The sequence of amino acids in a polypeptide chain constitutes the primary structure of a protein. This specific sequence is critical as it dictates the protein's final three-dimensional shape and, consequently, its biological function. The sequence is genetically determined by the sequence of nucleotides in DNA. A minor change, such as a point mutation (a change in a single nucleotide), can alter the amino acid sequence, leading to a dysfunctional protein and potentially severe diseases.
Frederick Sanger was the first scientist to determine the amino acid sequence of a protein molecule, specifically Insulin. He concluded that proteins have a specific chemical characteristic due to their precise sequence of amino acids.
Sickle cell anemia is a hereditary disease that serves as a classic example of how a single amino acid change can have drastic consequences.

| Feature | Normal Hemoglobin (HbA) | Sickle Hemoglobin (HbS) |
|---|---|---|
| Associated Condition | Healthy individual | Sickle Cell Anemia |
| Beta-Chain Amino Acid at Position 6 | Glutamic Acid | Valine |
| Red Blood Cell Shape | Biconcave disc, flexible | Sickle or crescent, rigid |
| Oxygen Transport | Efficient | Impaired |
| Blood Flow | Smooth | Prone to blockages |
The primary structure is crucial for the protein's proper folding into its functional three-dimensional shape. This illustrates the profound impact that a small change at the molecular level can have on the overall health and physiology of an organism. The amino acid sequence is itself encoded by the nucleotide sequence of a gene in DNA — a concept central to molecular biology and genetics.