Mitochondrial inheritance · USMLE Step 1

Which of the following features is NOT typical of mitochondrial (mtDNA) inheritance of disease?

  1. Transmission from affected fathers to children
  2. Equal potential to affect sons and daughters
  3. Maternal lineage of transmission
  4. Possible variability in severity due to heteroplasmy
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Correct answer: Transmission from affected fathers to children

Transmission of mtDNA mutations from father to child is generally absent because paternal mitochondria are excluded at fertilization; thus father-to-child transmission is not a feature of mitochondrial inheritance.

Difficulty: Medium Question 12 of 19

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