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UGT1A1 Gene Polymorphism (Nucleotide 'TA' Repeats) Detection Test

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UGT1A1 Gene Polymorphism (Nucleotide 'TA' Repeats) Detection Test

Short Name: UGT1A1 Polymorphism Test

Also known as: UGT1A1 TA Repeat Test, Gilbert's Syndrome Genetic Test, UGT1A1 Promoter Genotyping

UGT1A1 Gene Polymorphism (Nucleotide 'TA' Repeats) Detection Test test available at DNA Labs India for ₹7,500. Uses PCR, Fragment Analysis on Whole Blood (EDTA) samples. Results in Reports are available within 7 working days from the date the sample is received at the laboratory.. Free home collection in 300+ cities across India.

Genetic Polymorphism DetectionAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The purpose of this test is to identify genetic variations in the UGT1A1 gene promoter region, specifically the number of nucleotide TA repeats. These variations are associated with reduced or absent UGT1A1 enzymatic activity, which plays a critical role in bilirubin conjugation and drug detoxification. This testing is indicated for the diagnosis of Gilbert syndrome, differentiation from other hyperbilirubinemia conditions, and risk assessment for drug toxicity, particularly with medications metabolized by UGT1A1.

Test Code
3717
Price
₹7,500
Sample Type
Whole Blood (EDTA)
Result Time
Reports are available within 7 working days from the date the sample is received at the laboratory.
Fasting Required
No
Method
PCR, Fragment Analysis
Step 1

Sample Collection

No special preparation required. However, inform your healthcare provider about all medications you are currently taking, as some drugs may affect bilirubin levels.

Method: Venous blood draw

Step 2

Laboratory Analysis

A blood sample is collected from a vein in your arm using a sterile needle. The procedure takes less than 5 minutes.

Step 3

Report Delivery

You can resume normal activities immediately after sample collection. There are no activity restrictions.

Timeline: Reports are available within 7 working days from the date the sample is received at the laboratory.

Patient Instructions

1
Before the Test:No special preparation is required. However, inform your healthcare provider about all medications you are currently taking, as some drugs may affect bilirubin levels.
2
During the Test:A blood sample is collected from a vein in your arm using a sterile needle. The procedure takes less than 5 minutes.
3
After the Test:You can resume normal activities immediately after sample collection. There are no activity restrictions.

About This Test

Who Should Get This Test

The purpose of this test is to identify genetic variations in the UGT1A1 gene promoter region, specifically the number of nucleotide TA repeats. These variations are associated with reduced or absent UGT1A1 enzymatic activity, which plays a critical role in bilirubin conjugation and drug detoxification. This testing is indicated for the diagnosis of Gilbert syndrome, differentiation from other hyperbilirubinemia conditions, and risk assessment for drug toxicity, particularly with medications metabolized by UGT1A1.

How to Prepare

  • No special preparation required
  • Sample must be collected in a lavender top (EDTA) tube
  • Ship refrigerated at 2-8°C; do not freeze

Doctor's Notes

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

"Genetic testing for UGT1A1 polymorphism can help identify individuals at risk of Gilbert syndrome and drug toxicity. Understanding one's genotype is important before starting medications such as irinotecan, and it also supports family counselling."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeWhole Blood (EDTA)
Sample Volume4 mL (2 mL minimum)
ContainerLavender top (EDTA) tube
Collection MethodVenous blood draw

Sample Stability

Room Temperature: 8 hours
Refrigerated (2-8°C): 1 week
Frozen: Not Acceptable
Sample Rejection Criteria:
  • Sample received frozen
  • Hemolyzed sample
  • Insufficient sample volume (less than 2 mL)
  • Incorrectly labeled sample
  • Clotted EDTA sample

Understanding Your Results

The UGT1A1 gene polymorphism is interpreted according to the number of TA repeats present in the promoter region of each allele. The most common alleles contain 6 or 7 TA repeats.
📊

Homozygous wild type; normal UGT1A1 enzyme activity; low risk for Gilbert syndrome and drug toxicity.

📊

Heterozygous; mildly reduced UGT1A1 activity; usually asymptomatic; intermediate drug metabolism risk.

📊

Homozygous variant; significantly reduced UGT1A1 activity; associated with Gilbert syndrome and increased risk of drug toxicity (e.g., irinotecan).

⚠️ When to Consult a Doctor:

Consult a clinician if you experience persistent jaundice, dark urine, abdominal pain, or if you have a family history of Gilbert syndrome or UGT1A1-related disorders. The test should be ordered by a qualified healthcare provider.

Limitations

  • This test only detects variation in the TA repeat region of the UGT1A1 promoter; other genetic variants are not analyzed.
  • Results correlate with Gilbert syndrome but do not exclude other causes of hyperbilirubinemia.
  • Interpretation should be performed in conjunction with clinical findings and liver function tests.

Risks & Considerations

  • Bruising at the injection site
  • Dizziness or faintness
  • Infection (rare)

Interfering Factors

  • Hemolysis of the blood sample
  • DNA degradation due to improper storage
  • Rare UGT1A1 variants not detected by this assay

Frequently Asked Questions

What is the UGT1A1 gene polymorphism test?
This test detects variations in the UGT1A1 gene promoter region, specifically the number of TA repeats. These variations can affect the activity of the UGT1A1 enzyme, which is involved in bilirubin conjugation and drug metabolism.
What is Gilbert syndrome?
Gilbert syndrome is a common, benign inherited condition that results in mild unconjugated hyperbilirubinemia due to reduced UGT1A1 enzyme activity. It is often diagnosed accidentally when bilirubin levels are found to be elevated on routine blood tests.
Who should consider getting this test?
Individuals with unexplained jaundice, elevated bilirubin, a family history of Gilbert syndrome, or those planning to take medications metabolized by UGT1A1 (such as irinotecan) may consider this test. It should be ordered by a healthcare provider.
Is fasting required before the test?
No special preparation is required. This test is performed on a DNA sample, and fasting is not necessary. However, you should inform your doctor about any medications you take.
What is the cost of the UGT1A1 test at DNA Labs India?
The test costs INR 7500. Free home sample collection is available for online bookings across India.
How is the sample collected?
A blood sample is collected in a lavender top (EDTA) tube. The procedure takes less than 5 minutes and does not require any special preparation.
What do the results indicate?
The test identifies the number of TA repeats in the UGT1A1 promoter. Six repeats per allele ((TA)6/(TA)6) is normal; seven repeats ((TA)7/(TA)7) is associated with Gilbert syndrome and increased drug toxicity risk. Heterozygotes have intermediate activity.
How long does it take to get the results?
Reports are available within 7 working days after the sample is received at the laboratory.
Can this test help with drug dosage decisions?
Yes. UGT1A1 genotype is used to guide dosing of drugs such as irinotecan, nilotinib, and pazopanib, as patients with reduced enzyme activity are at higher risk of toxicity. Your doctor will interpret the results in the context of your treatment plan.
Does this test require any special preparation?
No. This is a genetic test performed on a blood sample. No fasting, dietary restrictions, or medication adjustments are required.
Is home sample collection available?
Yes, DNA Labs India offers free home sample collection for this test in multiple cities across India. You can book the test online and schedule a pickup.
Are there any risks associated with this test?
The test involves a standard blood draw, which carries minimal risks such as bruising, dizziness, or rarely infection. It does not carry any genetic or physical risk beyond that.
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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