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PLOD2 Gene Osteogenesis imperfecta with congenital joint contractures NGS Genetic Test

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PLOD2 Gene Osteogenesis imperfecta with congenital joint contractures NGS Genetic Test

Short Name: PLOD2 Gene OI NGS Test

Also known as: PLOD2-Related Osteogenesis Imperfecta NGS Test, Bruck Syndrome Type 2 Genetic Test, Brittle Bone Disease PLOD2 Gene Test, OI with Congenital Joint Contractures DNA Test, PLOD2 Lysyl Hydroxylase 2 Deficiency Genetic Test

PLOD2 Gene Osteogenesis imperfecta with congenital joint contractures NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Sanger Confirmation (if required), Bioinformatics Analysis, Variant Classification (ACMG Guidelines) 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. Results are delivered via the online portal, email, and WhatsApp. Urgent cases may be prioritized upon request.. Free home collection in 300+ cities across India.

NGS Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of the PLOD2 Gene Osteogenesis Imperfecta with Congenital Joint Contractures NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the PLOD2 gene that cause a specific subtype of Osteogenesis Imperfecta characterized by bone fragility and congenital joint contractures. This test enables definitive molecular diagnosis, guides clinical management and treatment decisions, facilitates accurate genetic counseling for affected families, supports carrier detection, and provides essential information for prenatal or preimplantation genetic diagnosis in future pregnancies.

Test Code
2462
CPT Code
81479
ICD Code
Q78.0
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. Results are delivered via the online portal, email, and WhatsApp. Urgent cases may be prioritized upon request.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Sanger Confirmation (if required), Bioinformatics Analysis, Variant Classification (ACMG Guidelines)
Step 1

Sample Collection

A genetic counseling session is recommended prior to sample collection to discuss the clinical indication, family history, and implications of test results. A pedigree chart of affected family members should be prepared. No fasting is required. Inform the laboratory of any recent blood transfusions or bone marrow transplants.

Method: Venipuncture / Heel Prick (Neonates)

Step 2

Laboratory Analysis

A standard venipuncture will be performed to collect 3-5 mL of whole blood in an EDTA (lavender top) vacutainer. For neonates, a heel prick may be used to collect one drop of blood on an FTA card. Alternatively, previously extracted DNA may be submitted. The procedure is minimally invasive and typically takes less than 5 minutes.

Step 3

Report Delivery

Apply gentle pressure to the puncture site with a cotton ball or gauze for 3-5 minutes. A small bandage may be applied. Avoid heavy lifting with the affected arm for a few hours. Mild bruising at the site is normal and should resolve within a few days. Results will be available within 3 to 4 weeks and will be shared 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. Results are delivered via the online portal, email, and WhatsApp. Urgent cases may be prioritized upon request.

Patient Instructions

1
Before the Test:Schedule a genetic counseling session to discuss the clinical indication, family history, and implications of testing. Prepare a pedigree chart of affected family members. No fasting is required. Inform the healthcare provider of any recent blood transfusions, bone marrow transplants, or current medications. Sign the informed consent form for genetic testing.
2
During the Test:A blood sample (3-5 mL) will be collected via standard venipuncture into an EDTA vacutainer. For neonates, a heel prick blood spot on an FTA card may be used. The collection procedure is quick, minimally invasive, and typically completed within 5 minutes. Mild discomfort at the puncture site may be experienced.
3
After the Test:Apply pressure to the puncture site for 3-5 minutes. A bandage will be applied. You may resume normal activities immediately. Mild bruising at the collection site is normal. The sample will be processed using NGS technology, and results will be available within 3 to 4 weeks. Results will be delivered via the online portal, email, or WhatsApp. A follow-up genetic counseling session is recommended to discuss the results.

About This Test

Who Should Get This Test

The purpose of the PLOD2 Gene Osteogenesis Imperfecta with Congenital Joint Contractures NGS Genetic Test is to identify pathogenic or likely pathogenic mutations in the PLOD2 gene that cause a specific subtype of Osteogenesis Imperfecta characterized by bone fragility and congenital joint contractures. This test enables definitive molecular diagnosis, guides clinical management and treatment decisions, facilitates accurate genetic counseling for affected families, supports carrier detection, and provides essential information for prenatal or preimplantation genetic diagnosis in future pregnancies.

How to Prepare

  • Collect 3-5 mL of venous blood in an EDTA (Lavender Top) vacutainer under aseptic conditions
  • For neonates or difficult venous access, one drop of blood on an FTA card is acceptable
  • Label the sample clearly with patient name, date of birth, date of collection, and sample ID
  • Gently invert the EDTA tube 8-10 times immediately after collection to prevent clotting
  • Store the sample at ambient room temperature (15-30°C) and transport to the laboratory within 48 hours
  • Do not freeze whole blood samples
  • If extracted DNA is being submitted, ensure a minimum concentration of 20 ng/µL and a volume of at least 20 µL
  • Include the completed test requisition form and signed consent form with the sample

Doctor's Notes

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

"As an obstetrician-gynecologist, I frequently counsel families with a history of osteogenesis imperfecta who are planning pregnancies. The PLOD2 gene NGS test provides a definitive molecular diagnosis that is essential for prenatal risk assessment, carrier testing, and early intervention planning. I recommend this test for any family presenting with clinical features suggestive of OI with congenital joint contractures, as an accurate genetic diagnosis directly informs reproductive decision-making and neonatal management strategies."

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) Vacutainer or FTA Card
Collection MethodVenipuncture / Heel Prick (Neonates)

Sample Stability

Sample Rejection Criteria:
  • Sample received without proper labeling or identification
  • Clotted blood in EDTA tube
  • Severely hemolyzed or lipemic samples
  • Sample volume insufficient for testing (less than 1 mL whole blood)
  • Sample received without completed requisition form or consent
  • Extracted DNA with concentration below 10 ng/µL or degraded DNA (A260/280 ratio outside 1.7-2.0)
  • Sample contaminated or improperly stored (exposed to extreme temperatures)

Understanding Your Results

The results of the PLOD2 Gene Osteogenesis Imperfecta with Congenital Joint Contractures NGS Genetic Test should be interpreted by a qualified clinical geneticist or genetic counselor in the context of the patient's clinical presentation, family history, and other diagnostic findings. The following guide provides a general framework for understanding possible outcomes.
📊

One or more pathogenic or likely pathogenic variants were identified in the PLOD2 gene. This confirms a molecular diagnosis of PLOD2-related Osteogenesis Imperfecta with Congenital Joint Contractures (Bruck Syndrome Type 2). Genetic counseling is recommended to discuss inheritance pattern (autosomal recessive), implications for family members, and reproductive options including carrier testing and prenatal diagnosis.

Result type: Positive — Pathogenic or Likely Pathogenic Variant(s) Detected

📊

No pathogenic or likely pathogenic variants were identified in the PLOD2 gene. This result reduces the likelihood of PLOD2-related OI but does not completely exclude a genetic etiology. Mutations in other genes associated with OI (such as COL1A1, COL1A2, FKBP10, BMP1, or SERPINF1) may be responsible. Clinical correlation and further genetic testing may be warranted.

Result type: Negative — No Pathogenic Variants Detected

📊

A variant of uncertain significance was identified in the PLOD2 gene. The clinical significance of this variant is currently unknown based on available evidence. Family studies, functional analyses, and clinical correlation are recommended to determine pathogenicity. The variant should be reclassified as additional evidence becomes available.

Result type: Variant of Uncertain Significance (VUS) Detected

📊

The test was unable to provide a definitive result due to technical limitations such as insufficient DNA quality, low coverage in specific regions, or the presence of a variant in a region not fully covered by the assay. A repeat test with a new sample or an alternative testing approach may be considered.

Result type: Inconclusive / Technical Limitation

⚠️ When to Consult a Doctor:

Consult your doctor or genetic counselor if the test results show pathogenic or likely pathogenic variants in the PLOD2 gene, if a Variant of Uncertain Significance (VUS) is detected, if clinical symptoms of Osteogenesis Imperfecta persist despite a negative result, or if you have questions about the implications of the results for family planning, prenatal diagnosis, or treatment options. Immediate medical attention should be sought if the patient experiences new or worsening bone fractures, respiratory difficulties, or significant joint mobility issues.

Limitations

  • This test targets the PLOD2 gene only and does not screen for mutations in other OI-associated genes such as COL1A1, COL1A2, or FKBP10
  • Deep intronic variants, regulatory region mutations, and large structural rearrangements may not be fully detected
  • Variants of Uncertain Significance (VUS) may be identified and may require further investigation or family studies
  • This test does not assess epigenetic modifications or mitochondrial DNA variants
  • A negative result does not completely exclude a genetic basis for the patient's condition

Risks & Considerations

  • Minimal risk associated with blood collection: mild pain, bruising, or swelling at the puncture site
  • Very rare risk of infection at the venipuncture site
  • Psychological impact of genetic test results, including anxiety or distress, which can be mitigated through genetic counseling
  • Risk of identifying Variants of Uncertain Significance (VUS) which may cause uncertainty
  • Risk of incidental findings unrelated to the primary indication (managed per laboratory policy and consent)

Interfering Factors

  • Degraded or insufficient DNA quality in the submitted sample
  • Recent blood transfusion within the past 4 weeks may affect results
  • Contamination during sample collection or transport
  • Hemolyzed or clotted blood samples may reduce DNA yield
  • Mosaicism in the patient may result in variants being below the detection threshold

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Frequently Asked Questions

What is PLOD2 Gene Osteogenesis Imperfecta with Congenital Joint Contractures?
PLOD2 Gene Osteogenesis Imperfecta with Congenital Joint Contractures is a rare autosomal recessive genetic disorder caused by mutations in the PLOD2 gene. This gene encodes lysyl hydroxylase 2, an enzyme critical for collagen cross-linking. The condition is characterized by bone fragility, recurrent fractures, and congenital joint contractures (joints fixed in abnormal positions from birth). It is also known as Bruck Syndrome Type 2.
What are the common symptoms of PLOD2-related Osteogenesis Imperfecta?
Common symptoms include frequent bone fractures, congenital joint contractures, blue sclera (blue-tinted whites of the eyes), short stature, bone deformities, loose joints, weak muscles, respiratory problems, easy bruising, and hearing loss. The severity of symptoms can vary significantly between individuals.
How is PLOD2 Gene OI diagnosed?
Diagnosis involves a combination of clinical evaluation, imaging studies (X-rays, CT scans, or MRI), and genetic testing. The NGS Genetic Test is the most definitive diagnostic method, as it can identify specific mutations in the PLOD2 gene. A genetic counseling session and pedigree analysis are also recommended as part of the diagnostic process.
What is NGS Genetic Testing and how does it work?
Next-Generation Sequencing (NGS) is an advanced molecular technology that enables rapid and accurate sequencing of DNA. For the PLOD2 gene test, NGS reads the entire coding sequence of the PLOD2 gene to identify mutations. It can detect single nucleotide variants, small insertions and deletions, and copy number variations with high sensitivity and specificity.
What sample is required for the PLOD2 Gene NGS Genetic Test?
The test requires a blood sample (3-5 mL collected in an EDTA vacutainer), extracted DNA, or one drop of blood on an FTA card. The sample collection is a simple, minimally invasive venipuncture procedure. Free home sample collection is available across India through DNA Labs India.
How long does it take to get the results of the PLOD2 Gene NGS Test?
Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. The report is delivered via the online portal, email, and WhatsApp. Raw data files (FASTQ and VCF) are also provided along with the clinical report.
What is the cost of the PLOD2 Gene Osteogenesis Imperfecta NGS Genetic Test in India?
The cost of the PLOD2 Gene Osteogenesis Imperfecta with Congenital Joint Contractures NGS Genetic Test at DNA Labs India is INR 20,000. This price includes home sample collection, NGS analysis, clinical report, and raw data files (FASTQ and VCF). The test is available at a special discounted price across India.
Is the PLOD2 Gene NGS Genetic Test available across India?
Yes, DNA Labs India offers free home sample collection for this test across numerous cities in India including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, Ahmedabad, Jaipur, Lucknow, Chandigarh, and many more. The test can be booked online with sample collection scheduled at your convenience.
Is genetic counseling required before taking the PLOD2 Gene NGS Test?
Yes, a genetic counseling session is recommended before testing. During this session, a genetic counselor will review the clinical history, draw a pedigree chart of family members, discuss the implications of possible results, and obtain informed consent. This ensures that the patient and family understand the purpose, benefits, and limitations of the test.
Can the PLOD2 Gene NGS Test be used for prenatal diagnosis or family planning?
Yes, once a pathogenic variant is identified in an affected family member, targeted testing can be offered for prenatal diagnosis (via chorionic villus sampling or amniocentesis) or preimplantation genetic diagnosis (PGD) during IVF. Carrier testing can also be performed for at-risk family members to inform reproductive decisions.
What is the difference between PLOD2-related OI and other types of Osteogenesis Imperfecta?
PLOD2-related OI (Bruck Syndrome Type 2) is distinguished from other forms of OI by the presence of congenital joint contractures in addition to bone fragility. Other types of OI are caused by mutations in different genes such as COL1A1, COL1A2, FKBP10, BMP1, and SERPINF1, and may present with different clinical features and severity. Molecular genetic testing is essential for accurate subtype classification.
Does DNA Labs India provide raw data files with the genetic test report?
Yes, DNA Labs India is committed to transparency and provides raw data files including FASTQ and VCF files along with the conclusive clinical test report. This allows patients and their healthcare providers to review the sequencing data independently, seek second opinions, or use the data for future analyses as new gene-disease associations are discovered.
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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