Table 2 Histological, histochemical and electron microscopy findings in skeletal muscle of 21 children with Leigh syndrome (LS) and SURF1 gene mutation
Patient no.Age at biopsy (years)COX deficiencyRRFLipid accumulationOther pathology of skeletal muscle fibresAbnormal MT*Lipid dropletsMiofibrile lossCytoplasmic bodiesConcentric laminated bodies
12+++Variability of diameter+
27++++Not found+/−++
312++++Mild variability of diameter++
43.5NANANot found++
54NA+Not found+
66.5++Variability of diameter+++
73.75+++Not found+
83NANot foundNANANANANA
93+++Not found+
102.5+++Mild variability of diameter+++++
1110+++Variability diameter, fibre type grouping+
121.75++Not found+/−++
132++++Predominance of type I fibres+++
143++Mild interstitial fibrosis++
152.75+++Predominance of type I fibres+
160.75+++Predominance of type I fibres+++
171.5+++Variability of diameter++
181.5+++Not found++
191.5+++Mild variability of diameter+
201++Mild variability of diameter
211.5+++Mild variability of diameterNANANANANA
  • Light microscopy and electron microscope findings: +/− mild changes; + moderate changes; ++ severe changes; − no changes; *Mitochondrial (MT) ultrastructure abnormalities: +++: increase in mitochondrial number, changes in size, shape, and presence of electron dense inclusions; ++: increase in mitochondrial number, variation in size and shape; +: increase in mitochondrial number, slight variation in size and shape; +/−: slight increase in mitochondrial number.

  • COX, cytochrome c oxidase; NA, not analysed; RRF, ragged red fibre.