GTR Test Accession:
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GTR000593056.3
CAP
Last updated in GTR: 2024-04-08
View version history
GTR000593056.3, last updated: 2024-04-08
GTR000593056.2, last updated: 2023-04-07
GTR000593056.1, last updated: 2022-05-31
Last annual review date for the lab: 2023-05-30
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At a Glance
Test purpose:
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Diagnosis;
Drug Response;
Risk Assessment; ...
Conditions (9):
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Anemia, nonspherocytic hemolytic, due to G6PD deficiency; Chlorpropamide response; Glibenclamide response; ...
Genes (1):
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G6PD (Xq28)
Methods (1):
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Molecular Genetics - Sequence analysis of the entire coding region: Bi-directional Sanger Sequence Analysis
Target population: Help
Individuals with clinical features of glucose-6-phosphate dehydrogenase (G6PD) deficiency. Carrier …
Clinical validity:
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Not provided
Clinical utility:
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Establish or confirm diagnosis;
Guidance for selecting a drug therapy and/or dose
Ordering Information
Offered by:
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Test short name:
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G6PDZ
Specimen Source:
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- Peripheral (whole) blood
- Saliva
- View specimen requirements
Who can order: Help
- Genetic Counselor
- Health Care Provider
- Licensed Dentist
- Licensed Physician
- Nurse Practitioner
- Physician Assistant
- Public Health Mandate
- Registered Nurse
Test Order Code:
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G6PDZ
View other test codes
View other test codes
Lab contact:
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Elyse Love, MS, CGC, Certified Genetic counselor, CGC, Genetic Counselor
gcmolgen@mayo.edu
1-800-533-1710
gcmolgen@mayo.edu
1-800-533-1710
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.
How to Order:
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https://www.mayocliniclabs.com/test-catalog/Overview/610053#Specimen
Order URL
Order URL
Test development:
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Test developed by laboratory (no manufacturer test name)
Informed consent required:
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Based on applicable state law
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:
Test strategy
Conditions
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Total conditions: 9
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
Agilent 2100 Bioanalyzer
Clinical Information
Test purpose:
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Diagnosis;
Drug Response;
Risk Assessment;
Therapeutic management
Clinical utility:
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Establish or confirm diagnosis
Guidance for selecting a drug therapy and/or dose
View citations (1)
- Glucose-6-phosphate dehydrogenase deficiency. Cappellini MD, et al. Lancet. 2008;371(9606):64-74. doi:10.1016/S0140-6736(08)60073-2. PMID: 18177777.
Guidance for selecting a drug therapy and/or dose
View citations (1)
- Relling MV, McDonagh EM, Chang T, Caudle KE, McLeod HL, Haidar CE, Klein T, Luzzatto L, . Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines for rasburicase therapy in the context of G6PD deficiency genotype. Clin Pharmacol Ther. 2014;96(2):169-74. doi:10.1038/clpt.2014.97. Epub 2014 May 02. PMID: 24787449.
Target population:
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Individuals with clinical features of glucose-6-phosphate dehydrogenase (G6PD) deficiency. Carrier screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency in females with a family history of glucose-6-phosphate dehydrogenase (G6PD) deficiency. Individuals needing preemptive or reactive genotyping for pharmacogenomic purposes.
View citations (2)
- Glucose-6-phosphate dehydrogenase deficiency. Cappellini MD, et al. Lancet. 2008;371(9606):64-74. doi:10.1016/S0140-6736(08)60073-2. PMID: 18177777.
- Relling MV, McDonagh EM, Chang T, Caudle KE, McLeod HL, Haidar CE, Klein T, Luzzatto L, . Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines for rasburicase therapy in the context of G6PD deficiency genotype. Clin Pharmacol Ther. 2014;96(2):169-74. doi:10.1038/clpt.2014.97. Epub 2014 May 02. PMID: 24787449.
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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All detected variants are evaluated according to the most recent American College of Medical Genetics and Genomics (ACMG) and Association for Molecular Pathology (AMP) recommendations. Variants are classified based on known, predicted, or possible pathogenicity and reported with interpretive comments detailing their potential or known significance.
All detected variants are evaluated according to the most recent American College of Medical Genetics and Genomics (ACMG) and Association for Molecular Pathology (AMP) recommendations. Variants are classified based on known, predicted, or possible pathogenicity and reported with interpretive comments detailing their potential or known significance.
Are family members with defined clinical status recruited to assess significance of VUS without charge?
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Contact lab for details.
Contact lab for details.
Will the lab re-contact the ordering physician if variant interpretation changes?
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Not provided. The laboratory encourages health care providers to contact the laboratory at any time to learn how the status of a particular variant may have changed over time.
Not provided. The laboratory encourages health care providers to contact the laboratory at any time to learn how the status of a particular variant may have changed over time.
Research:
Is research allowed on the sample after clinical testing is complete?
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Research testing is only performed under IRB approved protocol with an opt-out policy in place.
Research testing is only performed under IRB approved protocol with an opt-out policy in place.
Recommended fields not provided:
Clinical validity,
Are family members with defined clinical status recruited to assess significance of VUS without charge?,
Will the lab re-contact the ordering physician if variant interpretation changes?,
Sample negative report,
Sample positive report
Technical Information
Test Procedure:
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Genomic DNA is extracted from whole blood. The G6PD gene is amplified by polymerase chain reaction (PCR). The PCR products are then purified and sequenced in both directions using fluorescent dye-terminator chemistry. Sequencing products are separated on an automated sequencer and trace files analyzed for variations in the exons and …
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Test Platform:
Other
Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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Accuracy and analytical sensitivity for simple variants (SNVs and INDELs): (>99%).
Assay limitations:
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Patients who have received a heterologous blood transfusion within the preceding 6 weeks, or who have received an allogeneic blood or marrow transplant, can have inaccurate genetic test results due to the presence of both donor and recipient DNA. For patients who have been transfused within the preceding 6 weeks, …
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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
American College of Medical Genetics / College of American Pathologists, ACMG/CAP
Yes
Method used for proficiency testing: Help
Formal PT program
PT Provider: Help
American College of Medical Genetics / College of American Pathologists, ACMG/CAP
VUS:
Software used to interpret novel variations
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Variants may be analyzed using any combination of the following: Alamut, REVEL, Polyphen-2, SIFT, AGVGD, MutationTaster, SpliceSiteFinder-like, MaxEntScan, NNSPLICE, GeneSplicer, gene-specific online databases, ISCA, UCSC Genome Browser
Laboratory's policy on reporting novel variations Help
All novel variants and copy number variants are evaluated for potential pathogenicity and included in the written report, accordingly.
Variants may be analyzed using any combination of the following: Alamut, REVEL, Polyphen-2, SIFT, AGVGD, MutationTaster, SpliceSiteFinder-like, MaxEntScan, NNSPLICE, GeneSplicer, gene-specific online databases, ISCA, UCSC Genome Browser
Laboratory's policy on reporting novel variations Help
All novel variants and copy number variants are evaluated for potential pathogenicity and included in the written report, accordingly.
Recommended fields not provided:
Test Confirmation,
Citations to support assay limitations,
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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Category:
FDA exercises enforcement discretion
Additional Information
Reviews:
Clinical resources:
Consumer 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.