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IARS2 Gene Cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia NGS Genetic Test

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IARS2 Gene Cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia NGS Genetic Test

Short Name: IARS2 Gene NGS Genetic Test

Also known as: IARS2 Gene Sequencing Test, IARS2 Mitochondrial tRNA Synthetase Genetic Test, IARS2 Mutation Analysis NGS Test, Isoleucyl-tRNA Synthetase Gene Test

IARS2 Gene Cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Confirmation of detected variants, Bioinformatic analysis and variant interpretation 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.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the IARS2 Gene NGS Genetic Test is to identify pathogenic mutations in the IARS2 gene responsible for a mitochondrial disorder characterized by cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia. This test enables confirmatory diagnosis in clinically suspected cases, carrier identification in family members, informed genetic counseling regarding recurrence risks, and guidance for clinical management and surveillance of associated complications.

Test Code
2290
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), Sanger Confirmation of detected variants, Bioinformatic analysis and variant interpretation
Step 1

Sample Collection

Genetic counseling session is recommended prior to sample collection. A detailed clinical history of the patient and a pedigree chart of family members affected with the condition should be prepared. No fasting is required. Inform the laboratory of any recent blood transfusions.

Method: Venipuncture / FTA Card blood spot

Step 2

Laboratory Analysis

A blood sample of 3-5 mL is collected in an EDTA (lavender top) vacutainer via standard venipuncture technique. Alternatively, one drop of blood can be applied to an FTA card. The sample is labeled with patient details and transported to the laboratory at ambient room temperature.

Step 3

Report Delivery

After sample collection, patients may resume normal activities immediately. The sample is processed in the molecular genetics laboratory where DNA extraction, library preparation, and NGS sequencing are performed. Results are typically available within 3 to 4 weeks and delivered via 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 genetic counseling session is required before testing to discuss clinical indications, test limitations, possible outcomes, and implications for family members. A pedigree chart of the family should be drawn. No fasting is required. Provide complete clinical history to the laboratory.
2
During the Test:A blood sample (3-5 mL in EDTA tube) or an FTA card blood spot is collected by standard venipuncture. The procedure takes approximately 5-10 minutes. There is no discomfort beyond a routine blood draw.
3
After the Test:After sample collection, no special precautions are needed. The sample undergoes DNA extraction, NGS library preparation, sequencing, and bioinformatic analysis. Results are available in 3 to 4 weeks. A follow-up genetic counseling session is recommended to discuss the findings.

About This Test

Who Should Get This Test

The purpose of the IARS2 Gene NGS Genetic Test is to identify pathogenic mutations in the IARS2 gene responsible for a mitochondrial disorder characterized by cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia. This test enables confirmatory diagnosis in clinically suspected cases, carrier identification in family members, informed genetic counseling regarding recurrence risks, and guidance for clinical management and surveillance of associated complications.

How to Prepare

  • Collect 3-5 mL of whole blood in an EDTA (lavender top) vacutainer
  • Alternatively, apply one drop of blood onto the provided FTA card
  • Label the sample with the patient's full name, date of birth, and unique identifier
  • Transport the sample at ambient room temperature; do not freeze
  • Ensure the sample reaches the laboratory within 48 hours of collection
  • Avoid hemolyzed or clotted samples as they may be rejected

Doctor's Notes

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

"IARS2 gene mutations cause a rare autosomal recessive mitochondrial disorder with multisystem involvement. Patients often present with early-onset cataracts, sensorineural hearing loss, and short stature due to growth hormone deficiency and skeletal dysplasia. Sensory neuropathy may be progressive. I recommend this NGS test for patients presenting with any combination of these features, particularly when mitochondrial disease is suspected. Early genetic diagnosis allows for targeted management, anticipatory guidance for potential complications, and informed family planning through carrier testing of at-risk 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 EDTA whole blood
ContainerEDTA (Lavender Top) Vacutainer or FTA Card
Collection MethodVenipuncture / FTA Card blood spot

Sample Stability

EDTA whole blood at room temperature (15-25°C)
EDTA whole blood at 2-8°C
FTA Card (dried blood spot) at room temperature
Extracted DNA at -20°C
Sample Rejection Criteria:
  • Sample received without proper labeling or patient identification
  • Hemolyzed, clotted, or insufficient volume of blood sample
  • Sample collected in incorrect anticoagulant (non-EDTA tube)
  • Sample received beyond the acceptable stability window
  • Leaking or damaged sample container
  • FTA card with blood sample not fully dried before packaging

Understanding Your Results

The results of the IARS2 Gene NGS Genetic Test are interpreted in the context of the patient's clinical presentation, family history, and pedigree analysis. A positive result identifying a pathogenic or likely pathogenic variant in the IARS2 gene confirms the molecular diagnosis of IARS2-related mitochondrial disorder. The clinical significance of each detected variant is classified according to ACMG (American College of Medical Genetics and Genomics) guidelines. Genetic counseling is essential for understanding the implications of results for the patient and family members.
📊

No pathogenic variant detected

No pathogenic or likely pathogenic variant was identified in the IARS2 gene. This result does not completely exclude an IARS2-related disorder if the causative variant lies in non-coding or regulatory regions not covered by this test. Clinical correlation and further evaluation may be warranted.

📊

Pathogenic or Likely Pathogenic variant detected (Homozygous or Compound Heterozygous)

Two pathogenic or likely pathogenic variants identified in the IARS2 gene consistent with autosomal recessive inheritance. This confirms the molecular diagnosis of IARS2-related mitochondrial disorder. Carrier testing of parents and at-risk family members is recommended.

📊

Single Pathogenic or Likely Pathogenic variant detected (Heterozygous carrier)

One pathogenic or likely pathogenic variant identified. The individual is an obligate carrier for IARS2-related disorder. Carrier testing of the partner is recommended for family planning purposes. A second variant in trans may not have been detected by this method.

📊

Variant of Uncertain Significance (VUS) detected

A variant was identified whose clinical significance cannot be determined with available evidence. Segregation analysis in the family, functional studies, and updated variant databases may help reclassify the variant over time. Clinical management should be based on the patient's phenotype.

⚠️ When to Consult a Doctor:

Consult a clinical geneticist or the referring physician if the test result is positive for a pathogenic variant, if a VUS is detected and you have questions about its significance, if there is a strong clinical suspicion despite a negative result, or if you are planning a pregnancy and wish to understand recurrence risks. Genetic counseling is strongly recommended for all individuals undergoing this test.

Limitations

  • This test does not detect large genomic deletions or duplications unless specifically assessed by CNV analysis
  • Deep intronic variants, regulatory region mutations, and mitochondrial DNA variants outside IARS2 are not covered
  • A negative result does not completely exclude a genetic etiology if the causative variant lies outside the tested regions
  • Variants of Uncertain Significance (VUS) may be identified and may require further family studies for reclassification
  • This test is not validated for prenatal diagnosis from chorionic villus or amniotic fluid samples

Risks & Considerations

  • Minimal physical risk; standard blood draw may cause minor bruising or discomfort at the puncture site
  • Psychological impact: Results may cause anxiety or distress, especially if pathogenic variants are identified
  • Potential for uncertain findings (VUS) that may require further investigation and prolonged uncertainty
  • Implications for family members who may also carry the mutation and require testing

Interfering Factors

  • Degraded or low-quality DNA may affect sequencing results
  • Recent blood transfusion within the past 4 weeks may lead to mixed DNA profiles
  • Contamination during sample collection or processing
  • Hemolyzed or clotted blood samples may be rejected

Compare With Similar Tests

TestIARS2 Gene Cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia NGS Genetic TestSingle Gene Sanger Sequencing (IARS2)Whole Exome Sequencing (WES)Mitochondrial Genome SequencingTargeted Mitochondrial Disease Gene Panel
ComparisonIARS2 Gene Cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, and skeletal dysplasia NGS Genetic Test

Frequently Asked Questions

What is the IARS2 gene and what does it do?
The IARS2 gene encodes mitochondrial isoleucyl-tRNA synthetase, an enzyme responsible for attaching the amino acid isoleucine to its corresponding transfer RNA (tRNA) within mitochondria. This process is essential for mitochondrial protein synthesis and normal cellular energy production. Mutations in this gene disrupt mitochondrial function and lead to a multisystem disorder.
What conditions are associated with IARS2 gene mutations?
Mutations in the IARS2 gene are associated with a rare autosomal recessive mitochondrial disorder that can cause cataracts, growth hormone deficiency, sensory neuropathy, sensorineural hearing loss, skeletal dysplasia, developmental delays, and in some cases intellectual disability.
How is the IARS2 gene disorder inherited?
IARS2-related disorder follows autosomal recessive inheritance. This means an affected individual must inherit two copies of the mutated gene — one from each parent. Both parents are typically carriers who do not show symptoms. When both parents are carriers, each child has a 25% chance of being affected.
What sample is required for the IARS2 Gene NGS Genetic Test?
The test requires a blood sample (3-5 mL collected in an EDTA vacutainer) or extracted DNA. Alternatively, one drop of blood on an FTA card is also accepted. No fasting is required before sample collection.
How long does it take to get the results of the IARS2 Gene NGS Genetic Test?
Results are typically available within 3 to 4 weeks from the date the sample is received at the laboratory. Results are delivered via the online portal, email, or WhatsApp.
What is the cost of the IARS2 Gene NGS Genetic Test in India?
The cost of the IARS2 Gene NGS Genetic Test at DNA Labs India is INR 20,000. This price includes home sample collection, NGS sequencing, a detailed clinical test report, and raw data files (FASTQ and VCF formats).
Is genetic counseling required before taking this test?
Genetic counseling is strongly recommended before and after undergoing the IARS2 Gene NGS Genetic Test. A pre-test counseling session helps you understand the test purpose, possible outcomes, limitations, and implications for family members. A post-test session helps interpret the results and guide next steps.
What does a positive test result mean?
A positive result means that one or more pathogenic or likely pathogenic variants were identified in the IARS2 gene. If two such variants are found (homozygous or compound heterozygous), this confirms the molecular diagnosis of IARS2-related mitochondrial disorder. Carrier testing of family members and appropriate clinical management should then be discussed with your geneticist.
Can carriers of IARS2 mutations have symptoms?
Carriers of a single IARS2 mutation (heterozygotes) are generally not expected to show symptoms of the disorder, as IARS2-related disease follows autosomal recessive inheritance. However, carrier testing is important for family planning to assess the risk of having affected children.
Does DNA Labs India provide raw data files with the test report?
Yes. DNA Labs India is transparent and provides raw data files including FASTQ and VCF formats along with the conclusive clinical test report for the IARS2 Gene NGS Genetic Test. These files can be useful for second opinions or future reanalysis as genetic knowledge evolves.
Is the IARS2 Gene NGS Genetic Test covered by insurance in India?
Genetic testing is generally not covered by most insurance schemes in India, including PMJAY, CGHS, ECHS, and ESIC. Private insurance coverage varies by insurer and policy. It is recommended to contact your insurance provider directly to verify whether this test is eligible for reimbursement.
Is home sample collection available for this test?
Yes. DNA Labs India offers free home sample collection for the IARS2 Gene NGS Genetic Test when booked online. This service is available in major cities across India including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, and many more.
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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