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NAT2 Full Gene Mutation Analysis, Whole Blood, Sequencing

Published: August 9, 2026Updated: August 16, 2026

This test analyzes the full N-acetyltransferase 2 (NAT2) gene from a whole blood sample to identify genetic variants that affect how quickly your body processes certain medications and substances.

Quick summary

["NAT2 full-gene sequencing helps predict whether you are a slow, intermediate, or rapid acetylator based on your genetic variants."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
90259-3
Short code
NAT2 Full Mut Anl Bld/T Seq
Synonyms
NAT2 Full Mut Anl Bld/T Seq
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
sequencing
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What the Test Measures

The test reads the entire coding sequence of the NAT2 gene, which provides instructions for an enzyme involved in metabolizing many drugs and chemicals. By identifying variants across the full gene rather than only common hotspots, the test can reveal changes that influence enzyme activity.

Why Whole Blood Is Used

NAT2 testing is typically performed on DNA extracted from whole blood, a stable and reliable source of genetic material. The sequencing approach examines the gene directly rather than measuring enzyme activity in the bloodstream.

What Acetylator Status Means

NAT2 variants are commonly grouped into slow, intermediate, and rapid acetylator phenotypes. Your combination of variants determines how quickly the enzyme breaks down certain medications, which can affect both effectiveness and risk of side effects.

Limitations to Know

Sequencing may not detect very large deletions or other structural changes, and results should be interpreted with your medication list and clinical context. This test does not by itself determine dosing; a healthcare provider must apply the result.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

NAT2 genetic variation is clinically relevant to drugs such as isoniazid, hydralazine, procainamide, and certain sulfonamides, where acetylator status can influence drug levels and adverse effects. It is also studied in relation to exposure to certain environmental amines. Results are most useful when combined with medication history and clinical judgment.

Short name

NAT2 Genotyping

Frequently asked questions

Will this test tell me exactly what dose of a medication I need?
No. The test identifies genetic variants and predicts acetylator status, but dosing depends on many factors. Your healthcare provider uses the result along with other information to make treatment decisions.
Do I need to fast before this test?
Fasting is generally not required for genetic testing of this kind. Follow any specific instructions from your healthcare provider or laboratory.
Can my NAT2 result change over time?
No. Your NAT2 genotype is inherited and does not change, so a single properly performed test generally provides lifelong information.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy