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LOXHD1 Gene Deafness, autosomal recessive type 77 NGS Genetic Test

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LOXHD1 Gene Deafness, autosomal recessive type 77 NGS Genetic Test

Short Name: LOXHD1 AR Deafness 77 NGS Test

Also known as: DFNB77 Genetic Test, LOXHD1 Mutation Analysis, LOXHD1 NGS Sequencing Test, Autosomal Recessive Deafness 77 DNA Test, LOXHD1 Gene Panel Test

LOXHD1 Gene Deafness, autosomal recessive type 77 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Confirmation of Variants, Bioinformatics Pipeline Analysis, ACMG Variant Classification on Blood or Extracted DNA or One Drop Blood on FTA Card samples. Results in 3 to 4 Weeks from sample receipt at the laboratory. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the LOXHD1 Gene Deafness autosomal recessive type 77 NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the LOXHD1 gene that cause non-syndromic autosomal recessive sensorineural hearing loss (DFNB77). This test aids in confirming a clinical diagnosis, differentiating LOXHD1-related deafness from other genetic and non-genetic causes of hearing loss, guiding treatment decisions such as hearing aid fitting or cochlear implant candidacy, enabling carrier testing for family members, and supporting informed genetic counselling and family planning.

Test Code
4751
CPT Code
81479
ICD Code
H90.3
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 at the laboratory
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Confirmation of Variants, Bioinformatics Pipeline Analysis, ACMG Variant Classification
Step 1

Sample Collection

No special preparation such as fasting is required. Ensure the patient or guardian has provided informed consent. A detailed clinical history and family pedigree should be prepared prior to sample collection. Inform the laboratory if the patient has had a recent blood transfusion or bone marrow transplant.

Method: Venipuncture / Finger Prick (FTA Card)

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3-5 mL of venous blood in an EDTA (lavender top) vacutainer. Alternatively, a single drop of blood can be applied to an FTA card. For extracted DNA samples, ensure proper labelling and transport at recommended temperature. The procedure typically takes less than 10 minutes.

Step 3

Report Delivery

Apply pressure to the venipuncture site with a cotton ball or gauze for 3-5 minutes. Avoid heavy lifting with the affected arm for the rest of the day. The sample will be transported to the laboratory under controlled conditions for DNA extraction and NGS analysis.

Timeline: 3 to 4 Weeks from sample receipt at the laboratory

Patient Instructions

1
Before the Test:No fasting is required. Provide a detailed clinical history of the patient including onset, progression, and severity of hearing loss. A genetic counselling session is recommended to draw a pedigree chart of family members affected with hearing loss. Inform the laboratory of any recent blood transfusions or relevant medical history. Written informed consent must be obtained.
2
During the Test:A blood sample (3-5 mL in EDTA tube) or extracted DNA or a single drop of blood on an FTA card will be collected by a trained phlebotomist. The sample collection procedure is minimally invasive and typically takes less than 10 minutes. Free home sample collection is available across India for online bookings.
3
After the Test:After sample collection, apply gentle pressure to the puncture site. The sample will be processed in the laboratory using next-generation sequencing technology. Results will be available within 3 to 4 weeks and will be delivered via the online portal, email, or WhatsApp. A post-test genetic counselling session is recommended to interpret the results.

About This Test

Who Should Get This Test

The purpose of the LOXHD1 Gene Deafness autosomal recessive type 77 NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the LOXHD1 gene that cause non-syndromic autosomal recessive sensorineural hearing loss (DFNB77). This test aids in confirming a clinical diagnosis, differentiating LOXHD1-related deafness from other genetic and non-genetic causes of hearing loss, guiding treatment decisions such as hearing aid fitting or cochlear implant candidacy, enabling carrier testing for family members, and supporting informed genetic counselling and family planning.

How to Prepare

  • Collect 3-5 mL venous blood in an EDTA (lavender top) vacutainer
  • Alternatively, use an FTA card with a single drop of finger-prick blood
  • Label the sample clearly with patient name, date of birth, and unique ID
  • Do not freeze whole blood samples; store at 2-8°C if not processed immediately
  • Transport extracted DNA on ice packs at 2-8°C
  • Include completed test requisition form and signed consent

Doctor's Notes

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

"LOXHD1 gene mutations are an important cause of autosomal recessive non-syndromic sensorineural hearing loss. In my clinical practice, I recommend this NGS-based test for patients presenting with bilateral sensorineural hearing loss of unknown etiology, especially when there is consanguinity or a family history suggestive of recessive inheritance. Early molecular diagnosis allows for timely intervention with hearing aids or cochlear implants and enables accurate genetic counselling for family planning. I advise all patients to undergo pre-test and post-test genetic counselling to fully understand the implications of the results."

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 EDTA Blood
ContainerEDTA (Lavender Top) Vacutainer or FTA Card
Collection MethodVenipuncture / Finger Prick (FTA Card)

Sample Stability

Sample Rejection Criteria:
  • Hemolyzed or clotted blood samples
  • Insufficient sample volume (less than 2 mL)
  • Improperly labelled or unlabelled samples
  • Samples collected in incorrect anticoagulant (e.g., heparin instead of EDTA)
  • Samples received without completed requisition form or consent
  • Contaminated or leaking sample containers

Understanding Your Results

The results of the LOXHD1 Gene Deafness autosomal recessive type 77 NGS Genetic Test are interpreted based on the presence, type, and classification of genetic variants identified in the LOXHD1 gene. Results should always be reviewed by a qualified clinical geneticist or genetic counsellor in the context of the patient's clinical presentation and family history.
📊

No Pathogenic or Likely Pathogenic Variants Detected

No clinically significant mutations were identified in the LOXHD1 gene. This result does not completely exclude a genetic cause for hearing loss, as mutations in other genes or undetectable structural variants may be responsible. Clinical correlation and further genetic evaluation may be warranted.

📊

Pathogenic or Likely Pathogenic Variants Detected (Homozygous or Compound Heterozygous)

Two disease-causing variants were identified in the LOXHD1 gene in a homozygous or compound heterozygous state, consistent with a diagnosis of autosomal recessive deafness type 77 (DFNB77). This confirms the molecular basis of the patient's hearing loss. Genetic counselling is strongly recommended for the patient and family members.

📊

Single Heterozygous Pathogenic Variant Detected

A single pathogenic or likely pathogenic variant was identified, indicating carrier status for DFNB77. The individual is not expected to have LOXHD1-related hearing loss but may pass the variant to offspring. Carrier testing of the partner and genetic counselling are recommended.

📊

Variant of Uncertain Significance (VUS) Detected

A variant was identified whose clinical significance is currently unknown. This result is not diagnostic. Additional family studies, functional data, or updated literature review may help clarify the variant's pathogenicity over time. Clinical follow-up and periodic reanalysis are recommended.

⚠️ When to Consult a Doctor:

Consult a clinical geneticist, genetic counsellor, or ENT specialist if the test result is positive for pathogenic variants, if a Variant of Uncertain Significance (VUS) is identified, if there is a family history of hearing loss and you wish to understand recurrence risks, or if you are planning a pregnancy and are a known carrier of LOXHD1 mutations. Early consultation is also recommended for newborns or infants who fail newborn hearing screening.

Limitations

  • This test targets the LOXHD1 gene only and does not screen for mutations in other deafness-associated genes
  • Deep intronic mutations and regulatory region variants outside the sequenced regions may not be detected
  • Variants of Uncertain Significance (VUS) may be identified and may require further evaluation
  • Structural rearrangements beyond the detection capability of NGS may be missed
  • A negative result does not completely exclude a genetic basis for hearing loss
  • Results must be interpreted in conjunction with clinical findings and family history by a qualified geneticist or genetic counsellor

Risks & Considerations

  • Minor bruising or discomfort at the venipuncture site
  • Very small risk of infection at the blood draw site
  • Psychological impact of genetic test results; genetic counselling is recommended
  • Possibility of identifying Variants of Uncertain Significance (VUS) which may cause anxiety

Interfering Factors

  • Recent blood transfusion (within 4 weeks) may affect DNA analysis results
  • Degraded or insufficient DNA quality can impact sequencing accuracy
  • Sample contamination during collection or transport
  • Hemolyzed blood samples may reduce DNA yield
  • Prior bone marrow transplant may yield donor DNA profile

Compare With Similar Tests

TestLOXHD1 Gene Deafness, autosomal recessive type 77 NGS Genetic TestGJB2 Gene Deafness NGS Genetic TestComprehensive Hearing Loss Gene Panel (100+ Genes)Whole Exome Sequencing (WES)
ComparisonLOXHD1 Gene Deafness, autosomal recessive type 77 NGS Genetic TestGJB2 is the most common cause of autosomal recessive non-syndromic hearing loss (DFNB1). LOXHD1-related deafness is less common but clinically significant. Both tests use NGS technology but target different genes.A comprehensive panel screens multiple deafness-associated genes simultaneously, including LOXHD1. The single-gene LOXHD1 test is more targeted and cost-effective when LOXHD1 mutations are specifically suspected based on clinical or family data.WES analyses all protein-coding genes and may identify variants in genes not covered by targeted panels. However, it is more expensive and may identify incidental findings. The LOXHD1 targeted test provides focused analysis with faster turnaround.

Frequently Asked Questions

What is LOXHD1 gene deafness?
LOXHD1 gene deafness, also known as autosomal recessive deafness type 77 (DFNB77), is a genetic form of non-syndromic sensorineural hearing loss caused by mutations in the LOXHD1 gene. This gene encodes a protein essential for the normal function of stereocilia in the inner ear hair cells. Mutations disrupt hair cell function, leading to varying degrees of hearing loss from mild to profound.
How is LOXHD1 gene deafness inherited?
LOXHD1 gene deafness follows an autosomal recessive inheritance pattern. This means an individual must inherit two mutated copies of the LOXHD1 gene, one from each parent, to be affected. Parents who carry one mutated copy are typically unaffected carriers. When both parents are carriers, there is a 25% chance with each pregnancy that the child will be affected.
What are the symptoms of LOXHD1 gene deafness?
The primary symptom is sensorineural hearing loss, which can range from mild to profound. The onset may be congenital (present at birth) or may develop later in childhood or adulthood. Some individuals may also experience tinnitus (ringing in the ears), difficulty understanding speech especially in noisy environments, and in some cases, balance problems or vertigo.
How is the LOXHD1 NGS Genetic Test performed?
The test uses next-generation sequencing (NGS) technology to analyze the entire coding region and splice sites of the LOXHD1 gene. A blood sample or extracted DNA is processed in the laboratory, where DNA is extracted, amplified, and sequenced using advanced NGS platforms. Identified variants are classified according to ACMG guidelines and reported in a comprehensive clinical report.
What sample is required for this test?
The test can be performed using 3-5 mL of venous blood collected in an EDTA (lavender top) vacutainer, extracted DNA, or a single drop of blood on an FTA card. Free home sample collection is available across India for online bookings.
How long does it take to get the results?
Results are typically available within 3 to 4 weeks from the date the sample is received at the laboratory. The report is delivered via the online portal, email, or WhatsApp. DNA Labs India also provides raw data files including FASTQ and VCF along with the clinical report.
What is the cost of the LOXHD1 Gene Deafness NGS Genetic Test?
The cost of the LOXHD1 Gene Deafness autosomal recessive type 77 NGS Genetic Test at DNA Labs India is INR ?20,000. This includes NGS sequencing, bioinformatics analysis, variant classification, clinical report, raw data files, and free home sample collection.
Is the LOXHD1 genetic test covered by insurance?
Genetic testing may not be routinely covered by health insurance in India. Patients are advised to check with their insurance provider regarding coverage for genetic diagnostic tests. Government schemes such as PMJAY, CGHS, ECHS, and ESIC may have specific provisions; please verify with the respective authorities.
Who should get tested for LOXHD1 gene mutations?
This test is recommended for individuals with unexplained bilateral sensorineural hearing loss, those with a family history of autosomal recessive non-syndromic deafness, children with congenital or early-onset hearing loss, individuals from consanguineous families, and couples planning a pregnancy where one or both partners are known carriers of LOXHD1 mutations.
What does a positive test result mean?
A positive result indicating the presence of two pathogenic or likely pathogenic variants in the LOXHD1 gene (homozygous or compound heterozygous) confirms a molecular diagnosis of DFNB77. This helps guide clinical management including hearing rehabilitation options such as hearing aids or cochlear implants. It also enables accurate genetic counselling for family members regarding carrier status and recurrence risks.
Can carriers of LOXHD1 mutations have hearing problems?
Carriers of a single LOXHD1 mutation typically have normal hearing and do not experience hearing loss related to this gene. However, carriers can pass the mutation to their offspring. If both parents are carriers, each child has a 25% chance of inheriting two mutated copies and being affected by DFNB77.
Is genetic counselling recommended before and after testing?
Yes, genetic counselling is strongly recommended both before and after the LOXHD1 genetic test. Pre-test counselling helps the patient and family understand the implications of testing, possible outcomes, and inheritance patterns. Post-test counselling assists in interpreting results, understanding recurrence risks, discussing treatment and management options, and making informed family planning decisions.
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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