TUBB3 Sequencing

Test Background Congenital fibrosis of extraocular muscles (CFEOM) is a strabismus syndrome characterized by congenital inability to move the eye muscles, with or without ptosis (droopy eyelids). CFEOM3, caused by variants in TUBB3, has a slightly variable phenotype from the class CFEOM1. It is inherited in an autosomal dominant manner. This laboratory performs Sanger sequencing…

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TPMT Haplotype Analysis

Test Background The metabolism of thiopurine drugs requires the enzyme thiopurine S-methyltransferase (TPMT). Certain haplotypes (combinations of polymorphisms) within the TPMT gene are associated with decreased activity of the enzyme, which can lead to bone marrow toxicity and/or discontinuation of treatment when medication doses are not reduced accordingly. This assay is designed to identify the…

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ERCC6 Sequencing

Test Background Mutations in the excision-repair cross-complementing-6 and 8 (ERCC6 and ERCC8) genes cause Cockayne syndrome type B (CSB) and type A (CSA) respectively. CSB is more common than CSA. Approximately 75% of cases of Cockayne syndrome are due to mutations in the CSB/ERCC6 gene, and most of the remaining 25% are due to mutations…

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Muenke Syndrome Mutation Analysis

Test Background The sole mutation responsible for Muenke syndrome is c.749C>G/p.Pro250Arg. Features of Muenke syndrome are variable ranging from no clinically apparent abnormalities to a complex combination of findings. The main characteristic is unilateral or bilateral coronal craniosynostosis or megalencephaly without craniosynostosis. Other features may include midface hypoplasia, hypertelorism, carpal-tarsal fusion, brachydactyly, sensorineural hearing loss,…

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PTPN11 Sequencing

Test Background Noonan syndrome (NS) is characterized by short stature, heart defect, and developmental delay of variable degree. Other findings can include broad or webbed neck, unusual chest shape with pectus carinatum or pectus excavatum, cryptorchidism, characteristic facies, varied coagulation defects, lymphatic dysplasias, and ocular abnormalities. Mutations in the PTPN11 gene are associated with Noonan…

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PMP22 Deletion/Duplication

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DHCR7 Sequencing

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17q12 Deletion/Duplication

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Mitochondrial tRNA-Lys Mutations

Test Background Mutations at the nucleotide position 8296, 8344, 8356, and 8363 of the mitochondrial tRNALys gene have been found in some patients with MERRF (myoclonic epilepsy with ragged-red fibers) and sensorineural hearing loss (SNHL). Among these syndromic SNHL-causing mutations, M.8344A>G is the most common mutation found in patients with MERRF or MERRF with deafness.…

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Claritas Clinical Exome- Trio

Test Background The Claritas Clinical Exome is a first line test for a patient with complex syndromic features. It can also be the next step for a patient with complex syndromic features when no other testing has uncovered a molecular explanation for the patient’s medical issues. This test is ideal for patients who have conditions…

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