GTR Test Accession:
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GTR000335545.3
Last updated in GTR:
2019-02-28
View version history
GTR000335545.3,
last updated:
2019-02-28
GTR000335545.2,
last updated:
2017-02-27
GTR000335545.1,
registered in GTR:
2014-03-11
Last annual review date for the lab: 2023-12-01
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At a Glance
Test purpose:
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Diagnosis;
Mutation Confirmation
Conditions (2):
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Legius syndrome;
Neurofibromatosis, type 1
Genes (2):
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NF1 (17q11.2);
SPRED1 (15q14)
Methods (4):
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Molecular Genetics - Deletion/duplication analysis: Multiplex Ligation-dependent Probe Amplification (MLPA); ...
Target population: Help
In cases where it is needed in a clinical diagnostic …
Clinical validity:
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Not provided
Clinical utility:
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Establish or confirm diagnosis;
Guidance for management;
Reproductive decision-making
Ordering Information
Offered by:
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Test short name:
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SPRED1
Manufacturer's name:
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ICO-IMPPC_HC_Panel_V2.1
Specimen Source:
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- Chorionic villi
- Cord blood
- Fibroblasts
- Fresh tissue
- Frozen tissue
- Isolated DNA
- Paraffin block
- Peripheral (whole) blood
- Skin
- White blood cell prep
Who can order: Help
- Genetic Counselor
- Health Care Provider
- Licensed Physician
- Physician Assistant
- Public Health Mandate
Test Order Code:
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SPRED1 (Complete or Direct)
Lab contact:
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Contact Policy:
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Laboratory can only accept contact from health care providers. Patients/families are encouraged to discuss genetic testing options with their health care provider.
Test service:
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Clinical Testing/Confirmation of Mutations Identified Previously
Custom Deletion/Duplication Testing
Custom Sequence Analysis
Result interpretation
Custom Deletion/Duplication Testing
Custom Sequence Analysis
Result interpretation
Test additional service:
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Custom Prenatal Testing
Custom mutation-specific/Carrier testing
Custom mutation-specific/Carrier testing
Test development:
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Test developed by laboratory but exempt from FDA oversight (eg. NYS CLEP approved, offered within a hospital or clinic)
Informed consent required:
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Yes
Test strategy:
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1)Once we will have the necessary documentation (order form, informed consent and pedigree for familiar cases), the physician / researcher applicant will receive an e-mail confirming the cost of the study to be performed. 2) In case of compliance, the physician / investigator applicant must respond to this e-mail, which …
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Pre-test genetic counseling required:
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Yes
Post-test genetic counseling required:
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Yes
Recommended fields not provided:
How to Order
Conditions
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Total conditions: 2
Condition/Phenotype | Identifier |
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Test Targets
Genes
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Total genes: 2
Gene | Associated Condition | Germline or Somatic | Allele (Lab-provided) | Variant in NCBI |
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Methodology
Total methods: 4
Method Category
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Test method
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Instrument *
Deletion/duplication analysis
Multiplex Ligation-dependent Probe Amplification (MLPA)
Linkage analysis
SNP Detection
Mutation scanning of select exons
Bi-directional Sanger Sequence Analysis
Sequence analysis of the entire coding region
Bi-directional Sanger Sequence Analysis
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis;
Mutation Confirmation
Clinical utility:
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Establish or confirm diagnosis
Guidance for management
Reproductive decision-making
Guidance for management
Reproductive decision-making
Target population:
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In cases where it is needed in a clinical diagnostic genetic confirmation in patients who meet clinical criteria (complete study) or in cases where the analysis is needed on the presence of a previously identified mutation family (direct study).
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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We follow Clinical Molecular Genetic Society recommendations for the interpretation and reporting of unclassified variants (VUS).
We follow Clinical Molecular Genetic Society recommendations for the interpretation and reporting of unclassified variants (VUS).
Will the lab re-contact the ordering physician if variant interpretation changes?
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Yes.
Yes.
Recommended fields not provided:
Clinical validity,
Are family members with defined clinical status recruited to assess significance of VUS without charge?,
Is research allowed on the sample after clinical testing is complete?,
Sample negative report,
Sample positive report
Technical Information
Test Procedure:
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DNA is extracted from a patient's sample. An NGS library is prepared and enriched by capture in solution using our custom hereditary cancer sub-exome target panel (ICO-IMPPC_HC_Panel_V2.0), which include the whole coding regions of NF1 (LRG_214) and SPRED1 (NG_008980.1) genes among others. Enriched library is sequenced in a Illumina platform …
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Test Confirmation:
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Mutation is detected DNA level by NGS and validated by an independent technique (Sanger). Splicing mutations that are not previously described are also validated at RNA levels. Studies from patients with mosaicism two independent affected tissues from the same patient are analyzed to detect both first and second hits.
Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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95% (n=20)
Proficiency testing (PT):
Is proficiency testing performed for this test?
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No
No
VUS:
Software used to interpret novel variations
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Polyphen, SIFT, PROVEAN, Condel, HSF, NNSplice, SpliceAIDs,
Polyphen, SIFT, PROVEAN, Condel, HSF, NNSplice, SpliceAIDs,
Recommended fields not provided:
Assay limitations,
Description of internal test validation method,
Citations for Analytical validity,
PT Provider,
Description of PT method,
Major CAP category, CAP category, CAP test list
Regulatory Approval
FDA Review:
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Category:
FDA exercises enforcement discretion
Additional Information
Clinical resources:
Molecular resources:
IMPORTANT NOTE:
NIH does not independently verify information submitted to GTR; it relies on submitters to provide information that is accurate and not misleading.
NIH makes no endorsements of tests or laboratories listed in GTR. GTR is not a substitute for medical advice.
Patients and consumers
with specific questions about a genetic test should contact a health care provider or a genetics professional.