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what is the importance of the cells ability to copy

It is estimated that at that place are more than than 10 1000000—perhaps 100 one thousand thousand—living species on Earth today. Each species is different, and each reproduces itself faithfully, yielding progeny that belong to the same species: the parent organism hands down data specifying, in extraordinary detail, the characteristics that the offspring shall have. This miracle of heredity is a central part of the definition of life: it distinguishes life from other processes, such as the growth of a crystal, or the burning of a candle, or the formation of waves on water, in which orderly structures are generated but without the same type of link between the peculiarities of parents and the peculiarities of offspring. Similar the candle flame, the living organism must consume complimentary energy to create and maintain its organization; but the free free energy drives a hugely complex system of chemical processes that is specified by the hereditary information.

Well-nigh living organisms are single cells; others, such as ourselves, are vast multicellular cities in which groups of cells perform specialized functions and are linked past intricate systems of communication. Only in all cases, whether we talk over the solitary bacterium or the aggregate of more than 1013 cells that form a human body, the whole organism has been generated past cell divisions from a single jail cell. The single cell, therefore, is the vehicle for the hereditary data that defines the species (Figure 1-1). And specified by this information, the jail cell includes the machinery to gather raw materials from the surroundings, and to construct out of them a new prison cell in its own image, complete with a new copy of the hereditary information. Nothing less than a jail cell has this capability.

Figure 1-1. The hereditary information in the egg cell determines the nature of the whole multicellular organism.

Figure 1-one

The hereditary information in the egg jail cell determines the nature of the whole multicellular organism. (A and B) A sea urchin egg gives rise to a bounding main urchin. (C and D) A mouse egg gives rise to a mouse. (Due east and F) An egg of the seaweed Fucus gives rising (more...)

All Cells Shop Their Hereditary Data in the Same Linear Chemic Lawmaking (DNA)

Computers accept fabricated united states familiar with the concept of data as a measurable quantity—a meg bytes (corresponding to about 200 pages of text) on a floppy disk, 600 million on a CD-ROM, and so on. They have also made us uncomfortably enlightened that the same information can be recorded in many different physical forms. A certificate that is written on one type of computer may be unreadable on another. As the computer earth has evolved, the discs and tapes that we used 10 years agone for our electronic archives accept become unreadable on present-day machines. Living cells, like computers, bargain in data, and it is estimated that they have been evolving and diversifying for over 3.v billion years. Information technology is scarcely to be expected that they should all store their information in the same form, or that the archives of one type of cell should be readable by the information-handling machinery of another. And however it is so. All living cells on Earth, without whatever known exception, shop their hereditary information in the grade of double-stranded molecules of DNA—long unbranched paired polymer chains, formed always of the same four types of monomers—A, T, C, G. These monomers are strung together in a long linear sequence that encodes the genetic data, just as the sequence of 1s and 0s encodes the data in a computer file. We tin can take a piece of DNA from a human prison cell and insert information technology into a bacterium, or a piece of bacterial Dna and insert it into a human jail cell, and the information volition be successfully read, interpreted, and copied. Using chemical methods, scientists can read out the complete sequence of monomers in any Deoxyribonucleic acid molecule—extending for millions of nucleotides—and thereby decipher the hereditary information that each organism contains.

All Cells Replicate Their Hereditary Information by Templated Polymerization

To empathise the mechanisms that make life possible, 1 must understand the structure of the double-stranded Deoxyribonucleic acid molecule. Each monomer in a unmarried Deoxyribonucleic acid strand—that is, each nucleotide—consists of two parts: a sugar (deoxyribose) with a phosphate group attached to it, and a base, which may be either adenine (A), guanine (Thousand), cytosine (C) or thymine (T) (Figure 1-two). Each carbohydrate is linked to the next via the phosphate group, creating a polymer chain composed of a repetitive sugar-phosphate backbone with a serial of bases protruding from it. The Dna polymer is extended by adding monomers at one end. For a single isolated strand, these can, in principle, be added in any order, because each 1 links to the side by side in the same way, through the part of the molecule that is the same for all of them. In the living prison cell, notwithstanding, at that place is a constraint: DNA is not synthesized equally a gratis strand in isolation, just on a template formed by a preexisting Deoxyribonucleic acid strand. The bases protruding from the existing strand bind to bases of the strand being synthesized, according to a strict rule defined past the complementary structures of the bases: A binds to T, and C binds to Thousand. This base-pairing holds fresh monomers in place and thereby controls the selection of which one of the 4 monomers shall be added to the growing strand next. In this way, a double-stranded structure is created, consisting of two exactly complementary sequences of Every bit, Cs, Ts, and Gs. The two strands twist around each other, forming a double helix (Figure i-2E).

Figure 1-2. DNA and its building blocks.

Effigy 1-2

DNA and its building blocks. (A) DNA is made from unproblematic subunits, called nucleotides, each consisting of a saccharide-phosphate molecule with a nitrogen-containing sidegroup, or base, fastened to it. The bases are of 4 types (adenine, guanine, cytosine, (more...)

The bonds between the base pairs are weak compared with the sugar-phosphate links, and this allows the two DNA strands to be pulled apart without breakage of their backbones. Each strand so tin can serve as a template, in the way just described, for the synthesis of a fresh Dna strand complementary to itself—a fresh copy, that is, of the hereditary data (Figure one-3). In different types of cells, this process of DNA replication occurs at different rates, with different controls to start it or cease it, and unlike auxiliary molecules to help information technology along. Simply the basics are universal: Deoxyribonucleic acid is the information store, and templated polymerization is the way in which this information is copied throughout the living world.

Figure 1-3. The duplication of genetic information by DNA replication.

Figure 1-3

The duplication of genetic information by Dna replication. In this process, the two strands of a Dna double helix are pulled apart, and each serves as a template for synthesis of a new complementary strand.

All Cells Transcribe Portions of Their Hereditary Data into the Aforementioned Intermediary Form (RNA)

To deport out its information-storage function, DNA must exercise more than copy itself before each cell division past the mechanism just described. It must also express its information, putting information technology to utilise so as to guide the synthesis of other molecules in the cell. This also occurs by a mechanism that is the same in all living organisms, leading first and foremost to the product of two other central classes of polymers: RNAs and proteins. The procedure begins with a templated polymerization called transcription, in which segments of the DNA sequence are used as templates to guide the synthesis of shorter molecules of the closely related polymer ribonucleic acid, or RNA. Later, in the more complex process of translation, many of these RNA molecules serve to straight the synthesis of polymers of a radically unlike chemical course—the proteins (Figure 1-four).

Figure 1-4. From DNA to protein.

Effigy one-4

From Dna to protein. Genetic information is read out and put to use through a two-step procedure. Kickoff, in transcription, segments of the DNA sequence are used to guide the synthesis of molecules of RNA. Then, in translation, the RNA molecules are used (more...)

In RNA, the backbone is formed of a slightly unlike sugar from that of Deoxyribonucleic acid—ribose instead of deoxyribose—and one of the four bases is slightly different—uracil (U) in place of thymine (T); only the other three bases—A, C, and G—are the aforementioned, and all four bases pair with their complementary counterparts in DNA—the A, U, C, and G of RNA with the T, A, G, and C of DNA. During transcription, RNA monomers are lined upward and selected for polymerization on a template strand of Dna in the same fashion that DNA monomers are selected during replication. The effect is therefore a polymer molecule whose sequence of nucleotides faithfully represents a part of the prison cell'due south genetic information, even though written in a slightly different alphabet, consisting of RNA monomers instead of Dna monomers.

The same segment of DNA can be used repeatedly to guide the synthesis of many identical RNA transcripts. Thus, whereas the cell's annal of genetic data in the class of Dna is fixed and sacrosanct, the RNA transcripts are mass-produced and dispensable (Figure 1-5). As we shall see, the master role of most of these transcripts is to serve as intermediates in the transfer of genetic data: they serve as messenger RNA (mRNA) to guide the synthesis of proteins according to the genetic instructions stored in the Dna.

Figure 1-5. How genetic information is broadcast for use inside the cell.

Figure ane-5

How genetic information is broadcast for utilize within the cell. Each prison cell contains a fixed set of Deoxyribonucleic acid molecules—its archive of genetic information. A given segment of this Dna serves to guide the synthesis of many identical RNA transcripts, which (more...)

RNA molecules accept distinctive structures that can also give them other specialized chemic capabilities. Being single-stranded, their courage is flexible, so that the polymer chain tin bend back on itself to permit one role of the molecule to form weak bonds with some other part of the same molecule. This occurs when segments of the sequence are locally complementary: a ...GGGG... segment, for example, volition tend to associate with a ...CCCC... segment. These types of internal associations tin cause an RNA concatenation to fold upward into a specific shape that is dictated by its sequence (Figure 1-6). The shape of the RNA molecule, in turn, may enable information technology to recognize other molecules by binding to them selectively—and even, in certain cases, to catalyze chemical changes in the molecules that are bound. As we meet later in this volume, a few chemical reactions catalyzed past RNA molecules are crucial for several of the most ancient and central processes in living cells, and information technology has been suggested that more extensive catalysis past RNA played a central part in the early development of life (discussed in Affiliate six).

Figure 1-6. The conformation of an RNA molecule.

Figure one-half dozen

The conformation of an RNA molecule. (A) Nucleotide pairing between different regions of the same RNA polymer chain causes the molecule to adopt a distinctive shape. (B) The iii-dimensional structure of an actual RNA molecule, from hepatitis delta virus, (more...)

All Cells Use Proteins every bit Catalysts

Protein molecules, like DNA and RNA molecules, are long unbranched polymer chains, formed past the stringing together of monomeric building blocks drawn from a standard repertoire that is the aforementioned for all living cells. Like DNA and RNA, they carry information in the form of a linear sequence of symbols, in the aforementioned mode as a human message written in an alphabetic script. There are many different protein molecules in each cell, and—leaving out the water—they form most of the prison cell'south mass.

The monomers of protein, the amino acids, are quite different from those of Deoxyribonucleic acid and RNA, and in that location are 20 types, instead of 4. Each amino acid is built effectually the aforementioned cadre structure through which information technology tin can be linked in a standard way to whatever other amino acrid in the set; attached to this core is a side group that gives each amino acid a distinctive chemical character. Each of the protein molecules, or polypeptides, created by joining amino acids in a item sequence folds into a precise three-dimensional form with reactive sites on its surface (Figure 1-7A). These amino acid polymers thereby demark with high specificity to other molecules and act equally enzymes to catalyze reactions in which covalent bonds are fabricated and broken. In this way they directly the vast majority of chemical processes in the cell (Figure i-7B). Proteins take a host of other functions as well—maintaining structures, generating movements, sensing signals, and so on—each protein molecule performing a specific office according to its ain genetically specified sequence of amino acids. Proteins, above all, are the molecules that put the jail cell'southward genetic information into activity.

Figure 1-7. How a protein molecule acts as catalyst for a chemical reaction.

Effigy 1-seven

How a protein molecule acts as catalyst for a chemical reaction. (A) In a protein molecule the polymer concatenation folds upward to into a specific shape defined by its amino acid sequence. A groove in the surface of this particular folded molecule, the enzyme lysozyme, (more...)

Thus, polynucleotides specify the amino acid sequences of proteins. Proteins, in turn, catalyze many chemic reactions, including those by which new Dna molecules are synthesized, and the genetic information in Deoxyribonucleic acid is used to make both RNA and proteins. This feedback loop is the basis of the autocatalytic, self-reproducing behavior of living organisms (Figure one-eight).

Figure 1-8. Life as an autocatalytic process.

Figure 1-viii

Life as an autocatalytic process. Polynucleotides (nucleotide polymers) and proteins (amino acid polymers) provide the sequence data and the catalytic functions that serve—through a circuitous gear up of chemical reactions—to bring virtually (more...)

All Cells Translate RNA into Poly peptide in the Same Way

The translation of genetic information from the iv-alphabetic character alphabet of polynucleotides into the 20-letter alphabet of proteins is a complex process. The rules of this translation seem in some respects neat and rational, in other respects strangely arbitrary, given that they are (with small-scale exceptions) identical in all living things. These arbitrary features, it is thought, reflect frozen accidents in the early on history of life—chance properties of the earliest organisms that were passed on past heredity and accept become so deeply embedded in the constitution of all living cells that they cannot be changed without wrecking cell system.

The information in the sequence of a messenger RNA molecule is read out in groups of three nucleotides at a time: each triplet of nucleotides, or codon, specifies (codes for) a single amino acrid in a corresponding protein. Since there are 64 (= four × iv × 4) possible codons, but only 20 amino acids, there are necessarily many cases in which several codons represent to the aforementioned amino acid. The code is read out past a special grade of small RNA molecules, the transfer RNAs (tRNAs). Each type of tRNA becomes fastened at one finish to a specific amino acrid, and displays at its other end a specific sequence of iii nucleotides—an anticodon—that enables information technology to recognize, through base-pairing, a particular codon or subset of codons in mRNA (Figure 1-9).

Figure 1-9. Transfer RNA.

Figure one-ix

Transfer RNA. (A) A tRNA molecule specific for the amino acid tryptophan. I finish of the tRNA molecule has tryptophan attached to it, while the other end displays the triplet nucleotide sequence CCA (its anticodon), which recognizes the tryptophan codon (more...)

For synthesis of poly peptide, a succession of tRNA molecules charged with their advisable amino acids have to be brought together with an mRNA molecule and matched upwardly by base-pairing through their anticodons with each of its successive codons. The amino acids then take to be linked together to extend the growing protein concatenation, and the tRNAs, relieved of their burdens, have to be released. This whole complex of processes is carried out by a giant multimolecular machine, the ribosome, formed of two main bondage of RNA, called ribosomal RNAs (rRNAs), and more than than l dissimilar proteins. This evolutionarily aboriginal molecular juggernaut latches onto the end of an mRNA molecule so trundles along it, capturing loaded tRNA molecules and stitching together the amino acids they carry to form a new protein chain (Figure 1-10).

Figure 1-10. A ribosome at work.

Figure 1-ten

A ribosome at work. (A) The diagram shows how a ribosome moves along an mRNA molecule, capturing tRNA molecules that lucifer the codons in the mRNA and using them to bring together amino acids into a poly peptide chain. The mRNA specifies the sequence of amino acids. (more than...)

The Fragment of Genetic Information Corresponding to 1 Protein Is Ane Gene

Deoxyribonucleic acid molecules equally a rule are very big, containing the specifications for thousands of proteins. Segments of the entire Dna sequence are therefore transcribed into separate mRNA molecules, with each segment coding for a different protein. A gene is defined as the segment of DNA sequence corresponding to a single protein (or to a unmarried catalytic or structural RNA molecule for those genes that produce RNA but not poly peptide).

In all cells, the expression of private genes is regulated: instead of manufacturing its full repertoire of possible proteins at total tilt all the time, the prison cell adjusts the charge per unit of transcription and translation of unlike genes independently, according to need. Stretches of regulatory DNA are interspersed amidst the segments that code for protein, and these noncoding regions bind to special protein molecules that control the local rate of transcription (Effigy ane-11). Other noncoding Deoxyribonucleic acid is also present, some of it serving, for example, equally punctuation, defining where the information for an private poly peptide begins and ends. The quantity and organization of the regulatory and other noncoding DNA vary widely from 1 course of organisms to some other, only the bones strategy is universal. In this way, the genome of the cell—that is, the total of its genetic information every bit embodied in its complete Dna sequence—dictates not only the nature of the prison cell's proteins, but also when and where they are to be made.

Figure 1-11. (A) A diagram of a small portion of the genome of the bacterium Escherichia coli, containing genes (called lacI, lacZ, lacY, and lacA) coding for four different proteins.

Effigy 1-11

(A) A diagram of a small portion of the genome of the bacterium Escherichia coli, containing genes (called lacI, lacZ, lacY, and lacA) coding for iv unlike proteins. The protein-coding DNA segments (red) have regulatory and other noncoding Dna segments (more...)

Life Requires Costless Free energy

A living cell is a system far from chemic equilibrium: information technology has a large internal costless energy, significant that if it is allowed to die and decay towards chemical equilibrium, a groovy deal of free energy is released to the environs as heat. For the jail cell to brand a new jail cell in its own image, information technology must take in free energy from the environment, besides as raw materials, to bulldoze the necessary constructed reactions. This consumption of complimentary energy is fundamental to life. When it stops, a cell dies. Genetic information is also primal to life. Is there any connection?

The answer is yes: gratuitous energy is required for the propagation of information, and at that place is, in fact, a precise quantitative human relationship between the two entities. To specify i bit of information—that is, ane yes/no selection between ii as likely alternatives—costs a defined amount of free energy (measured in joules), depending on the temperature. The proof of this abstract general principle of statistical thermodynamics is quite arduous, and depends on the precise definition of the term "free free energy" (discussed in Chapter two). The basic thought, withal, is not difficult to understand intuitively in the context of Deoxyribonucleic acid synthesis.

To create a new Dna molecule with the aforementioned sequence equally an existing DNA molecule, nucleotide monomers must be lined up in the right sequence on the DNA strand that is used as the template. At each point in the sequence, the choice of the appropriate nucleotide depends on the fact that the correctly matched nucleotide binds to the template more strongly than mismatched nucleotides. The greater the difference in binding free energy, the rarer are the occasions on which a mismatched nucleotide is accidentally inserted in the sequence instead of the correct nucleotide. A high-fidelity lucifer, whether it is achieved through the direct and simple machinery just outlined, or in a more complex fashion, with the help of a fix of auxiliary chemic reactions, requires that a lot of free energy be released and dissipated as heat as each right nucleotide is slotted into its identify in the construction. This cannot happen unless the system of molecules carries a large store of free energy at the beginning. Eventually, after the newly recruited nucleotides have been joined together to form a new Dna strand, a fresh input of free free energy is required to strength the matched nucleotides apart over again, since each new strand has to be separated from its old template strand to allow the next circular of replication.

The cell therefore requires free energy, which has to be imported somehow from its surroundings, to replicate its genetic information faithfully. The same principle applies to the synthesis of most of the molecules in cells. For example, in the production of RNAs or proteins, the existing genetic information dictates the sequence of the new molecule through a process of molecular matching, and free energy is required to drive forward the many chemical reactions that construct the monomers from raw materials and link them together correctly.

All Cells Part equally Biochemical Factories Dealing with the Same Basic Molecular Building Blocks

Because all cells make DNA, RNA, and poly peptide, and these macromolecules are equanimous of the same set of subunits in every instance, all cells take to contain and manipulate a similar collection of small molecules, including simple sugars, nucleotides, and amino acids, as well every bit other substances that are universally required for their synthesis. All cells, for example, require the phosphorylated nucleotide ATP (adenosine triphosphate) equally a edifice block for the synthesis of DNA and RNA; and all cells also make and swallow this molecule as a carrier of costless energy and phosphate groups to drive many other chemical reactions.

Although all cells part as biochemical factories of a broadly like blazon, many of the details of their small-molecule transactions differ, and it is not as piece of cake as it is for the informational macromolecules to point out the features that are strictly universal. Some organisms, such as plants, require only the simplest of nutrients and harness the energy of sunlight to brand from these most all their own small organic molecules; other organisms, such equally animals, feed on living things and obtain many of their organic molecules ready-made. Nosotros return to this betoken beneath.

All Cells Are Enclosed in a Plasma Membrane Across Which Nutrients and Waste Materials Must Pass

There is, however, at to the lowest degree i other feature of cells that is universal: each one is bounded by a membrane—the plasma membrane. This container acts as a selective barrier that enables the prison cell to concentrate nutrients gathered from its environs and retain the products it synthesizes for its own use, while excreting its waste products. Without a plasma membrane, the cell could not maintain its integrity as a coordinated chemical organization.

This membrane is formed of a set of molecules that have the simple physico-chemical property of being amphipathic—that is, consisting of one part that is hydrophobic (water-insoluble) and another part that is hydrophilic (h2o-soluble). When such molecules are placed in h2o, they aggregate spontaneously, arranging their hydrophobic portions to be as much in contact with 1 another as possible to hide them from the h2o, while keeping their hydrophilic portions exposed. Amphipathic molecules of appropriate shape, such equally the phospholipid molecules that comprise about of the plasma membrane, spontaneously aggregate in water to form a bilayer that creates minor closed vesicles (Effigy one-12). The miracle can be demonstrated in a test tube by but mixing phospholipids and water together; under advisable atmospheric condition, small vesicles grade whose aqueous contents are isolated from the external medium.

Figure 1-12. Formation of a membrane by amphipathic phospholipid molecules.

Figure i-12

Formation of a membrane by amphipathic phospholipid molecules. These have a hydrophilic (water-loving, phosphate) caput group and a hydrophobic (h2o-avoiding, hydrocarbon) tail. At an interface betwixt oil and water, they adjust themselves as a single (more than...)

Although the chemical details vary, the hydrophobic tails of the predominant membrane molecules in all cells are hydrocarbon polymers (-CH2-CH2-CHtwo-), and their spontaneous assembly into a bilayered vesicle is but one of many examples of an important general principle: cells produce molecules whose chemical backdrop cause them to cocky-assemble into the structures that a cell needs.

The boundary of the cell cannot be totally impermeable. If a cell is to grow and reproduce, it must exist able to import raw materials and export waste product across its plasma membrane. All cells therefore take specialized proteins embedded in their membrane that serve to transport specific molecules from ane side to the other (Figure 1-13). Some of these membrane ship proteins, similar some of the proteins that catalyze the cardinal pocket-size-molecule reactions inside the cell, have been and so well preserved over the course of evolution that 1 can recognize the family resemblances between them in comparisons of fifty-fifty the nearly distantly related groups of living organisms.

Figure 1-13. Membrane transport proteins.

Figure 1-13

Membrane send proteins. (A) Structure of a molecule of bacteriorhodopsin, from the archaean (archaebacterium) Halobacterium halobium. This ship protein uses the energy of captivated light to pump protons (H+ ions) out of the cell. The polypeptide (more...)

The send proteins in the membrane largely determine which molecules enter the cell, and the catalytic proteins inside the cell determine the reactions that those molecules undergo. Thus, by specifying the gear up of proteins that the prison cell is to industry, the genetic information recorded in the Deoxyribonucleic acid sequence dictates the unabridged chemistry of the prison cell; and non simply its chemistry, merely besides its grade and its behavior, for these as well are chiefly constructed and controlled by the cell'south proteins.

A Living Prison cell Can Be with Fewer Than 500 Genes

The basic principles of biological information transfer are uncomplicated enough, but how complex are real living cells? In detail, what are the minimum requirements? We tin go a crude indication by considering the species that has the smallest known genome—the bacterium Mycoplasma genitalium (Figure 1-14). This organism lives every bit a parasite in mammals, and its environment provides information technology with many of its pocket-sized molecules set-made. Nevertheless, information technology however has to brand all the large molecules—Deoxyribonucleic acid, RNAs, and proteins—required for the bones processes of heredity. Information technology has only 477 genes in its genome of 580,070 nucleotide pairs, representing 145,018 bytes of data—almost equally much every bit information technology takes to record the text of i chapter of this volume. Cell biology may be complicated, only information technology is not impossibly so.

Figure 1-14. (A) Scanning electron micrograph showing the irregular shape of this small bacterium, reflecting the lack of any rigid wall.

Figure 1-xiv

(A) Scanning electron micrograph showing the irregular shape of this small bacterium, reflecting the lack of any rigid wall. (B) Cross section (transmission electron micrograph) of a Mycoplasma cell. Of the 477 genes of Mycoplasma genitalium, 37 code (more...)

The minimum number of genes for a viable prison cell in today's environments is probably non less than 200–300. As we shall encounter in the next section, when nosotros compare the near widely separated branches of the tree of life, we find that a core set of over 200 genes is common to them all.

Summary

Living organisms reproduce themselves past transmitting genetic information to their progeny. The individual cell is the minimal self-reproducing unit, and is the vehicle for manual of the genetic data in all living species. Every jail cell on our planet stores its genetic information in the same chemic form—every bit double-stranded DNA. The jail cell replicates its information past separating the paired DNA strands and using each equally a template for polymerization to make a new Dna strand with a complementary sequence of nucleotides. The same strategy of templated polymerization is used to transcribe portions of the information from Dna into molecules of the closely related polymer, RNA. These in plough guide the synthesis of protein molecules by the more than complex machinery of translation, involving a large multimolecular machine, the ribosome, which is itself composed of RNA and protein. Proteins are the main catalysts for almost all the chemic reactions in the jail cell; their other functions include the selective import and export of small molecules beyond the plasma membrane that forms the prison cell's purlieus. The specific function of each protein depends on its amino acrid sequence, which is specified past the nucleotide sequence of a corresponding segment of the Dna—the gene that codes for that protein. In this manner, the genome of the cell determines its chemistry; and the chemistry of every living cell is fundamentally similar, because information technology must provide for the synthesis of Dna, RNA, and protein. The simplest known cells have just under 500 genes.

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Source: https://www.ncbi.nlm.nih.gov/books/NBK26864/

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