Using lymphocytes from nine unrelated patients with multiple symmetric lipo
matosis we investigated a possible defect in the mitochondrial respiratory
chain as the biochemical cause for the disease. A significant decrease in o
xygen consumption of intact lymphocytes as well as a decreased activity of
the individual components of the respiratory chain were detected. These fin
dings are consistent with the recently described deletions and point mutati
ons of mitochondrial DNA in patients suffering from this disease.