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RMND1 Gene Combined oxidative phosphorylation deficiency type 11 NGS Genetic Test

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RMND1 Gene Combined oxidative phosphorylation deficiency type 11 NGS Genetic Test

Short Name: RMND1 Gene COXPHD Type 11 NGS Test

Also known as: RMND1 Gene COXPHD11 NGS Test, RMND1 Mitochondrial Disorder Genetic Test, Combined OXPHOS Deficiency Type 11 Gene Test, RMND1 Mutation Analysis NGS Test, RMND1 Related Mitochondrial Disease Genetic Test

RMND1 Gene Combined oxidative phosphorylation deficiency type 11 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 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.

NGS Genetic TestUnisexAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the RMND1 Gene Combined Oxidative Phosphorylation Deficiency Type 11 NGS Genetic Test is to identify pathogenic mutations in the RMND1 gene responsible for combined oxidative phosphorylation deficiency type 11. This test enables confirmatory diagnosis of the condition in symptomatic individuals, supports carrier identification in family members, facilitates genetic counselling for affected families, and informs reproductive planning including prenatal and preimplantation genetic testing options.

Test Code
1930
CPT Code
81479
ICD Code
E88.89
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)
Step 1

Sample Collection

A Genetic Counselling session is required before sample collection to draw a complete pedigree chart of family members affected with Combined Oxidative Phosphorylation Deficiency Type 11. Clinical history of the patient must be documented, including onset of symptoms, family history of metabolic or mitochondrial disorders, prior investigations, and current medications.

Method: Venipuncture / FTA Card Blood Spot

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3-5 mL of venous blood in an EDTA (lavender top) tube under sterile conditions. Alternatively, one drop of blood may be spotted on an FTA card. Proper labeling with patient details and sample identification is ensured. Home collection is available at no additional cost.

Step 3

Report Delivery

The collected sample is transported to the laboratory under controlled ambient temperature conditions. DNA is extracted and prepared for Next Generation Sequencing. The genetic analysis report is generated within 3 to 4 weeks. A post-test genetic counselling session may be scheduled to discuss findings and clinical implications.

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 counselling session is conducted to document the patient's clinical history and draw a detailed pedigree chart of family members affected with Combined Oxidative Phosphorylation Deficiency Type 11 or other mitochondrial disorders. The counsellor will discuss the purpose of testing, potential outcomes, and implications for the patient and family.
2
During the Test:A blood sample (3-5 mL in EDTA tube) or a blood spot on FTA card is collected by a trained phlebotomist. The sample is transported to the laboratory at ambient room temperature. DNA is extracted from the sample and prepared for Next Generation Sequencing analysis of the RMND1 gene.
3
After the Test:After the test, the sample undergoes NGS sequencing, bioinformatics analysis, and variant interpretation by a qualified clinical geneticist. The genetic report is generated within 3 to 4 weeks and delivered via online portal, email, or WhatsApp. A post-test genetic counselling session may be scheduled to discuss results, clinical implications, and next steps.

About This Test

Who Should Get This Test

The purpose of the RMND1 Gene Combined Oxidative Phosphorylation Deficiency Type 11 NGS Genetic Test is to identify pathogenic mutations in the RMND1 gene responsible for combined oxidative phosphorylation deficiency type 11. This test enables confirmatory diagnosis of the condition in symptomatic individuals, supports carrier identification in family members, facilitates genetic counselling for affected families, and informs reproductive planning including prenatal and preimplantation genetic testing options.

How to Prepare

  • No fasting is required prior to sample collection.
  • Ensure the patient's clinical history and family pedigree are available at the time of collection.
  • Blood should be collected in an EDTA (lavender top) tube.
  • One drop of blood on an FTA card is also acceptable as an alternative sample type.
  • Properly label the sample with patient name, date of birth, and unique identification number.
  • Transport the sample at ambient room temperature to the laboratory.
  • Avoid hemolyzed samples; ensure gentle venipuncture technique.
  • If the patient has had a recent blood transfusion, inform the laboratory at the time of sample submission.

Doctor's Notes

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

"As an obstetrician and gynecologist, I frequently encounter couples with a family history of mitochondrial disorders such as Combined Oxidative Phosphorylation Deficiency Type 11. Early genetic testing through NGS technology allows for accurate identification of RMND1 gene mutations, enabling informed family planning, prenatal counselling, and preimplantation genetic testing options. I recommend this test to any family with a history of unexplained infantile metabolic crises, developmental regression, or multisystem involvement suggestive of mitochondrial disease. Timely diagnosis empowers families to make proactive healthcare decisions and access supportive interventions for affected children."

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) Tube or FTA Card
Collection MethodVenipuncture / FTA Card Blood Spot

Sample Stability

Sample Rejection Criteria:
  • Heavily hemolyzed or clotted blood sample
  • Sample collected in incorrect tube type (non-EDTA anticoagulant)
  • Insufficient sample volume for DNA extraction
  • Improperly labeled or unlabeled sample
  • Sample received beyond stability window without prior notification

Understanding Your Results

The RMND1 Gene NGS Genetic Test report provides a comprehensive analysis of the RMND1 gene, identifying any pathogenic or likely pathogenic variants associated with Combined Oxidative Phosphorylation Deficiency Type 11. Results should be interpreted in the context of clinical findings, family history, and biochemical investigations by a qualified clinical geneticist or metabolic specialist.
📊

One or more pathogenic variants in the RMND1 gene have been identified. In the presence of two pathogenic variants (homozygous or compound heterozygous), a diagnosis of Combined Oxidative Phosphorylation Deficiency Type 11 is confirmed. Clinical correlation and genetic counselling are recommended.

Result type: Pathogenic Variant Detected

📊

Likely pathogenic variants in the RMND1 gene have been found. These variants have strong evidence of pathogenicity but may require additional functional studies or family segregation analysis for definitive classification. Clinical correlation is advised.

Result type: Likely Pathogenic Variant Detected

📊

A variant of uncertain significance has been identified in the RMND1 gene. Current evidence is insufficient to classify this variant as pathogenic or benign. Family studies and clinical follow-up are recommended. Results should be re-evaluated periodically as new data becomes available.

Result type: Variant of Uncertain Significance (VUS)

📊

No pathogenic or likely pathogenic variants were identified in the RMND1 gene. This result does not completely exclude RMND1-related disease if caused by variants in non-coding regions or large rearrangements not covered by this test. Clinical correlation and further evaluation with complementary testing may be warranted.

Result type: No Pathogenic Variant Detected

📊

A single heterozygous pathogenic variant in the RMND1 gene has been identified. The individual is a carrier of Combined Oxidative Phosphorylation Deficiency Type 11 and is typically unaffected. Genetic counselling is recommended for reproductive planning.

Result type: Carrier Detected

⚠️ When to Consult a Doctor:

Consult a clinical geneticist or metabolic specialist if your test results indicate pathogenic or likely pathogenic variants in the RMND1 gene, if a variant of uncertain significance is detected, or if clinical symptoms persist despite a negative result. Genetic counselling is strongly recommended for all result types to understand implications for the patient and family members, reproductive planning, and available supportive treatment options.

Limitations

  • This test does not detect large genomic rearrangements or copy number variations in the RMND1 gene unless specifically included in the analysis pipeline.
  • Deep intronic variants and regulatory region mutations outside the targeted regions may not be identified.
  • A negative result does not completely rule out RMND1-related disease if caused by variants in non-coding regions.
  • Variants of uncertain significance (VUS) may be reported and require clinical correlation and family studies.
  • This test does not screen for mutations in other mitochondrial or nuclear genes associated with oxidative phosphorylation defects.

Risks & Considerations

  • Minor bruising or discomfort at the venipuncture site
  • Rare risk of infection at the blood draw site
  • Emotional impact of genetic test results on the patient and family
  • Possibility of receiving a variant of uncertain significance requiring further investigation

Interfering Factors

  • Heavily hemolyzed blood samples may affect DNA extraction quality
  • Recent blood transfusion within the past 4 weeks may interfere with results
  • Concurrent use of anticoagulants other than EDTA may impact sample integrity
  • Insufficient sample volume may lead to inadequate DNA yield for NGS analysis

Compare With Similar Tests

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Frequently Asked Questions

What is RMND1 Gene Combined Oxidative Phosphorylation Deficiency Type 11?
RMND1 Gene Combined Oxidative Phosphorylation Deficiency Type 11 (COXPHD11) is a rare autosomal recessive mitochondrial disorder caused by mutations in the RMND1 gene. It impairs the mitochondrial oxidative phosphorylation process, leading to reduced cellular energy (ATP) production and multisystem disease affecting the brain, muscles, heart, kidneys, and other organs.
What causes Combined Oxidative Phosphorylation Deficiency Type 11?
This condition is caused by biallelic (homozygous or compound heterozygous) pathogenic variants in the RMND1 gene on chromosome 6q25.1. The RMND1 protein is essential for mitochondrial translation and the proper assembly of respiratory chain complexes. Mutations disrupt oxidative phosphorylation, resulting in impaired energy production at the cellular level.
What are the symptoms of RMND1 Gene COXPHD Type 11?
Symptoms vary in severity and may include developmental delays, muscle weakness (hypotonia/myopathy), respiratory problems, lactic acidosis, seizures, visual impairments, sensorineural hearing loss, heart abnormalities (cardiomyopathy), renal tubulopathy, and intellectual disability. Symptoms typically manifest in infancy or early childhood.
How is RMND1 Gene COXPHD Type 11 diagnosed?
Diagnosis involves a combination of clinical evaluation, biochemical testing (elevated lactate, abnormal organic acids), neuroimaging (MRI showing Leigh-like lesions), and confirmatory genetic testing using Next Generation Sequencing (NGS) to identify mutations in the RMND1 gene. NGS is the most reliable diagnostic method.
What sample is required for the RMND1 Gene NGS Genetic Test?
The test requires a blood sample (3-5 mL collected in an EDTA lavender top tube), extracted DNA, or one drop of blood spotted on an FTA card. No fasting is required. Free home sample collection is available across India through DNA Labs India.
How long does it take to get the results of the RMND1 Gene NGS Test?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. Reports are delivered via the online portal, email, or WhatsApp as per the patient's preference.
What is the cost of the RMND1 Gene Combined Oxidative Phosphorylation Deficiency Type 11 NGS Genetic Test?
The cost of the RMND1 Gene NGS Genetic Test at DNA Labs India is INR 20,000 (Rs 20000.0). This price includes NGS sequencing, genetic analysis, a detailed report, a genetic counselling session, pedigree chart preparation, and free home sample collection.
Is home sample collection available for this test?
Yes, DNA Labs India offers free home sample collection for the RMND1 Gene NGS Genetic Test. This service is available across a wide network of cities throughout India. You can book online or contact us to schedule a convenient collection time.
Is there a cure for RMND1 Gene Combined Oxidative Phosphorylation Deficiency Type 11?
Currently, there is no cure for COXPHD11. Treatment is supportive and focuses on managing symptoms, which may include anti-epileptic medications for seizures, respiratory support, physical therapy for muscle weakness, nutritional management of lactic acidosis, and surgical correction of heart abnormalities. Ongoing research into mitochondrial therapies may offer future treatment options.
Is Combined Oxidative Phosphorylation Deficiency Type 11 an inherited condition?
Yes, COXPHD11 is inherited in an autosomal recessive pattern. This means both parents must carry one copy of the mutated RMND1 gene. When both parents are carriers, each pregnancy has a 25% chance of the child being affected, a 50% chance of the child being a carrier, and a 25% chance of the child being unaffected and not a carrier.
Who should consider getting the RMND1 Gene NGS Genetic Test?
This test is recommended for individuals with suspected mitochondrial disorder based on clinical symptoms (developmental delay, lactic acidosis, seizures, muscle weakness), abnormal biochemical or neuroimaging findings suggestive of oxidative phosphorylation deficiency, a family history of mitochondrial disease, or carrier screening for at-risk family members. Couples planning pregnancy with a known family history may also benefit.
What should I do if my test results are positive for RMND1 gene mutations?
If pathogenic or likely pathogenic variants are identified, consult a clinical geneticist or metabolic specialist for comprehensive evaluation and management. Genetic counselling is essential to understand the implications for the patient and family, discuss treatment and supportive care options, and explore reproductive planning including carrier testing for family members and prenatal or preimplantation genetic testing for future pregnancies.
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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