“…An increase in the degree of heteroplasmy represents some kind of “clonal expansion” of low-level inherited variants, which occurs due to preferential replication of mtDNA carrying certain types of mutations [ 4 ]. However, we have earlier shown that there were no significant differences in the level of heteroplasmy of mtDNA mutations between different types of blood cells (monocytes, neutrophils, lymphocytes, and platelets) from the same individual in 71 study participants [ 5 ]; so, mutations are not accumulated during differentiation of blood cells but more probably are inherent in the progenitor cells in the bone marrow. Additionally, we have shown that in maternal relatives in 2–4 generations (37 families), in whom genotyping was carried out on heteroplasmic variants m.1555A>G, m.5178C>A, m.3256C>T, m.13513G>A, m.12315G>A, m.14846G>A, and m.15059G>A, the probability of hereditary nature of variants varied from 92% to 100%, but the probability of somatic nature arising in any generation varied from 5% to 19% [ 5 ].…”