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Gene or point mutations occur when the DNA sequence of a gene is altered and the new nucleotide sequence is passed on to the offspring. This occurs either due to addition or deletion or substitution of one or a few nucleoticles. Nucleotide substitutions can be either transitions or transversions. Transitions are replacements of a purine by another purine (A by G or vice versa) or a pyrimidiile by another pyrimidine (C by T or vice versa). Transversions are replacements of a purine by the pyrimidine or vice versa (G or A by C or T or vice versa). We will briefly explain the different types of gene mutations.
a) Substitutions : substitution of one base by another would result in an altered amino acid in a polypeptide chain. For instance triplet AAT in DNA (UUA in mRNA) would specify leucine. But if the first A is ieplaced by C, it will code for valine. Some of the codons are degenerate and substitutions may not alter the amino acid specified. For instance, in the triplet AAT if the first A is replaced by G the amino acid coded would still be leucine. Gene mutations which do not normally affect the active site of a protein will not alter its biological functions. But nucleotide substitutions that change a triplet coding lor an amino acid into a termination codon would produce adverse effects. Once again in AAT, if the second A is replaced hy T (An), the resulting rnRNA codon IJAA is a termination codon. When a termination codon is present in the middle of an mRNA molecule the subsequent codons are not translated and an incomplete polypeptide will be released from ribosomes.
Tricuspid Excision : For tricuspid valve endocarditis with vegetations in drug users, valve excision is done by removing three cusps and chordae and papillary muscles. Later
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