The discovery that mutations in mitochondrial DNA (mtDNA) can be patho
genic in humans has increased interest in understanding mtDNA maintena
nce. The functional state of mtDNA requires a great number of factors
for gene expression, DNA replication, and DNA repair. These processes
are ultimately controlled by the cell nucleus, because the requisite p
roteins are all encoded by nuclear genes and imported into the mitocho
ndrion. DNA replication and transcription are linked in vertebrate mit
ochondria because RNA transcripts initiated at the light-strand promot
er are the primers for mtDNA replication at the heavy-strand origin. S
tudy of this transcription-primed DNA replication mechanism has led to
isolation of key factors involved in mtDNA replication and transcript
ion and to elucidation of unique nucleic acid structures formed at thi
s origin. Because features of a transcription-primed mechanism appear
to be conserved in vertebrates, a general model for initiation of vert
ebrate heavy-strand DNA synthesis is proposed. In many organisms, mtDN
A maintenance requires not only faithful mtDNA replication, but also m
tDNA repair and recombination. The extent to which these latter two pr
ocesses are involved in mtDNA maintenance in vertebrates is also appra
ised.