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IER3IP1 Gene Microcephaly with epilepsy and diabetes syndrome NGS Genetic Test

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IER3IP1 Gene Microcephaly with epilepsy and diabetes syndrome NGS Genetic Test

Short Name: IER3IP1 NGS Test

Also known as: IER3IP1 Gene Sequencing, Microcephaly Epilepsy Diabetes Syndrome Genetic Test, MEDS NGS Panel

IER3IP1 Gene Microcephaly with epilepsy and diabetes syndrome 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 3 to 4 weeks. Free home collection in 300+ cities across India.

NGS Genetic TestPediatric🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this NGS genetic test is to detect pathogenic mutations in the IER3IP1 gene that cause microcephaly with epilepsy and diabetes syndrome. It aids in confirming a clinical diagnosis, identifying carriers in at-risk families, and providing information for genetic counseling and family planning. The test is also useful for differential diagnosis in patients presenting with microcephaly and epilepsy of unknown etiology.

Test Code
5850
CPT Code
81407
ICD Code
Q04.3
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
3 to 4 weeks
Fasting Required
No
Method
Next-Generation Sequencing (NGS)
Step 1

Sample Collection

No special preparation is required. However, a genetic counseling session is recommended before the test to discuss the implications and obtain informed consent.

Method: Venipuncture or Fingerstick

Step 2

Laboratory Analysis

Blood sample will be collected by a trained phlebotomist. For FTA card, a fingerstick blood drop is applied to the card. The procedure is quick and minimally invasive.

Step 3

Report Delivery

No specific aftercare is needed. The sample will be sent to the laboratory for analysis. Results are typically available in 3 to 4 weeks.

Timeline: 3 to 4 weeks

Patient Instructions

1
Before the Test:No special preparation is required. However, a genetic counseling session is recommended before the test to discuss the implications and obtain informed consent.
2
During the Test:The test involves a simple blood draw or fingerstick for FTA card. The procedure is quick and minimally invasive.
3
After the Test:No specific aftercare is needed. The sample will be sent to the laboratory for analysis. Results are typically available in 3 to 4 weeks.

About This Test

Who Should Get This Test

The purpose of this NGS genetic test is to detect pathogenic mutations in the IER3IP1 gene that cause microcephaly with epilepsy and diabetes syndrome. It aids in confirming a clinical diagnosis, identifying carriers in at-risk families, and providing information for genetic counseling and family planning. The test is also useful for differential diagnosis in patients presenting with microcephaly and epilepsy of unknown etiology.

How to Prepare

  • Ensure the patient's identity is verified before sample collection.
  • Use EDTA vacutainer for blood collection; mix gently to prevent clotting.
  • For FTA card, apply one drop of blood onto the designated circle and allow to air dry.
  • Label the sample with patient's name, date of birth, and collection date.
  • Transport the sample to the laboratory at ambient temperature within 24 hours.

Doctor's Notes

Reviewed by — MBBS, MD (Pathology) · Reg. No. 21521

"Genetic testing for IER3IP1 mutations is crucial for early diagnosis and management of this rare syndrome. NGS provides high sensitivity and specificity."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample Volume2-3 ml blood or 1 drop on FTA card
ContainerEDTA vacutainer or FTA card
Collection MethodVenipuncture or Fingerstick

Sample Stability

Blood in EDTA
Blood in EDTA
FTA card
Sample Rejection Criteria:
  • Hemolyzed blood sample
  • Clotted blood sample
  • Insufficient sample volume
  • Improperly labeled sample
  • Sample received after prolonged transit time without proper storage

Understanding Your Results

The results of this NGS test are interpreted by a clinical geneticist. The presence of a pathogenic or likely pathogenic variant in the IER3IP1 gene confirms the diagnosis of microcephaly with epilepsy and diabetes syndrome. Absence of such variants reduces the likelihood of this condition, but does not exclude it entirely.
📊

Pathogenic variant detected

Confirms diagnosis of MEDS. Genetic counseling recommended for family planning.

📊

Likely pathogenic variant detected

Highly suggestive of MEDS; further segregation analysis may be recommended.

📊

Variant of uncertain significance (VUS)

Insufficient evidence to determine pathogenicity; additional testing or family studies may be needed.

📊

No pathogenic variant detected

MEDS is unlikely; consider other genetic causes of microcephaly and epilepsy.

⚠️ When to Consult a Doctor:

If you or your child has symptoms such as microcephaly, seizures, developmental delay, or early-onset diabetes, consult a pediatric neurologist or geneticist. Genetic testing can provide a definitive diagnosis and guide management.

Limitations

  • This test detects mutations in the IER3IP1 gene only; other genes causing similar phenotypes are not analyzed.
  • Variant of uncertain significance (VUS) may be reported; further functional studies may be needed.
  • Large deletions/duplications may not be detected by standard NGS; additional testing may be required.
  • Test does not assess non-coding regulatory regions beyond standard coverage.

Risks & Considerations

  • Minimal risk of bruising or infection at the blood draw site
  • Psychological impact of genetic results
  • Potential for incidental findings (unrelated genetic variants)

Interfering Factors

  • Poor quality DNA due to improper sample handling
  • Contamination during sample collection
  • Recent blood transfusion (may dilute DNA)
  • Bone marrow transplantation (may affect results)

Compare With Similar Tests

TestIER3IP1 Gene Microcephaly with epilepsy and diabetes syndrome NGS Genetic TestChromosomal Microarray (CMA)Sanger SequencingWhole Exome Sequencing (WES)
ComparisonIER3IP1 Gene Microcephaly with epilepsy and diabetes syndrome NGS Genetic TestCMA detects copy number variations but does not identify single-gene mutations. NGS is more suitable for detecting point mutations in IER3IP1.Sanger sequencing is targeted and can detect mutations in a specific gene, but it is less efficient for multiple genes. NGS can analyze multiple genes simultaneously.WES covers all coding regions of the genome and may identify mutations in other genes, but it is more expensive and time-consuming. This targeted NGS test is more cost-effective for suspected MEDS.

Frequently Asked Questions

What is the IER3IP1 gene test?
This is a next-generation sequencing (NGS) test that analyzes the IER3IP1 gene for mutations that cause microcephaly with epilepsy and diabetes syndrome (MEDS).
Who should get this test?
Children or adults with symptoms like microcephaly, seizures, developmental delay, and early-onset diabetes, or those with a family history of MEDS.
What sample is required?
Blood (2-3 ml in EDTA) or extracted DNA or one drop of blood on an FTA card.
Do I need to fast before the test?
No, fasting is not required for this genetic test.
How long does it take to get results?
Results are typically available within 3 to 4 weeks after the sample reaches the laboratory.
What is the cost of the test?
The test costs INR 20,000, which includes free home sample collection across India.
Is home sample collection available?
Yes, we offer free home sample collection for online bookings in over 200 cities across India.
What does a positive result mean?
A positive result indicates the presence of a pathogenic mutation in the IER3IP1 gene, confirming the diagnosis of MEDS.
What does a negative result mean?
A negative result means no pathogenic mutation was found in the IER3IP1 gene, making MEDS less likely but not impossible.
Can this test be used for prenatal diagnosis?
Yes, but only after genetic counseling and with appropriate consent. Please discuss with your doctor.
Is genetic counseling included?
Yes, a genetic counseling session is included to draw a pedigree chart and discuss the implications of the test.
Are there any risks associated with the test?
The test is safe with minimal risks, such as slight bruising at the blood draw site. Genetic results may have psychological implications.
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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