Several mutations in the mitochondrially encoded cytochrome b have been reported in patients. To characterize their effect, we introduced six "human" mutations, namely G33S, S152P, G252D, Y279C, G291D, and ⌬252-259 in the highly similar yeast cytochrome b. G252D showed wild type behavior in standard conditions. However, Asp-252 may interfere with structural lipid and, in consequence, destabilize the enzyme assembly, which could explain the pathogenicity of the mutation. The mutations G33S, S152P, G291D, and ⌬252-259 were clearly pathogenic. They caused a severe decrease of the respiratory function and altered the assembly of the iron-sulfur protein in the bc 1 complex, as observed by immunodetection. Suppressor mutations that partially restored the respiratory function impaired by S152P or G291D were found in or close to the hinge region of the iron-sulfur protein, suggesting that this region may play a role in the stable binding of the subunit to the bc 1 complex. Y279C caused a significant decrease of the bc 1 function and perturbed the quinol binding. The EPR spectra showed an altered signal, indicative of a lower occupancy of the Q o site. The effect of human mutation of residue 279 was confirmed by another change, Y279A, which had a more severe effect on Q o site properties. Thus by using yeast as a model system, we identified the molecular basis of the respiratory defect caused by the disease mutations in cytochrome b.The mitochondrial bc 1 complex is a membrane-bound enzyme that catalyzes the transfer of electrons from ubiquinol to cytochrome c and couples this electron transfer to vectorial proton translocation across the inner mitochondrial membrane. The enzyme exists as a functional dimer, consisting of 10 or 11 polypeptides in the eukaryotic monomeric subunit. One subunit, cytochrome b, is encoded by the mitochondrial genome, whereas the others are nuclearly encoded. Redox prosthetic groups are located within three subunits: cytochrome c 1 and the iron-sulfur protein (ISP), 1 which are membrane proteins with large, hydrophilic domains, and cytochrome b, a predominantly hydrophobic protein consisting of eight transmembrane helices that contains two b-type hemes (b l and b h ) and forms the two quinol binding sites: Q o (site of quinol oxidation) and Q i (site of quinol reduction), located on opposite sides of the membrane. The catalytic mechanism of the bc 1 complex is essentially described by Mitchell's Q-cycle model. A quinol molecule binds at the Q o -site, is deprotonated, and transfers one electron through the "high potential" electron transfer chain consisting of the [2Fe-2S] cluster of the ISP and the c-type heme of cytochrome c 1 to the soluble acceptor, cytochrome c. Following a bifurcated pathway, a second electron is transferred across the membrane by the "low potential" pathway formed from hemes b l and b h and delivered to quinone bound at the Q i site, forming a stable semiquinone.