Mutations, tumours and the mitotic index

Cells (Continuity and change) · Cell and nuclear division · note 6 of 6

Spec D2.1.16, D2.1.17
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Mutations, tumours and the mitotic indexSpec D2.1.16, D2.1.17

In short

A tumour is a mass of cells formed by uncontrolled cell division, caused by mutations in genes that control the cell cycle. Proto-oncogenes can mutate into oncogenes and tumour suppressor genes can lose their function. Benign tumours grow slowly and stay in place; malignant tumours invade tissue and metastasise, causing cancer.

Mutations in the genes that control the cell cycle can lead to uncontrolled cell division. Two groups of genes are involved.

Genes that control the cell cycle
Proto-oncogenesTumour suppressor genes
Normal roleCode for proteins that stimulate the cell cycle when division is neededCode for proteins that slow or stop the cell cycle, for example if DNA is damaged (p53 is a well-known example)
Effect of mutationConverted into an oncogene, which is permanently active and stimulates division all the timeThe protein stops working, so division is no longer held back
ResultUncontrolled cell divisionUncontrolled cell division

Usually several mutations in the same cell are needed before a tumour forms. A tumour is an abnormal mass of cells that results from uncontrolled cell division.

Benign and malignant tumours

Differences between tumours
Benign tumourMalignant tumour
Rate of cell division and growthUsually slowUsually fast
Invasion of neighbouring tissueNo: often enclosed and stays in one placeYes: grows into neighbouring tissues
MetastasisNoYes: cells break away and spread in blood or lymph
Cancer?Does not cause cancer (but can still harm by pressing on organs)Causes cancer

The tumour that forms first is the primary tumour. When malignant cells detach, travel in the blood or lymph and start dividing elsewhere in the body (metastasis), they form a secondary tumour.

Two panels: a benign tumour, a rounded mass of tumour cells enclosed in a capsule within normal tissue; and a malignant tumour, an irregular primary tumour invading neighbouring tissue, with a cell entering a blood vessel (metastasis) and carried to another organ where a secondary tumour forms. (opens full size in a new tab)
A benign tumour stays in one place; a malignant tumour invades neighbouring tissue and metastasises to form secondary tumours.

The mitotic index

mitotic index = number of cells in mitosis ÷ total number of cells observed

Calculating a mitotic index

In a field of view of a tissue sample, 42 of 350 cells are in a phase of mitosis. Calculate the mitotic index.

  1. Count every cell in prophase, metaphase, anaphase or telophase: 42.
  2. Divide by the total number of cells: 42 ÷ 350 = 0.12.

Answer: Mitotic index = 0.12 (12% of the cells are in mitosis).

Maths skill:

A higher mitotic index means faster cell proliferation, so it is used to compare tumours with normal tissue. Count across several fields of view and decide in advance how to treat cells you cannot classify.

Practical skill:

To determine the mitotic index, observe a population of cells, such as a root tip squash or a prepared slide, and count cells in mitosis and in interphase. Interphase cells count in the total but not in the numerator.

Quick check

  1. What is cytokinesis?

    Show answer

    The splitting of the cytoplasm of a parent cell between the daughter cells.

  2. Give two examples of unequal cytokinesis.

    Show answer

    Oogenesis in humans and budding in yeast.

  3. In which phase of mitosis do sister chromatids separate?

    Show answer

    Anaphase.

  4. What happens to chromosome 21 to cause Down syndrome?

    Show answer

    Non-disjunction in meiosis gives a gamete with two copies, so the zygote has three copies (trisomy 21).

  5. HL only What is the mitotic index?

    Show answer

    The number of cells in mitosis divided by the total number of cells observed.

Written and checked against the IB Biology HL specification · Updated October 2026

Frequently asked questions

What is the difference between mitosis and meiosis?

Mitosis produces two genetically identical nuclei with the same chromosome number as the parent, for growth and repair. Meiosis has two divisions and produces four haploid nuclei that are genetically different from each other, for sexual reproduction. Meiosis halves the chromosome number and generates diversity through crossing over and random orientation.

What are the phases of mitosis in order?

Prophase, metaphase, anaphase and telophase. Chromosomes condense in prophase, line up on the equator in metaphase, have their sister chromatids pulled to opposite poles in anaphase, and are enclosed in two new nuclear membranes in telophase. Cytokinesis then divides the cytoplasm to give two cells.

How does meiosis cause genetic variation?

Meiosis causes variation in two ways. Crossing over in prophase I swaps sections between non-sister chromatids, making new combinations of alleles. Random orientation of bivalents in metaphase I means each pair lines up independently, giving 2ⁿ possible combinations of chromosomes, about 8.4 million in humans.

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