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Biochemistry, cell biology, and genetics

Mitochondrial inheritance and heteroplasmy

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SAMPLE QUESTION

A three-generation family has variable combinations of hearing loss, exercise intolerance, and diabetes. Molecular testing tracks the same disease-associated variant in women and men. Three women carrying it have children of both sexes who carry it. None of the 12 tested children of two men carrying the variant has inherited it. Spouses do not carry the variant.

Which mechanism best explains this pattern of transmission?