List of Investigations

New investigation:

    • For Lysosomal Disorder’s in Neuroregression
      • Neuronal Ceroid Lipofucinosis (NCL 1 & 2) (Batten disease) Cost: Rs. 5000/-
      • Beta – Galactosidase – 6 – sulfate – sulfatase (Morquio A) Cost: Rs. 3000/-

    • Plasma Chitotriosidase: For monitoring therapy in Gauchers disease and also for diagnosis of Gaucher, Fucosidosis as an additional investigation.
      Cost Rs. 2000/

    • Niemann Pick type C: Fibroblast study for lipid storage.
      Cost Rs. 5000/

    • Microdeletion syndrome: DeGeorge and PraderVilli study by FISH.
      Cost Rs. 3000/

    • COMET ASSAY.
      For Genotoxicity study.
      you can send inquiry

    • SCE study: For Genetoxicity study.
      you can send inquiry

 

CYTOGENETIC STUDY

Sr.

CYTOGENETICS INVESTIGATION

REPORTING

TIME

1

Blood Lymphocyte Culture

2-3 weeks

2

Abortus Chromosome Study

4 weeks

3

Bone Marrow For Cancer Genetics

1 week

4

Chorionic Villus Study

2-3 weeks

5

Amniotic Fluid Culture

2 weeks

6

Skin Fibroblast

3 weeks

7

Fragile – X Study

4 weeks

8

Cord Blood Abortus

3 weeks

9

Cord Blood Prenatal

1 weeks

10

Chromosome Breakage Syndrome

4 weeks

11

BCR/ABL Translocation Dual color dual fusion

1 week

12

CEP. 8

1 week

13

DiGeorge syndrome

1 week

14

XX/XY ratio: for sex mismatched bone marrow transplant

1 week

15

WCP-21

1 week

16

Prader Villi/Angelman syndrome

1 week

17

Duplication on Chromosome 15 for Autism

1 week

18

Charcot Marie Tooth Syndrome – PMP22 duplication study by FISH

4 weeks

19

Prenatal Diagnosis of Trisomy 21, 18 and 13

72 hours

20

CGH Array study for Dysmorphic child

4–6 weeks

21

Marker Chromosome Characterization by FISH, SKY

4–6 weeks

22

COMET Assay

2–3 weeks

 BIOCHEMICAL GENETICS

Sr.

INVESTIGATION

REPORTING

TIME

1

Urine For Metabolic D/O With Paper Chromatography

2 day

2

Urine For MPS Study (GAG Quantitative)

1 day

3

Urine For Sugar by TLC

2 day

4

Urine for GC/MS

10 days

5

Tendom Mass Spetroscopy (TMS) (Blood Spot)

10 days

6

Galactose-Dehydrogenase
(Galactosemia)

1 day

7

Galactose-1-Phosphate-Uridyl Transferase

1 day

8 Lactate/Pyruvate/Amonia
(For Pyru.Decarboxylase Def. Type A & B Mitochondrial Dis.
1 day

9

Triple Marker Screening For Downs Syndrome,Trisomy Of 13,18 & 21 AFP,HCG & Estriol

1 day

10

Double Marker Screening In 1 st Trimester

1 day

11

Only AFP (NTD’s)

1 day

12

Ceruloplasmin (Wilson Disease)

1 day

13

Amniotic fluid – 17-OH-Progesterone

3 days

Sr.

LYSOSOMAL ENZYMES

REPORTING

TIME

1

I-cell Screeening in plasma

2 days

2

I-Cell Study in plasma

1 week

3

Plasma Chitotriosidase for screening of LSDs

2 days

4

MPS Screening by GAG Electrophoresis (GAG Qualitative)

1 week

 

MUCOPOLYSACCHARIDOSIS

 

5

Alpha- Iduronidase
(Hurler Syndrome, MPS I)

1 week

6

Alpha- Iduronate Sulphate
(Hunter Syndrome- MPS II)

4–6 weeks

7

Plasma N- Acetyl- A- D- Glucosaminidase (Sanfilippo Syndrome, MPS IIIB)

1 week

8

Beta-Galactosidase-6-Sulphate-Sulphatase
(Morquio Syndrome, MPS IVA)

1 week

9

Beta - Galactosidase
(Morquio Syndrome, MPS IVB & GM1 Gangliosidosis)

1 week

10

Arylsulfatase B
(Martoteaux- Lamy Syndrome, MPS VI)

1 week

11

Beta- Glucuronidase
(Sly Syndrome, MPS VII)

1 week

12

Enzyme study for MPS only

2 weeks

 

GLYCOPROTEINS DEGRADATION

 

13

Alpha- Fucosidase
(Fucosidosis)

1 week

14

Alpha- Mannosidase
(Mannosidosis)

1 week

 

GLYCOLIPIDS AND LIPIDS

 

15

Hexosaminidase (Total)
(GM 2 Gangliosidosis)

1 week

16

Hexosaminidase (A)
(GM 2 Gangliosidosis)

1 week

17

Sphingomyelinase
(Niemann Pick Disease A & B)

1 week

18

Beta - Glucosidase
(Gaucher's Disease)

1 week

 

SULPHATIDES

 

19

Arylsulfatase A
(Metachromatic Leucodystrophy, MLD)

1 week

20

Beta-Galactocerebrosidase
(Krabbe Disease)

1 month

 

GLYCOGEN STORAGE

 

21

Alpha - 1,4 Glucosidase
(Pompe Disease, GSD II)

1 week

 

GLOBOTRIAOSYLCERAMIDE

 

22

Alpha - Galactosidase
(Fabry's Disease)

1 week

23

Sialic Acid (Total & Free)
(Sialic Acid Storage Disorder)

3 days

24

Palmitoyl protein thioesterase (PPT)
(NCL1 for Batten Disease)

1 week

25

Tripeptidyl Peptidase 1 (TPP1)
(NCL2 for Batten Disease)

1 week

26

Fibroblast study for Niemann-Pick – C

4 weeks

27

Prenatal diagnosis of known LSD’s

4 weeks

28

Total Lysosomal Enzyme study of 14 Tests

2 weeks

LIST OF MOLECULAR GENETICS INVESTIGATIONS

Disease

Reporting

Time
Beta -Thalassemia
Seven common mutations (IVS 1-5 G>C, IVS 1-1 G>T, 619 bp deletion, Codon 15 G>A, Codon 30 G>A, FS 41/42 - CTTT),Fs 8-9 – From blood 2–4 weeks
Screening for specific mutation (as per the request of doctor) – From Blood 4 weeks
Detection of novel mutation (by sequencing) 4 weeks
Prenatal Diagnosis (Parents and CVS or AF) 3–4 weeks

Prenatal Diagnosis of known mutations (Parents and CVS)

1 week

Sickle Cell Anemia 10 days

Hemoglobin-E Disease (Prenatal Diagnosis)

10 days

Duchenne and Becker Muscular Dystrophy
Deletion analysis for 24 exons
 
2 weeks
Deletion and Duplication study 2 weeks
Carrier analysis
Using intragenic markers ( Intron 3, 44 and 49)
 
4 weeks
Prenatal Diagnosis of DMD (Parents and CVS or AF) 4 weeks

Spinal Muscular Atrophy
Deletion analysis (exon 7 & 8 only)

 
2 weeks
Carrier analysis using Q-PCR (exon 8 only) 4 weeks
Prenatal Diagnosis of SMA (CVS or AF) 2–3 weeks

Fragile-X Syndrome
Southern Blot based analysis for FRA-XA locus

 
4 weeks

Myotonic Dystrophy
Southern Blot based analysis

 

4 weeks
Triplet Repeat Expansion Associated Diseases
Huntington’s Disease, 2 weeks

Spinocerebellar Ataxias 1, 2, 3 and 6, DRPLA, Friedrich’s Ataxia (Ataxia Panel)

4 weeks

Hemophilia-A
Intron-22 inversion by Southern Blot analysis

 
4 weeks
Carrier analysis @ intragenic markers (BclI, Xbal, In 13 & 22) 3 weeks

Hemophilia-B
Carrier analysis @ intragenic markers (Hhal, Ddel, TaqI)

 
3 weeks

Chronic Pancreatitis (N34S SPINK 1 mutation)

10 days

Cystic Fibrosis (CF)

Delta F508 mutation – From blood

10 days
Four common mutations ( d F508, G542X, G551D, R553X) 2 weeks

Prenatal Diagnosis of CF

4 weeks
G6PD deficiency
Orissa, Mediterranean and Kerala-Kalyan mutations 2 weeks
Pre-coagulation profile
Factor V Leiden and Prothrombin (G20210A) mutation 2 weeks
MTHFR gene polymorphisms
677T>C and 1298A>C mutations 2 weeks
Hereditary Haemochromatosis
H63D and C282Y mutations 2 weeks
Mitochondrial encephalopathy
LHON – 3 mutations (G3460A, G11778A, T14484C) 3 weeks
Leigh’ disease – 3 mutations (T12706C, A13084T, G13513A)
Specific mutation (as per the request of referring doctor)
 
3 weeks
Non-Syndromic Hearing Loss (NSHL)  
Connexin 26 (GJB2)exon 2 screening (by sequencing) 4 weeks
DNA Isolation and Storage upto two years 1 week

Maternal cell contamination Study

3-7 days

Occulocutaneous Albinism  

OCA1 Gene study

4 weeks

RETT mutation for MECP2 gene

3 weeks

TGM1 mutation for Lamellar Icthyosis 3 weeks
PATERNITY TEST (Three Individuals) 3 weeks

HLA – B – 27

1 week

Tb by PCR

1 week

Alexandra Disease Sequence Analysis (8 exon study)

8 weeks

* Please note that in all prenatal single gene disorders, index case diagnosis by molecular study is needed.

 


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