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DNA Labs India

Chimerism Pre-Engraftment Donor & Recipient Test

DNA Labs India | ISO 9001:2015 Certified

Chimerism Pre-Engraftment Donor & Recipient Test

Short Name: Chimerism Pre-Engraftment Test

Also known as: Chimerism Analysis, HSCT Engraftment Test, Donor-Recipient Chimerism Test

Chimerism Pre-Engraftment Donor & Recipient Test test available at DNA Labs India for ₹13,000. Uses PCR, STR / Fragment analysis on Whole blood from Donor and Recipient samples. Results in 10-12 days from sample collection. Free home collection in 300+ cities across India.

Molecular Diagnostic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the Chimerism Pre-Engraftment Donor & Recipient Test is to determine the level of engraftment between donor and recipient cells after allogeneic hematopoietic stem cell transplantation (HSCT). It aids in detecting symptoms such as rejection of donor cells, failure of engraftment, and relapse of the underlying disease, enabling early intervention to improve transplant success.

Test Code
292
Price
₹13,000
Sample Type
Whole blood from Donor and Recipient
Result Time
10-12 days from sample collection
Fasting Required
No
Method
PCR, STR / Fragment analysis
Step 1

Sample Collection

No special preparation required

Method: Venipuncture

Step 2

Laboratory Analysis

Standard venipuncture procedure; collect 4 ml whole blood in EDTA tubes from both donor and recipient

Step 3

Report Delivery

Apply pressure to puncture site; label tubes appropriately as Donor and Recipient

Timeline: 10-12 days from sample collection

Patient Instructions

1
Before the Test:No special preparation required; inform your doctor about any medications or recent transfusions.
2
During the Test:A blood sample is collected from both donor and recipient via venipuncture.
3
After the Test:Results are available online in 10-12 days; apply pressure to the puncture site to prevent bruising.

About This Test

Who Should Get This Test

The purpose of the Chimerism Pre-Engraftment Donor & Recipient Test is to determine the level of engraftment between donor and recipient cells after allogeneic hematopoietic stem cell transplantation (HSCT). It aids in detecting symptoms such as rejection of donor cells, failure of engraftment, and relapse of the underlying disease, enabling early intervention to improve transplant success.

How to Prepare

  • Label tubes clearly as Donor and Recipient
  • Store samples at refrigerated temperature (2-8°C)
  • Do not freeze samples
  • Ship within 72 hours of collection
  • Use appropriate packaging to prevent leakage

Doctor's Notes

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

"This test is crucial for monitoring engraftment post-HSCT to ensure treatment success and early detection of complications such as graft rejection or relapse."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole blood from Donor and Recipient
Sample Volume4 ml (2 ml min.) each for Donor and Recipient
ContainerLavender Top (EDTA) tube
Collection MethodVenipuncture

Sample Stability

Refrigerator (2-8°C)
Frozen
Room Temperature
Sample Rejection Criteria:
  • Hemolyzed samples
  • Incorrect or missing labeling
  • Insufficient sample volume
  • Samples stored at room temperature for prolonged periods
  • Frozen samples

Understanding Your Results

Results from the Chimerism Pre-Engraftment Test are interpreted based on the percentage of donor versus recipient cells. High donor chimerism generally indicates successful engraftment, while low values may suggest graft rejection or failure.
📊

High donor chimerism (>95%)

Indicates successful engraftment; monitor for stability

📊

Mixed chimerism (5-95%)

May require close monitoring or intervention depending on clinical context

📊

Low donor chimerism (<5%)

Suggests graft rejection or failure; consult hematologist immediately

⚠️ When to Consult a Doctor:

Consult your doctor if results show low donor chimerism, signs of graft rejection, disease relapse, or if you experience symptoms like fever, fatigue, or infection post-transplant.

Limitations

  • Cannot detect all types of chimerism, such as cryptic chimerism
  • Depends on informative genetic markers between donor and recipient
  • May require repeat testing for accurate monitoring
  • Does not provide information on cell function or viability

Risks & Considerations

  • Minimal risks from blood draw, such as bruising or discomfort at puncture site
  • Rare risk of infection or hematoma

Interfering Factors

  • Hemolyzed blood samples
  • Improper sample storage or handling
  • Recent blood transfusions may affect results
  • Contamination during sample collection

Compare With Similar Tests

TestChimerism Pre-Engraftment Donor & Recipient Test
ComparisonChimerism Pre-Engraftment Donor & Recipient TestFlow cytometry measures cell surface markers; PCR-based chimerism is more sensitive for genetic differencesHLA typing is for donor matching pre-transplant; chimerism testing monitors post-transplant engraftmentBiopsy provides tissue-level analysis; chimerism test is less invasive using blood samples

Frequently Asked Questions

What is the Chimerism Pre-Engraftment Donor & Recipient Test?
It is a molecular test performed after hematopoietic stem cell transplantation (HSCT) to measure the level of donor cell engraftment in the recipient's body, helping assess transplant success.
Why is this test performed after HSCT?
To monitor engraftment, detect early signs of graft rejection or failure, and identify disease relapse, enabling timely medical interventions to improve patient outcomes.
How is the chimerism test conducted?
The test uses techniques like PCR (Polymerase Chain Reaction) and STR (Short Tandem Repeat) analysis on blood samples from both donor and recipient to detect genetic differences and quantify chimerism.
What sample is required for this test?
4 ml (2 ml min.) whole blood in Lavender Top (EDTA) tubes from both donor and recipient. Samples must be labeled correctly and shipped refrigerated.
What does a high donor chimerism percentage indicate?
A high donor chimerism (>95%) typically indicates successful engraftment, meaning donor cells are effectively repopulating the recipient's bone marrow.
What does a low donor chimerism percentage mean?
A low donor chimerism (<5%) may suggest graft rejection or failure, requiring immediate consultation with a hematologist for further evaluation and possible treatment adjustments.
How long does it take to get results?
Results are typically available in 10-12 days from the date of sample collection.
Is fasting required for this test?
No, fasting is not required. No special preparation is needed before the test.
Can this test be done at home?
Yes, DNA Labs India offers free home sample collection for this test across many cities in India. Book online for convenient service.
What is the cost of the chimerism test?
The cost is INR 13000.0, which includes sample collection and report delivery.
How accurate is the chimerism pre-engraftment test?
The test is highly accurate due to advanced PCR and STR analysis, but accuracy depends on proper sample handling and the presence of informative genetic markers.
Who should perform this test?
This test should be ordered by a hematologist or transplant specialist and performed by accredited laboratories like DNA Labs India for reliable results.
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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