Can range from substitution of a singleDNAbase; to deletion or duplication of tens, hundreds, thousands, or even millions of bases; to missing or extra entire chromosomes
Mutations can be localized (a singlebasechange) or catastrophic (a missinggene); or alter the protein in ways that affect its interactions with other proteins
2. A replication fork encountering a base in its unstable form can insert a noncomplementary base
3. After another round of replication, one of the daughter cells has a different base pair than the one in the corresponding position in the original DNA
Some sperm or oocytes have the mutation, because a spontaneous mutation occurred in the developing testis or ovary, and was transmitted only to the cells descended from the original cell bearing the mutation
As a result of gonadal mosaicism, a child may have the syndrome at birth but was not detected through the screening of parents. This is still considered spontaneous or de novo