Mutations are changes in DNA that may occur in somatic or germ cells. Most mutations are neutral, but some can be harmful, causing diseases like cancer, or beneficial by improving survival. Mutations can involve chromosomes, such as deletions, inversions, duplications, or translocations, or genes through point mutations, insertions, deletions, or frameshifts. Examples of diseases caused by mutations include Down syndrome from chromosome nondisjunction, sickle cell anemia from a single nucleotide substitution, and cystic fibrosis from a three base pair deletion.