GTR Test Accession:
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GTR000593441.2
Last updated in GTR: 2023-08-09
View version history
GTR000593441.2, last updated: 2023-08-09
GTR000593441.1, last updated: 2022-08-04
Last annual review date for the lab: 2023-08-09
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At a Glance
Test purpose:
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Diagnosis;
Mutation Confirmation;
Pre-symptomatic; ...
Conditions (1):
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Timothy syndrome
Genes (1):
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CACNA1C (12p13.33)
Methods (1):
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Molecular Genetics - Sequence analysis of the entire coding region: Bi-directional Sanger Sequence Analysis
Target population: Help
Patients with established clinical diagnosis of long QT syndrome
Clinical validity:
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Not provided
Clinical utility:
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Guidance for management
Ordering Information
Offered by:
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Specimen Source:
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- Buccal swab
- Fresh tissue
- Frozen tissue
- Isolated DNA
- Paraffin block
- Peripheral (whole) blood
- Saliva
- Skin
- White blood cell prep
- View specimen requirements
Who can order: Help
- Genetic Counselor
- Licensed Physician
- Out-of-State Patients
Test Order Code:
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Timothy syndrome test
Contact Policy:
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Post-test email/phone consultation regarding genetic test results and interpretation is provided to patients/families.
Pre-test email/phone consultation regarding genetic test results and interpretation is provided to patients/families.
Pre-test email/phone consultation regarding genetic test results and interpretation is provided to patients/families.
How to Order:
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Tests can be referred to the lab either directly by patient/family or by referring physician. The first step will be to contact the Genetic counselor or the medical director of the lab to have detailed instruction that vary upon the specific test that is requested.
Since the Lab work …
Since the Lab work …
Test service:
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Clinical Testing/Confirmation of Mutations Identified Previously
Confirmation of research findings
Genetic counseling
Result interpretation
Confirmation of research findings
Genetic counseling
Result interpretation
Test development:
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Test developed by laboratory (no manufacturer test name)
Informed consent required:
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Yes
Pre-test genetic counseling required:
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Yes
Post-test genetic counseling required:
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Yes
Recommended fields not provided:
Lab contact for this test,
Test strategy
Conditions
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Total conditions: 1
Condition/Phenotype | Identifier |
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Test Targets
Genes
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Total genes: 1
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 the entire coding region
Bi-directional Sanger Sequence Analysis
Applied Biosystems 3730 capillary sequencing instrument
Clinical Information
Test purpose:
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Diagnosis;
Mutation Confirmation;
Pre-symptomatic;
Risk Assessment
Clinical utility:
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Guidance for management
View citations (2)
- Napolitano C, Timothy KW, Bloise R, Priori SG. -Related Disorders. 2006 Feb 15 [updated 2021 Feb 11]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Bean LJH, Gripp KW, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024. PMID: 20301577.
- https://www.ncbi.nlm.nih.gov/books/NBK1403
Target population:
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Patients with established clinical diagnosis of long QT syndrome
View citations (1)
- Napolitano C, Timothy KW, Bloise R, Priori SG. -Related Disorders. 2006 Feb 15 [updated 2021 Feb 11]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Bean LJH, Gripp KW, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024. PMID: 20301577.
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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We check variations against GnomAd, ESV database and our internal database (based on the results of >8000 tests). Family screening for genotype-phenotype co-segregation analysis is the second step. If required we also run a panel of race-matched controls. In specific case we perform in vitro expression of mutants with functional … View more
We check variations against GnomAd, ESV database and our internal database (based on the results of >8000 tests). Family screening for genotype-phenotype co-segregation analysis is the second step. If required we also run a panel of race-matched controls. In specific case we perform in vitro expression of mutants with functional … View more
Are family members with defined clinical status recruited to assess significance of VUS without charge?
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Yes. The lab is available for family screening
Yes. The lab is available for family screening
Will the lab re-contact the ordering physician if variant interpretation changes?
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Yes. Referring physicians are encouraged to keep a long term contact with the lab. Patients directly followed up at our Clinics are promptly contacted
Yes. Referring physicians are encouraged to keep a long term contact with the lab. Patients directly followed up at our Clinics are promptly contacted
Research:
Is research allowed on the sample after clinical testing is complete?
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Data can be used for clinical research and genotype phenotype correlation upon specific informed consent
Data can be used for clinical research and genotype phenotype correlation upon specific informed consent
Recommended fields not provided:
Clinical validity,
Sample negative report,
Sample positive report
Technical Information
Test Platform:
Ion Torrent
Test Confirmation:
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The lab requires confirmation on at least two (possibly three) independent samples
Test Comments:
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When the clinnical diagnosis is established genotyping rate is close to 100%
Availability:
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Tests performed
Entire test performed in-house
Test performance comments
When the clinical diagnosis is established genotyping rate is close to 100%
Entire test performed in-house
Test performance comments
When the clinical diagnosis is established genotyping rate is close to 100%
Analytical Validity:
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sensitivity is >98%
View citations (2)
- Napolitano C, Timothy KW, Bloise R, Priori SG. -Related Disorders. 2006 Feb 15 [updated 2021 Feb 11]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Bean LJH, Gripp KW, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024. PMID: 20301577.
- https://www.ncbi.nlm.nih.gov/books/NBK1403
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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SIFT, PolyPhen, PaPi
Laboratory's policy on reporting novel variations Help
Variants are reported following the ACMG guidelines
SIFT, PolyPhen, PaPi
Laboratory's policy on reporting novel variations Help
Variants are reported following the ACMG guidelines
Recommended fields not provided:
Assay limitations,
Description of internal test validation method,
PT Provider,
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:
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.