Mutations are changes in the nucleotide sequence of DNA that can occur in somatic or gamete cells. Most mutations are neutral or repaired by enzymes, but some can be harmful, like causing cancers, or beneficial by improving survival. There are two main types of mutations - chromosome mutations, which involve changes to chromosomes like deletions or duplications, and gene mutations, which change the nucleotide sequence of genes through point mutations, insertions, or deletions. Frameshift mutations specifically change the reading frame of proteins.