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GRN Gene Ceroid lipofuscinosis neuronal type 11 NGS Genetic Test

DNA Labs India | ISO 9001:2015 Certified

GRN Gene Ceroid lipofuscinosis neuronal type 11 NGS Genetic Test

Short Name: GRN CLN11 NGS Test

Also known as: GRN Gene Mutation Analysis, Progranulin Gene Sequencing, CLN11 Genetic Test, GRN-Related Neuronal Ceroid Lipofuscinosis Test, Frontotemporal Dementia GRN Gene Test

GRN Gene Ceroid lipofuscinosis neuronal type 11 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Sequencing (for confirmation of select variants), Bioinformatics Analysis, ACMG Variant Classification 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. Reports are delivered through our secure online portal, via email, and on WhatsApp for your convenience.. Free home collection in 300+ cities across India.

NGS Genetic TestAdults🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the GRN Gene Ceroid Lipofuscinosis Neuronal Type 11 NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the GRN gene that cause neuronal ceroid lipofuscinosis type 11 (CLN11). This test serves to confirm a clinical diagnosis in symptomatic individuals, enable predictive testing for at-risk family members, support genetic counseling and family planning, guide clinical management, and identify patients who may be eligible for emerging therapies or clinical trials targeting progranulin deficiency.

Test Code
1914
CPT Code
81406
ICD Code
E75.2
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. Reports are delivered through our secure online portal, via email, and on WhatsApp for your convenience.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Sequencing (for confirmation of select variants), Bioinformatics Analysis, ACMG Variant Classification
Step 1

Sample Collection

A pre-test genetic counseling session is mandatory to document the patient's clinical history, construct a pedigree chart of affected family members, and obtain informed consent. No fasting is required. Ensure that the patient has not received a blood transfusion within the past 4 weeks.

Method: Venipuncture

Step 2

Laboratory Analysis

A 3-5 mL venous blood sample is collected in an EDTA (lavender-top) tube under aseptic conditions. Alternatively, a one-drop blood sample on an FTA card or previously extracted DNA may be submitted. Label the sample correctly with patient identifiers.

Step 3

Report Delivery

Store the blood sample at ambient room temperature (15-30°C). Do not freeze whole blood. Transport the sample to the laboratory within 48 hours of collection. The sample undergoes DNA extraction, library preparation, NGS sequencing, bioinformatics analysis, and variant classification before the report is generated.

Timeline: Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. Reports are delivered through our secure online portal, via email, and on WhatsApp for your convenience.

Patient Instructions

1
Before the Test:Before the test, a mandatory genetic counseling session will be conducted to collect detailed clinical history, document symptoms, and construct a pedigree chart of family members affected with neuronal ceroid lipofuscinosis or related neurodegenerative conditions. No fasting is required. Ensure that your physician has provided a referral and that informed consent has been signed. Inform the laboratory if you have had a recent blood transfusion (within the past 4 weeks).
2
During the Test:A small blood sample (3-5 mL) will be drawn from a vein in your arm using a needle and collected in an EDTA tube. The procedure typically takes less than 5 minutes. Alternatively, a drop of blood may be placed on an FTA card. You may feel a brief prick during needle insertion, but the procedure is generally painless and well-tolerated.
3
After the Test:After sample collection, a small bandage will be placed over the puncture site. You can resume normal activities immediately. The sample will be transported to our NABL-accredited laboratory for DNA extraction, NGS library preparation, sequencing, and bioinformatics analysis. Your report will be available within 3 to 4 weeks via online portal, email, or WhatsApp. A genetic counseling session will be scheduled to discuss your results.

About This Test

Who Should Get This Test

The purpose of the GRN Gene Ceroid Lipofuscinosis Neuronal Type 11 NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the GRN gene that cause neuronal ceroid lipofuscinosis type 11 (CLN11). This test serves to confirm a clinical diagnosis in symptomatic individuals, enable predictive testing for at-risk family members, support genetic counseling and family planning, guide clinical management, and identify patients who may be eligible for emerging therapies or clinical trials targeting progranulin deficiency.

How to Prepare

  • Collect 3-5 mL of venous blood in an EDTA (Lavender Top) tube
  • Do not use heparinized tubes as heparin can interfere with downstream molecular analysis
  • Gently invert the tube 8-10 times after collection to ensure proper mixing with anticoagulant
  • Label the tube clearly with patient name, date of birth, collection date, and unique identification number
  • Store at ambient room temperature (15-30°C); do not refrigerate or freeze whole blood
  • Transport to the laboratory within 48 hours of collection
  • Alternatively, an FTA card with one drop of blood or extracted DNA may be used
  • Ensure informed consent form and completed clinical history requisition form accompany the sample

Doctor's Notes

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

"GRN gene mutations are inherited in an autosomal dominant pattern. Genetic counseling is essential both before and after testing. A confirmed diagnosis allows at-risk family members to consider predictive testing and helps guide clinical management. Early identification of pathogenic GRN variants supports timely intervention and family planning decisions. Patients with a family history of frontotemporal dementia or neuronal ceroid lipofuscinosis should be offered cascade testing of first-degree relatives."

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 whole blood
ContainerEDTA (Lavender Top) Tube or FTA Card
Collection MethodVenipuncture

Sample Stability

Whole blood in EDTA at room temperature (15-30°C)
Extracted DNA at 2-8°C
FTA Card at room temperature
Sample Rejection Criteria:
  • Sample collected in heparin anticoagulant tube
  • Hemolyzed, clotted, or insufficient sample volume
  • Sample without proper labeling or identification
  • Sample received without signed informed consent or clinical history form
  • Blood sample older than 48 hours at time of receipt without prior arrangement
  • Contaminated or leaking sample container

Understanding Your Results

The results of the GRN Gene Ceroid Lipofuscinosis Neuronal Type 11 NGS Genetic Test are interpreted based on the classification of detected variants according to the American College of Medical Genetics and Genomics (ACMG) and the Association for Molecular Pathology (AMP) guidelines. Variants are categorized as pathogenic, likely pathogenic, variant of uncertain significance (VUS), likely benign, or benign. A positive result indicating a pathogenic or likely pathogenic variant in the GRN gene confirms the genetic diagnosis of CLN11 in the context of compatible clinical features.
📊

A pathogenic variant in the GRN gene was identified. This confirms a molecular diagnosis of GRN-related neuronal ceroid lipofuscinosis type 11 (CLN11) or GRN-related frontotemporal dementia. The condition is inherited in an autosomal dominant pattern, meaning each first-degree relative has a 50% chance of carrying the same variant. Genetic counseling of family members is strongly recommended. Clinical management should be coordinated with a neurologist and geneticist.

Result type: Positive - Pathogenic Variant Detected

📊

A likely pathogenic variant in the GRN gene was identified. This result strongly supports a diagnosis of CLN11 or GRN-related neurodegeneration, though further clinical correlation and family studies may be recommended. Cascade testing of at-risk relatives should be considered after genetic counseling.

Result type: Positive - Likely Pathogenic Variant Detected

📊

A variant of uncertain significance was detected in the GRN gene. Current evidence is insufficient to classify this variant as pathogenic or benign. This result should not be used for clinical decision-making. Periodic re-analysis is recommended as new evidence may become available. Clinical correlation and family studies may help resolve the significance.

Result type: Variant of Uncertain Significance (VUS)

📊

No pathogenic or likely pathogenic variants were identified in the GRN gene. This result reduces the likelihood of GRN-related CLN11 but does not exclude it entirely, as mutations in deep intronic, regulatory, or other genomic regions may not be detected by this test. If clinical suspicion remains high, additional genetic testing for other neuronal ceroid lipofuscinosis genes or alternative diagnostic evaluations should be considered.

Result type: Negative - No Pathogenic Variant Detected

⚠️ When to Consult a Doctor:

You should consult a doctor or genetic specialist if you or a family member experience progressive memory loss, language difficulties, behavioral or personality changes, muscle weakness, coordination problems, or visual impairment that worsens over time. Additionally, consult a healthcare provider if there is a known family history of neuronal ceroid lipofuscinosis, frontotemporal dementia, or GRN gene mutations. A neurologist and/or clinical geneticist can help determine the appropriate diagnostic workup and management plan. After receiving test results, genetic counseling is strongly recommended to understand the implications for you and your family members.

Limitations

  • This test does not detect large genomic rearrangements or deep intronic variants with certainty
  • Variants of uncertain significance (VUS) may be identified and may require periodic re-analysis
  • A negative result does not completely exclude a genetic etiology if mutations lie outside the targeted regions or involve regulatory elements
  • This test is designed for the GRN gene only and does not screen for mutations in other CLN-associated genes
  • Results should always be interpreted in the context of clinical findings and family history by a qualified geneticist

Risks & Considerations

  • Minimal risk associated with blood draw: slight pain or bruising at the puncture site
  • Possible identification of variants of uncertain significance (VUS) that may cause anxiety
  • Potential psychological impact of receiving a positive diagnosis for a progressive neurodegenerative condition
  • Risk of genetic discrimination, though protections exist under applicable privacy and genetic information laws in India

Interfering Factors

  • Degraded or insufficient DNA quality due to improper sample storage or transport
  • Blood sample contaminated with heparin anticoagulant (EDTA is preferred)
  • Recent blood transfusion within the past 4 weeks may affect DNA analysis
  • Inhibition of PCR amplification due to sample contaminants

Compare With Similar Tests

TestGRN Gene Ceroid lipofuscinosis neuronal type 11 NGS Genetic TestWhole Exome Sequencing (WES)Sanger Sequencing of GRN GeneChromosomal Microarray (CMA)
ComparisonGRN Gene Ceroid lipofuscinosis neuronal type 11 NGS Genetic TestWES analyzes all protein-coding genes across the genome, while the GRN CLN11 test specifically targets the GRN gene with deeper coverage. The GRN-specific test is more cost-effective when clinical suspicion is focused on GRN-related disorders.Sanger sequencing is a first-generation sequencing method that examines one exon at a time. NGS technology used in this test provides higher throughput, better coverage, and the ability to detect multiple variant types simultaneously with greater sensitivity.CMA detects large copy number variations (deletions/duplications) across the genome but cannot identify single nucleotide variants or small indels within the GRN gene. NGS-based testing offers superior resolution for point mutation detection.

Frequently Asked Questions

What is the GRN Gene Ceroid Lipofuscinosis Neuronal Type 11 NGS Genetic Test?
This is a next-generation sequencing (NGS)-based genetic test that analyzes the GRN gene to detect mutations responsible for neuronal ceroid lipofuscinosis type 11 (CLN11). The GRN gene encodes progranulin, a protein essential for neuronal survival. Mutations in this gene lead to reduced progranulin levels, causing progressive neurodegeneration. The test costs INR 20,000 at DNA Labs India.
Who should consider getting the GRN CLN11 genetic test?
This test is recommended for individuals with adult-onset symptoms of neurodegeneration including progressive memory loss, language difficulties, behavioral changes, muscle weakness, or coordination problems. It is also recommended for individuals with a family history of neuronal ceroid lipofuscinosis, frontotemporal dementia, or known GRN gene mutations, and for those considering predictive testing.
What sample is required for the GRN Gene NGS Genetic Test?
The test requires either a 3-5 mL blood sample collected in an EDTA (lavender-top) tube, an extracted DNA sample, or one drop of blood on an FTA card. No fasting is required before sample collection. Free home sample collection is available across India.
How much does the GRN Gene CLN11 NGS Genetic Test cost?
The GRN Gene Ceroid Lipofuscinosis Neuronal Type 11 NGS Genetic Test costs INR 20,000 (Rs 20,000.0) at DNA Labs India. This price includes free home sample collection, NGS sequencing, genetic counseling, and digital report delivery across India.
How long does it take to get the results of the GRN NGS Genetic Test?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. The report will be delivered via our secure online portal, email, and WhatsApp.
What does a positive result mean for GRN Gene CLN11?
A positive result means a pathogenic or likely pathogenic variant was detected in the GRN gene, confirming the molecular diagnosis of CLN11 or GRN-related neurodegeneration. This condition is inherited in an autosomal dominant pattern, so each first-degree relative has a 50% chance of carrying the same variant. Genetic counseling is strongly recommended to discuss implications for the patient and family members.
Is the GRN Gene CLN11 genetic test covered by insurance?
Genetic tests may not be routinely covered by all insurance plans in India. Coverage depends on your specific policy and provider. Government schemes such as PMJAY, CGHS, ECHS, and ESIC may have provisions for genetic testing; it is advisable to check with your respective scheme office. For private insurance, pre-authorization may be required.
What is the difference between CLN11 and other types of neuronal ceroid lipofuscinosis?
Neuronal ceroid lipofuscinosis (NCL) comprises a group of genetically distinct lysosomal storage disorders, each caused by mutations in different genes. CLN11 is specifically caused by mutations in the GRN gene and typically presents in adulthood (ages 40-65). Other NCL types (CLN1 through CLN14) are caused by mutations in different genes such as PPT1, TPP1, CLN3, CLN5, CLN6, CLN8, MFSD8, and others, and may present at different ages from infancy to adulthood.
Can the GRN CLN11 genetic test be used for prenatal testing?
Once a pathogenic GRN variant is identified in an affected family member, prenatal testing or preimplantation genetic testing (PGT) for at-risk pregnancies may be possible. Consult with a clinical geneticist or reproductive genetic counselor to discuss available options and implications.
What are the treatment options for GRN-related neuronal ceroid lipofuscinosis?
Currently, there is no cure for CLN11. Treatment focuses on symptom management, including medications for seizures, behavioral symptoms, and supportive therapies such as physical therapy, occupational therapy, and speech therapy. Ongoing research into progranulin-enhancing therapies and gene therapy approaches offers hope for future treatments. Early diagnosis through genetic testing helps in planning appropriate care.
Is genetic counseling included with the GRN Gene CLN11 test?
Yes, DNA Labs India includes a genetic counseling session before testing. This session is used to collect the patient's clinical history, document family history, and construct a pedigree chart of family members affected with neuronal ceroid lipofuscinosis or related conditions. Post-test counseling is also available to help interpret results and discuss implications for the patient and family.
How accurate is the NGS-based GRN Gene Genetic Test?
The NGS-based GRN Gene Genetic Test offers very high analytical sensitivity and specificity, both exceeding 99% for the detection of single nucleotide variants and small insertions/deletions within the targeted regions of the GRN gene. The test achieves ? 99% coverage of all coding exons and flanking intronic regions at a minimum depth of 20x. Variants are classified according to ACMG/AMP guidelines. The test is performed in NABL-accredited and ISO-certified laboratories.
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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