The molecular mechanisms by which the nuclear genome regulates the bio
synthesis of mitochondrial DNA (mtDNA) are only beginning to be unrave
lled. A naturally occurring in vivo model for a defect in this cross-t
alk of two physically separate genomes is a human disease, an autosoma
l dominant progressive external ophthalmoplegia, in which multiple del
etions of mtDNA accumulate in the patients' tissues. The assignment of
this disease locus to 10q 23.3-24.3 is the first direct evidence for
involvement of both nuclear and mitochondrial genomes in a single diso
rder.