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Updated: Nov 9, 2025

Genotyping Single Nucleotide Polymorphisms in the Mitochondrial Genome by Pyrosequencing
Published on: February 10, 2023
Interference of nuclear mitochondrial DNA segments in mitochondrial DNA testing resembles biparental transmission of
Renkui Bai1, Hong Cui2, Joseph M Devaney2
1GeneDx Inc, Gaithersburg, MD, USA. rbai@genedx.com.
Purpose:
Reports have questioned the dogma of exclusive maternal transmission of human mitochondrial DNA (mtDNA), including the recent report of an admixture of two mtDNA haplogroups in individuals from three multigeneration families. This was interpreted as being consistent with biparental transmission of mtDNA in an autosomal dominant-like mode. The authenticity and frequency of these findings are debated.
Methods:
We retrospectively analyzed individuals with two mtDNA haplogroups from 2017 to 2019 and selected four families for further study.
Results:
We identified this phenomenon in 104/27,388 (approximately 1/263) unrelated individuals. Further study revealed (1) a male with two mitochondrial haplogroups transmits only one haplogroup to some of his offspring, consistent with nuclear transmission; (2) the heteroplasmy level of paternally transmitted variants is highest in blood, lower in buccal, and absent in muscle or urine of the same individual, indicating it is inversely correlated with mtDNA content; and (3) paternally transmitted apparent large-scale mtDNA deletions/duplications are not associated with a disease phenotype.
Conclusion:
These findings strongly suggest that the observed mitochondrial haplogroup of paternal origin resulted from coamplification of rare, concatenated nuclear mtDNA segments with genuine mtDNA during testing. Evaluation of additional specimen types can help clarify the clinical significance of the observed results.
Insights
Recent studies suggest biparental mitochondrial DNA (mtDNA) transmission, but this research indicates paternal mtDNA haplogroups likely result from nuclear DNA segments coamplified during testing, not true inheritance.
Area of Science:
- Genetics
- Molecular Biology
- Human Reproduction
Background:
- The traditional understanding is that only maternal inheritance of mitochondrial DNA (mtDNA) occurs in humans.
- Recent reports have challenged this dogma, suggesting biparental mtDNA transmission.
Purpose of the Study:
- To investigate the authenticity and frequency of biparental mtDNA transmission.
- To clarify the mechanism behind the observation of two mtDNA haplogroups in individuals.
Main Methods:
- Retrospective analysis of individuals with two mtDNA haplogroups (2017-2019).
- Selection of four families for in-depth study.
- Analysis of heteroplasmy levels in different tissue types and offspring.
Main Results:
- Identified two mtDNA haplogroups in 104/27,388 (0.38%) unrelated individuals.
- Observed paternal transmission inconsistent with Mendelian inheritance, with heteroplasmy varying by tissue type.
- Paternally transmitted mtDNA deletions/duplications showed no disease association.
Conclusions:
- The observed paternal mtDNA haplogroups are likely artifacts from nuclear mtDNA segments coamplified during testing.
- Further evaluation of specimen types is needed to determine the clinical significance of these findings.
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