A point mutation (base substitution) in the genetic information changes the genetic code, therefore the codon, therefore the amino acid that the genetic information is translated into. Changing the primary structure of a protein even minorly can change the secondary and tertiary structure of the protein; (remember shape dictates function) so that it causes the protein to not function correctly. Hemoglobin carries oxygen in the red blood cells so not correctly functioning hemoglobin causes the symptoms of sickle cell disease.