Answer:
c. a mutation.
Explanation of why the others are incorrect:
a. Fertilization: Fertilization refers to the fusion of sperm and egg during sexual reproduction to form a zygote, which then undergoes cell division and development. Down syndrome is not caused by a fertilization process, but rather by a genetic abnormality involving an extra copy of chromosome 21.
b. Substitution: Substitution refers to a type of genetic mutation where one nucleotide base in the DNA sequence is replaced by another. Down syndrome is not caused by a substitution mutation, but rather by a trisomy, which is an extra copy of chromosome 21.
d. Differentiation: Differentiation refers to the process by which cells become specialized and acquire specific functions during development. Down syndrome is not related to the process of cellular differentiation, but rather to a genetic abnormality involving an extra copy of chromosome 21, which alters development and results in Down syndrome.