To investigate the potential role of somatic mitochondrial DNA (mtDNA) muta
tions in tumorigenesis, the occurrence of mutations in mtDNA of ovarian car
cinomas was studied. We sequenced the D-loop region of mtDNA of 15 primary
ovarian carcinomas and their matched normal controls. Somatic mtDNA mutatio
ns were detected in 20% (3 of 15) tumor samples carrying single or multiple
changes. Complete sequence analysis of the mtDNA genomes of another 10 pai
rs of primary ovarian carcinomas and control tissues revealed somatic mtDNA
mutations in 60% (6 of 10) of tumor samples. Most of these mutations were
homoplasmic, and most were T -->C or G -->A transitions, but one represente
d a differential length within a run of identical C residues. A, region of
mtDNA sequence including the 16S and 12S rRNA genes, the D-loop and the cyt
ochrome b gene, may represent the zone of preferred mtDNA mutation in ovari
an cancer. The high incidence of mtDNA imitations found in ovarian carcinom
as and other human cancers suggests that genetic instability of mtDNA might
play a significant role in tumorigenesis.