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SELENON Gene Myopathy with fiber-type disproportion NGS Genetic Test

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SELENON Gene Myopathy with fiber-type disproportion NGS Genetic Test

Short Name: SELENON Gene Myopathy NGS Test

Also known as: SEPN1-Related Myopathy Test, Congenital Myopathy with Fiber-Type Disproportion NGS Test, SELENON-Related Congenital Myopathy Genetic Test, Multiminicore Disease with Fiber-Type Disproportion DNA Test, SEPN1 Gene Sequencing Test

SELENON Gene Myopathy with fiber-type disproportion NGS Genetic Test test available at DNA Labs India for ₹20,000. Uses Next Generation Sequencing (NGS), Bioinformatics Analysis, Sanger Confirmation (if required) 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.. Free home collection in 300+ cities across India.

Next Generation Sequencing (NGS) Genetic TestAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The SELENON Gene Myopathy with Fiber-Type Disproportion NGS Genetic Test is performed to identify pathogenic mutations in the SELENON gene responsible for this rare congenital myopathy. This test serves multiple critical clinical purposes: confirming a clinical diagnosis in symptomatic individuals, differentiating SELENON-related myopathy from other neuromuscular disorders with overlapping presentations such as central core disease or other congenital myopathies, identifying the specific genetic variants responsible for the condition to guide personalised management strategies, facilitating genetic counselling for affected families to determine carrier status and recurrence risks, and enabling carrier testing and prenatal or preimplantation genetic diagnosis for at-risk family members when indicated.

Test Code
1761
CPT Code
81479
ICD Code
G71.2
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.
Fasting Required
No
Method
Next Generation Sequencing (NGS), Bioinformatics Analysis, Sanger Confirmation (if required)
Step 1

Sample Collection

A genetic counselling session is strongly recommended before sample collection to discuss the purpose of the test, its implications, expected outcomes, and to draw a detailed pedigree chart of family members affected with or at risk for SELENON Gene Myopathy. A comprehensive clinical history of the patient should be provided, including onset and progression of symptoms, family history of neuromuscular disorders, consanguinity, and any previous diagnostic workup such as muscle biopsy or creatine kinase levels.

Method: Venipuncture or FTA Card Spot Collection

Step 2

Laboratory Analysis

A small blood sample of 3-5 mL is collected via standard venipuncture into an EDTA (lavender-top) tube. Alternatively, one drop of blood on an FTA card or a saliva sample in an appropriate collection kit may be used. The procedure is non-invasive, painless, and typically takes less than 5 minutes. The sample is clearly labeled with patient details and sealed for transport.

Step 3

Report Delivery

After sample collection, patients can resume normal daily activities immediately with no restrictions. The collected sample is transported under appropriate conditions to DNA Labs India's laboratory for DNA extraction and NGS analysis. Results are typically available within 3 to 4 weeks. The genetic report includes detailed variant analysis, clinical interpretation, and raw data files (FASTQ and VCF) for transparency and future reference.

Timeline: Results are typically available within 3 to 4 weeks from the date of sample receipt at the laboratory.

Patient Instructions

1
Before the Test:Prior to testing, schedule a genetic counselling session to discuss the clinical indication, test limitations, potential outcomes, and implications of results for the patient and family. Provide a comprehensive clinical history including symptom onset, progression, family history of neuromuscular disorders, consanguinity, and results of any previous investigations such as muscle biopsy, EMG, or creatine kinase levels. Draw a detailed pedigree chart of family members affected with or at risk for SELENON Gene Myopathy.
2
During the Test:A small blood sample (3-5 mL) is collected via standard venipuncture into an EDTA tube. Alternatively, one drop of blood on an FTA card or a saliva sample may be used. The collection procedure is quick, non-invasive, and painless. The sample is properly labeled, sealed, and transported under controlled conditions to the laboratory for DNA extraction and NGS analysis.
3
After the Test:After sample collection, no specific precautions are needed. Patients can resume normal activities immediately. The sample undergoes DNA extraction, library preparation, NGS sequencing, and bioinformatics analysis in the laboratory. Results are typically available within 3 to 4 weeks and are delivered via the online portal, email, or WhatsApp. Genetic counselling is recommended upon receipt of results to discuss findings, implications, and next steps.

About This Test

Who Should Get This Test

The SELENON Gene Myopathy with Fiber-Type Disproportion NGS Genetic Test is performed to identify pathogenic mutations in the SELENON gene responsible for this rare congenital myopathy. This test serves multiple critical clinical purposes: confirming a clinical diagnosis in symptomatic individuals, differentiating SELENON-related myopathy from other neuromuscular disorders with overlapping presentations such as central core disease or other congenital myopathies, identifying the specific genetic variants responsible for the condition to guide personalised management strategies, facilitating genetic counselling for affected families to determine carrier status and recurrence risks, and enabling carrier testing and prenatal or preimplantation genetic diagnosis for at-risk family members when indicated.

How to Prepare

  • Fasting is not required for this test
  • Provide a complete clinical history and family pedigree during the pre-test genetic counselling session
  • Ensure the blood sample is collected in an EDTA (lavender-top) tube
  • For FTA card samples, ensure the blood spot fully saturates the designated area and allow it to dry completely
  • Label all samples clearly with patient name, date of birth, date of collection, and test requisition number
  • Transport blood samples at 2-8°C; FTA card samples may be transported at room temperature
  • Avoid hemolysis during blood collection by using appropriate needle gauge and gentle handling

Doctor's Notes

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

"As a neurologist, I frequently encounter patients with undiagnosed congenital myopathies presenting as early-onset proximal muscle weakness and delayed motor milestones. The SELENON Gene Myopathy NGS Genetic Test is an invaluable diagnostic tool that helps differentiate this condition from other neuromuscular disorders with overlapping presentations, such as congenital muscular dystrophy, central core disease, or other congenital myopathies. Early molecular diagnosis through next-generation sequencing enables timely intervention, including proactive respiratory monitoring, structured physiotherapy, nutritional support for swallowing difficulties, and orthopedic management of scoliosis and joint contractures. I recommend this test for any patient presenting with unexplained early-onset proximal muscle weakness, axial hypotonia, respiratory insufficiency, or delayed motor milestones of unclear etiology, particularly when muscle biopsy findings suggest fiber-type disproportion."

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 (Blood) or 2 mL (Extracted DNA)
ContainerEDTA Tube (Lavender Top) or FTA Card
Collection MethodVenipuncture or FTA Card Spot Collection

Sample Stability

Whole blood in EDTA tube: Stable at 2-8°C for up to 7 days from collection
Extracted DNA: Stable at -20°C for up to 6 months
Blood on FTA Card: Stable at room temperature (15-30°C) for up to 30 days when stored in a sealed bag with desiccant
Saliva sample: Stable at room temperature for up to 30 days in provided collection kit
Sample Rejection Criteria:
  • Insufficient sample volume for DNA extraction and NGS analysis
  • Clotted blood sample collected in an EDTA tube
  • Severely hemolyzed sample that may affect DNA quality
  • Sample collected in an incorrect container or with an incompatible anticoagulant
  • Sample received without proper labeling, patient identification, or completed requisition form
  • Sample received beyond the stability window for the given specimen type
  • Contaminated or leaking sample container

Understanding Your Results

The results of the SELENON Gene Myopathy NGS Genetic Test provide a comprehensive molecular analysis of the SELENON gene. Results should be interpreted by a qualified geneticist or neurologist in the context of clinical findings, family history, and additional diagnostic investigations. A positive result identifying pathogenic or likely pathogenic variants confirms the molecular diagnosis. Identification of VUS requires clinical correlation and may warrant family studies or periodic reclassification.
📊

No Pathogenic Variants Detected

Reduced likelihood of SELENON gene myopathy, but does not definitively rule out the diagnosis

📊

Pathogenic Variant(s) Detected

Confirms molecular diagnosis when biallelic pathogenic variants are identified; enables genetic counselling, carrier testing, and family planning

📊

Variant of Uncertain Significance (VUS) Detected

Cannot confirm or exclude diagnosis; requires clinical correlation, family studies, and periodic reassessment

📊

Single Heterozygous Pathogenic Variant Detected

Carrier status confirmed; additional testing recommended if clinically symptomatic

⚠️ When to Consult a Doctor:

Consult a neurologist or clinical geneticist if your test reveals pathogenic or likely pathogenic variants in the SELENON gene, or if a variant of uncertain significance (VUS) is detected in the context of clinical symptoms. Additionally, seek medical consultation if the test is negative but clinical symptoms of proximal muscle weakness, respiratory insufficiency, delayed motor milestones, or progressive scoliosis persist, as additional genetic or diagnostic testing may be necessary. Families with a confirmed diagnosis should also consult a genetic counsellor to discuss carrier testing, recurrence risks, and reproductive options.

Limitations

  • This test may not detect large deletions or duplications in the SELENON gene; additional MLPA analysis may be required
  • Variants of uncertain significance (VUS) may be identified that cannot be definitively classified as pathogenic or benign at the time of testing
  • Deep intronic mutations, regulatory region variants, and structural variants outside the coding region may not be detected
  • Results must always be interpreted in conjunction with clinical findings, family history, and other diagnostic workup
  • A negative result does not completely rule out SELENON gene myopathy if mutations exist in regions not covered by this assay
  • The test does not assess mitochondrial DNA variants or other genes associated with congenital myopathy

Risks & Considerations

  • Minimal risk associated with venipuncture, including mild bruising, swelling, or discomfort at the needle insertion site
  • Extremely rare risk of infection at the venipuncture site
  • Potential psychological impact of genetic test results; genetic counselling is recommended before and after testing

Interfering Factors

  • Degraded or insufficient DNA quality may affect sequencing results
  • Blood sample collected in an improper anticoagulant tube or with clot formation
  • Recent blood transfusion within the preceding 6 months may interfere with analysis
  • Contamination of the sample during collection, transport, or processing
  • Low-quality FTA card sample due to improper storage or handling

Compare With Similar Tests

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Frequently Asked Questions

What is SELENON Gene Myopathy with Fiber-Type Disproportion?
SELENON Gene Myopathy with Fiber-Type Disproportion is a rare inherited neuromuscular disorder caused by mutations in the SELENON gene (formerly SEPN1). It is characterized by early-onset muscle weakness predominantly affecting proximal muscles, axial hypotonia, and a histopathological finding where type 1 muscle fibers are significantly smaller than type 2 fibers. The condition is inherited in an autosomal recessive pattern and can vary in severity from mild motor delays to significant physical disability.
What causes SELENON Gene Myopathy?
SELENON Gene Myopathy is caused by mutations in the SELENON gene located on chromosome 1p36. This gene provides instructions for making selenoprotein N, a protein essential for proper skeletal muscle function, particularly in maintaining calcium balance within muscle cells. Mutations in both copies of the gene (autosomal recessive inheritance) lead to deficient or dysfunctional selenoprotein N, resulting in muscle weakness and structural abnormalities in muscle fibers.
What are the common symptoms of SELENON Gene Myopathy?
Common symptoms include proximal muscle weakness (muscles closest to the body center), delayed motor milestones such as crawling and walking, axial hypotonia, muscle stiffness and pain, difficulty swallowing (dysphagia), difficulty breathing (dyspnea), scoliosis (curvature of the spine), and joint contractures. Symptoms can vary greatly in severity, even among members of the same family. Some individuals may have only mild weakness, while others may have severe impairment affecting daily activities.
How is SELENON Gene Myopathy diagnosed?
Diagnosis typically involves a combination of clinical evaluation, family history assessment, muscle biopsy showing fiber-type disproportion, and genetic testing. Next Generation Sequencing (NGS) of the SELENON gene is the most advanced and accurate method for definitive molecular diagnosis. NGS analyzes the entire coding region of the gene to identify causative mutations. Additional investigations such as creatine kinase levels, electromyography (EMG), and MRI of muscles may also support the clinical diagnosis.
What is the NGS Genetic Test for SELENON Gene Myopathy?
The NGS (Next Generation Sequencing) Genetic Test for SELENON Gene Myopathy is an advanced molecular diagnostic test that uses high-throughput sequencing technology to analyze the entire coding region and flanking intronic boundaries of the SELENON gene. This test can detect various types of mutations including missense, nonsense, frameshift, splice-site variants, small insertions, and small deletions. It is the gold standard for molecular confirmation of SELENON gene myopathy.
What sample type is required for the SELENON Gene Myopathy NGS Test?
The test can be performed using a blood sample (3-5 mL collected in an EDTA lavender-top tube), extracted DNA, or one drop of blood on an FTA card. The collection procedure is non-invasive and painless. Fasting is not required before sample collection. Free home sample collection is available through DNA Labs India across major cities in India.
How much does the SELENON Gene Myopathy NGS Genetic Test cost at DNA Labs India?
The cost of the SELENON Gene Myopathy with Fiber-Type Disproportion NGS Genetic Test at DNA Labs India is INR 20,000. This price includes free home sample collection, DNA extraction, NGS sequencing, bioinformatics analysis, interpretation by expert geneticists, and a comprehensive clinical report with raw data files (FASTQ and VCF). A special discounted price of Rs 20,000 is available across India for online bookings.
How long does it take to get the test results?
Results for the SELENON Gene Myopathy NGS Genetic Test are typically available within 3 to 4 weeks from the date of sample receipt at DNA Labs India's laboratory. The report is delivered via the online portal, email, or WhatsApp. The turnaround time accounts for DNA extraction, library preparation, NGS sequencing, bioinformatics analysis, and expert genetic interpretation.
Is the SELENON Gene Myopathy NGS Genetic Test painful?
No, the SELENON Gene Myopathy NGS Genetic Test is a non-invasive and painless procedure. It involves collecting a small blood sample (3-5 mL) via standard venipuncture, which causes only minimal discomfort similar to a routine blood draw. Alternatively, an FTA card spot collection or saliva sample may be used. Patients can resume normal activities immediately after sample collection with no downtime.
Can SELENON Gene Myopathy be detected before birth?
Yes, prenatal diagnosis is possible for SELENON Gene Myopathy when the causative familial mutations are already known from a previously affected family member. Prenatal genetic testing can be performed using chorionic villus sampling (CVS) at 10-13 weeks or amniocentesis at 15-18 weeks of pregnancy. Preimplantation genetic testing (PGT) during IVF is also an option for carrier couples who wish to prevent transmission. A genetic counsellor can guide families through these options.
Is there a cure for SELENON Gene Myopathy?
Currently, there is no cure for SELENON Gene Myopathy with Fiber-Type Disproportion. Management focuses on symptomatic treatment and supportive care, including physiotherapy for maintaining muscle strength and mobility, respiratory support and monitoring for breathing difficulties, nutritional support for swallowing difficulties, orthopedic management of scoliosis and joint contractures, and regular clinical surveillance. Early diagnosis through genetic testing enables proactive management that can significantly improve quality of life.
Does DNA Labs India provide raw data files with the test report?
Yes, DNA Labs India is the only laboratory that is transparent and provides Raw Data, FASTQ, and VCF files along with the conclusive clinical report for the SELENON Gene Myopathy NGS Genetic Test. These files allow patients and their healthcare providers to review the sequencing data independently, facilitate future reanalysis as genetic knowledge advances, and support second opinions. This comprehensive data sharing is part of DNA Labs India's commitment to transparency in genetic testing.
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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