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B4GALT1 Gene Glycosylation disorder type 2D NGS Genetic Test

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B4GALT1 Gene Glycosylation disorder type 2D NGS Genetic Test

Short Name: B4GALT1 CDG Type 2D NGS Test

Also known as: CDG Type 2D Test, B4GALT1-CDG Genetic Test, Congenital Disorder of Glycosylation Type 2D NGS Test, B4GALT1 Gene Sequencing Test, CDG2D NGS Panel

B4GALT1 Gene Glycosylation disorder type 2D NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Bioinformatics Variant Analysis, ACMG Variant Classification 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.

General Physician🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the B4GALT1 Gene Glycosylation Disorder Type 2D NGS Genetic Test is to identify pathogenic or likely pathogenic variants in the B4GALT1 gene that cause congenital disorder of glycosylation type 2D. This test is used for confirmatory molecular diagnosis in individuals presenting with suspected CDG symptoms, carrier screening for family members of affected individuals, prenatal or preconception genetic counselling in families with a known history of CDG-2D, and differential diagnosis of unexplained developmental delay, seizures, or multisystem metabolic presentations.

Test Code
2058
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.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Bioinformatics Variant Analysis, ACMG Variant Classification
Step 1

Sample Collection

No special preparation such as fasting is required. A genetic counselling session is recommended prior to sample collection to discuss the clinical history of the patient and to draw a pedigree chart of family members affected with glycosylation disorder type 2D. Inform the testing team about any recent blood transfusions or ongoing treatments.

Method: Venipuncture

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3-5 mL of venous blood in an EDTA (lavender-top) vacutainer tube, or alternatively a single drop of blood may be applied onto an FTA card. The sample is labelled with patient identifiers and stored at ambient room temperature.

Step 3

Report Delivery

The sample is transported to the DNA Labs India facility under controlled ambient conditions. The DNA is extracted, library preparation is performed, and the B4GALT1 gene is sequenced using next-generation sequencing. Results are typically available within 3 to 4 weeks and are shared via online portal, email, or WhatsApp.

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:A pre-test genetic counselling session is recommended to review the patient's clinical history, discuss the implications of genetic testing, and construct a pedigree chart of family members affected with glycosylation disorder type 2D. No fasting is required. Ensure all relevant medical records and previous investigation reports are available for the genetic counsellor.
2
During the Test:A healthcare professional will collect a blood sample (3-5 mL in EDTA tube or one drop on FTA card) via venipuncture. The procedure is quick and involves minimal discomfort similar to a routine blood draw. Home sample collection is available free of charge through DNA Labs India across India.
3
After the Test:After sample collection, the specimen is transported to the laboratory where DNA is extracted and the B4GALT1 gene is analysed using next-generation sequencing. The report, including variant interpretation and clinical recommendations, is delivered within 3 to 4 weeks via online portal, email, or WhatsApp. Post-test genetic counselling is recommended to discuss the results.

About This Test

Who Should Get This Test

The purpose of the B4GALT1 Gene Glycosylation Disorder Type 2D NGS Genetic Test is to identify pathogenic or likely pathogenic variants in the B4GALT1 gene that cause congenital disorder of glycosylation type 2D. This test is used for confirmatory molecular diagnosis in individuals presenting with suspected CDG symptoms, carrier screening for family members of affected individuals, prenatal or preconception genetic counselling in families with a known history of CDG-2D, and differential diagnosis of unexplained developmental delay, seizures, or multisystem metabolic presentations.

How to Prepare

  • Collect 3-5 mL of whole blood in an EDTA (lavender-top) vacutainer tube
  • Alternatively, apply one drop of blood on an FTA card and allow to air dry
  • Label the sample with full patient name, date of birth, and unique identification number
  • Store the sample at ambient room temperature (15-30°C) before transport
  • Do not freeze whole blood samples
  • Transport to the laboratory within 48 hours of collection

Doctor's Notes

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

"Congenital disorders of glycosylation such as CDG Type 2D are often underdiagnosed due to their rarity and overlap with other metabolic conditions. Early molecular confirmation through NGS-based testing allows for accurate diagnosis, informed genetic counselling, recurrence risk assessment, and appropriate management planning. Families with a known history of consanguinity or a previously affected child should consider this test for confirmatory or carrier screening purposes."

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 whole blood in EDTA tube
ContainerEDTA (Lavender Top) vacutainer or FTA Card
Collection MethodVenipuncture

Sample Stability

Sample Rejection Criteria:
  • Sample collected in heparin anticoagulant tube
  • Haemolysed, clotted, or insufficient volume samples
  • Samples without proper labelling or patient identification
  • Samples received more than 48 hours after collection without prior arrangement
  • Contaminated or leaking sample containers

Understanding Your Results

The NGS Genetic Test for B4GALT1 Gene Glycosylation Disorder Type 2D identifies variants in the B4GALT1 gene. The clinical significance of each detected variant is classified according to ACMG/AMP 2015 guidelines. Interpretation should always be performed in conjunction with clinical findings, family history, and additional laboratory investigations.
📊

Confirms a molecular diagnosis of B4GALT1-CDG (Congenital Disorder of Glycosylation Type 2D). Genetic counselling is recommended for the patient and family members. Carrier testing should be offered to parents and at-risk relatives.

Action: Consult a clinical geneticist or metabolic disease specialist for comprehensive management and surveillance plan.

📊

A genetic variant was identified but current evidence is insufficient to classify it as pathogenic or benign. This result alone cannot confirm or exclude the diagnosis.

Action: Correlate with clinical features and family segregation studies. Re-analysis may be recommended as new evidence becomes available.

📊

No pathogenic or likely pathogenic variants were identified in the B4GALT1 gene. This result reduces the likelihood of CDG Type 2D but does not completely exclude it, as certain types of variants may not be detected by this method.

Action: Discuss with the referring physician or genetic counsellor to evaluate alternative diagnoses or consider further testing such as whole exome sequencing or gene panel testing.

⚠️ When to Consult a Doctor:

If the test identifies pathogenic or likely pathogenic variants in the B4GALT1 gene, or if your child presents with unexplained developmental delay, seizures, feeding difficulties, abnormal facial features, or failure to thrive, it is essential to consult a clinical geneticist or a metabolic disease specialist at the earliest opportunity for comprehensive evaluation, management planning, and family genetic counselling.

Limitations

  • This test does not detect large genomic rearrangements or deep intronic variants outside the targeted region
  • Variants of uncertain significance (VUS) may be reported and require clinical correlation and family studies
  • Results should always be interpreted in the context of clinical presentation and family history
  • Polygenic or epigenetic contributions to the phenotype are not assessed
  • The test may not detect low-level mosaicism

Risks & Considerations

  • Minimal risk associated with blood collection: mild bruising, slight discomfort at the venipuncture site, or rarely, a small hematoma
  • Psychological or emotional impact related to receiving genetic test results, particularly if pathogenic variants are identified
  • Possible identification of variants of uncertain significance (VUS) that may cause anxiety without providing a definitive diagnosis

Interfering Factors

  • Degraded or insufficient DNA quality from improperly stored samples
  • Blood samples collected in incorrect anticoagulant tubes (e.g., heparin instead of EDTA)
  • Recent blood transfusion may cause allelic dropout or mixed genotype results
  • Contamination during sample collection or processing

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Frequently Asked Questions

What is B4GALT1 Gene Glycosylation Disorder Type 2D?
B4GALT1 Gene Glycosylation Disorder Type 2D (CDG-2D) is an ultra-rare autosomal recessive metabolic disorder caused by pathogenic variants in the B4GALT1 gene. This gene encodes the enzyme beta-1,4-galactosyltransferase 1, which is essential for the glycosylation process — the attachment of sugar chains to proteins and lipids. Disruption of this enzyme leads to multi-organ dysfunction, primarily affecting the brain, skeletal system, and gastrointestinal tract.
What are the common symptoms of B4GALT1 CDG Type 2D?
Common symptoms include global developmental delay, seizures, abnormal facial features such as microcephaly, low-set ears, and micrognathia, structural brain abnormalities, feeding and swallowing difficulties, failure to thrive, and in some cases coagulation abnormalities and hepatomegaly. Symptoms typically manifest in the neonatal or early infantile period.
How is B4GALT1 CDG Type 2D diagnosed?
The diagnosis is confirmed through molecular genetic testing. The B4GALT1 Gene Glycosylation Disorder Type 2D NGS Genetic Test uses next-generation sequencing technology to detect pathogenic variants in the B4GALT1 gene. Functional screening with transferrin isoelectric focusing (TIEF) may also be used as a preliminary investigation to detect glycosylation abnormalities in serum.
What is the cost of the B4GALT1 Gene NGS Genetic Test in India?
The cost of the B4GALT1 Gene Glycosylation Disorder Type 2D NGS Genetic Test at DNA Labs India is INR 20000. This includes the genetic analysis, bioinformatics interpretation, expert review, and a detailed clinical report. Free home sample collection is available across India.
What sample is required for this genetic test?
The test requires a 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 can also be used. No fasting is required for sample collection.
How long does it take to get the test results?
The results of the B4GALT1 Gene NGS Genetic Test are typically available within 3 to 4 weeks from the date the sample is received at the laboratory. The report is delivered through the online portal, email, or WhatsApp.
Is home sample collection available for this test?
Yes, DNA Labs India offers free home sample collection for the B4GALT1 Gene Glycosylation Disorder Type 2D NGS Genetic Test. This service is available across India in cities including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, and many more. You can book your home collection online.
Is B4GALT1 CDG Type 2D a hereditary condition?
Yes, B4GALT1 CDG Type 2D is an autosomal recessive genetic disorder. This means that both parents must carry at least one copy of the pathogenic variant for their child to be affected. Carriers typically do not show symptoms. Genetic counselling is recommended for families with a known history of this condition.
Can this genetic test be performed during pregnancy?
The B4GALT1 NGS Genetic Test is primarily a postnatal diagnostic test using blood samples. However, prenatal testing may be considered in families with a previously affected child or known carrier parents through amniocentesis or chorionic villus sampling (CVS), in consultation with a genetic counsellor and a fetal medicine specialist.
What should I do if my child is diagnosed with B4GALT1 CDG Type 2D?
If your child receives a positive diagnosis, consult a clinical geneticist or metabolic disease specialist for a comprehensive management plan. Early intervention, including physiotherapy, occupational therapy, nutritional support, and seizure management, can improve quality of life. Genetic counselling should be offered to the family for recurrence risk assessment and carrier testing.
Is the B4GALT1 Gene NGS Genetic Test available across India?
Yes, the B4GALT1 Gene Glycosylation Disorder Type 2D NGS Genetic Test is available across India through DNA Labs India. Free home sample collection is provided in major cities including Mumbai, Delhi, Bangalore, Hyderabad, Ahmedabad, Chennai, Kolkata, Surat, Pune, Jaipur, Lucknow, Chandigarh, and hundreds of other cities and towns nationwide.
Who should consider getting tested for B4GALT1 CDG Type 2D?
This test should be considered for infants or children presenting with unexplained developmental delay, seizures, dysmorphic facial features, feeding difficulties, or failure to thrive. It is also recommended for individuals with abnormal transferrin isoelectric focusing (TIEF) results suggestive of a glycosylation disorder, families with a known history of CDG-2D, and consanguineous couples seeking carrier screening.
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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