a multiple of three nucleotides (an “in-frame” insertion), it can add extra amino acids to the protein, disrupting its structure and function. Insertions can also affect gene regulation by disrupting or creating new regulatory elements, such as promoters or enhancers, altering how much or whether a gene is expressed.

Illustrative Cases

Insertion mutations are implicated in various human genetic disorders. A well-documented example is Huntington’s disease, a progressive neurodegenerative disorder. This condition is caused by an expansion of a trinucleotide repeat, specifically a CAG sequence, within the huntingtin (HTT) gene. While individuals without the disease typically have 10 to 35 CAG repeats, those with Huntington’s disease have 40 or more, sometimes expanding to hundreds of repeats. This expanded repeat leads to a longer, toxic version of the huntingtin protein, which then breaks into fragments that accumulate and disrupt nerve cell function, ultimately causing their death.

Another condition linked to an insertion mutation is Fragile X syndrome, involving an expansion of CGG repeats in the FMR1 gene. This genetic change can lead to intellectual disability and developmental delays. Both Huntington’s disease and Fragile X syndrome highlight how the addition of repeated DNA sequences can impact protein function and cellular health, leading to medical problems.