Mistakes during DNA replication can cause mutations, such as inserting the wrong base into the growing DNA strand. Most replication errors occur because DNA polymerases work fast, but they can proofread and correct some mismatches. Mutations also result from damage to DNA that polymerases have trouble replicating over. When proofreading and repair fail, a permanent change in the DNA sequence, or mutation, results. Mutations may occur in any cell and be passed to offspring if they happen in sex cells, and can have harmful effects like causing cancer, but also drive evolution by creating genetic variation in traits.