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MSX1 Gene Witkop syndrome NGS Genetic Test

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MSX1 Gene Witkop syndrome NGS Genetic Test

Short Name: MSX1 NGS Test

Also known as: Witkop Syndrome Genetic Test, MSX1 Gene Mutation Analysis, Tooth and Nail Syndrome NGS Test

MSX1 Gene Witkop syndrome 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 are typically delivered within 3 to 4 weeks after the sample is received at the laboratory.. 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 confirm or rule out a diagnosis of Witkop syndrome by detecting mutations in the MSX1 gene. It helps in establishing a definitive diagnosis, guiding clinical management, assessing recurrence risk in families, and enabling informed reproductive decisions.

Test Code
5989
CPT Code
81407
ICD Code
Q87.8
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 the sample is received at the laboratory.
Fasting Required
No
Method
Next-Generation Sequencing (NGS)
Step 1

Sample Collection

No special preparation is required. However, a genetic counseling session is recommended prior to testing to discuss the implications and obtain informed consent.

Method: Venipuncture or Fingerstick

Step 2

Laboratory Analysis

A blood sample will be collected by a trained phlebotomist. For FTA card, a simple fingerstick is sufficient.

Step 3

Report Delivery

No specific aftercare is needed. You can resume normal activities immediately.

Timeline: Reports are typically delivered within 3 to 4 weeks after the sample is received at the laboratory.

Patient Instructions

1
Before the Test:No special preparation is needed. However, a genetic counseling session is recommended to understand the purpose, risks, and benefits of the test.
2
During the Test:A blood sample is drawn by a phlebotomist. The procedure is quick and minimally invasive.
3
After the Test:You can resume normal activities. Results will be available in 3-4 weeks.

About This Test

Who Should Get This Test

The purpose of this test is to confirm or rule out a diagnosis of Witkop syndrome by detecting mutations in the MSX1 gene. It helps in establishing a definitive diagnosis, guiding clinical management, assessing recurrence risk in families, and enabling informed reproductive decisions.

How to Prepare

  • For blood sample: Use EDTA tube, mix gently to prevent clotting.
  • For FTA card: Apply one drop of blood onto the designated circle, allow to air dry.
  • Label the sample with patient name, date, and unique ID.
  • Transport at ambient temperature (15-30°C) within 24 hours.

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"Witkop syndrome is a rare autosomal dominant disorder. Genetic confirmation via MSX1 gene sequencing is essential for accurate diagnosis, family counseling, and management."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume2-3 ml blood or 1 drop on FTA card
ContainerEDTA tube or FTA card
Collection MethodVenipuncture or Fingerstick

Sample Stability

Blood in EDTA tube72 hours
FTA card1 year
Extracted DNA6 months
Sample Rejection Criteria:
  • Hemolyzed or clotted blood sample
  • Incorrectly labeled sample
  • Sample received after prolonged storage without proper temperature
  • Insufficient sample volume

Understanding Your Results

The test report will indicate whether a pathogenic variant in the MSX1 gene was identified. If a mutation is found, it confirms the diagnosis of Witkop syndrome. If no mutation is found, it does not completely exclude the condition, as other genetic or non-genetic causes may be responsible.
📊

Pathogenic variant detected

Diagnosis of Witkop syndrome is confirmed. Genetic counseling is recommended for family members.

Action: Discuss management and reproductive options with a geneticist.

📊

Likely pathogenic variant detected

High likelihood of disease; further family studies may be needed.

Action: Confirm with additional testing if necessary.

📊

Variant of uncertain significance (VUS)

Cannot determine if the variant is disease-causing.

Action: Additional testing of family members may help clarify.

📊

No pathogenic variant detected

No evidence of MSX1-related Witkop syndrome.

Action: Consider other genetic causes or clinical evaluation.

⚠️ When to Consult a Doctor:

If you or your child have symptoms such as missing teeth, abnormal nails, or a family history of Witkop syndrome, consult a clinical geneticist or pediatrician for evaluation and genetic testing.

Limitations

  • This test detects mutations only in the MSX1 gene; other genes may be involved in similar phenotypes.
  • Large deletions/duplications may not be detected by standard NGS; additional testing may be required.
  • Variant of uncertain significance (VUS) may require further family studies.
  • Test does not assess non-genetic causes of dental/nail abnormalities.

Risks & Considerations

  • Minimal risk of bruising or infection at the blood draw site
  • Psychological impact of receiving genetic results
  • Potential for uncertain results (VUS) requiring further testing

Interfering Factors

  • Contaminated or degraded DNA sample
  • Insufficient sample quantity
  • Recent blood transfusion (may affect DNA extraction)
  • Maternal cell contamination in prenatal samples

Compare With Similar Tests

TestMSX1 Gene Witkop syndrome NGS Genetic TestWhole Exome Sequencing (WES)Targeted MSX1 Sanger SequencingChromosomal Microarray (CMA)
ComparisonMSX1 Gene Witkop syndrome NGS Genetic Test

Frequently Asked Questions

What is Witkop syndrome?
Witkop syndrome, also known as tooth and nail syndrome, is a rare genetic disorder characterized by missing or malformed teeth and nail abnormalities. It is caused by mutations in the MSX1 gene.
How is Witkop syndrome diagnosed?
Diagnosis is based on clinical features and confirmed by genetic testing of the MSX1 gene. This NGS test detects mutations in the gene.
What is the cost of the MSX1 gene test in India?
The cost is INR 20000 at DNA Labs India, which includes free home sample collection and genetic counseling.
What sample is required for this test?
A blood sample (2-3 ml in EDTA tube) or one drop of blood on an FTA card is required.
How long does it take to get results?
Results are typically available within 3 to 4 weeks after the sample reaches the laboratory.
Is fasting required before the test?
No, fasting is not required for this genetic test.
Can this test be done during pregnancy?
Yes, prenatal testing is possible if a familial mutation is known. However, it requires invasive procedures like amniocentesis, which should be discussed with a specialist.
What does a negative result mean?
A negative result means no pathogenic mutation was found in the MSX1 gene. However, it does not completely rule out Witkop syndrome, as other genes may be involved.
What is a variant of uncertain significance (VUS)?
A VUS is a genetic change whose impact on health is unknown. Further testing of family members may help determine its significance.
Is genetic counseling included in the test?
Yes, a genetic counseling session is included to help you understand the test and its implications.
Can this test be done for children?
Yes, the test is suitable for all age groups, including children, with appropriate consent from parents or guardians.
Is home sample collection available?
Yes, we offer free home sample collection across major cities in India for online bookings.
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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We serve as a reference laboratory for hospitals and clinics across India. Send samples from your facility with same-day pickup, priority processing, and results delivered through our online portal. Competitive institutional pricing available.

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Your medical data is protected under Indian law.

Stored in India: All patient records are stored on servers located in India. No data is transferred outside the country.

DPDP Act Compliant: Under the Digital Personal Data Protection Act 2023, you can request deletion of your records at any time by contacting support.

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