Table 1

 Polarographic and spectrophotometric assays of respiratory chain activity in patients and controls

Pyruvate (plus malate) oxidationSuccinate oxidationCICII+CIIICIIICIVSuccinate/pyruvate oxidation ratioCIV/CI ratio
(nmol/min/mg protein)
Bold letters denote abnormal values. Determinations were done in three different investigation centres using their own reference values, as indicated in the brackets. However, all investigations resulted in a similar conclusion, that there was complex I deficiency causing decreased pyruvate plus malate oxidation.
*Values obtained after treatment of cultured skin fibroblasts with digitonin and Percoll, as recently described.15
Patient 1
Skeletal muscle mitochondria20 (94±48)ND50 (243±60)360 (534±206)ND2588 (2582±686 )ND64.7 (<18)
Cultured skin fibroblasts2.7 (3.3 to 6.8)7.8 (6.5 to 14.3)16* (21 to 39)18 (21 to 42)179* (126 to 211)344* (226 to 335)2.9 (1.9±0.3)20.9* (9.6±1.4)
Patient 2 (fetus)
Cultured amniocytes6.9 (7.7 to 9.5)13.8 (8.8 to 13.6)67 (60 to 95)96 (68 to 97)2.0 (1.3±0.2)