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CHRNA1 Gene Myasthenic syndrome, congenital, fast channel NGS Genetic Test

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CHRNA1 Gene Myasthenic syndrome, congenital, fast channel NGS Genetic Test

Short Name: CHRNA1 CMS Fast Channel NGS

Also known as: CHRNA1 Gene Test, Fast Channel CMS Genetic Test, CHRNA1 Congenital Myasthenic Syndrome NGS Test, CHRNA1 Neuromuscular Genetic Test

CHRNA1 Gene Myasthenic syndrome, congenital, fast channel NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next Generation Sequencing (NGS) on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Reports are issued within 3 to 4 weeks of sample receipt at the laboratory. The report will be delivered on the selected digital channel.. Free home collection in 300+ cities across India.

NeurologistAll age groups🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to detect pathogenic or likely pathogenic variants in the CHRNA1 gene in individuals with clinical or electrophysiological features of congenital myasthenic syndrome. The result helps confirm the molecular diagnosis, differentiate fast-channel CMS from other neuromuscular disorders, guide management, and provide a basis for genetic counselling and family testing.

Test Code
4376
CPT Code
NA
ICD Code
G70.2
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Reports are issued within 3 to 4 weeks of sample receipt at the laboratory. The report will be delivered on the selected digital channel.
Fasting Required
No
Method
Next Generation Sequencing (NGS)
Step 1

Sample Collection

A pre-test genetic counselling session is recommended to draw a family pedigree and obtain informed consent. There is no need to fast for this test.

Method: Peripheral venous blood draw or finger-prick blood spot on FTA card

Step 2

Laboratory Analysis

A blood sample is drawn into an EDTA tube, or a single drop of blood is applied to the indicated circle of an FTA card. If extracted DNA is submitted, it should be labelled with a unique identifier.

Step 3

Report Delivery

The sample should be transported to the laboratory as per kit instructions. FTA cards should be dried completely before sealing in the protective pouch. Keep whole blood samples at 2-8°C until dispatch.

Timeline: Reports are issued within 3 to 4 weeks of sample receipt at the laboratory. The report will be delivered on the selected digital channel.

Patient Instructions

1
Before the Test:Attend genetic counselling, bring previous investigation reports and complete the consent form.
2
During the Test:Provide the blood/FTA card sample when requested; the procedure takes only a few minutes.
3
After the Test:Wait for the report (3-4 weeks). A genetic counsellor will help explain the result and next steps.

About This Test

Who Should Get This Test

The purpose of this test is to detect pathogenic or likely pathogenic variants in the CHRNA1 gene in individuals with clinical or electrophysiological features of congenital myasthenic syndrome. The result helps confirm the molecular diagnosis, differentiate fast-channel CMS from other neuromuscular disorders, guide management, and provide a basis for genetic counselling and family testing.

How to Prepare

  • No fasting is required.
  • Complete the genetic counselling session and informed consent.
  • Provide clinical history, EMG report and pedigree information.
  • Ensure the sample is labelled with the patient's name and date of birth.

Doctor's Notes

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

"Fast-channel congenital myasthenic syndrome can be misdiagnosed as seronegative myasthenia gravis. A targeted NGS test for CHRNA1 establishes the molecular diagnosis and guides treatment and reproductive counselling."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume3 mL whole blood in EDTA, one dried blood spot on FTA card, or extracted DNA as per kit
ContainerEDTA vacutainer / FTA card / DNA collection tube
Collection MethodPeripheral venous blood draw or finger-prick blood spot on FTA card

Sample Stability

Whole blood in EDTA: 24-48 hours at 2-8°C
FTA card dried blood spot: stable for transport at ambient temperature
Extracted DNA: long-term at -20°C; avoid repeated freeze-thaw cycles
Sample Rejection Criteria:
  • Haemolysed or clotted blood sample
  • Incorrectly labelled sample
  • Inadequate blood volume or insufficient FTA spots
  • Sample not accompanied by clinical history and completed genetic counselling form

Understanding Your Results

The NGS result is reported as per ACMG/AMP classification. The interpreting clinician should correlate the molecular finding with the neuromuscular phenotype.
📊

Pathogenic variant detected

Confirms the diagnosis of CHRNA1-related congenital myasthenic syndrome. Genetic counselling and family segregation testing are recommended.

📊

Likely pathogenic variant detected

Highly likely to be disease-causing; additional segregation or functional evidence may be useful.

📊

Variant of uncertain significance (VUS) identified

Cannot confirm or exclude the diagnosis. Family studies and additional clinical data are needed.

📊

No pathogenic variant detected

Does not exclude CMS. Other genes or non-genetic causes should be considered.

⚠️ When to Consult a Doctor:

If the report identifies a pathogenic or likely pathogenic variant, consult a neurologist and a clinical geneticist for treatment, surveillance and genetic counselling. Discuss reproductive risks with family members as appropriate.

Limitations

  • Standard NGS may not detect large structural rearrangements, repeats or deep intronic variants.
  • A variant of uncertain significance (VUS) does not provide a definitive diagnosis and may require family studies.
  • A negative result does not exclude all forms of congenital myasthenic syndrome; a comprehensive CMS gene panel may be considered if clinical suspicion remains high.
  • Results should be interpreted in the context of clinical presentation and EMG findings.

Risks & Considerations

  • Bruising at venipuncture site
  • Lightheadedness during blood draw
  • Possible anxiety about the genetic result

Interfering Factors

  • Poor DNA quality or quantity
  • Clotted or haemolysed blood samples
  • Incorrect sample tube / use of heparin instead of EDTA
  • Consanguinity or complex family histories can complicate segregation interpretation

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Frequently Asked Questions

What is the CHRNA1 gene congenital myasthenic syndrome fast channel NGS genetic test?
It is a targeted next-generation sequencing test that analyses the CHRNA1 gene for pathogenic variants associated with fast-channel congenital myasthenic syndrome.
What disease does this test screen for?
This test screens for CHRNA1-related congenital myasthenic syndrome, specifically the fast-channel subtype caused by mutations in the CHRNA1 gene.
What are the usual symptoms of fast-channel CMS?
Symptoms include childhood-onset muscle weakness and fatigue, drooping eyelids, double vision, facial weakness, limb weakness, and difficulty swallowing or breathing in severe cases.
Who should consider this CHRNA1 genetic test?
Any person with unexplained myasthenic symptoms, an abnormal EMG with decremental response, a family history of CMS, or a clinical suspicion of fast-channel congenital myasthenic syndrome.
What type of sample is required?
The test can be performed on whole blood in EDTA, extracted DNA, or one drop of blood placed on an FTA card.
Does this test require fasting?
No, fasting is not required for this genetic test.
What is the cost of this test in India?
At DNA Labs India, this test costs Rs 20000. Prices across other laboratories in India may range from Rs 20000 to Rs 30000.
How long does it take to get the report?
Reports are delivered in 3 to 4 weeks from sample receipt.
Which technology is used for this test?
Next-generation sequencing (NGS) technology is used to read the CHRNA1 gene.
How will I know if my test is positive?
The report will classify variants as pathogenic, likely pathogenic, variant of uncertain significance, likely benign, or benign. A pathogenic or likely pathogenic variant is considered positive.
Can a negative CHRNA1 test exclude all congenital myasthenic syndromes?
No. A negative CHRNA1 test does not rule out other CMS genes. If clinical suspicion remains high, a comprehensive CMS gene panel may be considered.
Is this genetic test covered by health insurance?
Genetic tests are often not covered by Indian health insurance schemes. You should confirm with your insurance provider before ordering the test.
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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