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RNASEH1 Gene Progressive external ophthalmoplegia with mitochondrial deletions type 2, autosomal recessive NGS Genetic Test

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RNASEH1 Gene Progressive external ophthalmoplegia with mitochondrial deletions type 2, autosomal recessive NGS Genetic Test

Short Name: RNASEH1 Gene PEO NGS Test

Also known as: RNASEH1-related PEO NGS genetic test, PEO type 2 NGS test, Progressive external ophthalmoplegia mitochondrial deletions NGS test

RNASEH1 Gene Progressive external ophthalmoplegia with mitochondrial deletions type 2, autosomal recessive 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 Results are available in 3 to 4 weeks after the sample is received at the laboratory.. Free home collection in 300+ cities across India.

NGS Genetic Test🏠 Home Collection

🩺 Medically Reviewed By

Overview

To detect pathogenic variants in the RNASEH1 gene associated with progressive external ophthalmoplegia with mitochondrial deletions type 2, autosomal recessive.

Test Code
4490
Price
₹20,000
Sample Type
Blood or Extracted DNA or One drop Blood on FTA Card
Result Time
Results are available in 3 to 4 weeks after the sample is received at the laboratory.
Fasting Required
No
Method
Next Generation Sequencing (NGS)
Step 1

Sample Collection

No fasting required. Please carry a valid government ID and provide the patient's clinical history. A genetic counselling session may be arranged to draw a family pedigree.

Method: Venipuncture or FTA card spot

Step 2

Laboratory Analysis

For blood samples, a trained phlebotomist will collect blood in the appropriate collection tube. For FTA card samples, a single drop of blood is applied to the marked area on the card.

Step 3

Report Delivery

You can resume normal activities immediately. The sample will be transported to the laboratory for DNA extraction and NGS analysis.

Timeline: Results are available in 3 to 4 weeks after the sample is received at the laboratory.

Patient Instructions

1
Before the Test:No fasting is needed. A genetic counselling session is recommended to document family history and explain the testing process.
2
During the Test:A blood sample is collected or an FTA card blood spot is prepared. The sample is then securely sent to the DNA Labs India laboratory.
3
After the Test:No restrictions are required after sample collection. The laboratory will share the report along with raw data files once testing is complete.

About This Test

Who Should Get This Test

To detect pathogenic variants in the RNASEH1 gene associated with progressive external ophthalmoplegia with mitochondrial deletions type 2, autosomal recessive.

How to Prepare

  • No special preparation is needed before sample collection.
  • Inform the laboratory about any known diagnosis of mitochondrial disease in the family.
  • Ensure the consent form is signed and the patient's clinical details are accurately recorded.

Doctor's Notes

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

"NGS-based confirmation of RNASEH1 variants is essential in patients with unexplained progressive external ophthalmoplegia because clinical features overlap with other mitochondrial myopathies. Early molecular diagnosis can guide surveillance for cardiac and neurological complications."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeBlood or Extracted DNA or One drop Blood on FTA Card
Sample VolumeAs required by testing protocol for DNA extraction
ContainerEDTA vacutainer / FTA card
Collection MethodVenipuncture or FTA card spot

Sample Stability

Whole blood: transport within 24–48 hours at 2–8°C where possible.
Extracted DNA: stable for several months when stored at -20°C.
FTA card: stable at ambient temperature for extended periods as per card instructions.
Sample Rejection Criteria:
  • Haemolysed or clotted blood sample
  • Insufficient DNA quantity for NGS analysis
  • Mislabeled sample or incomplete patient details

Understanding Your Results

Genetic findings should be interpreted in the context of the patient's clinical history, muscle biopsy findings, and family pedigree. A clinical geneticist or neurologist should provide molecular diagnosis and genetic counselling.
📊

No pathogenic variant detected

Negative result. No molecular evidence of RNASEH1-related PEO was found.

Action: Consider testing other nuclear genes or mitochondrial DNA if clinical suspicion is high.

📊

Single heterozygous pathogenic variant

Carrier state for autosomal recessive PEO; not expected to cause disease in the absence of a second variant.

Action: Further analysis for a second variant and parental testing may be advised.

📊

Two pathogenic variants (homozygous or compound heterozygous)

Confirmatory molecular diagnosis of RNASEH1-related PEO type 2.

Action: Initiate multidisciplinary management and offer genetic counselling to at-risk family members.

📊

Variant of uncertain significance

Not sufficient to confirm or exclude the diagnosis.

Action: Additional functional studies, segregation analysis, or reclassification may be needed.

⚠️ When to Consult a Doctor:

Consult a neurologist or medical geneticist if you have unexplained bilateral ptosis, ophthalmoplegia, proximal muscle weakness, elevated resting lactate, or a family history of mitochondrial myopathy.

Limitations

  • NGS may not detect large structural rearrangements or deep intronic variants in all cases.
  • A negative result does not completely exclude a mitochondrial disorder.
  • Variants of uncertain significance may require additional family studies or functional testing.
  • This test does not replace a comprehensive mitochondrial genome analysis.

Risks & Considerations

  • Mild pain or bruising at the blood draw site
  • No significant medical risk associated with genetic testing itself
  • Potential psychological impact of receiving genetic results

Interfering Factors

  • Poor DNA quality or quantity
  • Sample contamination with other DNA
  • Sequence variants in highly homologous genomic regions
  • Incorrect sample labelling or incomplete clinical information

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Frequently Asked Questions

What is the RNASEH1 gene PEO NGS genetic test?
This test uses next-generation sequencing to detect disease-causing variants in the RNASEH1 gene, which are associated with progressive external ophthalmoplegia with mitochondrial deletions type 2, an autosomal recessive mitochondrial disorder.
How much does this test cost at DNA Labs India?
The special discounted price is Rs 20,000, and free home sample collection is included for online bookings across many cities in India.
What sample is needed for the test?
Either blood, extracted DNA, or a single drop of blood spotted on an FTA card can be used.
Do I need to fast before the test?
No, fasting is not required for this genetic test.
How long will it take to get the results?
The clinical report is usually available within 3 to 4 weeks after the sample is received.
What does autosomal recessive inheritance mean?
It means the condition occurs only when a person inherits two altered copies of the RNASEH1 gene, one from each parent. Parents are usually unaffected carriers.
Who should consider this genetic test?
People with clinical features of progressive external ophthalmoplegia, ptosis, myopathy, mitochondrial disease, or a family history of the condition, especially when a neurologist recommends genetic testing.
Will this test confirm my diagnosis?
If two pathogenic variants in RNASEH1 are identified, it can confirm the molecular diagnosis. A negative or inconclusive result does not completely rule out the condition, and further testing may be needed.
Why does DNA Labs India provide raw data files?
The laboratory provides raw data files such as FASTQ and VCF along with the clinical report to ensure transparency and allow independent verification or re-analysis by another expert if needed.
Is genetic counselling recommended?
Yes, pre-test genetic counselling to draw a family pedigree and post-test counselling to explain results, inheritance, and family implications are strongly recommended.
Can this test be performed at home?
Yes, DNA Labs India offers free home sample collection for online bookings for this test in multiple cities across India.
What do I need to do before giving my sample?
No special preparation is required. You will need to provide a valid identification, complete the consent form, and ensure the clinical history and family pedigree details have been shared with the testing laboratory.
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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