Missense Mutation · What Is It, Causes, and More

Published: Jan 19, 2026
Author: Anna Hernández, MD
Editor: Alyssa Haag
Editor: Józia McGowan, DO
Editor: Anna Hernández, MD
Editor: Arianna Succi, MD
Editor: Mary Roberts, MSN, RN
Illustrator: Jillian Dunbar
Copyeditor: David G. Walker
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What is a missense mutation?

A missense mutation is an alteration in the DNA that results in a different amino acid being incorporated into the primary structure of a protein. At a molecular level, DNA consists of two strands built from four nucleotides called adenine, cytosine, guanine, and thymine (i.e., A, C, G, T, respectively). To produce a protein, DNA must first be transformed into messenger RNA, or mRNA, by an enzyme called RNA polymerase. During translation, specialized proteins called ribosomes read the mRNA in groups of three nucleotides, called codons. Each codon either encodes a specific amino acid or functions as a stop codon, signaling the end of protein synthesis. The ribosome matches these codons with the corresponding amino acids to assemble the final protein. 

Missense mutations occur when a single nucleotide base in a DNA sequence is swapped for another one, resulting in a different codon and, therefore, a different amino acid. These mutations are quite common, and, in most cases, they don’t affect the overall shape and function of the protein. However, when the amino acid substitution involves two amino acids with very different chemical properties, missense mutations can lead to significant changes in protein function. In such cases, they are known as nonconservative missense mutations. 

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What is the difference between a nonsense mutation and a missense mutation?

Nonsense mutations replace an amino acid codon with an early stop codon, which prematurely signals the ribosome to stop building a protein. Unlike missense mutations, nonsense mutations almost always have significant functional consequences.  

What causes a missense mutation?

Missense mutations can occur spontaneously or be induced by various kinds of mutagens. Mutagens include physical agents, like UV rays and chemical molecules, as well as biological agents, like certain viruses.  

What conditions are caused by a missense mutation?

The most common condition associated with a missense mutation is sickle cell disease, also known as drepanocytosis. With sickle cell disease, a mutation in the hemoglobin protein replaces the amino acid glutamate, which is hydrophilic (i.e., attracted to water), with valine, which is hydrophobic (i.e., repels water). The resulting hemoglobin is more fragile and prone to destruction, which makes it harder for red blood cells to carry as much oxygen in the blood.  

What are the most important facts to know about a missense mutation?

A missense mutation is an alteration in the DNA sequence that results in a different amino acid being incorporated into the structure of a protein. Unlike nonsense mutations, missense mutations still code for an amino acid, but not the original one. If the new amino acid has similar chemical properties to the original one, the protein’s structure and function are preserved. On the other hand, if the new amino acid’s properties are different from the original one, it can cause major changes in protein folding, stability, or activity, as seen in sickle cell disease 

Key Takeaways

Definition 

A missense mutation is an alteration in the DNA that results in a different amino acid being incorporated into the structure of a protein. 

Normal Protein Synthesis 

- DNA: two strands built from 4 nucleotides (A, C, G, T)  

- DNA transformed into mRNA by RNA polymerase  

- Ribosomes read mRNA in groups of 3 nucleotides (codon) until stop signal (stop codon) → protein assembly  

Missense Mutation 

- A single nucleotide is replaced by another → substitution of an amino acid for another 

     - If similar chemical properties → protein structure and function preserved (most cases) 

     - If different chemical properties → nonconservative missense mutations (structure and function changes)  

          - E.g., sickle cell anemia: valine (hydrophobic) replaces glutamate (hydrophilic) in hemoglobin protein → new hemoglobin is fragile and prone to destruction   

Causes of Missense Mutation 

- Spontaneous  

- Mutagens: UV rays, chemicals, biological agents (e.g., viruses) 

Nonsense vs Missense Mutation 

- Nonsense = amino acid replaced with early stop codon, almost always serious consequences 

- Missense = an amino acid is replaced by another one, no consequences in most cases 

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References


Cohn R, Scherer S, Hamosh A, eds. Chapter 4. Human Genetic Diversity: Genomic Variation. In: Thompson & Thompson Genetics and Genomics in Medicine. 9th ed. Elsevier - Health Sciences Division; 2023:45-61. 


Inusa BPD, Hsu LL, Kohli N, et al. Sickle cell disease-genetics, pathophysiology, clinical presentation and treatment. Int J Neonatal Screen. 2019;5(2):20. doi:10.3390/ijns5020020 


Meisenberg G, Simmons WH. Chapter 6: DNA, RNA, and Protein Synthesis. In: Principles of Medical Biochemistry. 4th ed. Elsevier - Health Sciences Division; 2016:66-94.