“…Since the original description of a mitochondrial disease by Luft et al (1) in 1962, several lesions involving distinct segments of the mitochondrial electron transport chain have been described. Specific defects in complex I (NADH-ubiquinone oxidoreductase) (2-7), complex II (succinate-ubiquinone oxidoreductase) (8), complex III (ubiquinol-cytochrome c oxidoreductase) (9,10), and complex IV (cytochrome c oxidase) (11)(12)(13)(14)(15), as well as in t Deceased. complex V (F0FIATPase) (16), have been reported. In these investigations, enzyme activities, spectrophotometric analysis of electron carriers, and/or electron paramagnetic resonance (EPR)' measurements were used to define the nature of the lesions.…”