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DNA Labs India

LBR Gene Pelger-Huet anomaly NGS Genetic Test

DNA Labs India | ISO 9001:2015 Certified

LBR Gene Pelger-Huet anomaly NGS Genetic Test

Short Name: LBR Gene NGS

Also known as: Pelger-Huet Anomaly Genetic Test, LBR Gene Mutation Analysis, NGS for Pelger-Huet Anomaly

LBR Gene Pelger-Huet anomaly 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 3-4 weeks from sample receipt. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to identify pathogenic variants in the LBR gene that cause Pelger-Huet Anomaly. It is indicated for individuals with characteristic neutrophil morphology on peripheral smear, a family history of PHA, or unexplained hematological abnormalities. The test aids in confirming the diagnosis, assessing inheritance patterns, and guiding genetic counseling.

Test Code
5898
CPT Code
81479
ICD Code
D72.0
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
3-4 weeks from sample receipt
Fasting Required
No
Method
Next-Generation Sequencing (NGS)
Step 1

Sample Collection

No special preparation required. However, a clinical history and genetic counseling session is recommended before testing.

Method: Venipuncture or Fingerstick

Step 2

Laboratory Analysis

Blood sample is drawn by a trained phlebotomist. For FTA card, a simple fingerstick is sufficient.

Step 3

Report Delivery

No restrictions. Resume normal activities immediately.

Timeline: 3-4 weeks from sample receipt

Patient Instructions

1
Before the Test:No special preparation. However, a genetic counseling session is recommended to discuss the implications of the test.
2
During the Test:A blood sample is collected. The procedure is quick and minimally invasive.
3
After the Test:You can resume normal activities. Results will be available in 3-4 weeks.

About This Test

Who Should Get This Test

The purpose of this test is to identify pathogenic variants in the LBR gene that cause Pelger-Huet Anomaly. It is indicated for individuals with characteristic neutrophil morphology on peripheral smear, a family history of PHA, or unexplained hematological abnormalities. The test aids in confirming the diagnosis, assessing inheritance patterns, and guiding genetic counseling.

How to Prepare

  • For blood: Use EDTA tube, mix gently.
  • For FTA card: Apply one drop of blood onto the designated circle, air dry.
  • Label sample with patient ID and date.
  • Transport at ambient temperature.

Doctor's Notes

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

"Pelger-Huet anomaly is often benign, but genetic confirmation is essential to rule out acquired forms and guide family counseling."

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 tube or FTA card
Collection MethodVenipuncture or Fingerstick

Sample Stability

Blood: 7 days at 2-8°C, 24 hours at room temperature
Extracted DNA: 1 year at -20°C
FTA card: Stable for years at room temperature
Sample Rejection Criteria:
  • Hemolyzed or clotted blood sample
  • Insufficient sample volume
  • Improper labeling
  • Sample received after prolonged transit (>7 days) without proper storage

Understanding Your Results

The test report will indicate whether a pathogenic or likely pathogenic variant in the LBR gene was identified. If a variant is found, the report will include its classification, zygosity, and clinical significance. A negative result does not entirely exclude PHA if clinical suspicion is high, as mutations in other genes or non-coding regions may be involved.
📊

Pathogenic variant detected

Confirms diagnosis of Pelger-Huet Anomaly. Genetic counseling recommended for family members.

📊

Likely pathogenic variant detected

Highly suggestive of PHA; further family segregation analysis may be advised.

📊

Variant of uncertain significance (VUS)

Cannot confirm or exclude PHA; additional testing or family studies may be needed.

📊

No pathogenic variant detected

Reduces likelihood of LBR-related PHA, but does not rule out other genetic causes.

⚠️ When to Consult a Doctor:

Consult a geneticist or hematologist if you have abnormal neutrophil morphology, recurrent infections, or a family history of Pelger-Huet Anomaly. Also, if you are planning a family and have a known LBR mutation, seek preconception counseling.

Limitations

  • This test detects mutations only in the LBR gene; other genes may be involved in rare cases.
  • Variant of uncertain significance (VUS) may require further family studies.
  • NGS may not detect large deletions/duplications or deep intronic variants.
  • Test does not assess functional impact of variants.

Risks & Considerations

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

Interfering Factors

  • Poor DNA quality or quantity
  • Contamination during sample collection
  • Recent blood transfusion (may dilute patient's DNA)
  • Bone marrow transplantation (may reflect donor DNA)

Compare With Similar Tests

TestLBR Gene Pelger-Huet anomaly NGS Genetic TestPeripheral Blood SmearSanger Sequencing for LBR GeneWhole Exome Sequencing
ComparisonLBR Gene Pelger-Huet anomaly NGS Genetic TestMicroscopic examination shows characteristic bilobed neutrophils, but cannot confirm genetic cause.Targeted single-gene sequencing, lower cost but may miss large deletions.Comprehensive, but more expensive and may identify incidental findings.

Frequently Asked Questions

What is Pelger-Huet Anomaly?
Pelger-Huet Anomaly is a rare, usually benign genetic condition affecting the shape of white blood cells (neutrophils). It is caused by mutations in the LBR gene and is typically inherited in an autosomal dominant pattern.
What are the symptoms of Pelger-Huet Anomaly?
Most individuals are asymptomatic. Some may have mild neutropenia, increased susceptibility to infections, or skeletal abnormalities. Severe cases may present with developmental delays or neurological issues.
How is Pelger-Huet Anomaly diagnosed?
Diagnosis is often suspected on a peripheral blood smear showing characteristic bilobed neutrophils. Genetic testing of the LBR gene confirms the diagnosis.
What is the cost of the LBR Gene Pelger-Huet Anomaly NGS Genetic Test?
The test costs INR 20,000 at DNA Labs India. This includes genetic counseling, NGS sequencing, and a comprehensive clinical report.
What sample is required for this test?
A blood sample (2-3 ml in EDTA tube) or a single drop of blood on an FTA card is required. Saliva samples may also be accepted.
How long does it take to get results?
Results are typically available within 3-4 weeks after the sample is received at the laboratory.
Is fasting required before the test?
No, fasting is not required for this genetic test.
Will I receive raw data files?
Yes, DNA Labs India is the only lab that provides raw data (FASTQ, VCF) along with the clinical report for transparency.
Can this test be done during pregnancy?
Yes, prenatal testing is possible with prior genetic counseling. However, it is important to discuss the risks and benefits with your healthcare provider.
What does a negative result mean?
A negative result means no pathogenic variant was found in the LBR gene. However, it does not completely rule out Pelger-Huet Anomaly if clinical suspicion is high, as other genes may be involved.
Is home sample collection available?
Yes, we offer free home sample collection for online bookings across major cities in India.
How can I book this test?
You can book online through our website or call our customer care. Our team will schedule a convenient time for sample collection.
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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