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COL12A1 Gene Bethlem Myopathy Type 2 NGS Genetic Test

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COL12A1 Gene Bethlem Myopathy Type 2 NGS Genetic Test

Short Name: COL12A1 Bethlem Myopathy NGS

Also known as: COL12A1 Gene Sequencing, Bethlem Myopathy Type 2 Genetic Test, Collagen Type XII Alpha-1 Gene Mutation Test, COL12A1 Mutation Analysis

COL12A1 Gene Bethlem Myopathy Type 2 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger confirmation of reported variants on Blood, Extracted DNA, or FTA Card Blood Spot samples. Results in The turnaround time for this test is 3 to 4 weeks from the date the sample is received at the laboratory. In cases where segregation analysis or additional confirmatory testing is required, the report may be delayed by an additional 1 to 2 weeks.. Free home collection in 300+ cities across India.

Next-Generation Sequencing (NGS)🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of this test is to identify pathogenic mutations in the COL12A1 gene that cause Bethlem myopathy type 2. This molecular confirmation helps in establishing an accurate diagnosis, enabling appropriate clinical management, providing recurrence-risk counseling for family members, and differentiating Bethlem myopathy type 2 from phenotypically overlapping neuromuscular disorders such as Ullrich congenital muscular dystrophy and other collagen VI-related myopathies.

Test Code
3934
CPT Code
81408
ICD Code
G71.0
Price
₹20,000
Sample Type
Blood, Extracted DNA, or FTA Card Blood Spot
Result Time
The turnaround time for this test is 3 to 4 weeks from the date the sample is received at the laboratory. In cases where segregation analysis or additional confirmatory testing is required, the report may be delayed by an additional 1 to 2 weeks.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger confirmation of reported variants
Step 1

Sample Collection

The patient does not require fasting for this test. A genetic counseling session is mandatory before the test. During this session, the clinician will draw a three-generation pedigree and document family history. Please carry any prior medical records, muscle biopsy reports, MRI findings, and previous genetic test results if available.

Method: Venipuncture or Dried Blood Spot

Step 2

Laboratory Analysis

For blood collection, a trained phlebotomist will draw a peripheral blood sample in an EDTA vacutainer. If using FTA card, one drop of blood from a finger prick is applied to the designated circle. For extracted DNA sample, the DNA should be provided in a sterile tube with a minimum concentration of 50 ng/µL and appropriate purity.

Step 3

Report Delivery

No special precautions are required after blood collection. You may resume normal activities immediately. The sample will be transported to our NGS laboratory at ambient temperature or as per protocol. The report will be shared via email and the patient portal within 3 to 4 weeks.

Timeline: The turnaround time for this test is 3 to 4 weeks from the date the sample is received at the laboratory. In cases where segregation analysis or additional confirmatory testing is required, the report may be delayed by an additional 1 to 2 weeks.

Patient Instructions

1
Before the Test:A referral from a neurologist or geneticist is recommended. Review the patient's clinical history and family pedigree. Discuss the benefits, limitations, and expected outcomes of NGS testing with a genetic counselor. Obtain written informed consent. For affected children, parental samples may be needed for segregation analysis.
2
During the Test:The NGS process includes DNA extraction, fragmentation, library preparation, hybridization capture of COL12A1, sequencing on an Illumina platform, and bioinformatic analysis. The test is usually a single blood draw taking less than 10 minutes. No anesthesia or special preparation is required.
3
After the Test:The genomic DNA is amplified and sequenced. Data are analyzed against reference sequence NG_012091.2. Variants are annotated and reviewed by a molecular geneticist. The final report is verified and issued after clinical interpretation. A genetic counseling follow-up is recommended to understand the implications for the patient and family.

About This Test

Who Should Get This Test

The primary purpose of this test is to identify pathogenic mutations in the COL12A1 gene that cause Bethlem myopathy type 2. This molecular confirmation helps in establishing an accurate diagnosis, enabling appropriate clinical management, providing recurrence-risk counseling for family members, and differentiating Bethlem myopathy type 2 from phenotypically overlapping neuromuscular disorders such as Ullrich congenital muscular dystrophy and other collagen VI-related myopathies.

How to Prepare

  • Use an EDTA-containing sterile collection tube for whole blood
  • Do not freeze whole blood; keep at room temperature if the sample reaches the lab within 72 hours
  • If using FTA card, allow the blood spot to dry completely for at least 1 hour before sealing
  • Extracted DNA samples must be labeled with the patient name and unique ID
  • Send samples at ambient temperature with a cold pack if the courier duration exceeds 3 days

Doctor's Notes

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

"CLINICAL INSIGHT: Bethlem myopathy type 2 is an ultrarare collagen VI-related disorder. NGS-based sequencing of COL12A1 is the most efficient diagnostic approach when clinical presentation suggests a collagenopathy and COL6A1-3 genes have been ruled out or when the phenotype is atypical. This test should be interpreted in conjunction with clinical evaluation, muscle MRI, and creatine kinase levels."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood, Extracted DNA, or FTA Card Blood Spot
Sample Volume2 mL whole blood or 1 µg DNA
ContainerEDTA tube, DNA vial, or FTA card
Collection MethodVenipuncture or Dried Blood Spot

Sample Stability

Whole blood (EDTA)
Whole blood (EDTA)
FTA card dried blood spot
Extracted DNA
Sample Rejection Criteria:
  • Clotted or hemolysed blood sample
  • Unlabeled or mislabeled sample
  • Blood collected in a heparin-containing tube
  • Sample exposed to extreme heat or frozen whole blood
  • Insufficient sample volume or DNA concentration
  • FTA card not dried properly

Understanding Your Results

The COL12A1 gene Bethlem myopathy type 2 NGS genetic test is interpreted by a certified clinical geneticist. Results are classified according to ACMG/AMP guidelines as pathogenic, likely pathogenic, variant of uncertain significance (VUS), likely benign, or benign. Pathogenic or likely pathogenic variants confirm the diagnosis. VUS results may require further segregation analysis and clinical correlation.
📊

Confirms a molecular diagnosis of Bethlem myopathy type 2. Enables accurate genetic counseling, family screening, and prenatal diagnosis if desired.

📊

Does not rule out Bethlem myopathy type 2 if clinical suspicion remains high. Consider alternative genes or non-genetic causes.

📊

Additional familial segregation testing, RNA studies, or protein studies may help reclassify the variant.

📊

Considered non-diagnostic for Bethlem myopathy type 2.

⚠️ When to Consult a Doctor:

If you or your child have unexplained muscle weakness, joint contractures, or delayed motor development, consult a neurologist or geneticist. If a COL12A1 mutation is identified, seek regular follow-up with a neuromuscular specialist to monitor respiratory, cardiac, and orthopedic complications. Family members of an affected individual may also consult a clinical geneticist for cascade testing.

Limitations

  • This test detects mutations in the COL12A1 gene only; mutations in other genes (e.g., COL6A1, COL6A2, COL6A3) will not be identified
  • NGS may not reliably detect large genomic rearrangements, trinucleotide repeat expansions, or deep intronic variants
  • Variants of uncertain significance (VUS) may require additional family segregation studies and functional analysis
  • Mosaic variants at low allele fraction may be missed
  • Negative results do not exclude a genetic cause for the patient's symptoms; further testing may be required

Risks & Considerations

  • No significant physical risks are associated with blood collection. Minor bruising or discomfort at the venipuncture site may occur.
  • Psychological impact of learning genetic test results, especially if a disease-causing mutation is identified
  • Possible detection of a variant of uncertain significance which may create anxiety
  • Incidental findings unrelated to the primary indication

Interfering Factors

  • Presence of a hematological malignancy or recent blood transfusion can contaminate the DNA sample
  • Bone marrow transplantation from a genetically different donor may produce a false-negative result
  • DPA (DNA-poor sample) or degraded DNA from improper storage can reduce sequencing quality
  • Clinical misclassification if the phenotype is atypical for Bethlem myopathy type 2

Compare With Similar Tests

TestCOL12A1 Gene Bethlem Myopathy Type 2 NGS Genetic TestCOL6A1, COL6A2, COL6A3 Gene NGS PanelComprehensive Neuromuscular Disorder NGS PanelSanger Sequencing for COL12A1Chromosomal Microarray (CMA)
ComparisonCOL12A1 Gene Bethlem Myopathy Type 2 NGS Genetic Test

Frequently Asked Questions

What is Bethlem myopathy type 2?
Bethlem myopathy type 2 is a rare inherited muscle disorder caused by mutations in the COL12A1 gene. It is characterized by muscle weakness, joint contractures, and sometimes respiratory or cardiac involvement.
Why is NGS used for this test?
Next-generation sequencing is used because it can analyze the entire COL12A1 gene in a single test, including all coding regions and splice sites, with high accuracy and efficiency.
What is the cost of the COL12A1 gene Bethlem myopathy type 2 NGS genetic test?
The test costs INR 20,000 at DNA Labs India. This includes genetic counseling, free home sample collection, NGS analysis, and a comprehensive report.
What sample is required for this test?
The sample can be 2 mL of whole blood in an EDTA tube, 1 µg of extracted DNA, or one drop of blood on an FTA card. We offer free home sample collection across many cities in India.
How long does it take to get results?
The turnaround time is 3 to 4 weeks from the date the sample is received in the laboratory. This includes confirmatory Sanger sequencing when a variant is detected.
Can Bethlem myopathy type 2 be diagnosed before symptoms appear?
Yes, genetic testing can identify a pathogenic COL12A1 mutation in at-risk family members before symptoms appear, allowing early surveillance and management.
Does this test detect all types of Bethlem myopathy?
This test specifically detects mutations in the COL12A1 gene. Bethlem myopathy type 1 is caused by COL6A1, COL6A2, or COL6A3 mutations. A comprehensive panel may be more appropriate if other collagen VI genes are also suspected.
What does a negative result mean?
A negative result means no pathogenic variant was found in the COL12A1 gene. It does not completely rule out Bethlem myopathy type 2 if clinical suspicion is high, and other genetic or non-genetic causes should be considered.
Is genetic counseling necessary before the test?
Yes, a genetic counseling session is mandatory. It is used to draw a pedigree, assess inheritance patterns, and discuss the implications of the test results for the patient and family.
Can this test be done on an FTA card?
Yes, a dried blood spot on an FTA card is an accepted sample type. This is particularly useful for infants, home collection, or samples from remote locations.
Are there any health risks from the test?
The only physical risk is minor bruising or discomfort during blood collection. There are no other significant health risks. Psychological counseling is available if needed.
How is this test different from a regular neuromuscular panel?
This is a single-gene test focusing only on COL12A1. A neuromuscular panel includes many genes and is more comprehensive but may cost more. This targeted test is ideal when Bethlem myopathy type 2 is specifically suspected.
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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