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.
🩺 Medically Reviewed By
Dr SULOCHANA HEMCHANDRA HOLLA
Consultant Medical Geneticist · Reg: 8532
Last reviewed: September 7, 2026
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
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
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.
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
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 Dr SULOCHANA HEMCHANDRA HOLLA — 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 Stability
- 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
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.
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
| Test | AGXT Gene Hyperoxaluria type 1 NGS Genetic Test | Urine Oxalate Test | Sanger Sequencing of AGXT Gene | Enzyme Activity Assay (AGT Activity in Liver Biopsy) | Urine Glycolate Test |
|---|---|---|---|---|---|
| Comparison | AGXT Gene Hyperoxaluria type 1 NGS Genetic Test |
Frequently Asked Questions
What is the AGXT Gene Hyperoxaluria Type 1 NGS Genetic Test?
Why is the AGXT Gene test recommended?
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Can this test detect all mutations causing Primary Hyperoxaluria Type 1?
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What does a negative (no mutation detected) result mean?
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