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DNA Labs India

PDHA1 Gene Leigh syndrome, X-linked NGS Genetic Test

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PDHA1 Gene Leigh syndrome, X-linked NGS Genetic Test

Short Name: PDHA1 NGS Test

Also known as: PDHA1-related Leigh syndrome NGS test, Pyruvate dehydrogenase E1-alpha subunit gene test, X-linked Leigh syndrome genetic test

PDHA1 Gene Leigh syndrome, X-linked NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger sequencing for confirmation if required on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Reports are issued within 3 to 4 weeks from the date the sample is received by the laboratory.. Free home collection in 300+ cities across India.

NGS Genetic TestAll age groups🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to detect pathogenic variants in the PDHA1 gene associated with X-linked Leigh syndrome. It helps confirm the clinical diagnosis, supports carrier testing in families, and provides information for genetic counseling and recurrence-risk assessment.

Test Code
4191
ICD Code
G31.81
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Reports are issued within 3 to 4 weeks from the date the sample is received by the laboratory.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger sequencing for confirmation if required
Step 1

Sample Collection

No fasting is required. A genetic counseling session to draw a pedigree chart of family members affected with PDHA1 gene Leigh syndrome is recommended before this test.

Method: Venipuncture / Blood spot on FTA card / Extracted DNA submission

Step 2

Laboratory Analysis

A blood sample will be collected in an EDTA tube. If FTA card is used, one drop of blood is applied. For extracted DNA, the sample should be provided in a sterile DNA tube.

Step 3

Report Delivery

No special restrictions are required. Resume normal diet and activities.

Timeline: Reports are issued within 3 to 4 weeks from the date the sample is received by the laboratory.

Patient Instructions

1
Before the Test:No fasting is needed. Clinical history and genetic counseling are recommended before the test.
2
During the Test:The sample is collected by a phlebotomist or using an FTA card blood spot. The procedure is simple and takes only a few minutes.
3
After the Test:You can return to normal activities. Reports are usually available in 3 to 4 weeks and will be shared through online portal, email, or WhatsApp.

About This Test

Who Should Get This Test

The purpose of this test is to detect pathogenic variants in the PDHA1 gene associated with X-linked Leigh syndrome. It helps confirm the clinical diagnosis, supports carrier testing in families, and provides information for genetic counseling and recurrence-risk assessment.

How to Prepare

  • Collect blood in an EDTA vacutainer for whole blood samples
  • If FTA card is used, ensure the blood spot is completely dried before packaging
  • Label the sample with patient name, date of birth, and collection date
  • Complete the requisition form with clinical history and relevant family history

Doctor's Notes

Reviewed by — MBBS, MD (General Medicine) · Reg. No. 8052

"Since PDHA1 Leigh syndrome is X-linked, genetic counseling is important to explain recurrence risk, carrier status, and implications for other family members. This test should always be interpreted with clinical, biochemical, and radiological findings."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample VolumeTypically 2-3 mL blood or 1-2 µg extracted DNA; FTA card requires one blood spot
ContainerEDTA vacutainer / sterile DNA tube / FTA card
Collection MethodVenipuncture / Blood spot on FTA card / Extracted DNA submission

Sample Stability

Whole blood in EDTA: transport at room temperature and preferably reach the lab within 48 hours
Extracted DNA: stable at 2-8°C for short term and -20°C for long term storage
FTA card blood spot: stable at room temperature for several weeks
Sample Rejection Criteria:
  • Mislabeled or unlabeled sample
  • Insufficient blood volume or DNA quantity
  • Clotted or hemolyzed blood sample
  • Sample leakage or improper packaging

Understanding Your Results

This test result should be interpreted by a clinical geneticist or a specialist in mitochondrial disorders in the context of clinical and family history. Genetic counseling is recommended before and after testing.
📊

Pathogenic/Likely pathogenic variant detected

Action: Confirms the clinical diagnosis in a compatible context. Genetic counseling and family screening are recommended.

📊

Variant of uncertain significance (VUS) detected

Action: Insufficient evidence to confirm or exclude causality. Family segregation studies and further evaluation may be helpful.

📊

No pathogenic variant detected

Action: Does not exclude PDHA1-related Leigh syndrome or other mitochondrial disorders. Consider broader genetic testing.

⚠️ When to Consult a Doctor:

Consult a pediatrician, neurologist, or geneticist if a child has developmental regression, unexplained seizures, weak muscle tone, feeding or breathing difficulties, abnormal eye movements, or a family history of X-linked Leigh syndrome.

Limitations

  • NGS may not detect large intragenic deletions or duplications depending on the analysis performed
  • Deep intronic variants, promoter variants, or regulatory region variants may not be evaluated
  • Variants of uncertain significance (VUS) may be reported and require further family segregation studies
  • A negative result does not exclude other genetic causes of Leigh syndrome; broader testing may be needed

Risks & Considerations

  • Mild pain or bruising at the needle site
  • Dizziness or fainting during blood collection
  • Very low risk of infection

Interfering Factors

  • Contamination of the sample during collection
  • Low DNA quality or quantity
  • Sample mix-up or incorrect labeling
  • Mosaic variants below the detection limit of NGS

Compare With Similar Tests

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Frequently Asked Questions

What is PDHA1 gene Leigh syndrome?
PDHA1 gene Leigh syndrome is a rare X-linked mitochondrial disorder caused by variants in the PDHA1 gene, which impairs the pyruvate dehydrogenase enzyme and affects energy production in the brain.
What is the cost of the PDHA1 gene Leigh syndrome NGS genetic test in India?
The test costs Rs 20000.0 at DNA Labs India. This includes NGS genetic analysis and a clinical report. Free home sample collection is available for online bookings.
What sample is needed for this test?
Blood in an EDTA tube, extracted DNA, or one drop of blood on an FTA card can be used for this test.
Do I need to fast before providing a blood sample?
No, fasting is not required for this genetic test. However, clinical history and genetic counseling are recommended before testing.
How long will it take to get the reports?
Reports are generally delivered in 3 to 4 weeks after the sample reaches the laboratory.
Does DNA Labs India provide raw data files along with the report?
Yes, DNA Labs India provides raw data, FASTQ, and VCF files along with the conclusive clinical report.
Who should be tested for PDHA1 gene Leigh syndrome?
Testing is advised for individuals with features suggestive of Leigh syndrome, unexplained neurological regression, elevated lactate, metabolic acidosis, or a family history of X-linked Leigh syndrome.
Can this test detect all genetic causes of Leigh syndrome?
No. This test specifically analyzes the PDHA1 gene. Leigh syndrome can be caused by multiple nuclear and mitochondrial genes, so a broader panel may be required if PDHA1 testing is negative.
Is genetic counseling required before the test?
Yes, genetic counseling is recommended before testing to draw a pedigree chart and ensure the correct test is ordered. Post-test counseling is also important for result interpretation and reproductive planning.
What do the results mean if no variant is found?
A negative result reduces the likelihood of PDHA1-related Leigh syndrome but does not exclude other genetic or mitochondrial causes. Additional testing may be advised by your clinician.
Is this test covered by insurance or government schemes?
Insurance coverage varies. Some Indian health schemes may cover genetic tests if medically advised. You can check with PMJAY, CGHS, ECHS, ESIC, or your private insurance provider.
Can female carriers be identified by this test?
Yes, because PDHA1 is X-linked. NGS analysis can identify heterozygous pathogenic variants in carrier females. In rare cases of mosaicism, additional testing may be 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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