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MTO1 Gene Combined oxidative phosphorylation deficiency type 10 NGS Genetic Test

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MTO1 Gene Combined oxidative phosphorylation deficiency type 10 NGS Genetic Test

Short Name: MTO1 Gene COXPD10 NGS Test

Also known as: COXPD10 Genetic Test, MTO1 Gene Sequencing Test, MTO1 Mutation Analysis, Mitochondrial Translation Optimization 1 Gene Test, Combined OXPHOS Deficiency Type 10 NGS Test

MTO1 Gene Combined oxidative phosphorylation deficiency type 10 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Sequencing Confirmation (if required), Bioinformatic Variant Analysis on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory.. Free home collection in 300+ cities across India.

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🩺 Medically Reviewed By

Overview

The purpose of the MTO1 Gene COXPD10 NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the MTO1 gene that are responsible for Combined Oxidative Phosphorylation Deficiency Type 10. This test is used to confirm a clinical diagnosis of COXPD10, differentiate it from other mitochondrial and metabolic disorders, enable accurate genetic counseling for affected families, guide clinical management decisions, and facilitate carrier testing and prenatal diagnosis for at-risk family members.

Test Code
1941
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
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Sequencing Confirmation (if required), Bioinformatic Variant Analysis
Step 1

Sample Collection

A pre-test genetic counseling session is strongly recommended to evaluate the clinical history, draw a detailed pedigree chart of family members affected with COXPD10 or related metabolic disorders, and discuss the implications of testing. Clinical history of the patient, including family history, consanguinity, previous test results, and current symptoms, should be documented prior to sample collection.

Method: Venipuncture or finger-prick (FTA card)

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3-5 mL of peripheral venous blood in an EDTA (lavender-top) tube under aseptic conditions. Alternatively, a finger-prick blood sample can be collected on an FTA card. For DNA samples, the extracted DNA should be provided in a sterile tube with proper labeling. Home sample collection is available at no additional cost across India.

Step 3

Report Delivery

After blood collection, gentle pressure should be applied to the venipuncture site with a cotton ball or gauze for 3-5 minutes to prevent bruising. The sample is transported to the DNA Labs India laboratory under controlled ambient temperature conditions. The DNA is extracted, and the MTO1 gene is sequenced using NGS technology. Results are typically available within 3 to 4 weeks and are delivered via the online portal, email, or WhatsApp.

Timeline: Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory.

Patient Instructions

1
Before the Test:Before the test, a genetic counseling session is conducted to document the patient's clinical history, symptoms, and family pedigree. The counselor will identify affected family members, assess consanguinity, and discuss the implications, benefits, and limitations of genetic testing. Written informed consent is obtained. No fasting is required prior to sample collection.
2
During the Test:During sample collection, 3-5 mL of peripheral blood is drawn from a vein in the arm using a sterile needle and collected in an EDTA tube. The procedure takes approximately 5-10 minutes. Patients may feel a brief prick at the needle insertion site. The sample is labeled, sealed, and transported to DNA Labs India's laboratory for processing.
3
After the Test:After blood collection, a small bandage is applied to the puncture site. Minor bruising may occur and typically resolves within a few days. The sample undergoes DNA extraction, library preparation, and next-generation sequencing in the laboratory. Results are reviewed by a clinical geneticist and a detailed report is generated. Results are typically available within 3 to 4 weeks and delivered through the patient portal, email, or WhatsApp. A post-test genetic counseling session is recommended to discuss the findings.

About This Test

Who Should Get This Test

The purpose of the MTO1 Gene COXPD10 NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the MTO1 gene that are responsible for Combined Oxidative Phosphorylation Deficiency Type 10. This test is used to confirm a clinical diagnosis of COXPD10, differentiate it from other mitochondrial and metabolic disorders, enable accurate genetic counseling for affected families, guide clinical management decisions, and facilitate carrier testing and prenatal diagnosis for at-risk family members.

How to Prepare

  • Ensure the patient's clinical history and family pedigree are documented before sample collection
  • Collect 3-5 mL peripheral venous blood in an EDTA (lavender-top) vacutainer tube
  • Alternatively, collect one drop of blood on an FTA card following manufacturer instructions
  • For extracted DNA, provide a minimum of 1 microgram of high-quality DNA at a concentration of 50 ng/uL or higher
  • Label the sample correctly with the patient's full name, date of birth, sample date, and unique identifier
  • Transport the sample at ambient room temperature (15-30 degrees Celsius) to the laboratory
  • Avoid freezing whole blood samples

Doctor's Notes

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

"MTO1 gene-related COXPD10 is a severe autosomal recessive mitochondrial disorder that may be identified prenatally or in early infancy. Couples with a family history of mitochondrial disease or consanguineous unions should consider carrier screening and genetic counseling. Early identification through NGS testing enables informed reproductive planning and timely clinical intervention for affected newborns."

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 of peripheral venous blood in EDTA tube
ContainerLavender-top (EDTA) vacutainer tube or FTA card
Collection MethodVenipuncture or finger-prick (FTA card)

Sample Stability

Whole blood in EDTA tube: Stable at room temperature (15-30 degrees Celsius) for up to 72 hours; refrigerated (2-8 degrees Celsius) for up to 7 days
Extracted DNA: Stable at -20 degrees Celsius for long-term storage; stable at 4 degrees Celsius for up to 1 week
Blood on FTA card: Stable at room temperature for several months when stored in a sealed bag with desiccant
Sample Rejection Criteria:
  • Hemolyzed, clotted, or improperly anticoagulated blood samples
  • Samples with insufficient volume or inadequate DNA quantity
  • Improperly labeled or unlabeled samples
  • Samples received without accompanying clinical information or test requisition form
  • Samples that exceed stability time limits
  • Contaminated samples or samples with visible microbial growth

Understanding Your Results

The results of the MTO1 Gene COXPD10 NGS Genetic Test are interpreted in the context of the patient's clinical presentation, family history, and other laboratory findings. Results are classified based on the American College of Medical Genetics and Genomics (ACMG) guidelines for variant interpretation. A positive result identifying a pathogenic or likely pathogenic variant in the MTO1 gene, especially in a homozygous or compound heterozygous state, is consistent with a diagnosis of Combined Oxidative Phosphorylation Deficiency Type 10 (COXPD10). Genetic counseling is recommended to discuss the implications of the results for the patient and family members.
📊

No Pathogenic Variant Detected

No pathogenic or likely pathogenic variants were identified in the MTO1 gene. This result reduces the likelihood of COXPD10 but does not completely exclude it. Clinical correlation and further testing may be warranted.

Action: Discuss with the referring physician. Consider whole exome sequencing or mitochondrial genome sequencing if clinical suspicion remains high.

📊

Pathogenic Variant Detected – Homozygous

Two copies of a pathogenic variant were identified in the MTO1 gene, confirming a diagnosis of COXPD10 in the context of compatible clinical features.

Action: Refer for genetic counseling. Discuss inheritance pattern, recurrence risk, and management options. Consider carrier testing for family members.

📊

Pathogenic Variant Detected – Compound Heterozygous

Two different pathogenic or likely pathogenic variants were identified in the MTO1 gene (one on each allele), consistent with a diagnosis of COXPD10.

Action: Refer for genetic counseling. Parental testing is recommended to confirm that variants are in trans configuration. Discuss management and family planning.

📊

Variant of Uncertain Significance (VUS) Detected

A variant in the MTO1 gene was identified whose clinical significance is currently unknown. This variant cannot be used to confirm or exclude a diagnosis of COXPD10.

Action: Refer for genetic counseling. Family segregation studies, functional analysis, and periodic re-evaluation of the variant may be helpful.

📊

Carrier Status Identified

A single pathogenic variant was detected in the MTO1 gene, indicating the individual is a carrier of COXPD10. Carriers are typically unaffected but can pass the variant to offspring.

Action: Genetic counseling recommended. Offer carrier testing to the partner for recurrence risk assessment.

⚠️ When to Consult a Doctor:

Consult a physician or genetic specialist if you or your child are experiencing unexplained developmental delay, muscle weakness, recurrent seizures, lactic acidosis, respiratory difficulties, or regression of acquired developmental milestones. A family history of mitochondrial disorders or consanguinity should also prompt consideration of genetic testing. Early diagnosis enables appropriate clinical management and informed family planning.

Limitations

  • This test targets only the MTO1 gene and does not screen for mutations in other genes associated with oxidative phosphorylation defects or mitochondrial disorders
  • Large genomic rearrangements, copy number variations, or deep intronic mutations may not be detected by standard NGS sequencing
  • Variants of uncertain significance (VUS) may be identified and may require further family studies or functional analysis
  • Somatic mosaicism at low levels may not be reliably detected
  • This test does not detect mitochondrial DNA (mtDNA) mutations
  • A negative result does not completely exclude a genetic basis for the patient's condition

Risks & Considerations

  • Minor bruising or discomfort at the blood draw site
  • Slight risk of infection at the puncture site (rare)
  • Possibility of identifying variants of uncertain significance, which may cause anxiety
  • Psychological impact of a positive diagnosis on the patient and family members

Interfering Factors

  • Heavily hemolyzed or degraded blood samples may affect DNA quality
  • Recent blood transfusion (within 3 months) may lead to mixed DNA population and inaccurate results
  • Contamination of the sample during collection or transport
  • Insufficient sample volume resulting in low DNA yield

Compare With Similar Tests

TestMTO1 Gene Combined oxidative phosphorylation deficiency type 10 NGS Genetic TestWhole Exome Sequencing (WES)Mitochondrial DNA SequencingMetabolic Panel (Lactate, Pyruvate, Amino Acids)
ComparisonMTO1 Gene Combined oxidative phosphorylation deficiency type 10 NGS Genetic TestWES analyzes all protein-coding genes in the genome, whereas the MTO1 test targets only the MTO1 gene. WES is broader but more expensive and may identify incidental findings.Mitochondrial DNA sequencing detects mutations in the mitochondrial genome, while the MTO1 test targets a nuclear gene. COXPD10 is caused by nuclear gene mutations, making the MTO1 test more specific.Metabolic panels detect biochemical abnormalities associated with mitochondrial dysfunction but cannot identify the specific genetic cause. The MTO1 test provides a definitive molecular diagnosis.

Frequently Asked Questions

What is the MTO1 Gene COXPD10 NGS Genetic Test?
The MTO1 Gene COXPD10 NGS Genetic Test is a next-generation sequencing-based diagnostic test that analyzes the MTO1 gene for mutations causing Combined Oxidative Phosphorylation Deficiency Type 10, a rare mitochondrial disorder. The test identifies pathogenic variants that impair the mitochondria's ability to produce cellular energy.
What is Combined Oxidative Phosphorylation Deficiency Type 10 (COXPD10)?
COXPD10 is a rare autosomal recessive genetic disorder caused by mutations in the MTO1 gene. It impairs mitochondrial oxidative phosphorylation, the process by which cells produce energy (ATP). This leads to multisystem dysfunction, primarily affecting the brain, muscles, and other energy-demanding organs. It is classified under mitochondrial and metabolic disorders.
What are the symptoms of COXPD10?
Common symptoms of COXPD10 include developmental delay, hypotonia (low muscle tone), lactic acidosis, seizures, respiratory difficulties, speech impairment, and weakness. In severe cases, the condition can be life-threatening in infancy or early childhood. Symptoms vary in severity among affected individuals.
How is COXPD10 diagnosed?
COXPD10 is diagnosed through genetic testing. The MTO1 gene is analyzed using Next-Generation Sequencing (NGS) technology to identify mutations or abnormalities. The test can be performed on a blood sample, extracted DNA, or a blood sample on an FTA card. Genetic counseling is recommended before and after testing.
What sample is required for the MTO1 Gene COXPD10 test?
The test requires either 3-5 mL of peripheral venous blood collected in an EDTA (lavender-top) tube, extracted genomic DNA (minimum 1 microgram), or one drop of blood collected on an FTA card. Free home sample collection is available across India.
How long does it take to get the results of the MTO1 Gene COXPD10 test?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. The report is delivered through the DNA Labs India online portal, email, or WhatsApp, based on the patient's preference.
What is the cost of the MTO1 Gene COXPD10 NGS Genetic Test at DNA Labs India?
The cost of the MTO1 Gene COXPD10 NGS Genetic Test at DNA Labs India is INR 20,000. This includes the test kit, free home sample collection, DNA extraction, NGS analysis, variant interpretation, and the detailed genetic test report.
Is genetic counseling required before the MTO1 Gene test?
Yes, a genetic counseling session is strongly recommended before undergoing the MTO1 Gene COXPD10 test. The counselor will document the patient's clinical history, draw a family pedigree, discuss the test's benefits and limitations, and obtain informed consent. Post-test counseling is also recommended to discuss the results.
What does a positive (pathogenic variant detected) result mean?
A positive result means that one or more pathogenic or likely pathogenic mutations have been identified in the MTO1 gene. In a patient with compatible symptoms, this confirms a diagnosis of COXPD10. Genetic counseling is recommended to discuss the implications, inheritance pattern, recurrence risks, and management options for the patient and family.
Can the MTO1 Gene COXPD10 test be used for carrier testing or prenatal diagnosis?
Yes, once a pathogenic variant is identified in the proband (affected individual), targeted carrier testing can be offered to family members. Prenatal diagnosis or preimplantation genetic testing (PGT) can be considered for at-risk couples in subsequent pregnancies. A genetic counselor can guide these decisions.
Is home sample collection available for the MTO1 Gene COXPD10 test?
Yes, DNA Labs India offers free home sample collection for the MTO1 Gene COXPD10 NGS Genetic Test across India. This service is available in major cities including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, and many more. You can book the home collection online or by calling the lab.
Who should consider getting tested for MTO1 gene mutations?
Individuals who should consider this test include: patients presenting with unexplained developmental delay, lactic acidosis, seizures, hypotonia, or respiratory difficulties suggestive of a mitochondrial disorder; patients with a clinical diagnosis of combined oxidative phosphorylation deficiency; individuals with a family history of COXPD10 or MTO1 mutations; and carrier couples identified through family studies or carrier screening.
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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