ARUP's Laboratory Test Directory

Alport Syndrome, X-Linked (COL4A5) 3 Mutations : 0051710
[ image for: Patient History for Alport Syndrome Testing]
Patient History for Alport Syndrome Testing
  


Mnemonic: ALPORT DNA

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Performed: Mon, Thu
Reported: 4-10 days
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).

Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)

Storage/Transport Temperature: Refrigerated.

Stability (collection to initiation of testing): Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
Interpretive Data: Background information for Alport Syndrome, X-linked (COL4A5) 3 Mutations:
Characteristics
: Progressive renal and cochlear disease with occasional ocular involvement; end-stage renal disease typically occurs in males after age 30.
Incidence
: Less than 1 in 30,000.
Inheritance
: X-linked recessive.
Penetrance
: 100 percent in males, variable in females.
Cause
: Type 4 collagen alpha 5 chain (COL4A5) mutations.
Mutations Tested
: C1564S (c.4692G>A), L1649R (c.4946T>G), and R1677Q (c.5030G>A).
Clinical Sensitivity:
75 percent.
Methodology
: Polymerase chain reaction and fluorescence monitoring.
Analytical Sensitivity & Specificity
: 99 percent.
Limitations
: Mutations other than those targeted will not be detected; analytical sensitivity may be compromised by rare primer or probe site mutations.

This test is performed pursuant to an agreement with Roche Molecular Systems, Inc.



Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com.

Refer to Statement C under Testing Information at http://www.aruplab.com.
CPT Code(s): 83891 Isolation; 83898 Amplification; 83900 Multiplex amplification; 83896 x 6 Nucleic acid probe; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.
 
 

 

 

 
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