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MT-CO1 Gene Cytochrome c oxidase 1 deficiency NGS Genetic Test

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MT-CO1 Gene Cytochrome c oxidase 1 deficiency NGS Genetic Test

Short Name: MT-CO1 Gene NGS Test

Also known as: MT-CO1 Gene Mutation Analysis, Cytochrome c Oxidase 1 Deficiency Gene Test, Mitochondrial Complex IV Deficiency NGS Test, COX1 Gene Sequencing

MT-CO1 Gene Cytochrome c oxidase 1 deficiency NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next Generation Sequencing (NGS), Full MT-CO1 Gene Sequencing on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Reports are typically delivered within 3 to 4 weeks after sample reaches the laboratory, as sequence data requires bioinformatics analysis and clinical interpretation.. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to identify clinically significant variants in the MT-CO1 gene that are associated with mitochondrial complex IV deficiency. It supports confirmation of a molecular diagnosis, helps differentiate from other mitochondrial diseases, and assists in family studies and reproductive risk assessment.

Test Code
3989
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Reports are typically delivered within 3 to 4 weeks after sample reaches the laboratory, as sequence data requires bioinformatics analysis and clinical interpretation.
Fasting Required
No
Method
Next Generation Sequencing (NGS), Full MT-CO1 Gene Sequencing
Step 1

Sample Collection

No fasting is required. Please inform your doctor about all medications and supplements. Complete clinical history and a family pedigree chart are necessary before sample collection.

Method: Peripheral venipuncture or FTA card blood spot

Step 2

Laboratory Analysis

A trained phlebotomist will collect blood from a vein in your arm, or we will guide you for a simple finger-prick FTA card sample. The procedure is usually quick and causes minimal discomfort.

Step 3

Report Delivery

You can eat, drink, and resume regular activities immediately. Bruising at the puncture site is uncommon and usually resolves within 1-2 days. Our genetic counselor may contact you after the report is ready.

Timeline: Reports are typically delivered within 3 to 4 weeks after sample reaches the laboratory, as sequence data requires bioinformatics analysis and clinical interpretation.

Patient Instructions

1
Before the Test:Talk to your referring physician about the reason for the test and what to do with the results. No prior fasting is required.
2
During the Test:After sample collection you are free to leave. If done via FTA card, the blood spot is air-dried and kept in a protective pouch.
3
After the Test:Our genetic counselor may contact you to discuss the clinical report. Reports will be available in 3-4 weeks.

About This Test

Who Should Get This Test

The purpose of this test is to identify clinically significant variants in the MT-CO1 gene that are associated with mitochondrial complex IV deficiency. It supports confirmation of a molecular diagnosis, helps differentiate from other mitochondrial diseases, and assists in family studies and reproductive risk assessment.

How to Prepare

  • Ensure the doctor's requisition form is complete
  • Use an EDTA tube for whole blood sample
  • If using FTA card, apply one drop of blood and let it dry for at least 30 minutes
  • Label the sample with patient ID and date
  • No fasting is required

Doctor's Notes

Reviewed by — MBBS, MD (Medical Genetics) · Reg. No. 8532

"A molecularly confirmed diagnosis of mitochondrial complex IV deficiency can guide prenatal counseling and reproductive options. Pregnant women with an affected family history should discuss recurrence risk and available prenatal or preimplantation genetic testing options with their obstetrician and clinical geneticist."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume5 mL venous blood | 1 drop blood on FTA card | 2-5 µg extracted DNA
ContainerEDTA vacutainer / FTA card / sterile DNA tube
Collection MethodPeripheral venipuncture or FTA card blood spot

Sample Stability

Whole blood at room temperature24 hours
Whole blood at 2-8°C72 hours
Extracted DNA at -20°C6 months
Sample Rejection Criteria:
  • Clotted or hemolyzed blood
  • Incorrectly labelled sample
  • Inadequate blood volume or insufficient DNA
  • FTA card not dried completely

Understanding Your Results

This NGS test analyzes the MT-CO1 gene and reports clinically significant variants. Variant interpretation is performed according to standard medical genetics guidelines. Results should be interpreted by a clinical geneticist in the context of clinical symptoms, family history, and biochemical tests.
📊

Positive for a pathogenic or likely pathogenic variant

Confirms molecular diagnosis of MT-CO1-related cytochrome c oxidase deficiency; helps guide screening and family counseling.

📊

Negative for a pathogenic variant

Increases the likelihood that MT-CO1 is not the cause; consider broader mitochondrial gene panel.

📊

Variant of uncertain significance (VUS)

More evidence is needed; additional family segregation studies or functional studies may clarify its role.

📊

Heteroplasmy reported

The variant allele fraction may influence phenotype; correlate with clinical and biochemical findings.

⚠️ When to Consult a Doctor:

Consult a neurologist or clinical geneticist if you or your child have unexplained developmental delay, muscle weakness, seizures, optic atrophy, cardiomyopathy, or multisystem features suggestive of mitochondrial disease. A specialized consultation helps interpret genetic results and plan management.

Limitations

  • ⚠NGS targeted to MT-CO1 gene may not detect large mitochondrial deletions, duplications, or rearrangements
  • ⚠This test does not evaluate nuclear-encoded COX assembly factors
  • ⚠A negative result does not exclude all causes of cytochrome c oxidase deficiency
  • ⚠Variants of uncertain significance may require additional family studies

Risks & Considerations

  • ●Slight pain or bruising at the blood collection site, Apply pressure; bruising resolves in 1-2 days.
  • ●Infection (rare), Use of sterile, single-use equipment.
  • ●Emotional impact of receiving genetic results, Genetic counseling is provided before and after the test.

Interfering Factors

  • ●Recent allogeneic bone marrow transplant or blood transfusion may affect mitochondrial DNA analysis in leukocytes
  • ●Very low heteroplasmy levels may fall below the detection limit
  • ●DNA degradation due to improper storage or sample transport

Compare With Similar Tests

TestMT-CO1 Gene Cytochrome c oxidase 1 deficiency NGS Genetic Test
ComparisonMT-CO1 Gene Cytochrome c oxidase 1 deficiency NGS Genetic Test

Frequently Asked Questions

What is MT-CO1 Gene Cytochrome c oxidase 1 deficiency NGS Genetic Test?
It is a next-generation sequencing test that reads the MT-CO1 gene to identify pathogenic variants associated with mitochondrial complex IV (cytochrome c oxidase) deficiency. It is performed on blood or an extracted DNA sample.
Why is this test done?
It helps confirm a suspected diagnosis of cytochrome c oxidase 1 deficiency, guide medical management, clarify inheritance, and assist family planning decisions.
Who should take this test?
Individuals with unexplained muscle weakness, hypotonia, developmental delay, seizures, cardiomyopathy, liver dysfunction, or a clinical suspicion of mitochondrial disease.
What sample is required?
The test accepts 5 mL whole blood in an EDTA tube, one drop of blood on an FTA card, or extracted DNA of sufficient quantity and quality.
Do I need to fast before the test?
No, fasting is not required for MT-CO1 gene NGS testing. You can take your regular medication unless advised otherwise by your physician.
How long will the report take?
Reports are generally delivered within 3 to 4 weeks, after sequencing and rigorous bioinformatics and clinical interpretation.
What is the cost of this test?
The test costs INR 20000 at DNA Labs India. The price includes the genetic test, clinical report, and supportive genetic counseling.
Will I get raw data and VCF files?
Yes. DNA Labs India provides raw data, FASTQ files, and VCF files along with the conclusive clinical report. This transparency allows verification by another genetics team if needed.
Does this test detect all mitochondrial diseases?
No. It is targeted to the MT-CO1 gene only. Other mitochondrial or nuclear genes may need to be examined with a broader panel or whole mitochondrial genome sequencing.
How are genetic results interpreted?
Variants are classified using medical genetics guidelines as pathogenic, likely pathogenic, variants of uncertain significance, likely benign, or benign. A clinical geneticist will explain the report in the context of your symptoms.
What is heteroplasmy?
Heteroplasmy means the presence of both normal and mutant mitochondrial DNA in the same cell. The ratio of mutant to normal mtDNA can affect symptom severity and clinical expression.
Is genetic counseling available?
Yes, genetic counseling is part of the DNA Labs India service. Counselors help draw a family pedigree and discuss the medical, emotional, and reproductive implications of results.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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