Mutations are changes in the nucleotide sequence of genes. They can be point mutations like substitutions, insertions, or deletions of single nucleotides, or large-scale mutations involving larger chromosomal changes. Mutations can arise spontaneously from errors in DNA replication or DNA damage, or be induced by mutagens like chemicals, radiation, or viruses. Point mutations can cause silent, missense, or nonsense changes to proteins, while frameshift mutations alter the reading frame. Mutations can have harmful, beneficial, or no effects depending on their location and type of genetic change.