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The number of disorders for which molecular genetic testing is possible is increasing rapidly. The laboratory monitors the situation and reviews the services accordingly. Please contact the laboratory for an updated list of services provided. There is an organised UK network (UKGTN) for testing for rare disorders and the laboratory has arrangements with other centres for tests not included on the list below. Please contact the laboratory for details. Other useful sources of information are the UK directory of molecular genetic services maintained by the Clinical Molecular Genetics Society (www.cmgs.org) and the OrphaNet database (www.orpha.net)

The preferred sample type is 3ml blood (1-2 ml from small children) collected into EDTA, though other samples may be suitable. Please contact the laboratory for further details.



Condition and Notes (hyperlinked to the OMIM database)

Turnround time

Adrenoleukodystrophy  (X-linked)

Diagnostic testing for mutations in ABCD1 gene

8 weeks

Familial mutation studies

2 weeks

Aneuploidy screening (PCR based)

 

Screening for trisomy 13, 18 & 21 plus sex chromosome aneuploidies

3 days

Breast Cancer (familial)

BRCA1 & 2: Familial mutation studies only. Referrals only accepted from Clinical Genetics Department

2 weeks

CADASIL

Diagnostic testing for mutations in Notch3 gene

8 weeks

Familial mutation studies

2 weeks

Cystic Fibrosis

Diagnostic testing and carrier detection for 28 common CFTR mutations. Other rarer mutations by specific request

2 weeks

DRPLA

Testing for CAG expansion mutation

4 weeks

Duchenne/Becker Muscular Dystrophy

Diagnostic testing and carrier detection for deletion / duplication mutation plus linkage analysis where necessary

4 weeks

Dystonia, Torsion

Diagnostic testing for DYT1 mutation in Torsion Dystonia

4 weeks

Service for Myoclonic Dystonia under development)

(enquire)

Familial Adenomatous Polyposis

APC gene familial mutation studies only. Referrals only accepted from Clinical Genetics Department

2 weeks

Fragile X syndrome

Diagnostic testing and carrier detection for Frax A mutation. Frax E testing if specifically requested.

4 weeks

Friedreich Ataxia

Diagnostic & carrier testing for the GAA expansion mutation

4 weeks

Point mutation analysis in FXN gene

8 weeks

Gilbert syndrome

Testing for TATAA box mutation in UGT1A1 gene

4 weeks

Haemato-oncology

Testing for V617F mutation in JAK2 gene. (JAK2 Exon 12 mutations : contact laboratory).

4 weeks

 

Testing for ITD mutation in FLT3 gene

4 weeks

Testing for B cell IgH clonal rearrangements by PCR. (T cell clonal rearrangement testing: contact laboratory)

4 weeks

Haemochromotosis

Testing for C282Y mutation and H63D if indicated

4 weeks

Hearing Loss (Non-syndromic)

Diagnostic testing for Connexin 26 and 30 gene mutations

8 weeks

Familial mutation studies for Connexin 26 gene

2 weeks

Diagnostic testing for Mitochondrial mutation m.1555A>G

4 weeks

HMSN & HNPP (Charcot-Marie-Tooth Disease)

Testing for common 17p duplication and deletion

4 weeks

Testing for mutations in PMP22, MPZ, GJB1 and Mitofusin genes

8 weeks

Familial mutation studies for the above genes

2 weeks

Hereditary Non-Polyposis Colon Cancer (HNPCC)

Referrals only accepted from Clinical Genetics Department

Enquire

Huntington disease

Testing for CAG expansion mutation.  Pre-symptomatic Referrals only accepted from Clinical Genetics Department

4 weeks

 

Kennedy Syndrome (SBMA)

Testing for CAG expansion mutation

4 weeks

Leber's Hereditary Optic Neuropathy (LHON)

Diagnostic testing for 3 common mutations

4 weeks

Medium chain acyl dehydrogenase deficiency (MCADD)

Testing for common c.985A>G mutation only

4 weeks

Mitochondrial disease

Testing for common point mutations associated with MELAS, MERRF, NARP. Testing for mitochondrial genomic rearrangements (muscle biopsy preferred).

 

4 weeks

Myotonic Dystrophy (type 1)

Testing for CTG expansion mutation

4 weeks

Myotubular Myopathy (X linked)

Diagnostic testing for mutations in MTM1 gene

8 weeks

Familial mutation studies

2 weeks

Nail Patella Syndrome

Diagnostic testing for mutations in LMX1B gene

8 weeks

Familial mutation studies

2 weeks

Neuroferritinopathy

Testing for c.408insA mutation in FTL gene

4 weeks

Pancreatitis (Hereditary & Idiopathic)

Testing for PRSS1 mutations

8 weeks

Testing for CFTR and SPINK1 (N34S) mutations

4 weeks

Peutz-Jegher syndrome

Diagnostic testing for mutations in STK11 gene

8 weeks

Familial mutation studies

2 weeks

PKAN (Hallervorden-Spatz)

Diagnostic testing for mutations in PANK2 gene

8 weeks

Familial mutation studies

2 weeks

Prader-Willi & Angelman syndromes

Diagnostic testing using methylation studies

4 weeks

Family studies on positive cases by microsatellite analysis

4 weeks

Spinal Muscular Atrophy

Diagnostic and carrier testing for SMN1 deletions

4 weeks

Spinal Cerebella Ataxia (types 1, 2, 3, 6, 7, 17)

Testing for SCA1, SCA2, SCA3 and SCA6 CAG expansion mutations (SCA7 and SCA17 testing by specific request only)

4 weeks

Telomeric rearrangements

Testing for loss/gain of sub-telomeric regions of all chromosomes by MLPA analysis

4 weeks

Uniparental disomy studies

Testing for UPD7 and UPD14.  Parental samples required

4 weeks

Uveal Melanoma

Testing for rearrangements of chromosomes 1p, 3, 6 and 8 by MLPA analysis

4 weeks

Zygosity / Paternity analysis

Zygosity and Paternity testing is only available for clinical not social/legal cases

4 weeks



Revised 30.11.08 (David Gokhale)
Reviewed 30.11.08 (David Gokhale)
Reviewed 25.02.09 (David Gokhale)


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