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AGXT Gene Hyperoxaluria type 1 NGS Genetic Test

DNA Labs India | ISO 9001:2015 Certified

AGXT Gene Hyperoxaluria type 1 NGS Genetic Test

Short Name: AGXT PH1 NGS Test

Also known as: PH1 Genetic Test, Alanine-Glyoxylate Aminotransferase Gene Test, Primary Hyperoxaluria Type 1 DNA Test, AGXT Mutation Analysis, Hyperoxaluria Type 1 NGS Panel

AGXT Gene Hyperoxaluria type 1 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Sequencing Confirmation on Blood samples. Results in 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.. Free home collection in 300+ cities across India.

Next-Generation Sequencing (NGS)All Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test is to confirm a molecular diagnosis of Primary Hyperoxaluria Type 1 (PH1) by identifying pathogenic or likely pathogenic mutations in both alleles of the AGXT gene. This test is essential for distinguishing PH1 from other causes of hyperoxaluria, including dietary hyperoxaluria and other genetic forms such as PH2 (GRHPR gene) and PH3 (HOGA1 gene). Accurate genetic diagnosis guides treatment decisions, including the potential use of pyridoxine (vitamin B6) therapy, which is effective in patients carrying certain AGXT mutations such as p.Gly170Arg. The test also supports carrier detection in family members, genetic counselling, prenatal diagnosis, and preconception planning for at-risk families.

Test Code
2107
CPT Code
81406
ICD Code
E72.53
Price
₹20,000
Sample Type
Blood
Result Time
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.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Sequencing Confirmation
Step 1

Sample Collection

No specific preparation such as fasting is required. Ensure the patient or guardian provides informed consent. A pre-test genetic counselling session is recommended to discuss the implications of the test and to draw a pedigree chart of affected family members. Provide detailed clinical history of the patient, including onset of symptoms, previous stone analysis results, urinary oxalate levels, and family history of kidney disease or consanguinity.

Method: Venipuncture

Step 2

Laboratory Analysis

A standard venipuncture is performed to collect approximately 5 mL of peripheral venous blood into an EDTA (lavender-top) vacutainer tube. The tube should be gently inverted 8-10 times to ensure proper mixing with the anticoagulant. The sample should be clearly labelled with the patient's name, date of birth, unique identifier, and date of collection.

Step 3

Report Delivery

The blood sample should be stored at 2-8 degrees Celsius and transported to the laboratory within 48 hours of collection. Do not freeze the sample. The patient may resume normal activities immediately after blood draw. Results will be available in 3 to 4 weeks and will be 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. Reports are delivered via the online portal, email, or WhatsApp.

Patient Instructions

1
Before the Test:No fasting is required. A pre-test genetic counselling session is strongly recommended. The patient or guardian should provide informed consent. Detailed clinical history, including symptom onset, prior kidney stone episodes, family history of hyperoxaluria or kidney disease, and consanguinity information, should be documented.
2
During the Test:A 5 mL blood sample is drawn via standard venipuncture into an EDTA vacutainer. The procedure takes approximately 5-10 minutes and is associated with minimal discomfort. The sample is then transported under controlled temperature conditions to the DNA Labs India molecular genetics laboratory.
3
After the Test:After sample collection, the patient may resume normal activities immediately. No specific post-collection care is required. The blood sample undergoes DNA extraction, library preparation, and NGS sequencing in the laboratory. Results are typically available within 3 to 4 weeks and are delivered via the online portal, email, or WhatsApp.

About This Test

Who Should Get This Test

The primary purpose of the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test is to confirm a molecular diagnosis of Primary Hyperoxaluria Type 1 (PH1) by identifying pathogenic or likely pathogenic mutations in both alleles of the AGXT gene. This test is essential for distinguishing PH1 from other causes of hyperoxaluria, including dietary hyperoxaluria and other genetic forms such as PH2 (GRHPR gene) and PH3 (HOGA1 gene). Accurate genetic diagnosis guides treatment decisions, including the potential use of pyridoxine (vitamin B6) therapy, which is effective in patients carrying certain AGXT mutations such as p.Gly170Arg. The test also supports carrier detection in family members, genetic counselling, prenatal diagnosis, and preconception planning for at-risk families.

How to Prepare

  • Collect 5 mL of venous blood in an EDTA (Lavender Top) vacutainer tube
  • Gently invert the tube 8-10 times to mix blood with anticoagulant
  • Label the sample with patient name, date of birth, unique ID, and date of collection
  • Store at 2-8 degrees Celsius and transport to the laboratory within 48 hours
  • Do not freeze the blood sample
  • Ensure informed consent is obtained before sample collection

Doctor's Notes

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

"Primary Hyperoxaluria Type 1 should be suspected in any patient presenting with recurrent calcium oxalate kidney stones, particularly in childhood or when accompanied by nephrocalcinosis. Early genetic confirmation through AGXT gene analysis allows initiation of targeted treatment strategies, including pyridoxine therapy for responsive variants, and timely referral for combined liver-kidney transplantation in refractory cases. I recommend this genetic test for any patient with unexplained hyperoxaluria or a family history suggestive of autosomal recessive inheritance of kidney stone disease."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood
Sample Volume5 mL
ContainerEDTA (Lavender Top) Vacutainer
Collection MethodVenipuncture

Sample Stability

Room Temperature (15-25 degrees Celsius)
Refrigerated (2-8 degrees Celsius)
Frozen (-20 degrees Celsius)
Sample Rejection Criteria:
  • Sample received in a non-EDTA tube or incorrect tube type
  • Insufficient blood volume (less than 2 mL)
  • Haemolysed, clotted, or severely degraded sample
  • Sample without proper labelling or patient identification
  • Sample received more than 7 days after collection at room temperature

Understanding Your Results

The results of the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test provide information about the presence or absence of mutations in the AGXT gene. Results should be interpreted by a qualified clinical geneticist or nephrologist in conjunction with clinical findings, biochemical test results, and family history.
📊

No mutations associated with Primary Hyperoxaluria Type 1 were identified. This result does not completely exclude PH1 if caused by variants in non-coding or regulatory regions. Clinical correlation with biochemical findings is advised.

PH1 is less likely but not entirely excluded. Further evaluation including urine glycolate levels and consideration of other genetic forms of hyperoxaluria may be warranted.

📊

Two copies of the same pathogenic mutation were identified in the AGXT gene, consistent with a diagnosis of Primary Hyperoxaluria Type 1. This follows the classic autosomal recessive pattern of inheritance.

Confirms diagnosis of PH1. Genetic counselling is recommended. Treatment with pyridoxine may be considered depending on the specific mutation identified. Family members should be offered carrier testing.

📊

Two different pathogenic mutations were identified on the two copies of the AGXT gene, consistent with a diagnosis of PH1.

Confirms diagnosis of PH1. Pyridoxine responsiveness depends on the specific variants identified. Combined liver-kidney transplantation may be considered in severe or refractory cases. Genetic counselling and family screening are recommended.

📊

A single pathogenic mutation was identified in one copy of the AGXT gene. The individual is a carrier of PH1 and typically does not show symptoms but may have mildly elevated urinary oxalate.

Carrier status confirmed. Genetic counselling for family planning is recommended. Partner testing should be considered if there is a family history of PH1 or consanguinity.

📊

A genetic variant was identified in the AGXT gene, but there is insufficient evidence currently available to classify it as pathogenic or benign.

Clinical correlation is essential. Additional family studies, functional assays, and periodic re-evaluation as new evidence becomes available are recommended. The variant may be reclassified over time.

⚠️ When to Consult a Doctor:

Consult a nephrologist or clinical geneticist if you or your child experiences recurrent calcium oxalate kidney stones, blood in urine, unexplained flank or abdominal pain, reduced urine output, or signs of chronic kidney disease. Prompt medical evaluation is also advised if there is a known family history of Primary Hyperoxaluria Type 1 or if consanguinity is present in the family. Early diagnosis and management can significantly improve outcomes and prevent progression to end-stage renal disease.

Limitations

  • This test does not detect deep intronic mutations, regulatory region variants, or large genomic rearrangements outside the targeted NGS panel
  • Variants of Uncertain Significance (VUS) may be identified; clinical correlation and follow-up testing may be required
  • A negative result does not completely exclude PH1 if caused by variants in non-coding regions or other undetected mechanisms
  • This test does not screen for Primary Hyperoxaluria Type 2 (GRHPR gene) or Type 3 (HOGA1 gene); a comprehensive hyperoxaluria panel may be requested separately
  • Results must always be interpreted in the context of clinical findings, biochemical data, and family history by a qualified geneticist or nephrologist

Risks & Considerations

  • Minor bruising or discomfort at the venipuncture site
  • Very rare risk of infection at the blood draw site
  • Psychological impact of genetic results, particularly regarding carrier status or uncertain variants; genetic counselling is recommended to address these concerns

Interfering Factors

  • Degraded or insufficient DNA quality in the submitted blood sample
  • Recent blood transfusion within the past 4 weeks may affect DNA analysis
  • Presence of pseudogenes or highly homologous sequences may require additional confirmatory testing
  • Low-level mosaicism may not be detectable at standard NGS sequencing depth

Compare With Similar Tests

TestAGXT Gene Hyperoxaluria type 1 NGS Genetic TestUrine Oxalate TestSanger Sequencing of AGXT GeneEnzyme Activity Assay (AGT Activity in Liver Biopsy)Urine Glycolate Test
ComparisonAGXT Gene Hyperoxaluria type 1 NGS Genetic Test

Frequently Asked Questions

What is the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test?
This is a next-generation sequencing (NGS)-based genetic test that analyses the AGXT gene for mutations responsible for Primary Hyperoxaluria Type 1 (PH1). PH1 is a rare inherited metabolic disorder that causes excessive oxalate production, leading to recurrent kidney stones and potential kidney damage. The test provides definitive molecular diagnosis by identifying pathogenic variants in both copies of the AGXT gene.
Why is the AGXT Gene test recommended?
The test is recommended for individuals presenting with recurrent calcium oxalate kidney stones, unexplained hyperoxaluria, nephrocalcinosis, early-onset kidney disease, or a family history of Primary Hyperoxaluria Type 1. It is also used for carrier testing in family members and for prenatal or preconception counselling in at-risk families.
What sample is required for this test?
A 5 mL peripheral venous blood sample collected in an EDTA (lavender-top) vacutainer tube is required. No fasting is necessary. The sample is collected via standard venipuncture and can be obtained at your home through our free home collection service or at any of our walk-in centres across India.
How long does it take to get the test results?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. The report is delivered digitally through our online portal, via email, or on WhatsApp for your convenience.
What is the cost of the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test?
The test is priced at INR 20,000 (twenty thousand rupees). This cost includes sample collection (home or walk-in), complete NGS-based gene sequencing, variant analysis and classification, and digital report delivery. DNA Labs India offers this test at a special discounted rate across all major cities in India.
Is genetic counselling required before taking this test?
Yes, a pre-test genetic counselling session is strongly recommended. During this session, a genetic counsellor will explain the purpose, benefits, limitations, and potential implications of the test. A pedigree chart of affected family members will be drawn, and informed consent will be obtained. Post-test counselling is also recommended to help interpret the results.
Can this test detect all mutations causing Primary Hyperoxaluria Type 1?
The NGS-based test provides comprehensive coverage of the AGXT gene coding exons and flanking intronic regions, detecting the vast majority of known pathogenic variants including point mutations, small insertions and deletions, and copy number variations. However, deep intronic variants, certain regulatory region mutations, and some large structural rearrangements may not be detected. Sanger sequencing confirmation is performed for clinically significant variants.
What does a positive (mutation detected) result mean?
A positive result means that pathogenic or likely pathogenic mutations have been identified in the AGXT gene, confirming a diagnosis of Primary Hyperoxaluria Type 1. The specific mutations and their zygosity (homozygous or compound heterozygous) will be detailed in the report. This information guides treatment decisions, including pyridoxine therapy and potential transplantation planning. Genetic counselling for the family is strongly recommended.
What does a negative (no mutation detected) result mean?
A negative result indicates that no pathogenic variants were identified in the AGXT gene using NGS analysis. This significantly reduces the likelihood of PH1 but does not completely exclude it, as some variants in non-coding or regulatory regions may not be detected. If clinical suspicion remains high, further evaluation including biochemical testing and assessment for other genetic forms of hyperoxaluria (PH2 and PH3) should be considered.
Is this test suitable for children and infants?
Yes, this test is appropriate for patients of all ages, including infants and young children. PH1 often presents in early childhood, and early genetic diagnosis is critical for initiating timely treatment and preventing irreversible kidney damage. The blood sample collection is performed by trained phlebotomists experienced in paediatric sample draws.
Is the AGXT Gene test covered by insurance or government health schemes?
Coverage for genetic testing varies by insurance provider and health scheme. Government programmes such as PMJAY (Ayushman Bharat), CGHS, ECHS, and ESIC may have limited or variable coverage for genetic tests. Private insurance coverage depends on individual policy terms. We recommend contacting your insurance provider or health scheme office to confirm eligibility. DNA Labs India provides detailed invoices to facilitate reimbursement claims.
Can I book this test for home sample collection?
Yes, DNA Labs India offers free home sample collection for the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test. You can book online or call us to schedule a convenient time for a trained phlebotomist to collect the sample from your home. Home collection is available across all major cities in India, including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, and many more locations nationwide.
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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