The presence of a genetic component in longevity is well known. Here, the association of a mtDNA mutation with a prolonged life span in humans was investigated. Large-scale screening of the mtDNA main control region in leukocytes from subjects of an Italian population revealed a homoplasmic C150T transition near an origin of heavy mtDNA-strand synthesis in Ϸ17% of 52 subjects 99 -106 years old, but, in contrast, in only 3.4% of 117 younger individuals (P ؍ 0.0035). Evidence was obtained for the contribution of somatic events, under probable nuclear genetic control, to the striking selective accumulation of the mutation in centenarians. In another study, among leukocyte mtDNA samples from 20 monozygotic and 18 dizygotic twins, 60 -75 years old, 30% (P ؍ 0.0007) and 22% (P ؍ 0.011), respectively, of the individuals involved exhibited the homoplasmic C150T mutation. In a different system, i.e., in five human fibroblast longitudinal studies, convincing evidence for the agingrelated somatic expansion of the C150T mutation, up to homoplasmy, was obtained. Most significantly, 5 end analysis of nascent heavy mtDNA strands consistently revealed a new replication origin at position 149, substituting for that at 151, only in C150T mutationcarrying samples of fibroblasts or immortalized lymphocytes. Considering the aging-related health risks that the centenarians have survived and the developmental risks of twin gestations, it is proposed that selection for a remodeled replication origin, inherited or somatically acquired, provides a survival advantage and underlies the observed high incidence of the C150T mutation in centenarians and twins. R ecently we reported a large aging-dependent accumulation of tissue-specific point mutations at critical control sites for mtDNA replication in human skin fibroblasts and skeletal muscle (1-3). The T414G transversion within the promoter for light (L)-strand transcription and for synthesis of the RNA primer of heavy (H)-strand synthesis (4, 5) ( Fig. 1) was found in a generally high proportion (up to 50%) of mtDNA molecules in skin fibroblast cultures from 8 of 14 normal individuals above 65 years of age, but was absent in fibroblast cultures from 13 younger individuals (1). The age distribution and the results of two longitudinal studies indicated clearly that the T414G mutation was not inherited (1). A search for possible point mutations in the main mtDNA control region of skeletal muscle revealed, surprisingly, the presence of two mutations that had not been observed in fibroblast mtDNA (2). In particular, an A189G transition, very close to the main origin of H-strand synthesis (position 191), in 11-64% of the mtDNA and a T408A transversion, within the promoter for the RNA primer of H-strand synthesis (Fig. 1), in 2-16% of the mtDNA were found in the muscle from the majority of 27 normal individuals above 53 years old, while being absent or marginally present in the muscle from 19 individuals younger than 34 years. Both the fibroblast T414G mtDNA mutation and the muscle A189G a...