Analysis of mitochondrial DNA (mtDNA) variation has permitted the reconstru
ction of the ancient migrations of women. This has provided evidence that o
ur species arose in Africa about 150 000 years before present (YBP), migrat
ed out of Africa into Asia about 60 000 to 70 000 YBP and into Europe about
40 000 to 50 000 YBP, and migrated from Asia and possibly Europe to the Am
ericas about 20 000 to 30 000 YBP. Although much of the mtDNA variation tha
t exists in modern populations may be selectively neutral, studies of the m
ildly deleterious mtDNA mutations causing Leber's hereditary optic neuropat
hy (LHON) have demonstrated that some continent-specific mtDNA lineages are
more prone to manifest the clinical symptoms of LHON than others. Hence, a
ll mtDNA lineages are not equal, which may provide insights into the extrem
e environments that were encountered by our ancient ancestor, and which may
be of great importance in understanding the pathophysiology of mitochondri
al disease. (C) 1999 Elsevier Science B.V. All rights reserved.