Complex I deficiency represents 30% of the pathogenetic causes of human mitochondrial associated diseases (HMAD), thus being the most frequent defect of mitochondrial energy metabolism. Therapeutic options for these devastating, life-threating disorders, which in most cases present with neurodevelopmental defects, do not exist, in part due to the scarcity of appropriate model systems to study them. Caenorhabditis elegans is a powerful, genetically tractable model organism widely used to investigate neuronal development and degeneration.Here, we generated new C. elegans models for HMAD, which closely recapitulated the human pathologies, and we focused on two complex I disease models associated with Leigh Syndrome, nuo-5/NDUFS1-and lpd-5/NDUFS4-depleted animals, which were exploited for a suppressor screening. We identified lutein, among a library of natural compounds, for its ability to rescue the developmental arrest and neuronal deficits in the two models. Specifically, we found that lutein exerts its beneficial activity through suppression of a synaptic defect we disclosed for the first time upon nuo-5/NDUFS1 depletion, thus pointing to possible novel therapeutic targets for the human disease. 2 Abbreviations