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MT-ND5 Gene Leigh syndrome due to mitochondrial complex I deficiency NGS Genetic Test

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MT-ND5 Gene Leigh syndrome due to mitochondrial complex I deficiency NGS Genetic Test

Short Name: MT-ND5 NGS Genetic Test

Also known as: MT-ND5 Gene Mutation Test, Mitochondrial Complex I Deficiency Genetic Test, Leigh Syndrome NGS Panel (MT-ND5)

MT-ND5 Gene Leigh syndrome due to mitochondrial complex I deficiency NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger confirmation for detected variants on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Turnaround time is typically 3 to 4 weeks from the date the sample reaches the laboratory. The report will be shared via email/WhatsApp and the online portal.. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the MT-ND5 NGS Genetic Test is to confirm or rule out the presence of pathogenic mutations in the MT-ND5 gene, which cause Leigh syndrome due to mitochondrial complex I deficiency. It aids in establishing a molecular diagnosis, enabling informed clinical management, reproductive planning, and early supportive care. It is also useful for carrier testing in family members where the proband mutation is identified.

Test Code
4178
ICD Code
G31.81
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Turnaround time is typically 3 to 4 weeks from the date the sample reaches the laboratory. The report will be shared via email/WhatsApp and the online portal.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger confirmation for detected variants
Step 1

Sample Collection

No special preparation or fasting is required. Please provide any previous genetic test reports, clinical notes, or biochemical test results if available.

Method: Peripheral venipuncture or dried blood spot (FTA card)

Step 2

Laboratory Analysis

A standard blood draw will be performed by a trained phlebotomist. For FTA card collection, a drop of blood from a finger prick is sufficient.

Step 3

Report Delivery

No specific aftercare is required. If using FTA card, ensure the card is air-dried and packed in the provided envelope. The sample is stable at room temperature for shipping.

Timeline: Turnaround time is typically 3 to 4 weeks from the date the sample reaches the laboratory. The report will be shared via email/WhatsApp and the online portal.

Patient Instructions

1
Before the Test:Before the test, a genetic counsellor will take a clinical history and draw a pedigree chart. This helps in interpreting the result and assessing inheritance patterns such as maternal (mitochondrial) inheritance in the case of MT-ND5 mutations.
2
During the Test:The NGS test involves extracting DNA from the provided sample, enriching for the mitochondrial genome or MT-ND5 region, and sequencing using high-throughput technology. The laboratory follows strict quality controls.
3
After the Test:After testing, the result is reviewed by a clinical geneticist and a molecular pathologist. A comprehensive report along with raw files (FASTQ, VCF) is generated and made available to the referring physician.

About This Test

Who Should Get This Test

The purpose of the MT-ND5 NGS Genetic Test is to confirm or rule out the presence of pathogenic mutations in the MT-ND5 gene, which cause Leigh syndrome due to mitochondrial complex I deficiency. It aids in establishing a molecular diagnosis, enabling informed clinical management, reproductive planning, and early supportive care. It is also useful for carrier testing in family members where the proband mutation is identified.

How to Prepare

  • Whole blood should be collected in an EDTA vacutainer
  • For FTA card, spot the blood within the marked circles and allow to dry completely
  • Label the sample with patient name, date of birth, and collection date
  • Ship to the laboratory according to the provided transport instructions

Doctor's Notes

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

"When Leigh syndrome is suspected in an infant or child, a precise molecular diagnosis through NGS is critical for early intervention, prognostication, and informed reproductive counselling for the family."

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 whole blood (or 5 µg genomic DNA if extracted DNA provided)
ContainerEDTA vacutainer (Whole Blood) / Sample tube for DNA / FTA card
Collection MethodPeripheral venipuncture or dried blood spot (FTA card)

Sample Stability

Whole blood in EDTA: 7 days at 2-8°C
FTA card: stable for weeks at ambient room temperature
Extracted DNA: stable for months at -20°C
Sample Rejection Criteria:
  • Haemolysed or clotted blood
  • Unlabelled or mislabelled specimen
  • FTA card that is wet or contaminated
  • Samples received beyond the stability window

Understanding Your Results

The clinical report will classify variants according to the ACMG/AMP guidelines for mitochondrial DNA variants. The result will state whether a pathogenic or likely pathogenic variant is identified, and its likely impact on mitochondrial complex I function.
📊

Pathogenic variant detected

The diagnosis of Leigh syndrome due to MT-ND5-associated complex I deficiency is confirmed. Clinical management should be tailored to a mitochondrial disorder.

📊

Likely pathogenic variant detected

The variant is considered likely disease-causing; correlation with biochemical and clinical findings is recommended.

📊

Variant of uncertain significance (VUS) detected

The variant cannot be classified as benign or pathogenic at this time. Additional family studies or functional assays may be useful.

📊

No pathogenic mutation detected

No known disease-causing variant was identified in the MT-ND5 gene. Since this test only covers MT-ND5, a broader mitochondrial or nuclear gene panel may be considered.

⚠️ When to Consult a Doctor:

If the individual is exhibiting any of the indications listed above, or if there is a confirmed family history of Leigh syndrome or mitochondrial complex I deficiency, please consult a neurologist or clinical geneticist to decide about testing.

Limitations

  • This test evaluates the MT-ND5 gene only and does not assess other mitochondrial genes or nuclear genes associated with Leigh syndrome
  • Large deletions or rearrangements in mitochondrial DNA may not be reliably detected by whole exome NGS; separate mitochondrial genome deletion analysis may be needed
  • Variant interpretation may be limited by lack of functional studies or novel variants
  • Genetic testing cannot predict the exact age of onset or severity of the disease in all cases

Risks & Considerations

  • There are no significant medical risks from the blood draw aside from pain, bruising, or infection at the puncture site (rare).
  • Psychological impact from receiving a molecular diagnosis may require genetic counselling support.

Interfering Factors

  • Heteroplasmy may lead to variable mutation load; samples with low heteroplasmy (<10%) may yield ambiguous results
  • Close homology with nuclear mitochondrial pseudogenes (NUMTs) requiring careful bioinformatics filtering
  • Contamination with foreign DNA during sample collection
  • Patient timeline of blood transfusion (for haematological interference) – not relevant for DNA testing

Compare With Similar Tests

TestMT-ND5 Gene Leigh syndrome due to mitochondrial complex I deficiency NGS Genetic TestMitochondrial Whole Genome SequencingLeigh Syndrome Nuclear PanelSanger Sequencing of MT-ND5Whole Exome Sequencing
ComparisonMT-ND5 Gene Leigh syndrome due to mitochondrial complex I deficiency NGS Genetic Test

Frequently Asked Questions

What is MT-ND5 and how is it related to Leigh syndrome?
MT-ND5 is a mitochondrial gene that encodes subunit 5 of mitochondrial complex I (NADH dehydrogenase). Pathogenic mutations in this gene cause complex I deficiency, which is a common cause of Leigh syndrome – a progressive neurodegenerative disorder affecting the central nervous system.
What is the cost of the MT-ND5 NGS genetic test at DNA Labs India?
The test costs INR 20,000. This includes genetic counselling, NGS sequencing of the MT-ND5 gene, clinical interpretation, and delivery of the raw data files (FASTQ and VCF) along with the clinical report.
What is the turnaround time for this test?
The turnaround time is 3 to 4 weeks from the day the sample reaches the laboratory.
What type of sample is required?
You can provide 2–3 ml of whole blood in an EDTA vacutainer, or extracted DNA (minimum 5 µg), or one drop of blood on an FTA card. DNA Labs India offers free home sample collection for online bookings.
Is fasting required before the test?
No, fasting is not required. This genetic test uses DNA, which is not affected by food intake.
Will I receive raw data files with my report?
Yes. DNA Labs India is transparent and shares raw data files – FASTQ and VCF – along with the conclusive clinical report. This allows independent verification.
Can genetic testing confirm Leigh syndrome?
Yes, identification of a pathogenic mutation in MT-ND5 in a patient with clinical features of Leigh syndrome confirms the diagnosis. NGS testing is highly accurate for this purpose.
Can this test detect heteroplasmy (mix of normal and mutant mitochondrial DNA)?
Yes, NGS-based analysis can detect heteroplasmic variants, but the sensitivity depends on the level of heteroplasmy. Very low heteroplasmy levels (<10%) may be difficult to detect reliably.
Is genetic counselling included in the test price?
Yes, a genetic counselling session is included to draw a pedigree chart and explain the implications of testing for family members.
Does this test cover all other mitochondrial and nuclear genes associated with Leigh syndrome?
No, this test is specifically for the MT-ND5 gene only. If clinical suspicion is high and this test is negative, your doctor may recommend a broader mitochondrial genome sequencing or nuclear gene panel.
Is this test available across India?
Yes, DNA Labs India offers this test across all major cities in India with free home sample collection. The service is available in Mumbai, Delhi, Bangalore, Hyderabad, Chennai, and many more cities.
How will I get the test report?
The report will be shared via email, WhatsApp, and available on the DNA Labs India online patient portal. You can also collect a physical copy if needed.
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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