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DDOST Gene Glycosylation disorder type IR NGS Genetic Test

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DDOST Gene Glycosylation disorder type IR NGS Genetic Test

Short Name: DDOST CDG-IR NGS Test

Also known as: Congenital Disorder of Glycosylation Type IR, CDG-IR, DDOST-CDG, CDG Syndrome Type IR, DDOST Protein Glycosylation Disorder

DDOST Gene Glycosylation disorder type IR NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Confirmation Sequencing 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. In complex cases requiring additional confirmatory sequencing or variant interpretation, results may take slightly longer. You will be notified once the report is ready.. Free home collection in 300+ cities across India.

NGS Genetic TestUnisexAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the DDOST gene that cause Congenital Disorder of Glycosylation Type IR. This test aids in confirming a clinical diagnosis, differentiating CDG-IR from other congenital disorders of glycosylation and neurological conditions, guiding clinical management decisions, enabling carrier detection for informed family planning, and facilitating comprehensive genetic counseling for affected individuals and their families.

Test Code
2070
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. In complex cases requiring additional confirmatory sequencing or variant interpretation, results may take slightly longer. You will be notified once the report is ready.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Confirmation Sequencing
Step 1

Sample Collection

No special preparation or fasting is required. Bring the doctor's prescription, valid photo identification, and any previous genetic test reports or family pedigree information. A pre-test genetic counseling session is strongly recommended to draw a pedigree chart of family members affected with glycosylation disorder type IR.

Method: Venipuncture or FTA Card Blood Spot

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3-5 mL of blood via venipuncture from a vein in your arm. Alternatively, a single drop of blood can be collected on an FTA card. The entire collection procedure takes approximately 5-10 minutes and is virtually painless.

Step 3

Report Delivery

Apply gentle pressure to the puncture site with a sterile cotton ball for 1-2 minutes. You may resume normal activities immediately. Results will be available within 3-4 weeks through the online portal, email, or WhatsApp.

Timeline: Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. In complex cases requiring additional confirmatory sequencing or variant interpretation, results may take slightly longer. You will be notified once the report is ready.

Patient Instructions

1
Before the Test:Schedule a pre-test genetic counseling session to discuss the implications, benefits, and limitations of the DDOST Gene NGS Genetic Test. Bring a detailed family medical history, including any affected family members with developmental delay, seizures, or metabolic disorders. Carry the doctor's prescription, valid photo ID, and any previous genetic or metabolic test reports. No fasting is required before sample collection.
2
During the Test:A trained phlebotomist will collect approximately 3-5 mL of blood from a vein in your arm using a standard venipuncture technique. Alternatively, a single drop of blood can be collected on an FTA card. The procedure takes approximately 5-10 minutes. The sample is then transported under controlled conditions to the DNA Labs India NABL-accredited laboratory for NGS analysis.
3
After the Test:After sample collection, apply gentle pressure to the puncture site. You can resume normal activities immediately. The sample undergoes DNA extraction, library preparation, and next-generation sequencing. Results are reviewed by a clinical geneticist and typically available within 3-4 weeks. You will receive your report via the online portal, email, or WhatsApp. A post-test genetic counseling session is recommended to discuss the findings.

About This Test

Who Should Get This Test

The purpose of the DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the DDOST gene that cause Congenital Disorder of Glycosylation Type IR. This test aids in confirming a clinical diagnosis, differentiating CDG-IR from other congenital disorders of glycosylation and neurological conditions, guiding clinical management decisions, enabling carrier detection for informed family planning, and facilitating comprehensive genetic counseling for affected individuals and their families.

How to Prepare

  • No fasting is required before sample collection
  • Carry a valid photo ID and doctor's prescription
  • Wear loose-fitting sleeves for easy venipuncture access
  • Inform the phlebotomist about any bleeding disorders, anticoagulant medications, or recent blood transfusions
  • Attend the pre-test genetic counseling session if scheduled

Doctor's Notes

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

"DDOST Gene Glycosylation Disorder Type IR is an extremely rare condition that may initially present with nonspecific symptoms such as developmental delay, unexplained seizures, or failure to thrive in early childhood. As an internal medicine physician, I often encounter patients or families who have undergone extensive evaluations without a definitive diagnosis. When multisystem involvement is present—particularly neurological impairment combined with skeletal or facial abnormalities and biochemical markers suggestive of glycosylation defects—I recommend referral for NGS-based genetic testing of the DDOST gene. Early molecular confirmation through this test can guide appropriate multidisciplinary management, prevent unnecessary investigations, and enable informed family planning through genetic counseling. If a pathogenic variant is identified, coordinated care involving clinical genetics, neurology, and metabolic specialists is essential for optimal patient outcomes."

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 of whole blood or one drop on FTA card
ContainerEDTA Vacutainer (Purple Top) or FTA Card
Collection MethodVenipuncture or FTA Card Blood Spot

Sample Stability

Whole blood in EDTA tube: Stable at room temperature (15-25°C) for up to 48 hours
Extracted DNA: Stable at 2-8°C for up to 7 days or at -20°C for long-term storage
FTA Card blood spot: Stable at room temperature for up to 30 days when stored in a sealed pouch
Sample Rejection Criteria:
  • Hemolyzed or clotted blood sample
  • Insufficient sample volume (less than 2 mL whole blood)
  • Incorrectly labeled or unlabeled sample
  • Sample received beyond the stability period
  • Sample contaminated or collected in an inappropriate container

Understanding Your Results

The results of the DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test are interpreted by a qualified clinical geneticist. Each detected variant is classified according to the American College of Medical Genetics and Genomics (ACMG) and the Association for Molecular Pathology (AMP) guidelines. The final report includes variant classification, zygosity information, clinical significance, and recommendations for follow-up. Genetic counseling is recommended to help patients and families understand the implications of the results.
📊

Pathogenic Variant Detected

Confirms a molecular diagnosis of DDOST-CDG (CDG-IR) in a symptomatic individual. Genetic counseling, family screening, and coordinated multidisciplinary management are recommended.

📊

Likely Pathogenic Variant Detected

Strong evidence supporting disease association. Clinical correlation with the patient's phenotype and family segregation studies are recommended for confirmation.

📊

Variant of Uncertain Significance (VUS)

A variant was detected but current evidence is insufficient to classify it as pathogenic or benign. Clinical correlation, parental testing, and periodic variant reanalysis are recommended.

📊

Likely Benign Variant

The variant is unlikely to be associated with DDOST-CDG. No clinical significance is expected for this finding.

📊

No Pathogenic Variant Detected

No pathogenic or likely pathogenic variants were identified in the DDOST gene. This result does not completely exclude CDG-IR if clinical suspicion remains high; other genetic or metabolic etiologies should be considered.

📊

Carrier Status (Heterozygous)

A single pathogenic variant was detected. The individual is a carrier of DDOST-CDG and typically does not manifest symptoms. Carrier testing for the reproductive partner and genetic counseling are recommended.

⚠️ When to Consult a Doctor:

Consult a clinical geneticist or your referring physician if your test results reveal any pathogenic or likely pathogenic variant in the DDOST gene, a variant of uncertain significance, or if you have a family history of congenital disorders of glycosylation. Early consultation is also recommended if your child presents with unexplained developmental delay, seizures, facial dysmorphism, or multisystem abnormalities. Genetic counseling should be sought before and after testing to guide family planning and clinical management decisions.

Limitations

  • May not detect large structural rearrangements, copy number variations, or deep intronic variants
  • Variants of uncertain significance (VUS) may be identified and may require periodic reclassification
  • Does not detect mitochondrial DNA variants or epigenetic modifications
  • Results should always be interpreted in conjunction with clinical findings and family history
  • A negative result does not completely exclude DDOST-CDG if clinical suspicion remains high

Risks & Considerations

  • Minimal risk from blood draw, including slight bruising or soreness at the needle insertion site
  • Very rare risk of infection at the puncture site
  • Potential psychological impact of receiving genetic test results, including anxiety or distress
  • Risk of incidental findings or variants of uncertain significance that may cause emotional concern
  • Genetic counseling before and after testing is recommended to mitigate emotional and psychological risks

Interfering Factors

  • Highly degraded DNA samples may affect sequencing quality and results
  • Recent blood transfusion (within 3 months) may interfere with DNA analysis
  • Contaminated or improperly stored samples may yield inconclusive results
  • Low-quality DNA extraction may reduce sequencing depth and coverage

Compare With Similar Tests

TestDDOST Gene Glycosylation disorder type IR NGS Genetic TestDDOST Gene Sanger SequencingCongenital Disorder of Glycosylation Gene PanelWhole Exome Sequencing (WES)Transferrin Isoelectric Focusing (TIEF)
ComparisonDDOST Gene Glycosylation disorder type IR NGS Genetic Test

Frequently Asked Questions

What is DDOST Gene Glycosylation Disorder Type IR?
DDOST Gene Glycosylation Disorder Type IR, also known as Congenital Disorder of Glycosylation Type IR (CDG-IR), is a rare inherited metabolic disorder caused by mutations in the DDOST gene. The DDOST gene provides instructions for making a protein that is part of the oligosaccharyltransferase complex, which is essential for N-linked glycosylation — a critical cellular process that attaches sugar chains to proteins. Mutations in this gene lead to abnormal glycosylation, resulting in multisystem problems including developmental delay, intellectual disability, seizures, and abnormalities in facial features and the skeletal system.
What causes DDOST Gene Glycosylation Disorder Type IR?
CDG-IR is caused by biallelic (homozygous or compound heterozygous) pathogenic mutations in the DDOST gene located on chromosome 1p36.12. The DDOST gene encodes dolichyl-diphosphooligosaccharide-protein glycosyltransferase subunit, a critical component of the oligosaccharyltransferase (OST) enzyme complex responsible for transferring oligosaccharide chains to nascent proteins during N-linked glycosylation in the endoplasmic reticulum. When both copies of this gene carry mutations, the glycosylation process is disrupted, leading to defective protein function and multisystem disease.
What are the common symptoms of DDOST Gene Glycosylation Disorder Type IR?
The symptoms of CDG-IR can vary widely among affected individuals, even within the same family. Common symptoms include developmental delay, intellectual disability, seizures, abnormalities in brain structure detectable on MRI, characteristic facial features such as prominent forehead or micrognathia, and skeletal abnormalities including scoliosis or joint contractures. Some individuals may also experience hearing loss, vision problems, heart defects, liver dysfunction, and failure to thrive. The severity of symptoms can range from mild to severe.
How is DDOST Gene Glycosylation Disorder Type IR diagnosed?
Diagnosis of CDG-IR involves a combination of clinical evaluation, biochemical testing, and genetic testing. A physician may suspect the disorder based on the patient's symptoms and medical history. Initial screening may include transferrin isoelectric focusing (TIEF) to detect abnormal glycosylation patterns. Brain MRI and other imaging studies may reveal structural abnormalities. The definitive diagnosis is confirmed through NGS genetic testing, which identifies mutations in the DDOST gene with high accuracy.
What is the NGS Genetic Test for DDOST Gene Glycosylation Disorder Type IR?
The NGS (Next-Generation Sequencing) Genetic Test for CDG-IR is a comprehensive molecular diagnostic test that uses advanced high-throughput sequencing technology to analyze all coding exons and flanking intronic regions of the DDOST gene. This test can detect single nucleotide variants (SNVs), small insertions and deletions (indels), and splice-site mutations with greater than 99% sensitivity. It is more comprehensive and cost-effective than traditional Sanger sequencing for multi-exon gene analysis and is considered the gold standard for molecular confirmation of CDG-IR.
What sample is required for the DDOST Gene NGS Genetic Test?
The test requires either a peripheral blood sample (3-5 mL collected in an EDTA vacutainer tube with a purple top), an extracted DNA sample, or a single drop of blood collected on an FTA (Flinders Technology Associates) card. The FTA card option is particularly convenient for pediatric patients or when venipuncture is difficult. No fasting is required before sample collection.
What is the cost of the DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test in India?
The DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test costs INR 20,000 (Rupees Twenty Thousand Only) at DNA Labs India. This price includes NGS sequencing, variant interpretation by a clinical geneticist, detailed report generation, a genetic counseling session, and complimentary home sample collection in all major cities across India including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, and Ahmedabad.
How long does it take to get the results of the DDOST Gene NGS Genetic Test?
The turnaround time for the DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test is approximately 3 to 4 weeks from the date of sample receipt at the NABL-accredited laboratory. The timeline may vary slightly depending on the complexity of variant identification and interpretation. Once the report is finalized and reviewed by a clinical geneticist, it will be made available through the online portal, email, or WhatsApp.
Is home sample collection available for this genetic test?
Yes, DNA Labs India offers free home sample collection for the DDOST Gene Glycosylation Disorder Type IR NGS Genetic Test across all major cities in India. You can book your test online and a trained phlebotomist will visit your home at a convenient time to collect the blood sample. This service is available in over 200 cities including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, Jaipur, Lucknow, Chandigarh, and many more.
What does a positive DDOST Gene mutation result mean?
A positive result indicating pathogenic or likely pathogenic variants in the DDOST gene confirms a molecular diagnosis of DDOST Gene Glycosylation Disorder Type IR (CDG-IR) in a symptomatic individual. This diagnosis helps guide clinical management, predict potential complications, and enables carrier testing for family members. A positive carrier result (heterozygous single pathogenic variant) means the individual carries one mutated copy and is typically unaffected but can pass the mutation to offspring. Genetic counseling is strongly recommended to discuss the implications of the results.
Is genetic counseling recommended before taking this test?
Yes, genetic counseling is strongly recommended both before and after the DDOST Gene NGS Genetic Test. Pre-test genetic counseling helps you understand the purpose, benefits, limitations, and potential outcomes of the test. A genetic counselor will draw a detailed pedigree chart of family members and assess the likelihood of a genetic condition. Post-test counseling helps you and your family understand the results, their clinical implications, recurrence risks, and available management options. DNA Labs India includes a genetic counseling session as part of the test package.
Can this test be performed on prenatal samples or for carrier testing?
The DDOST Gene NGS Genetic Test can be used for carrier testing when a family history of CDG-IR exists or when one pathogenic variant has been previously identified. For prenatal diagnostic purposes, this test can be performed on chorionic villus sampling (CVS) or amniocentesis-derived DNA samples if both parents are confirmed carriers. Prenatal testing and carrier testing should always be conducted under the guidance of a clinical geneticist and with comprehensive genetic counseling to discuss the implications for the pregnancy and family planning.
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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