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ALS2 Gene Amyotrophic Lateral Sclerosis Type 2, Juvenile NGS Genetic Test

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ALS2 Gene Amyotrophic Lateral Sclerosis Type 2, Juvenile NGS Genetic Test

Short Name: ALS2 Gene Juvenile ALS Type 2 NGS Test

Also known as: ALS2 Gene Mutation Analysis, Juvenile ALS Type 2 Genetic Test, ALS2 NGS Sequencing, ALS Type 2 Diagnosis via NGS

ALS2 Gene Amyotrophic Lateral Sclerosis Type 2, Juvenile NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Validation (as applicable) on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Results are typically available within 21 days (3 to 4 weeks) from the date of sample receipt.. Free home collection in 300+ cities across India.

NGS Genetic TestJuvenile (2-20 years) and All Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this NGS genetic test is to identify pathogenic variants in the ALS2 gene that are associated with Amyotrophic Lateral Sclerosis Type 2 (Juvenile). It is used to confirm a clinical diagnosis, evaluate unexplained early-onset motor neuron disease, provide risk assessment for at-risk family members, and inform genetic counselling and management decisions.

Test Code
3881
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Results are typically available within 21 days (3 to 4 weeks) from the date of sample receipt.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Validation (as applicable)
Step 1

Sample Collection

No special preparation is required. Clinical history and a genetic counselling session with pedigree drawing are mandatory. Patients should bring relevant medical records, previous test results, and a valid physician referral if available.

Method: Venipuncture / Fingerstick for dried blood spot

Step 2

Laboratory Analysis

A trained phlebotomist will collect venous blood in an EDTA vacutainer, or a finger-prick blood spot on an FTA card as per the ordering physician's instruction. The procedure is quick and minimally painful.

Step 3

Report Delivery

Patients can resume normal activities immediately. The specimen will be transported to the laboratory at appropriate temperatures. Reports will be shared via email/portal within 3-4 weeks.

Timeline: Results are typically available within 21 days (3 to 4 weeks) from the date of sample receipt.

Patient Instructions

1
Before the Test:No fasting is required. Patients must complete a pre-test genetic counselling session, and physicians should provide a detailed clinical history and family pedigree.
2
During the Test:A small sample of blood (or an FTA card spot) will be collected. The sample is then sent to our CAP/CLIA accredited laboratory for NGS sequencing.
3
After the Test:Once the report is ready, a genetic counsellor will explain the results, discuss their implications, and outline next steps for management and family testing.

About This Test

Who Should Get This Test

The purpose of this NGS genetic test is to identify pathogenic variants in the ALS2 gene that are associated with Amyotrophic Lateral Sclerosis Type 2 (Juvenile). It is used to confirm a clinical diagnosis, evaluate unexplained early-onset motor neuron disease, provide risk assessment for at-risk family members, and inform genetic counselling and management decisions.

How to Prepare

  • Use EDTA vacutainer (purple cap) for whole blood collection
  • For FTA card: apply one drop of blood and let it air dry completely
  • For extracted DNA: place 2-5 μg in a sterile, clearly labelled microcentrifuge tube
  • Label every sample with patient name, date of birth, collection date, and test name

Doctor's Notes

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

"Genetic confirmation of ALS Type 2 is essential for targeted management, prognosis, and family counselling. NGS-based testing offers rapid and reliable results for families affected by this rare juvenile disorder."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume5 mL whole blood in EDTA / 2-5 μg DNA / 1 drop (FTA card)
ContainerEDTA vacutainer / sterile vial / FTA card
Collection MethodVenipuncture / Fingerstick for dried blood spot

Sample Stability

Whole blood (EDTA): stable 24 hours at 2-8°C
FTA card: stable 1 month at room temperature
Extracted DNA: stable 6 months at -20°C
Sample Rejection Criteria:
  • Haemolyzed or clotted samples
  • Incorrect or missing sample label
  • Sample in a non-EDTA tube without prior approval
  • Incomplete requisition form lacking clinical history or consent

Understanding Your Results

The ALS2 gene NGS test is interpreted in the context of clinical symptoms, family history, and the patient's neurological assessment. A pathogenic variant confirms the diagnosis of ALS Type 2, while a VUS requires further data.
📊

Pathogenic variant detected

Confirms the diagnosis of ALS Type 2 (Juvenile Amytrophic Lateral Sclerosis). Genetic counselling for the patient and family is recommended.

📊

Variant of uncertain significance (VUS) detected

A gene variant with unknown clinical significance. Family segregation studies and functional analysis may help clarify its role.

📊

No pathogenic variant detected

No mutation in the ALS2 gene was found. This does not exclude ALS Type 2 definitively; other genetic or acquired causes should be considered.

⚠️ When to Consult a Doctor:

Consult a neurologist or medical geneticist if a child or adolescent presents with unexplained muscle weakness, stiffness, difficulty walking, speech problems, or a known family history of ALS. Early genetic testing can guide treatment and family planning.

Limitations

  • This test does not detect large exon-level deletions, deep intronic variants, or repeat expansions
  • Variants of uncertain significance (VUS) may be reported; clinical correlation and family studies may be required
  • A negative result does not exclude other forms of ALS or other genetic causes
  • This test is not intended for somatic mutation testing or prenatal diagnosis without prior arrangement

Risks & Considerations

  • Fainting or dizziness during blood draw
  • Minor bruising at the venipuncture site
  • Rare risk of infection or excessive bleeding (very low)

Interfering Factors

  • Poor DNA quality or quantity
  • Presence of maternal cell contamination (if prenatal)
  • Variants in highly repetitive regions may be missed
  • NGS coverage gaps leading to false negative results

Compare With Similar Tests

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Frequently Asked Questions

What is the ALS2 gene?
The ALS2 gene provides instructions for making the alsin protein, which is important for the survival of motor neurons. Mutations in this gene can lead to Juvenile Amyotrophic Lateral Sclerosis Type 2.
What does this NGS genetic test detect?
It detects sequence variants (mutations) in the coding regions and splice sites of the ALS2 gene that are associated with ALS Type 2.
Who should consider this test?
Children or adolescents presenting with symptoms like muscle weakness, spasticity, difficulty walking, or unexplained motor deterioration, as well as family members of known ALS2 mutation carriers.
What sample is required?
Whole blood in an EDTA tube, or extracted DNA, or one drop of blood on an FTA card. The sample is easy to collect and ship.
Do I need to fast before the test?
No, fasting is not required for this genetic test.
How much does the test cost?
The ALS2 gene NGS test costs INR 20,000 at DNA Labs India, inclusive of free home sample collection.
How long will I get the report?
Reports are typically delivered within 3 to 4 weeks after the sample reaches our laboratory.
Is home sample collection available?
Yes, DNA Labs India offers free home sample collection across all major cities in India. To schedule a pickup, please contact our support team.
What does a 'Pathogenic variant detected' result mean?
It means that a disease-causing mutation was found in the ALS2 gene, strongly supporting a diagnosis of Juvenile ALS Type 2. Genetic counselling is advised.
What does 'Variant of uncertain significance' (VUS) mean?
A VUS is a genetic change whose effect on health is unknown. While it may be linked to disease, more research is needed. Further family testing may provide additional information.
Is this test covered by insurance?
Coverage varies by provider. We recommend contacting your insurance company to check if genetic testing for ALS is covered, and we can provide necessary documents for reimbursement.
Does a negative result exclude ALS?
No. A negative ALS2 result does not rule out other forms of ALS or other neurological disorders. Your doctor may recommend additional tests or genetic panels.
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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