ARUP's Laboratory Test Directory

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


Mnemonic: ALPORT DNA

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Performed: Mon, Thu
Reported: 4-10 days
Specimen Required: Collect:  One 3 mL lavender (EDTA) or pink (K2EDTA). Also acceptable: yellow (ACD Solution A or B), lt. blue (sodium citrate), green (sodium or lithium heparin).

Transport:  3 mL whole blood at 2-8°C. (Min: 1 mL)

Unacceptable Conditions:  Serum and severely hemolyzed samples.

Stability:  Ambient: 3 days; 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.





Please refer to Statement C in the Compliance Statements section in the front of the Laboratory Test Directory.
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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