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COX6A1 Gene CMTRID NGS Genetic Test

DNA Labs India | ISO 9001:2015 Certified

COX6A1 Gene CMTRID NGS Genetic Test

Short Name: COX6A1 NGS Test

Also known as: COX6A1 Gene Mutation Analysis, CMTRID NGS Testing, Charcot-Marie-Tooth Type D Genetic Test

COX6A1 Gene CMTRID NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS) on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Reports for the COX6A1 Gene CMTRID NGS Genetic Test are usually delivered within 3 to 4 weeks after the sample reaches our laboratory. A detailed report with variant interpretation and clinical significance will be shared via email/portal. Your referring doctor will also receive a copy.. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of this test is to detect pathogenic mutations in the COX6A1 gene to confirm a clinical diagnosis of CMTRID. It supports medical management, helps in carrier detection, and provides critical information for family genetic counseling and risk assessment.

Test Code
3973
CPT Code
81479
ICD Code
G60.0
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Reports for the COX6A1 Gene CMTRID NGS Genetic Test are usually delivered within 3 to 4 weeks after the sample reaches our laboratory. A detailed report with variant interpretation and clinical significance will be shared via email/portal. Your referring doctor will also receive a copy.
Fasting Required
No
Method
Next-Generation Sequencing (NGS)
Step 1

Sample Collection

No special preparation is required for this test. Patients are advised to provide their complete clinical history, including symptoms, onset, family pedigree, and prior investigations. A genetic counseling session is recommended prior to sample collection to understand the purpose, implications, and limitations of the test.

Method: Peripheral Venipuncture / Dried Blood Spot

Step 2

Laboratory Analysis

For blood collection, a qualified phlebotomist will draw a venous blood sample (3-5 ml) using a sterile EDTA vacutainer. For FTA card collection, a few drops of blood from a finger prick or heel prick will be placed on the designated spots and allowed to air dry.

Step 3

Report Delivery

After collection, the sample should be labeled correctly and transported to the testing laboratory as soon as possible. For FTA cards, ensure the card is completely dry before packaging. There are no activity restrictions after the blood draw.

Timeline: Reports for the COX6A1 Gene CMTRID NGS Genetic Test are usually delivered within 3 to 4 weeks after the sample reaches our laboratory. A detailed report with variant interpretation and clinical significance will be shared via email/portal. Your referring doctor will also receive a copy.

Patient Instructions

1
Before the Test:Before the test, you will undergo genetic counseling, where a certified genetic counselor will draw a pedigree and explain the benefits, risks, and limitations of testing. No fasting or dietary restriction is needed.
2
During the Test:The test involves a simple blood sample collection, performed by a trained phlebotomist. It takes about 5-10 minutes. You may feel a slight pinch during needle insertion.
3
After the Test:After the blood sample is taken, you can resume normal activities immediately. The sample is transported to our NGS laboratory, and results are typically dispatched within 3 to 4 weeks.

About This Test

Who Should Get This Test

The primary purpose of this test is to detect pathogenic mutations in the COX6A1 gene to confirm a clinical diagnosis of CMTRID. It supports medical management, helps in carrier detection, and provides critical information for family genetic counseling and risk assessment.

How to Prepare

  • Use an EDTA vacutainer for whole blood collection.
  • For FTA cards, apply only the required number of blood spots and avoid over-saturation.
  • Label the sample with patient name, date of birth, and unique ID.
  • Maintain the sample at room temperature if shipped within 24 hours; refrigerate if longer.
  • Ship the sample to the laboratory in a biohazard bag with proper padding.

Doctor's Notes

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

"Genetic testing for COX6A1 mutations is crucial for families with a history of Charcot-Marie-Tooth disease, enabling early diagnosis and informed family planning."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume3-5 ml whole blood or 1 drop on FTA card
ContainerEDTA vacutainer / Extracted DNA tube / FTA card
Collection MethodPeripheral Venipuncture / Dried Blood Spot

Sample Stability

Whole blood (EDTA): 24 hours at room temperature; 3 days at 2-8°C
FTA card: Stable at room temperature for several months
Extracted DNA: Stable for 1 week at 2-8°C; long-term at -20°C
Sample Rejection Criteria:
  • Hemolyzed or clotted blood sample
  • Insufficient sample quantity
  • Improperly labeled or unlabeled sample
  • Leaked sample during transit
  • FTA card with visible contamination or overloading

Understanding Your Results

Genetic test results should be interpreted within the context of the patient's clinical presentation, family history, and other laboratory findings. A negative result does not entirely rule out the disease, as there may be other genetic or non-genetic causes. Positive results are correlated with known disease phenotypes.
📊

Pathogenic variant detected

Confirms the genetic basis of CMTRID. The patient is affected and appropriate management and surveillance should be initiated.

📊

No pathogenic variant detected

No disease-causing mutation identified in COX6A1 gene. This does not exclude CMTRID, as mutations may exist in other genes.

📊

Variants of uncertain significance (VUS)

A DNA change of unknown clinical significance was identified. Additional family studies or functional data may be needed to clarify its role.

📊

Carrier (heterozygous) for autosomal recessive mutation

One pathogenic variant detected in an autosomal recessive gene; the patient is an asymptomatic carrier. If both parents are carriers, each child has a 25% risk of being affected.

⚠️ When to Consult a Doctor:

A physician should be consulted if you have any signs of peripheral neuropathy, muscle weakness, or a family history of Charcot-Marie-Tooth disease. Genetic testing and counseling are strongly recommended for at-risk individuals and families planning children.

Limitations

  • This test analyzes the COX6A1 gene only; mutations in other genes associated with CMT will not be detected.
  • Non-coding deeper intronic variants, promoter changes, and large structural rearrangements may not be identified by standard NGS analysis.
  • Variants of unknown significance (VUS) may be reported and require further familial segregation studies.
  • Clinical diagnosis should always be correlated with the genetic test result.

Risks & Considerations

  • Minimal risk of bleeding or bruising at the site of needle insertion
  • Rare risk of infection (extremely low with sterile protocols)
  • Emotional or psychological distress upon receiving results
  • Possible detection of variants of uncertain significance (VUS)

Interfering Factors

  • Sample degradation due to prolonged storage at room temperature
  • Contamination of blood sample during collection
  • Failed PCR amplification due to inhibitors
  • Low DNA yield from FTA cards

Compare With Similar Tests

TestCOX6A1 Gene CMTRID NGS Genetic TestCMT Comprehensive NGS PanelWhole Exome Sequencing (WES)COX6A1 Sanger Sequencing
ComparisonCOX6A1 Gene CMTRID NGS Genetic Test

Frequently Asked Questions

What is the COX6A1 gene?
The COX6A1 gene provides instructions for making a subunit of cytochrome c oxidase (complex IV) in the mitochondria, which is critical for cellular energy production through oxidative phosphorylation.
What does CMTRID mean?
CMTRID stands for Charcot-Marie-Tooth disease, recessive intermediate type D. It is a rare autosomal recessive form of CMT caused by mutations in the COX6A1 gene.
How accurate is NGS testing for COX6A1 mutations?
NGS testing is highly accurate, with >99% sensitivity and specificity for sequence variants in the coding and exon-intron boundaries of the COX6A1 gene.
What is the turnaround time for this test?
The turnaround time is typically 3 to 4 weeks from the time the sample reaches the laboratory.
What are the symptoms of COX6A1 gene mutations?
Symptoms include muscle weakness, especially in distal limbs, walking difficulties, foot deformities, decreased tendon reflexes, and occasional respiratory problems.
Is a blood sample sufficient for the test?
Yes, a standard venous blood sample of 3-5 ml in an EDTA tube is sufficient. Alternatively, an FTA card with dried blood spots or extracted DNA can also be used.
Do I need genetic counseling before the test?
Yes, genetic counseling is recommended to understand the implications of the test, review family history, and draw a pedigree chart. This service is included in the test package.
What is the cost of the test?
The test costs INR 20,000 (excluding applicable taxes). This includes free home sample collection and the genetic counseling session.
Will this test detect all types of Charcot-Marie-Tooth disease?
No, this test specifically analyzes the COX6A1 gene for CMTRID. For a comprehensive CMT panel involving multiple genes, an alternative NGS panel can be ordered.
Can this test be done on a newborn?
Yes, as long as there is a clinical indication or a known family history. A small blood sample (heel prick) can be collected on an FTA card for testing.
What does a 'variant of uncertain significance' (VUS) mean?
A VUS is a DNA sequence change whose effect on health is not known. Further genetic testing of family members or additional clinical correlation may help clarify its significance.
How do I book this test from outside India?
You can contact our international patient support to arrange a sample collection kit (FTA card) or provide extracted DNA. The same test price is applicable; shipping charges are additional.
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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