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GUSB Gene Mucopolysaccharidosis type 7 NGS Genetic Test

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GUSB Gene Mucopolysaccharidosis type 7 NGS Genetic Test

Short Name: GUSB MPS VII NGS Test

Also known as: GUSB Gene Sequencing Test, MPS VII Genetic Test, Beta-Glucuronidase Gene Test, Sly Syndrome NGS Test, GUSB Mutation Analysis

GUSB Gene Mucopolysaccharidosis type 7 NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), DNA Extraction from Blood or FTA Card, Bioinformatic Analysis and Variant Calling 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.. Free home collection in 300+ cities across India.

Next-Generation Sequencing (NGS)UnisexAll Age Groups🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the GUSB Gene Mucopolysaccharidosis Type VII NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the GUSB gene through next-generation sequencing technology. This test is used for confirmatory molecular diagnosis of MPS VII, carrier detection in at-risk family members, prenatal or preimplantation genetic diagnosis for families with known mutations, genotype-phenotype correlation for clinical management, and eligibility assessment for emerging therapeutic interventions such as enzyme replacement therapy.

Test Code
2199
CPT Code
81405
ICD Code
E76.29
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.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), DNA Extraction from Blood or FTA Card, Bioinformatic Analysis and Variant Calling
Step 1

Sample Collection

No special preparation or fasting is required before sample collection. Ensure the patient's clinical history and family pedigree information are documented as part of pre-test genetic counseling.

Method: Venipuncture / FTA Card Prick

Step 2

Laboratory Analysis

A trained phlebotomist will collect 3-5 mL of venous blood in an EDTA (lavender-top) vacutainer. Alternatively, one drop of blood can be placed on an FTA card. The sample is labeled and transported under ambient room temperature conditions.

Step 3

Report Delivery

After collection, the blood sample is processed in the laboratory for DNA extraction followed by NGS library preparation and sequencing. The report is delivered 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.

Patient Instructions

1
Before the Test:A pre-test genetic counseling session is recommended to document the clinical history of the patient and to draw a pedigree chart of family members affected with Mucopolysaccharidosis Type VII or related lysosomal storage disorders. No fasting or special preparation is required.
2
During the Test:A blood sample (3-5 mL in EDTA tube) or one drop of blood on an FTA card is collected by a trained phlebotomist. The sample is sent to the laboratory for DNA extraction, NGS library preparation, sequencing of the GUSB gene, and bioinformatic analysis.
3
After the Test:After sample collection, no special care is required. The patient may resume normal activities. The report is generated within 3-4 weeks and delivered through the online portal, email, or WhatsApp. Post-test genetic counseling is recommended to discuss the findings and implications.

About This Test

Who Should Get This Test

The purpose of the GUSB Gene Mucopolysaccharidosis Type VII NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the GUSB gene through next-generation sequencing technology. This test is used for confirmatory molecular diagnosis of MPS VII, carrier detection in at-risk family members, prenatal or preimplantation genetic diagnosis for families with known mutations, genotype-phenotype correlation for clinical management, and eligibility assessment for emerging therapeutic interventions such as enzyme replacement therapy.

How to Prepare

  • Collect 3-5 mL venous blood in an EDTA (lavender-top) vacutainer under aseptic conditions
  • Alternatively, collect one drop of peripheral blood on a provided FTA card and allow it to dry completely
  • Label the sample clearly with patient name, date of birth, and unique sample ID
  • Store and transport the sample at ambient room temperature; avoid extreme heat or freezing
  • Ensure the sample reaches the laboratory within 72 hours of collection for optimal DNA quality
  • If using an FTA card, avoid touching the blood spot area and store in a sealed pouch with desiccant

Doctor's Notes

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

"Mucopolysaccharidosis Type VII is a rare lysosomal storage disorder that may present with prenatal hydrops fetalis or postnatal skeletal and organ abnormalities. Early genetic testing using NGS technology enables timely identification of pathogenic GUSB variants, allowing families to pursue informed reproductive decisions and early supportive management. I recommend this test for families with a history of MPS or unexplained fetal hydrops, as well as for individuals presenting with characteristic skeletal dysplasia, hepatosplenomegaly, or developmental delay of unknown etiology."

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
ContainerEDTA (Lavender Top) Vacutainer or FTA Card
Collection MethodVenipuncture / FTA Card Prick

Sample Stability

Sample Rejection Criteria:
  • Hemolyzed or clotted blood samples
  • Samples without proper labeling or identification
  • EDTA blood samples received after 72 hours of collection without appropriate storage documentation
  • Samples with insufficient volume (less than 2 mL)
  • FTA cards with incomplete or damaged blood spots

Understanding Your Results

The results of the GUSB Gene Mucopolysaccharidosis Type VII NGS Genetic Test are interpreted in the context of the patient's clinical presentation, family history, and biochemical findings. Detection of two pathogenic or likely pathogenic variants in the GUSB gene in a trans configuration (compound heterozygous or homozygous) is consistent with a molecular diagnosis of MPS VII. Carrier status is identified when a single pathogenic variant is detected. Variants of Uncertain Significance require further evaluation. Negative results in the presence of strong clinical and biochemical suspicion warrant additional investigations.
📊

Molecular diagnosis of Mucopolysaccharidosis Type VII (Sly Syndrome) is confirmed. Genotype-phenotype correlation should be performed to predict disease severity. Genetic counseling and evaluation for therapeutic options are recommended.

High

📊

Patient is a carrier of MPS VII. Carrier testing of parents and genetic counseling are recommended. If clinical symptoms are present, additional testing such as enzyme assay or deletion/duplication analysis should be considered.

Moderate

📊

The clinical significance of the variant(s) cannot be determined at this time. Family segregation studies, functional assays, and follow-up with updated databases are recommended for reclassification.

Uncertain

📊

No disease-causing mutations were identified in the GUSB gene by NGS. This does not completely exclude MPS VII if large deletions/duplications are suspected. Correlation with enzyme activity assays and clinical findings is advised.

Negative

📊

The detected variants are not associated with MPS VII. No molecular evidence of disease. Clinical correlation is recommended if symptoms persist.

Low

⚠️ When to Consult a Doctor:

Consult a clinical geneticist or pediatric metabolic specialist if the test reveals pathogenic variants in the GUSB gene, if a variant of uncertain significance is identified, or if clinical symptoms of MPS VII persist despite a negative genetic test. Immediate consultation is recommended for patients with non-immune hydrops fetalis, progressive multisystem disease, or a family history of confirmed MPS VII who are planning pregnancy.

Limitations

  • This test does not detect large deletions, duplications, or structural rearrangements in the GUSB gene; additional methods such as MLPA or chromosomal microarray may be required
  • Deep intronic regulatory region variants outside the sequenced target region may not be identified
  • Variants of Uncertain Significance (VUS) may be detected and may require further family studies or functional analysis for reclassification
  • This test does not measure beta-glucuronidase enzyme activity; enzyme assays may be recommended as a complementary investigation
  • Negative results do not entirely exclude MPS VII if clinical suspicion is high; other genetic or non-genetic etiologies should be explored

Risks & Considerations

  • Minimal risk associated with blood collection, including slight bruising or discomfort at the venipuncture site
  • Emotional impact of genetic test results, particularly in cases of confirmed diagnosis or carrier detection
  • Potential for identification of Variants of Uncertain Significance that may cause anxiety without clear clinical guidance

Interfering Factors

  • Degraded or insufficient DNA quality from the sample may affect sequencing results
  • Recent blood transfusion within the past 4-6 weeks may lead to mixed DNA profiles
  • Low-quality sample on FTA card due to improper storage or handling
  • Presence of somatic mosaicism may result in variant allele frequencies below detection thresholds

Compare With Similar Tests

TestGUSB Gene Mucopolysaccharidosis type 7 NGS Genetic TestBeta-Glucuronidase Enzyme Activity AssaySanger Sequencing of GUSB GeneUrinary GAG AnalysisMLPA (Multiplex Ligation-dependent Probe Amplification)Whole Exome Sequencing (WES)
ComparisonGUSB Gene Mucopolysaccharidosis type 7 NGS Genetic Test

Frequently Asked Questions

What is the GUSB Gene Mucopolysaccharidosis Type VII NGS Genetic Test?
The GUSB Gene MPS VII NGS Genetic Test is a next-generation sequencing-based molecular diagnostic test that analyzes the entire GUSB gene to identify pathogenic mutations responsible for Mucopolysaccharidosis Type VII (Sly Syndrome). It provides a definitive genetic diagnosis by detecting single nucleotide variants, small insertions, deletions, and splice-site mutations.
What is Mucopolysaccharidosis Type VII (Sly Syndrome)?
Mucopolysaccharidosis Type VII (MPS VII), also known as Sly Syndrome, is a rare autosomal recessive lysosomal storage disorder caused by deficiency of the enzyme beta-glucuronidase due to mutations in the GUSB gene. This leads to progressive accumulation of glycosaminoglycans (GAGs) in tissues, causing skeletal abnormalities, organ enlargement, developmental delay, corneal clouding, cardiac valve disease, and in severe cases, non-immune hydrops fetalis.
Who should consider getting the GUSB Gene NGS Genetic Test?
This test should be considered for individuals presenting with clinical features suggestive of MPS VII such as skeletal dysplasia, hepatosplenomegaly, corneal clouding, or developmental delay. It is also recommended for individuals with non-immune hydrops fetalis, elevated urinary GAG levels, reduced beta-glucuronidase enzyme activity, or a family history of MPS VII. Carrier testing for at-risk family members and prenatal diagnosis are additional indications.
What sample is required for the GUSB Gene NGS Genetic Test?
The test requires a blood sample of 3-5 mL collected in an EDTA (lavender-top) vacutainer. Alternatively, one drop of blood on an FTA card or previously extracted DNA can also be used. No fasting is required before sample collection.
How long does it take to get the results of the GUSB Gene NGS Genetic Test?
The test results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. The report is delivered through the online portal, email, or WhatsApp.
What does it mean if pathogenic variants are found in the GUSB gene?
Detection of two pathogenic or likely pathogenic variants in the GUSB gene (in a homozygous or compound heterozygous state) confirms a molecular diagnosis of Mucopolysaccharidosis Type VII. This information is critical for clinical management, prognosis, genetic counseling for family planning, and eligibility for emerging therapies such as enzyme replacement therapy.
What is a Variant of Uncertain Significance (VUS)?
A Variant of Uncertain Significance (VUS) is a genetic change identified in the GUSB gene whose association with MPS VII is not yet well established based on current scientific evidence. VUS results require further evaluation through family studies, functional assays, or reanalysis as new data becomes available. A clinical geneticist can help interpret the implications of a VUS finding.
Can the GUSB Gene NGS Genetic Test detect all types of mutations?
The NGS Genetic Test is highly effective at detecting single nucleotide variants (SNVs), small insertions and deletions (indels), and splice-site mutations across the coding exons and flanking intronic regions of the GUSB gene. However, it may not reliably detect large deletions, duplications, or structural rearrangements. Additional tests such as MLPA may be recommended if such variants are suspected.
Is the GUSB Gene NGS Genetic Test suitable for prenatal diagnosis?
Yes, once pathogenic variants are identified in the proband (affected family member), prenatal genetic diagnosis or preimplantation genetic testing (PGT) can be performed for at-risk pregnancies using chorionic villus sampling (CVS) or amniocentesis samples. A genetic counselor should guide this process.
Is genetic counseling required before taking the GUSB Gene NGS Genetic Test?
Yes, a pre-test genetic counseling session is strongly recommended. During this session, a clinical geneticist or genetic counselor will document the patient's clinical history, construct a family pedigree, explain the test's benefits and limitations, discuss potential outcomes, and obtain informed consent. Post-test genetic counseling is equally important for interpreting results and planning next steps.
What is the cost of the GUSB Gene Mucopolysaccharidosis Type VII NGS Genetic Test?
The cost of the GUSB Gene MPS VII NGS Genetic Test at DNA Labs India is Rs 20000.0. This price includes blood sample collection (free home collection available across India), NGS sequencing, variant interpretation, clinical report, and raw data files (FASTQ and VCF). There are no hidden charges.
Does DNA Labs India provide raw data and VCF files with the genetic test report?
Yes, DNA Labs India is the only lab in India that provides complete transparency by sharing raw data files (FASTQ), variant call format (VCF) files, and a conclusive clinical report along with the GUSB Gene Mucopolysaccharidosis Type VII NGS Genetic Test. This allows patients and their physicians to seek second opinions and facilitates reanalysis as genomic knowledge advances.
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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