The cause and pathophysiology of dystonia remain unknown. The recent i
dentification of mitochondrial complex I deficiency in platelets from
patients with sporadic focal dystonia suggests that a defect of energy
metabolism may be relevant in a proportion of patients. We have addre
ssed the possible contribution of mitochondrial DNA (mtDNA) to the com
plex I deficiency in dystonia by the use of genome transfer technology
. platelets from patients deficient for complex I were fused with A549
rho(0) (mtDNA-less) cells to form cybrids comprising the A549 nucleus
and dystonia mtDNA. Mixed cybrid cell lines were analyzed for 9 contr
ols and 9 dystonia patients, and clonal cybrid lines were generated fo
r 2 control and 2 dystonia patients. Subsequent biochemical analysis s
howed that the dystonia complex I defect was complemented in both the
mixed and the clonal cybrid lines. These results contrast with similar
studies in mitochondrial myopathy and Parkinson's disease patients, i
n which the mitochondrial defect was maintained in at least a proporti
on of A549 cybrids, and suggest that the complex I defect in dystonia
is not caused by an mtDNA mutation.