GTR Test Accession:
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GTR000613188.1
CAP
Registered in GTR:
2024-03-07
View version history
GTR000613188.1,
registered in GTR:
2024-03-07
Last annual review date for the lab: 2024-04-04
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At a Glance
Test purpose:
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Diagnosis;
Drug Response
Conditions (6):
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Hemolytic uremic syndrome, atypical, susceptibility to, 1;
CFHR5 deficiency;
Cobalamin C disease
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Genes (24):
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Methods (1):
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Molecular Genetics - Sequence analysis of select exons: Next-Generation (NGS)/Massively parallel sequencing (MPS)
Target population: Help
Not provided
Clinical validity:
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Based on published literature, aHUS sequencing has a clinical sensitivity …
Clinical utility:
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Not provided
Ordering Information
Offered by:
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Specimen Source:
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- Buccal swab
- Peripheral (whole) blood
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Test Order Code:
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P1228
How to Order:
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Test service:
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Custom Sequence Analysis
Result interpretation
Result interpretation
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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Decline to answer
Pre-test genetic counseling required:
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Decline to answer
Post-test genetic counseling required:
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Decline to answer
Recommended fields not provided:
Lab contact for this test,
Contact policy,
Test strategy
Conditions
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Total conditions: 6
Condition/Phenotype | Identifier |
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Test Targets
Genes
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Total genes: 24
Gene | Associated Condition | Germline or Somatic | Allele (Lab-provided) | Variant in NCBI |
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Methodology
Total methods: 1
Method Category
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Test method
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Instrument *
Sequence analysis of select exons
Next-Generation (NGS)/Massively parallel sequencing (MPS)
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis;
Drug Response
Clinical validity:
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Based on published literature, aHUS sequencing has a clinical sensitivity of 50-70% and the clinical sensitivity of C3G is up to 40%. In one study, cblC deficiency showed a clinical sensitivity of 96%. Pathogenic variants for inherited TTP and Denys-Drash syndrome are only reported within single genes, but the clinical …
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View citations (1)
- Shen YM. Clinical evaluation of thrombotic microangiopathy: identification of patients with suspected atypical hemolytic uremic syndrome. Thromb J. 2016;14(Suppl 1):19. doi:10.1186/s12959-016-0114-0. Epub 2016 Oct 04. PMID: 27766045.
Recommended fields not provided:
Clinical utility,
Target population,
What is the protocol for interpreting a variation as a VUS?,
Is research allowed on the sample after clinical testing is complete?,
Sample negative report,
Sample positive report
Technical Information
Test Comments:
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The exonic regions of 20 genes are sequenced and analyzed as part of this panel, including ADAMTS13, C2, C3, C3AR1, C4BPA, C4BPB, CD46 (MCP), CFB, CFH, CFHR1, CFHR2, CFHR3, CFHR4, CFHR5, CFI, DGKE, INF2, MMACHC, THBD, VTN, WT1 and SNPs in C5 (C5 p.Arg885) and TSEN2. The sequences have been …
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Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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The analytic specificity and sensitivity of the NGS panel are greater than 99%.
Assay limitations:
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This test targets the exons of the selected 20 genes, plus 5 bp of intronic DNA flanking the exon-intron boundary. In addition, non-coding regions with known pathogenic variants, SNPs detecting risk haplotypes of CFH-H3 and CD46/MCP, a TSEN2 splice site variant causing a novel syndrome accompanied by aHUS, and two …
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View citations (1)
- Genetic variants in C5 and poor response to eculizumab. Nishimura J, et al. N Engl J Med. 2014;370(7):632-9. doi:10.1056/NEJMoa1311084. PMID: 24521109.
Proficiency testing (PT):
Is proficiency testing performed for this test?
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Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
College of American Pathologists, CAP
Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
College of American Pathologists, CAP
Recommended fields not provided:
Test Confirmation,
Description of internal test validation method,
Citations for Analytical validity,
Description of PT method,
Major CAP category, CAP category, CAP test list
Regulatory Approval
FDA Review:
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Not provided
Additional Information
Clinical resources:
Consumer resources:
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with specific questions about a genetic test should contact a health care provider or a genetics professional.