Prenatal diagnosis for disorders of energy metabolism is problematic becaus
e of the lack of information about the efficacy of the procedures currently
employed. Difficulties arise due to uncertainty as to the nuclear or mitoc
hondrial DNA origin of respiratory chain abnormalities, and also as to the
tissue specificity of defective gene expression. Here, we look at the curre
nt experience with prenatal diagnosis of these disorders and examine possib
le future directions.