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FGD4 Gene CMT4H NGS Genetic Test

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FGD4 Gene CMT4H NGS Genetic Test

Short Name: FGD4 CMT4H NGS Test

Also known as: CMT4H Genetic Test, FGD4 Gene Sequencing, FGD4 Mutation Analysis, Charcot-Marie-Tooth Type 4H NGS Test

FGD4 Gene CMT4H 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 NGS sequencing and bioinformatics analysis take approximately 3 to 4 weeks from receipt of the sample at the laboratory.. Free home collection in 300+ cities across India.

NGS Genetic TestAll age groups🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to detect clinically significant mutations in the FGD4 gene and confirm a diagnosis of Charcot-Marie-Tooth disease type 4H.

Test Code
3968
CPT Code
Not applicable
ICD Code
G60.0
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
NGS sequencing and bioinformatics analysis take approximately 3 to 4 weeks from receipt of the sample at the laboratory.
Fasting Required
No
Method
Next Generation Sequencing (NGS)
Step 1

Sample Collection

Please schedule a genetic counselling session before the test. No special dietary preparation or fasting is required. The counsellor will draw the pedigree chart and explain the scope of testing, inheritance pattern, and possible outcomes. Bring previous neurological evaluation reports, nerve conduction study results, or prior genetic test reports if available.

Method: Peripheral blood draw, FTA card spot or extracted DNA submission

Step 2

Laboratory Analysis

A blood sample is drawn by a trained phlebotomist. If using an FTA card, one drop of blood is placed on the card and allowed to air dry. The procedure is quick and involves minimal discomfort.

Step 3

Report Delivery

There are no activity restrictions after sample collection. The sample is transported to the laboratory under the recommended storage conditions. Reports will be delivered through your selected mode within 3 to 4 weeks after the sample reaches the lab.

Timeline: NGS sequencing and bioinformatics analysis take approximately 3 to 4 weeks from receipt of the sample at the laboratory.

Patient Instructions

1
Before the Test:Pre-test genetic counselling is required. A clinician or counsellor will review the family history, explain the inheritance and clinical implications of CMT4H, and help you provide informed consent.
2
During the Test:The sample is collected at the laboratory or at home. For blood collection, a small amount of blood is drawn from a vein in the arm. For FTA card collection, a single drop of blood is placed on the card.
3
After the Test:No restrictions are required. You will be informed when the report is ready. The final interpretation is best reviewed with a clinical geneticist, neurologist, and genetic counsellor.

About This Test

Who Should Get This Test

The purpose of this test is to detect clinically significant mutations in the FGD4 gene and confirm a diagnosis of Charcot-Marie-Tooth disease type 4H.

How to Prepare

  • No fasting required
  • Genetic counselling session must be completed before sample collection
  • FTA card or EDTA blood sample accepted
  • Carry a valid government ID and the test requisition form
  • Free home sample collection is available for online bookings

Doctor's Notes

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

"Genetic counselling and precise molecular diagnosis are essential for rare inherited neuropathies like CMT4H. Early identification of a pathogenic FGD4 variant can guide reproductive planning and avoid unnecessary diagnostic workup. Obstetric referral is especially relevant for couples at 25% recurrence risk when both parents are carriers."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample VolumeOne drop blood on FTA card or blood in EDTA tube as per laboratory protocol
ContainerEDTA vacutainer / FTA card
Collection MethodPeripheral blood draw, FTA card spot or extracted DNA submission

Sample Stability

EDTA blood: Refrigerated transport at 2-8 degree Celsius is recommended
FTA card: Stable at ambient room temperature
Extracted DNA: 2-8 degree Celsius for short term and -20 degree Celsius for long term storage
Sample Rejection Criteria:
  • Unlabelled or mislabelled sample
  • Clotted or haemolysed blood sample
  • Inadequate sample quantity
  • Sample transporter temperature not maintained
  • Missing clinical history, consent, or genetic counselling documentation

Understanding Your Results

The FGD4 Gene CMT4H NGS Genetic Test detects pathogenic variants in the FGD4 gene associated with autosomal recessive CMT4H. All variants are interpreted according to current ACMG guidelines. A positive result confirms the molecular diagnosis and supports genetic counselling for affected families.
📊

Positive - Pathogenic or likely pathogenic variant detected

A disease-causing variant was found in the FGD4 gene, confirming the molecular diagnosis of CMT4H.

📊

Negative - No pathogenic variant detected

No clinically significant variant was identified in FGD4. CMT4H remains less likely but not fully excluded.

📊

Variant of uncertain significance (VUS)

A genetic variant was identified, but its effect on the FGD4 protein is not yet well established.

📊

Carrier

A single heterozygous pathogenic variant was identified in FGD4, consistent with autosomal recessive carrier status.

⚠️ When to Consult a Doctor:

If the test report identifies a pathogenic, likely pathogenic, or uncertain significant variant, please consult a clinical geneticist and a neurologist to understand the implications for treatment, surveillance, and family planning.

Limitations

  • This test specifically analyses the FGD4 gene and does not evaluate other CMT-associated genes
  • Standard NGS may not reliably detect large deletions, duplications, or structural rearrangements involving FGD4
  • Variants in deep non-coding regulatory regions may not be detected by targeted gene sequencing
  • A negative result cannot exclude a genetic cause from another gene

Risks & Considerations

  • Mild pain or bruising at the venipuncture site
  • Dizziness or lightheadedness during blood collection
  • Very rare local infection or hematoma at the needle site

Interfering Factors

  • Allogeneic bone marrow transplant may cause donor-derived DNA results
  • Recent blood transfusion can affect analysis of white blood cell-derived DNA
  • Poor DNA quality or quantity due to improper storage and transport

Compare With Similar Tests

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Frequently Asked Questions

What is the FGD4 Gene CMT4H NGS Genetic Test?
It is a Next Generation Sequencing test that examines the FGD4 gene to detect mutations responsible for Charcot-Marie-Tooth disease type 4H. It helps confirm a clinical diagnosis, guide management, and provide accurate recurrence risk for families.
What is CMT4H?
CMT4H is a rare autosomal recessive subtype of Charcot-Marie-Tooth disease caused by FGD4 gene mutations. It presents with progressive weakness and wasting of distal muscles, sensory loss, foot deformities, and reduced or absent reflexes.
Why is NGS used for CMT4H?
NGS can rapidly and accurately sequence the coding regions of FGD4 in a single reaction. It has high sensitivity for detecting point mutations and small insertions/deletions, which are the most common mutation types reported in this gene.
What is the cost of this test?
The FGD4 Gene CMT4H NGS Genetic Test costs INR 20,000 at DNA Labs India. Free home sample collection is included for online bookings.
Which samples are accepted for this test?
Blood in EDTA, extracted DNA, or one drop of blood dried on an FTA card are accepted. The test can be done with a home sample collection visit across major cities in India.
Is fasting required for this test?
No, fasting is not required. You can provide your sample at any convenient time during laboratory working hours.
Do I need genetic counselling before this test?
Yes, pre-test genetic counselling is strongly recommended. It helps document the family history, draw a pedigree chart, explain the inheritance pattern, and obtain informed consent.
How long do the reports take?
Reports are issued within 3 to 4 weeks after the sample reaches the laboratory because NGS bioinformatics analysis and variant interpretation require time.
What do positive, negative, and VUS results mean?
Positive means a pathogenic or likely pathogenic variant was detected. Negative means no such variant was found. VUS means a variant was found but its significance is uncertain, and additional family studies may be needed.
Can this test determine carrier status?
Yes, in family studies it can identify asymptomatic carriers of one FGD4 mutation. Carriers usually do not develop CMT4H but can pass the condition if the other parent is also a carrier.
Will this test detect all types of CMT mutations?
No. This test specifically analyses the FGD4 gene for CMT4H. Mutations in other CMT-associated genes or structural rearrangements may not be detected by this targeted sequencing test.
Can CMT4H be cured after a genetic test?
There is currently no cure for CMT4H. Genetic testing helps establish a definitive diagnosis, avoid unnecessary procedures, guide supportive treatment and rehabilitation, and provide important information for 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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