“…In Proband one, thirty three different homoplasmic sequence variants were identified; twenty eight of them are haplotypes for haplogroup U2e regarding PhyloTree build 17, included defining mutational haplogroup U markers at m.11467A>G, m.12308A>G and m.12372G>A, and ancestral markers motifs at m.73A>G, m.263A>G, m.750A>G, m.1438A>G, m.2706A>G, m.4769A>G, m.7028C>T, m.8860A>G, m.11719G>A, m.14766C>T and m.15326A>G. All were found to be widely distributed across our sample. Furthermore, the characteristic mutation m.1811A>G for U'2'3'4'7'8'9 the common ancestor of haplogroup U was detected, with subdivision to European U2e on the basis of our finding of characteristic non-coding variants at m.152T>C, m.508A>G, m.15907A>G, m.16051A>G, m.16129G>C and m.16189T>C and the synonymous SNPs at m.3720A>G, m.5390A>G, m.5426T>C, m.6045C>T, m.6152T>C, m.10876A>G and m.13020T>C. The other five variants were detected in our analysis at m.739C>T, m.3116C>T, m.11197C>T, m.13359G>A and m.16183A>C, which are considered nonspecific to haplogroup U2e regarding PhyloTree build 17, although all of them with the exception of m.13359G>A have lower frequencies in haplogroup U2e by Mitomaster analysis (0.29%, 22.71%, 22.42% and 75.52%, respectively) (GenBank ID KY930472.1 and AY339545.1); interestingly, three of them, m.739C>T, m.3116C>T and m.13359G>A, were detected as polymorphisms and pathogenic mutations in different other diseases associated with aminoglycoside-induced hearing loss [94][95][96][97], whereas haplotypes for haplogroup H, a subclass of haplogroup HV, were shown to be associated with the second MELAS proband. Ancestral marker motifs were detected at m.263A>G, m.750A>G, m.1438A>G, m.4769A>G, m.8860A>G, m.15326A>G, and m.16519C>T; haplogroup H selected markers were detected at m.2706G>A and m.7028C>T. This MELAS proband was characterized as the H15 subclass, and we detected variants for haplogroup H15 at m.55T>C and m.6253T>C which further subdivided to H15b in the presence of m.3847T>C. In addition we detected two other non-coding variants: insertion C at m.56, which has very low frequency in association to haplogroup H15b on MITOMASTER (GenBank ID KF162889.1), and m.143G>A that did not reported previously in association to that haplogroup.…”