PSAT1 Gene Phosphoserine aminotransferase deficiency NGS Genetic Test
Short Name: PSAT1 Gene NGS Test
Also known as: PSAT1 Deficiency Test, Phosphoserine Aminotransferase Deficiency Genetic Test, PSAT1 Gene Sequencing, Serine Biosynthesis Disorder NGS Test, PSAT1 Mutation Analysis
PSAT1 Gene Phosphoserine aminotransferase deficiency NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next Generation Sequencing (NGS), Sanger Confirmation (if required), Bioinformatics Pipeline Analysis 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. Reports are delivered via the DNA Labs India online portal, email, and WhatsApp. Urgent processing may be available upon request.. Free home collection in 300+ cities across India.
🩺 Medically Reviewed By
Dr SULOCHANA HEMCHANDRA HOLLA
Consultant Medical Geneticist · Reg: 8532
Last reviewed: September 7, 2026
Overview
The primary purpose of this test is to identify pathogenic mutations in the PSAT1 gene to confirm or rule out a diagnosis of phosphoserine aminotransferase deficiency. This test is used for diagnostic confirmation in symptomatic individuals, carrier detection in at-risk family members, and informing recurrence risk assessment for family planning. Early molecular diagnosis enables timely initiation of serine and glycine supplementation therapy, which may improve neurological outcomes when started early in life.
- Test Code
- 2213
- CPT Code
- 81479
- ICD Code
- E72.8
- 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. Reports are delivered via the DNA Labs India online portal, email, and WhatsApp. Urgent processing may be available upon request.
- Fasting Required
- No
- Method
- Next Generation Sequencing (NGS), Sanger Confirmation (if required), Bioinformatics Pipeline Analysis
Sample Collection
Genetic counseling session is recommended before sample collection. A pedigree chart of family members affected with phosphoserine aminotransferase deficiency should be prepared. Provide complete clinical history of the patient. No fasting is required.
Method: Venipuncture / Heel prick (neonates)
Laboratory Analysis
A trained phlebotomist collects approximately 3 mL of venous blood in an EDTA (lavender top) vacutainer. For neonates, a heel prick blood drop may be collected on an FTA card. The procedure typically takes less than 5 minutes and involves minimal discomfort.
Report Delivery
The sample is labeled, stored at ambient room temperature, and transported to the DNA Labs India testing facility under controlled conditions. Avoid exposure to extreme temperatures. The clinical report, along with raw data files (FASTQ and VCF), is delivered within 3 to 4 weeks.
Timeline: Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory. Reports are delivered via the DNA Labs India online portal, email, and WhatsApp. Urgent processing may be available upon request.
Patient Instructions
About This Test
Who Should Get This Test
The primary purpose of this test is to identify pathogenic mutations in the PSAT1 gene to confirm or rule out a diagnosis of phosphoserine aminotransferase deficiency. This test is used for diagnostic confirmation in symptomatic individuals, carrier detection in at-risk family members, and informing recurrence risk assessment for family planning. Early molecular diagnosis enables timely initiation of serine and glycine supplementation therapy, which may improve neurological outcomes when started early in life.
How to Prepare
- Use an EDTA (lavender top) vacutainer for blood collection
- Do NOT use heparin anticoagulant as it can interfere with DNA extraction
- Ensure the sample is gently mixed after collection to prevent clotting
- Store the sample at ambient room temperature (15-30°C) until dispatch
- Do not freeze the blood sample prior to DNA extraction
- For FTA card collection, allow the blood spot to air dry completely before packaging
- Label the sample with patient name, date of collection, and sample ID
Doctor's Notes
Reviewed by Dr SULOCHANA HEMCHANDRA HOLLA — MBBS, MD (Medical Genetics) · Reg. No. 8532
"PSAT1 gene phosphoserine aminotransferase deficiency is a rare autosomal recessive inborn error of serine biosynthesis. Early identification through genetic testing is critical, particularly in families with a history of developmental delays, seizures, or microcephaly in infancy. Prenatal and carrier testing should be considered for at-risk couples with a known family history. Genetic counseling before and after testing is strongly recommended to help families understand inheritance patterns, recurrence risks, and available management strategies. Referral for metabolic evaluation and long-term developmental follow-up is advised upon diagnosis."
Last medically reviewed: September 7, 2026
Test Parameters & Specifications
Sample Stability
- Sample collected in heparin anticoagulant
- Hemolyzed, clotted, or insufficient sample volume
- Sample without proper labeling or identification
- Sample contaminated or improperly stored
- Sample collected after recent blood transfusion (within 120 days) for blood-based testing
Understanding Your Results
No pathogenic or likely pathogenic variants detected
No mutations in the PSAT1 gene were identified. This result reduces the likelihood of PSAT1 phosphoserine aminotransferase deficiency but does not exclude it entirely, as mutations in deep intronic regions or large rearrangements may not be detected by this method. Clinical correlation and consideration of other genetic causes is advised.
Homozygous pathogenic variant detected
Two copies of the same pathogenic variant were identified in the PSAT1 gene, consistent with autosomal recessive inheritance. This finding supports a diagnosis of phosphoserine aminotransferase deficiency. Carrier testing for parents is recommended to confirm segregation.
Compound heterozygous pathogenic variants detected
Two different pathogenic or likely pathogenic variants were identified in the PSAT1 gene (one on each allele). This finding supports a diagnosis of phosphoserine aminotransferase deficiency. Parental testing is recommended for confirmation.
Heterozygous pathogenic variant detected (carrier)
A single pathogenic variant was identified, indicating carrier status. The individual is typically unaffected but has a 50% chance of passing the variant to offspring. If the partner is also a carrier, there is a 25% risk of having an affected child.
Variant of Uncertain Significance (VUS) detected
A genetic variant was identified in the PSAT1 gene, but current evidence is insufficient to classify it as pathogenic or benign. Clinical correlation, family studies, and functional analysis may help determine significance. Genetic counseling is recommended.
Consult a clinical geneticist or metabolic specialist if the test detects any pathogenic, likely pathogenic, or uncertain variants. Also consult a doctor if the patient exhibits symptoms such as developmental delays, seizures, microcephaly, hypotonia, or low serine levels, even if genetic testing is normal. Families planning future pregnancies should seek genetic counseling regarding recurrence risk and prenatal testing options.
Limitations
- ⚠This test does not detect large genomic rearrangements, copy number variations, or deep intronic mutations outside covered regions
- ⚠Variants of Uncertain Significance (VUS) may be identified and may require further clinical correlation
- ⚠A negative result does not completely exclude other genetic causes of the clinical phenotype
- ⚠This test is specific to the PSAT1 gene and does not screen for mutations in other serine biosynthesis pathway genes (PHGDH, PSPH)
- ⚠Results should always be interpreted in conjunction with clinical findings, family history, and biochemical data
Risks & Considerations
- ●Minimal risk associated with blood collection — slight bruising or discomfort at the venipuncture site
- ●Risk of identifying Variants of Uncertain Significance (VUS) which may cause anxiety and require further testing
- ●Potential for incidental findings related to carrier status that may have implications for family planning
- ●Emotional and psychological impact of a positive diagnosis — genetic counseling support is recommended
Interfering Factors
- ●Degraded or insufficient DNA quality may affect sequencing accuracy
- ●Blood sample contaminated or improperly stored may require recollection
- ●Recent blood transfusion (within 120 days) may affect results in blood-based samples
- ●Heparin anticoagulant can interfere with downstream molecular processing
Compare With Similar Tests
| Test | PSAT1 Gene Phosphoserine aminotransferase deficiency NGS Genetic Test | Sanger Sequencing of PSAT1 Gene | Targeted Mutation Panel (Metabolic Disorders) | Whole Exome Sequencing (WES) | Biochemical Serine Levels (Plasma/CSF) |
|---|---|---|---|---|---|
| Comparison | PSAT1 Gene Phosphoserine aminotransferase deficiency NGS Genetic Test |
Frequently Asked Questions
What is PSAT1 Gene Phosphoserine Aminotransferase Deficiency?
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