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POLG Gene Mitochondrial neurogastrointestinal encephalopathy syndrome without leukoencephalopathy NGS Genetic Test

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POLG Gene Mitochondrial neurogastrointestinal encephalopathy syndrome without leukoencephalopathy NGS Genetic Test

Short Name: POLG MNGIE NGS Test

Also known as: POLG gene sequencing, MNGIE without leukoencephalopathy genetic test, POLG-related mitochondrial neurogastrointestinal encephalopathy NGS

POLG Gene Mitochondrial neurogastrointestinal encephalopathy syndrome without leukoencephalopathy NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next-Generation Sequencing (NGS), Bioinformatics analysis and variant interpretation on Blood or Extracted DNA or One drop Blood on FTA Card samples. Results in Reports are issued in 3 to 4 weeks from the date the sample is received by the laboratory.. Free home collection in 300+ cities across India.

NGS Genetic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose is to detect pathogenic or likely pathogenic variants in the POLG gene in a patient with clinical suspicion of mitochondrial neurogastrointestinal encephalopathy syndrome without leukoencephalopathy. Genetic confirmation supports early diagnosis, informs clinical management, enables targeted testing in family members, and provides a basis for recurrence-risk counselling.

Test Code
4341
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Reports are issued in 3 to 4 weeks from the date the sample is received by the laboratory.
Fasting Required
No
Method
Next-Generation Sequencing (NGS), Bioinformatics analysis and variant interpretation
Step 1

Sample Collection

No fasting is required. Pre-test genetic counselling to draw a pedigree chart is recommended. The patient should bring clinical history, prior imaging or biochemical reports, and details of affected family members.

Method: Peripheral venous blood draw or dried blood spot on FTA card

Step 2

Laboratory Analysis

A blood sample is collected in an EDTA vacutainer, or a blood spot is spotted onto an FTA card. The procedure takes only a few minutes.

Step 3

Report Delivery

No restrictions are needed after sample collection. The report will be delivered in 3-4 weeks and should be discussed with the referring physician or genetic counsellor.

Timeline: Reports are issued in 3 to 4 weeks from the date the sample is received by the laboratory.

Patient Instructions

1
Before the Test:Clinical evaluation and genetic counselling are recommended. The patient should provide a full family history and relevant clinical records. No fasting is needed.
2
During the Test:A blood sample is drawn, or an FTA card blood spot is prepared. The collection process is quick and minimally invasive.
3
After the Test:No special post-test care is required. Await the genetic report, which is usually ready in 3-4 weeks, and discuss the results with your clinician.

About This Test

Who Should Get This Test

The purpose is to detect pathogenic or likely pathogenic variants in the POLG gene in a patient with clinical suspicion of mitochondrial neurogastrointestinal encephalopathy syndrome without leukoencephalopathy. Genetic confirmation supports early diagnosis, informs clinical management, enables targeted testing in family members, and provides a basis for recurrence-risk counselling.

How to Prepare

  • Write the patient's full name, date of birth and collection date clearly on the sample.
  • If blood is collected in EDTA, do not freeze. Keep at 2-8°C until transport.
  • If FTA card is used, allow the blood spot to air-dry completely before sealing.

Doctor's Notes

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

"A POLG-related diagnosis can mimic common gastrointestinal and neurological disorders; targeted genetic testing brings diagnostic clarity, avoids unnecessary procedures, and enables informed family counselling."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample VolumeAs per collection kit instructions
ContainerEDTA vacutainer, FTA card, or sterile tube containing extracted DNA
Collection MethodPeripheral venous blood draw or dried blood spot on FTA card

Sample Stability

Whole blood in EDTA: 24-48 hours at 2-8°C
Extracted DNA: stable for weeks at -20°C
FTA card: stable at room temperature for months if kept dry
Sample Rejection Criteria:
  • Clotted or hemolyzed blood sample
  • FTA card exposed to moisture or not dried properly
  • Insufficient blood or DNA quantity
  • Mislabeled or unmatched sample
  • Sample received beyond the acceptable stability period

Understanding Your Results

This targeted NGS test analyses the POLG gene and reports variants classified according to ACMG standards. The clinical interpretation is provided by a qualified genetic expert and should be correlated with symptoms, family history, imaging and biochemical findings.
📊

Pathogenic or Likely Pathogenic variant detected

Molecular diagnosis is supported in the appropriate clinical context; genetic counselling and targeted family testing are recommended.

📊

Variant of Uncertain Significance (VUS)

Insufficient evidence to classify as disease-causing; additional segregation or functional studies may be needed.

📊

Negative result

No clinically significant POLG variant detected in the regions tested; a broader mitochondrial or exome-based panel may be considered.

📊

Benign variant detected

Variant is consistent with normal population variation and is unlikely to be disease-causing.

⚠️ When to Consult a Doctor:

If you or a family member has symptoms suggestive of a POLG-related mitochondrial disorder, or if you have a known family history of POLG variants, consult a neurologist or clinical geneticist to discuss genetic testing and post-test counselling.

Limitations

  • This NGS test is limited to coding exons and flanking intronic regions of the POLG gene; deep intronic or regulatory variants are not analysed.
  • Large deletions, duplications or structural rearrangements may not be reliably detected by this targeted NGS assay.
  • A negative result does not exclude a POLG-related disorder or another mitochondrial disease.
  • Variant reclassification may occur over time as scientific knowledge evolves.

Risks & Considerations

  • Slight pain, bruising or discomfort at the blood collection site
  • Rarely, bleeding or infection at the venepuncture site

Interfering Factors

  • Low DNA quality or quantity can cause amplification failure
  • Variants in GC-rich or repetitive regions may be undercalled by NGS
  • Somatic mosaicism or clonal hematopoiesis may affect variant allele fraction
  • Sample mislabelling or contamination can invalidate results

Compare With Similar Tests

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Frequently Asked Questions

What is a POLG gene-associated mitochondrial neurogastrointestinal encephalopathy syndrome without leukoencephalopathy?
It is a rare inherited mitochondrial condition associated with variants in the POLG gene, characterized by neurological and gastrointestinal symptoms, without leukoencephalopathy. A doctor may recommend genetic testing if clinical features are suggestive.
Who should consider this test?
Individuals with progressive external ophthalmoplegia, unexplained gastrointestinal dysmotility, peripheral neuropathy, ataxia, dysarthria, myopathy, cognitive decline, seizures, or a family history suggestive of a POLG-related disorder.
What is the cost of the test at DNA Labs India?
The test costs Rs 20,000 inclusive of NGS analysis, clinical interpretation, raw data (FASTQ, VCF), and the conclusive clinical report.
What sample is accepted?
Blood or extracted DNA or one drop of blood on FTA card can be submitted. Free home sample collection is available for online bookings in selected Indian cities.
Is fasting required for this genetic test?
No, fasting is not required. However, pre-test clinical information and genetic counselling are recommended.
How long will the results take?
Reports are issued in 3 to 4 weeks.
Will I receive raw data files?
Yes. DNA Labs India provides raw data, FASTQ, and VCF files along with the clinical report for transparency.
What does a positive test result mean?
A positive result means a pathogenic or likely pathogenic variant in POLG was identified. This confirms the molecular diagnosis in the appropriate clinical context and supports genetic counselling as well as targeted family testing.
What does a negative test result mean?
A negative result suggests no clinically significant POLG variant was detected in the regions tested. It does not completely exclude a POLG-related or another mitochondrial disease; broader testing may be required.
Can this test detect all mitochondrial disorders?
No. This NGS test targets the nuclear POLG gene only. Other mitochondrial disorders caused by other nuclear genes or mitochondrial DNA variants require different testing panels.
Is home sample collection available in my city?
Free home sample collection is available across many cities including Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Kolkata, Pune, and other locations with an online booking.
What are the next steps after the result?
Discuss the report with your referring physician or clinical geneticist. Genetic counselling is recommended for interpretation, family risk assessment, and recurrence-risk planning.
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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