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ATP5F1A Gene Mitochondrial complex V deficiency, nuclear type 4 NGS Genetic Test

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ATP5F1A Gene Mitochondrial complex V deficiency, nuclear type 4 NGS Genetic Test

Short Name: ATP5F1A Gene NGS

Also known as: ATP5F1A-Related Mitochondrial Complex V Deficiency, ATP5F1A Full Gene Sequencing, Mitochondrial Complex V Deficiency Nuclear Type 4 Genetic Test

ATP5F1A Gene Mitochondrial complex V deficiency, nuclear type 4 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next Generation Sequencing (NGS), Full gene sequencing of ATP5F1A on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in 3 to 4 weeks from sample receipt. Free home collection in 300+ cities across India.

NGS Genetic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this NGS-based test is to identify a disease-causing variant in the ATP5F1A gene in patients presenting with clinical features of nuclear type 4 mitochondrial complex V deficiency. Early molecular diagnosis helps guide prognosis, management, and genetic counselling.

Test Code
4322
CPT Code
81479
ICD Code
E88.49
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
3 to 4 weeks from sample receipt
Fasting Required
No
Method
Next Generation Sequencing (NGS), Full gene sequencing of ATP5F1A
Step 1

Sample Collection

A genetic counselling session will be arranged for the patient and family. Please bring all relevant clinical records, previous biochemical test results, and a referral note documenting the treating physician's details.

Method: Venipuncture / FTA spot

Step 2

Laboratory Analysis

A blood sample will be collected by venipuncture. If using an FTA card, one drop of blood from a fingertip or heel prick is placed on the card and allowed to air dry.

Step 3

Report Delivery

No restrictions are required after sample collection. For FTA card samples, ensure the card is kept dry and sealed in a protective pouch before transport.

Timeline: 3 to 4 weeks from sample receipt

Patient Instructions

1
Before the Test:A pre-test genetic counselling session is required to draw a pedigree chart of family members affected with ATP5F1A-related mitochondrial complex V deficiency and to obtain informed consent.
2
During the Test:The NGS assay will sequence the ATP5F1A gene from the provided DNA sample. The laboratory will monitor coverage quality and interpret detected variants.
3
After the Test:The genetic report will be reviewed and sent to the referring physician. A post-test counselling session to explain the result is recommended.

About This Test

Who Should Get This Test

The purpose of this NGS-based test is to identify a disease-causing variant in the ATP5F1A gene in patients presenting with clinical features of nuclear type 4 mitochondrial complex V deficiency. Early molecular diagnosis helps guide prognosis, management, and genetic counselling.

How to Prepare

  • No special preparation is needed for this test.
  • No fasting is required.
  • Inform the laboratory about any history of bone marrow transplantation to avoid donor-derived DNA results.
  • Complete the consent form and clinical questionnaire.

Doctor's Notes

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

"Genetic testing for mitochondrial complex V deficiency is important for families who need recurrence-risk counselling. A molecular diagnosis allows parents to make informed reproductive decisions and helps coordinate multidisciplinary care."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume5 mL whole blood / 1 FTA spot
ContainerEDTA tube / FTA card / sterile tube
Collection MethodVenipuncture / FTA spot

Sample Stability

Whole blood (EDTA tube)48 hours
FTA card blood spot4 weeks
Extracted DNA6 months
Sample Rejection Criteria:
  • Hemolyzed or clotted blood sample
  • Insufficient sample quantity
  • Unlabelled or incorrectly labelled sample
  • FTA card contaminated or exposed to moisture

Understanding Your Results

The genetic test result should be interpreted by a qualified clinical geneticist in the context of the patient's clinical presentation, family history, and biochemical findings. Variants identified in the ATP5F1A gene are classified according to guidelines such as ACMG/AMP standards.
📊

Positive – pathogenic variant detected

The result supports the molecular diagnosis of ATP5F1A-related mitochondrial complex V deficiency, nuclear type 4.

Action: Clinical management, metabolic monitoring, and family segregation testing.

📊

Negative – no pathogenic variant detected

No disease-causing variant was found in the ATP5F1A gene.

Action: Consider alternative genetic and biochemical causes if clinical suspicion remains high.

📊

Variant of uncertain significance (VUS) identified

A genetic variant was found but its impact on disease is not yet known.

Action: Additional family testing, functional studies, or reclassification may be recommended.

⚠️ When to Consult a Doctor:

If symptoms suggest mitochondrial disease or if genetic testing reveals a pathogenic variant, recurrence risk, family planning, and treatment options should be discussed with a clinical geneticist or specialist physician.

Limitations

  • This test only analyzes the ATP5F1A gene. Pathogenic variants in other mitochondrial complex V subunits or mitochondrial DNA are not evaluated.
  • Large deletions, duplications, or structural rearrangements may not be reliably detected by standard NGS analysis.
  • Non-coding regulatory variants may not be identified by coding region sequencing.
  • A negative result does not fully exclude mitochondrial complex V deficiency; further investigations may be needed.

Risks & Considerations

  • Minimal pain or bruising at the venipuncture site
  • No radiation exposure
  • No ethical risk when performed with proper counselling and consent

Interfering Factors

  • Hemolysis during venipuncture
  • Contamination of FTA card
  • Sample degradation due to heat or humidity
  • Incorrect sample labelling
  • Incomplete clinical information

Compare With Similar Tests

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Frequently Asked Questions

What does the ATP5F1A gene do?
The ATP5F1A gene provides instructions for making the alpha subunit of ATP synthase, an enzyme involved in the final step of ATP production in mitochondria. Variants in this gene can disrupt energy production and cause mitochondrial complex V deficiency.
What is mitochondrial complex V deficiency, nuclear type 4?
It is a rare inherited metabolic disorder caused by pathogenic variants in ATP5F1A. The condition impairs mitochondrial ATP synthesis and is often associated with developmental delay, hypotonia, seizures, respiratory problems, and cardiac abnormalities.
Why is NGS used for this test?
NGS allows complete sequencing of the ATP5F1A gene in a single reaction with high accuracy and efficiency. It can detect point mutations and small insertions or deletions that may be responsible for the disease.
Who should consider this test?
Individuals with clinical symptoms such as early-onset developmental delay, weakness, low muscle tone, seizures, cardiomyopathy, respiratory failure, or a suspected mitochondrial energy metabolism disorder.
What sample is needed?
The test requires 5 mL whole blood in an EDTA tube, one drop of blood spotted on an FTA card, or extracted DNA of appropriate quality and quantity.
Is fasting required before sample collection?
No, this genetic test does not require fasting. You can eat and drink normally before sample collection.
How long does it take to get the report?
The turnaround time is 3 to 4 weeks after the sample is received at the laboratory.
What does a positive result mean?
A positive result means a pathogenic variant was detected in the ATP5F1A gene, which supports the clinical diagnosis of mitochondrial complex V deficiency, nuclear type 4.
Can a negative result exclude the disorder?
A negative result reduces the likelihood, but it does not completely exclude mitochondrial complex V deficiency. Other genetic or biochemical causes should be considered if clinical suspicion remains high.
Is home sample collection available?
Yes, DNA Labs India offers free home sample collection for this test in more than 500 cities across India when booked online.
Will I receive genetic counselling as part of this test?
Yes, a pre-test genetic counselling session is included to draw a pedigree chart and discuss the implications of genetic testing.
What is the total cost of this test?
The special discounted price is INR 20000.0, which includes sequencing, analysis, interpretation, and the report.
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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