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ALG13 Gene Glycosylation disorder type 1S NGS Genetic Test

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ALG13 Gene Glycosylation disorder type 1S NGS Genetic Test

Short Name: ALG13-CDG Type 1S NGS Test

Also known as: ALG13-CDG Type 1S Genetic Test, Congenital Disorder of Glycosylation Type 1S NGS Test, ALG13 Gene Mutation Analysis, ALG13 Related Glycosylation Defect Genetic Test, CDG-1S NGS Genetic Test

ALG13 Gene Glycosylation disorder type 1S NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Sequencing (confirmation), Bioinformatics 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. Urgent cases may be accommodated upon prior arrangement with the laboratory. Results are delivered via the DNA Labs India online portal, email, and WhatsApp.. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the ALG13 gene glycosylation disorder type 1S NGS genetic test is to detect pathogenic or likely pathogenic variants in the ALG13 gene that cause congenital disorder of glycosylation type 1S. This test is used to confirm a clinical diagnosis in symptomatic individuals, identify carriers within families, support prenatal and preconception genetic counselling, guide clinical management and therapeutic decisions, and enable recurrence risk assessment for family planning purposes.

Test Code
2052
CPT Code
81479
ICD Code
E77.8
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. Urgent cases may be accommodated upon prior arrangement with the laboratory. Results are delivered via the DNA Labs India online portal, email, and WhatsApp.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Sequencing (confirmation), Bioinformatics Variant Analysis
Step 1

Sample Collection

A genetic counselling session is recommended prior to sample collection. The clinical history of the patient, including developmental milestones, seizure history, family history of metabolic or genetic disorders, and any prior genetic test results, should be documented. A pedigree chart of family members affected with glycosylation disorder type 1S or related conditions should be drawn during counselling. No fasting is required for this test.

Method: Venipuncture

Step 2

Laboratory Analysis

A peripheral blood sample of 3–5 mL is collected by venipuncture into a lavender-top (EDTA) vacutainer tube. Alternatively, one drop of blood on an FTA card or previously extracted DNA may be used. The sample should be gently mixed with the anticoagulant immediately after collection and labelled correctly with the patient's name, date of birth, and unique identifier.

Step 3

Report Delivery

The blood sample should be stored at ambient room temperature (15–25°C) and transported to the laboratory within 48 hours of collection. Do not freeze whole blood samples. If using an FTA card, allow the blood spot to air-dry completely before placing it in the provided envelope. Results will be available within 3 to 4 weeks and 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. Urgent cases may be accommodated upon prior arrangement with the laboratory. Results are delivered via the DNA Labs India online portal, email, and WhatsApp.

Patient Instructions

1
Before the Test:Genetic counselling should be completed prior to testing. A detailed clinical history, including developmental milestones, seizure history, feeding difficulties, and family pedigree, should be documented. Bring any prior genetic test results or metabolic workup reports (e.g., serum transferrin isoelectric focusing) to the consultation. No fasting or special preparation is required.
2
During the Test:A blood sample (3–5 mL) is drawn via venipuncture into an EDTA tube. Alternatively, a blood spot on an FTA card or previously extracted DNA may be submitted. The sample collection process takes approximately 5–10 minutes. Free home sample collection is available across India.
3
After the Test:Apply gentle pressure to the venipuncture site with a cotton ball or gauze for 3–5 minutes. Mild bruising at the site is normal and resolves within a few days. Results will be available within 3 to 4 weeks and will be shared via the online portal, email, or WhatsApp. A post-test genetic counselling session is recommended to discuss findings and next steps.

About This Test

Who Should Get This Test

The purpose of the ALG13 gene glycosylation disorder type 1S NGS genetic test is to detect pathogenic or likely pathogenic variants in the ALG13 gene that cause congenital disorder of glycosylation type 1S. This test is used to confirm a clinical diagnosis in symptomatic individuals, identify carriers within families, support prenatal and preconception genetic counselling, guide clinical management and therapeutic decisions, and enable recurrence risk assessment for family planning purposes.

How to Prepare

  • Collect 3–5 mL peripheral blood in a lavender-top (EDTA) vacutainer tube
  • Gently invert the tube 8–10 times immediately after collection to mix with anticoagulant
  • Alternatively, use one drop of blood on the provided FTA card and allow to air-dry completely
  • Previously extracted DNA (minimum 1 µg, concentration ≥50 ng/µL) is also acceptable
  • Label the sample clearly with patient's full name, date of birth, and sample collection date
  • Store and transport the sample at ambient room temperature (15–25°C); do not freeze whole blood
  • Transport the sample to the laboratory within 48 hours of collection

Doctor's Notes

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

"ALG13-CDG Type 1S is an X-linked dominant condition that predominantly affects females. Families with a known history of glycosylation disorders or unexplained developmental delay and seizures in children should consider genetic testing. Pre-conception and prenatal counselling are strongly recommended for carriers. Early molecular diagnosis allows timely initiation of supportive therapies and informed family planning decisions."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume3 to 5 mL peripheral blood in EDTA tube
ContainerLavender-top EDTA vacutainer or FTA card
Collection MethodVenipuncture

Sample Stability

Whole blood in EDTA – Ambient (15–25°C)
Whole blood in EDTA – Refrigerated (2–8°C)
Extracted DNA – Frozen (-20°C)
FTA Card (dried blood spot) – Ambient
Sample Rejection Criteria:
  • Severely hemolyzed, clotted, or visibly contaminated blood samples
  • Samples received in non-EDTA anticoagulant tubes without prior approval
  • Insufficient sample volume (less than 2 mL blood)
  • Samples without proper patient identification or labelling
  • Samples received more than 7 days after collection at ambient temperature
  • Whole blood samples that have been frozen

Understanding Your Results

The ALG13 gene glycosylation disorder type 1S NGS genetic test report provides a comprehensive analysis of the ALG13 gene with classification of any detected variants according to ACMG/AMP guidelines. The interpretation should be performed in conjunction with clinical findings, family history, and other laboratory results. A genetic counselling session following the receipt of results is strongly recommended.
📊

Confirms a molecular diagnosis of ALG13-CDG Type 1S. Correlates with the clinical phenotype. Genetic counselling for family members and carrier testing is recommended.

📊

Strong evidence supports a diagnosis of ALG13-CDG Type 1S. Clinical correlation is advised. Family segregation studies may help confirm pathogenicity.

📊

Insufficient evidence to classify the variant as pathogenic or benign. Clinical correlation, family studies, and functional assays may be needed. Repeat analysis may be considered as new data become available.

📊

The identified variant is unlikely to be causative of ALG13-CDG Type 1S. Clinical reassessment and consideration of other genetic or metabolic causes is recommended.

📊

No disease-causing variants were identified in the ALG13 gene. This result does not completely exclude ALG13-CDG if clinical suspicion remains high. Consider additional testing such as whole exome sequencing, a broader CDG gene panel, or functional glycosylation studies (e.g., serum transferrin isoelectric focusing).

⚠️ When to Consult a Doctor:

Consult a clinical geneticist or your treating physician if your child presents with unexplained developmental delay, seizures that are difficult to control, microcephaly, low muscle tone, feeding difficulties, or abnormal facial features. Families with a known history of glycosylation disorders should seek genetic counselling before or during pregnancy. If a variant of uncertain significance (VUS) is identified, consult your geneticist for further evaluation and possible family segregation studies.

Limitations

  • This test targets the coding exons and flanking intronic regions of the ALG13 gene; deep intronic, regulatory, or promoter region variants may not be detected
  • Large copy number variations (deletions/duplications) and structural rearrangements may require additional testing such as chromosomal microarray or MLPA
  • Variants of uncertain significance (VUS) may be identified and may require further clinical correlation, family studies, or functional assays for reclassification
  • This test does not rule out glycosylation disorders caused by mutations in other genes in the glycosylation pathway
  • Negative results do not completely exclude ALG13-CDG if clinical suspicion remains high; additional testing or functional glycosylation studies may be warranted

Risks & Considerations

  • Minor bruising or discomfort at the venipuncture site, which typically resolves within 1–2 days
  • Very small risk of infection at the blood draw site
  • Lightheadedness or dizziness during or after blood collection (rare)
  • Possible identification of variants of uncertain significance (VUS) which may cause anxiety and require further investigation
  • Incidental findings related to carrier status for X-linked conditions may have implications for reproductive planning

Interfering Factors

  • Hemolyzed, clotted, or degraded blood samples may compromise DNA extraction quality and yield
  • Prior blood transfusion within the last 30 days may result in mixed DNA profiles and inaccurate variant detection
  • Low DNA yield from insufficient sample volume may affect sequencing coverage and depth
  • Mosaicism at low allele frequency may not be reliably detected by standard NGS pipelines

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Frequently Asked Questions

What is ALG13 Gene Glycosylation Disorder Type 1S?
ALG13 Gene Glycosylation Disorder Type 1S (ALG13-CDG or CDG Type 1S) is a rare X-linked dominant genetic disorder caused by mutations in the ALG13 gene. This gene is involved in the N-linked glycosylation pathway, which is essential for the proper modification of proteins with sugar chains. Defective glycosylation leads to a multisystem disorder affecting brain development, muscle function, and other organ systems.
What are the main symptoms of ALG13-CDG Type 1S?
Common symptoms include developmental delay, intellectual disability, epilepsy (often drug-resistant seizures), hypotonia (low muscle tone), microcephaly (small head size), abnormal facial features, delayed speech development, feeding difficulties, and visual impairment. Symptoms typically present in infancy or early childhood, and severity can vary significantly among affected individuals.
How is ALG13-CDG Type 1S diagnosed?
The condition is diagnosed through genetic testing, specifically by analyzing the ALG13 gene for pathogenic variants. Next-Generation Sequencing (NGS) is the preferred diagnostic method as it provides comprehensive and rapid analysis. Biochemical tests such as serum transferrin isoelectric focusing (TIEF) may be used as an initial screening tool before confirmatory genetic testing.
What sample is required for the ALG13 gene NGS test?
The test requires a peripheral blood sample of 3–5 mL collected in an EDTA (lavender-top) vacutainer tube. Alternatively, one drop of blood on an FTA card or previously extracted DNA (minimum 1 µg) may be used. Free home sample collection is available across India through DNA Labs India.
What is the cost of the ALG13 gene NGS genetic test in India?
The cost of the ALG13 Gene Glycosylation Disorder Type 1S NGS Genetic Test at DNA Labs India is INR ?20,000. This price includes free home sample collection, NGS sequencing, bioinformatics analysis, and a detailed genetic test report.
How long does it take to receive the test results?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. Reports are delivered via the DNA Labs India online portal, email, and WhatsApp for your convenience.
Is there a cure for ALG13-CDG Type 1S?
Currently, there is no cure for ALG13-CDG Type 1S. Treatment is focused on managing symptoms and may include anti-epileptic medications for seizure control, physical therapy for muscle tone improvement, speech therapy, occupational therapy, and nutritional support. Early diagnosis and intervention can help improve developmental outcomes and quality of life.
Is ALG13-CDG Type 1S inherited?
Yes, ALG13-CDG Type 1S follows an X-linked dominant inheritance pattern. The ALG13 gene is located on the X chromosome. Females with one mutated copy may be affected, while males (who have only one X chromosome) may exhibit more severe phenotypes. Genetic counselling is recommended for affected families to understand recurrence risks and carrier status.
Who should consider getting this genetic test?
This test should be considered for infants or children with unexplained developmental delay, intellectual disability, drug-resistant seizures, microcephaly, hypotonia, and characteristic facial dysmorphism. It is also recommended for individuals with suspected congenital disorder of glycosylation based on abnormal biochemical screening results, carrier testing in families with known ALG13 variants, and prenatal or preconception counselling.
Is genetic counselling required before taking this test?
Genetic counselling is strongly recommended both before and after the ALG13 gene NGS test. Pre-test counselling helps document family history, draw a pedigree chart, explain the implications of possible results (including variants of uncertain significance), and obtain informed consent. Post-test counselling assists in interpreting results and planning next steps.
Can this test be used for prenatal diagnosis?
If a pathogenic ALG13 variant has been identified in the family, prenatal testing may be performed using chorionic villus sampling (CVS) or amniocentesis to determine whether the fetus has inherited the variant. Pre-conception carrier testing and genetic counselling are recommended for couples with a known family history of ALG13-CDG.
Is free home sample collection available for this test?
Yes, DNA Labs India offers free home sample collection for the ALG13 Gene Glycosylation Disorder Type 1S NGS Genetic Test when booked online. This service is available across all major cities in India, including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, and many more. A trained phlebotomist will visit your home at a convenient time to collect the blood sample.
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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