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POLG Gene Progressive external ophthalmoplegia with mitochondrial deletions type 1, autosomal dominant NGS Genetic Test

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POLG Gene Progressive external ophthalmoplegia with mitochondrial deletions type 1, autosomal dominant NGS Genetic Test

Short Name: POLG PEO NGS Test

Also known as: POLG PEO Genetic Test, Progressive External Ophthalmoplegia NGS Test, Mitochondrial deletions type 1 POLG test

POLG Gene Progressive external ophthalmoplegia with mitochondrial deletions type 1, autosomal dominant 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.

Molecular/Genetic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this NGS genetic test is to detect pathogenic or likely pathogenic variants in the POLG gene associated with autosomal dominant progressive external ophthalmoplegia with mitochondrial deletions type 1. It supports clinical diagnosis, helps differentiate POLG-related PEO from other neuromuscular and mitochondrial disorders, and enables family screening and genetic counselling.

Test Code
4487
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 or fasting is required. A genetic counselling session is recommended before testing to draw a pedigree chart of family members and discuss the implications of the result.

Method: Venipuncture / FTA blood spot / DNA extraction

Step 2

Laboratory Analysis

Blood sample is collected by venipuncture; for FTA card, one drop of blood is applied to the marked circles. The procedure is non-invasive and generally painless.

Step 3

Report Delivery

You may resume normal activities immediately after sample collection. Reports will be shared online once available.

Timeline: 3 to 4 Weeks

Patient Instructions

1
Before the Test:No fasting required. A genetic counselling session is recommended before testing to review family history and explain the test's benefits, limitations, and implications.
2
During the Test:A blood sample is collected by a trained phlebotomist. If using an FTA card, one drop of blood is placed on the card. The procedure is quick and minimally invasive.
3
After the Test:No restrictions are needed after sample collection. You can resume normal activities. Results are expected in 3 to 4 weeks.

About This Test

Who Should Get This Test

The purpose of this NGS genetic test is to detect pathogenic or likely pathogenic variants in the POLG gene associated with autosomal dominant progressive external ophthalmoplegia with mitochondrial deletions type 1. It supports clinical diagnosis, helps differentiate POLG-related PEO from other neuromuscular and mitochondrial disorders, and enables family screening and genetic counselling.

How to Prepare

  • Use an EDTA tube for whole blood collection
  • For FTA card, apply one drop of blood on the marked circles and allow it to air dry
  • Extracted DNA samples should be sent in a sterile, clearly labelled vial
  • All samples must include patient name, date, and time of collection

Doctor's Notes

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

"Genetic testing for POLG-related progressive external ophthalmoplegia should be interpreted in the context of family history and clinical presentation. Pre-test genetic counselling helps patients understand the inheritance pattern and reproductive implications."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample VolumeAs per laboratory protocol
ContainerEDTA tube, FTA card, DNA vial
Collection MethodVenipuncture / FTA blood spot / DNA extraction

Sample Stability

Whole blood in EDTA: 24-48 hours at room temperature; up to 7 days at 2-8°C
FTA card dried blood spot: stable at room temperature for several weeks
Extracted DNA: stable at -20°C for several months
Sample Rejection Criteria:
  • Improperly labelled specimen
  • Hemolyzed or clotted blood sample
  • Heparinized blood sample
  • FTA card not completely dried
  • Leaked or damaged sample during transport

Understanding Your Results

The molecular test result should be interpreted in the context of clinical findings, family history, and genetic counselling. A positive result confirms the molecular diagnosis of POLG-related progressive external ophthalmoplegia, while a negative result reduces the likelihood but does not completely exclude other mitochondrial disorders.
📊

Pathogenic variant detected

Confirms the molecular diagnosis of autosomal dominant POLG-related progressive external ophthalmoplegia with mitochondrial deletions type 1. Genetic counselling and family screening are recommended.

📊

Likely pathogenic variant detected

Consistent with the clinical diagnosis; additional family segregation or functional studies may be considered. Genetic counselling is advised.

📊

No pathogenic variant detected

Makes POLG-related PEO less likely, but other nuclear genes or mitochondrial DNA abnormalities may still be responsible.

📊

Variant of uncertain significance (VUS)

The clinical significance is not yet known. Family segregation studies and clinical correlation are required before making a definitive diagnosis.

⚠️ When to Consult a Doctor:

Consult a neurologist or clinical geneticist if you or a family member have persistent or progressive drooping eyelids, double vision, difficulty moving the eyes, swallowing difficulty, unexplained muscle weakness, fatigue, or limb coordination problems, especially with a family history of progressive external ophthalmoplegia or mitochondrial disease.

Limitations

  • This test analyses the POLG gene and does not directly measure mitochondrial DNA deletions
  • Large structural rearrangements, copy number variants, or deep intronic mutations may not be detected by this NGS assay
  • Variants of uncertain significance may be reported and may require further family studies
  • A negative result does not exclude other genetic or mitochondrial causes of progressive external ophthalmoplegia

Risks & Considerations

  • Minimal pain or bruising at the venipuncture site
  • Rare risk of bleeding or infection
  • Dizziness or vasovagal reaction during blood collection

Interfering Factors

  • Recent allogeneic blood transfusion may affect DNA analysis
  • Heparinized blood samples may inhibit PCR/sequencing reactions
  • Insufficient or degraded DNA may require repeat testing
  • Contamination during sample collection or handling

Frequently Asked Questions

What is this POLG gene NGS genetic test?
It is a next generation sequencing test that examines the POLG gene for pathogenic variants associated with autosomal dominant progressive external ophthalmoplegia with mitochondrial deletions type 1.
What is the cost of the POLG PEO NGS test in India?
DNA Labs India offers this test at Rs 20000, with free home sample collection for online bookings in major cities across India.
What sample is required for this test?
The test can be done using blood, extracted DNA, or one drop of blood on an FTA card.
Do I need to come to the lab for sample collection?
No, DNA Labs India offers free home sample collection in many Indian cities for this genetic test.
Is fasting required before the test?
No, fasting is not required. You may eat and drink normally before sample collection.
What is the turnaround time for results?
Reports are typically available in 3 to 4 weeks after the sample reaches the laboratory.
What are the common symptoms of POLG-related PEO?
Common symptoms include drooping eyelids, weakness of eye muscles, double vision, difficulty moving the eyes, swallowing difficulty, muscle weakness, fatigue, and limb coordination problems.
Who should consider this test?
Patients with clinical features of progressive external ophthalmoplegia, unexplained mitochondrial myopathy, or a family history of autosomal dominant PEO may consider this test after genetic counselling.
Will the test detect mitochondrial DNA deletions?
This test detects variants in the nuclear POLG gene. It does not directly measure mitochondrial DNA deletions, but a POLG mutation supports the diagnosis of mitochondrial deletions type 1.
Can I receive raw data along with my report?
Yes, DNA Labs India shares raw data, FASTQ and VCF files along with the conclusive clinical test report.
Is genetic counselling necessary before this test?
Yes, pre-test genetic counselling is recommended to create a pedigree chart and help patients understand the inheritance pattern and implications of test results.
Are results informative for family risk assessment?
Yes, if a pathogenic POLG variant is found, family members can be offered predictive testing and reproductive counselling after proper genetic counselling.
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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