DNA replication occurs with high accuracy, making only about 1 error per billion base pairs. Errors are corrected by proofreading enzymes. Mistakes that escape correction are called mutations, which can be harmful, neutral, or beneficial by allowing for genetic variation. Mutations include point mutations that change a single base pair and frameshift mutations that delete or insert bases, altering all subsequent codons and usually causing greater effects. Mutations accumulate over time and can lead to cancer, aging, or beneficial species adaptations.