GTR Test Accession:
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GTR000502860.5
CAP
Last updated in GTR:
2024-07-26
View version history
GTR000502860.5,
last updated:
2024-07-26
GTR000502860.4,
last updated:
2018-09-24
GTR000502860.3,
last updated:
2017-08-07
GTR000502860.2,
last updated:
2016-07-27
GTR000502860.1,
registered in GTR:
2014-05-02
Last annual review date for the lab: 2024-07-30
LinkOut
At a Glance
Test purpose:
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Diagnosis;
Mutation Confirmation;
Pre-symptomatic
Conditions (4):
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Progressive osseous heteroplasia;
Albright hereditary osteodystrophy;
Pseudohypoparathyroidism
more...
Genes (1):
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GNAS (20q13.32)
Methods (1):
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Molecular Genetics - Sequence analysis of the entire coding region: Bi-directional Sanger Sequence Analysis
Target population: Help
Individuals exhibiting symptoms consistent with Albright Hereditary Osteodystrophy (AHO), Pseudohypoparathyroidism …
Clinical validity:
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Incidence of mutations in the GNAS1 gene is 60 - …
Clinical utility:
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Establish or confirm diagnosis
Ordering Information
Offered by:
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Test short name:
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GNAS
Specimen Source:
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- Amniocytes
- Amniotic fluid
- Buccal swab
- Cell culture
- Chorionic villi
- Isolated DNA
- Peripheral (whole) blood
- Saliva
- View specimen requirements
Who can order: Help
- Genetic Counselor
- Health Care Provider
- Licensed Physician
- Nurse Practitioner
- Physician Assistant
- Public Health Mandate
LOINC codes:
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Lab contact:
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Lynne Whetsell, BS, MB(ASCP), Staff
lhwhetsell@saintfrancis.com
918-502-3808
Tonya Jones, BS, CG(ASCP), MB(ASCP), Administrator
tsjones@saintfrancis.com
918-502-1730
lhwhetsell@saintfrancis.com
918-502-3808
Tonya Jones, BS, CG(ASCP), MB(ASCP), Administrator
tsjones@saintfrancis.com
918-502-1730
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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1. Choose the desired test from the Test Directory.
2. Obtain information on the required specimen for the specific test from the Test Information page.
3. Fill out the necessary test requisition form and any other required forms from the Forms page.
4. Provide the required Billing information or make …
2. Obtain information on the required specimen for the specific test from the Test Information page.
3. Fill out the necessary test requisition form and any other required forms from the Forms page.
4. Provide the required Billing information or make …
Order URL
Test service:
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Clinical Testing/Confirmation of Mutations Identified Previously
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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Based on applicable state law
Pre-test genetic counseling required:
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No
Post-test genetic counseling required:
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No
Recommended fields not provided:
Test Order Code,
Test strategy
Conditions
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Total conditions: 4
Condition/Phenotype | Identifier |
---|
Test Targets
Genes
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Total genes: 1
Gene | Associated Condition | Germline or Somatic | Allele (Lab-provided) | Variant in NCBI |
---|
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 3130 Capillary Sequencing Instrument
Clinical Information
Test purpose:
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Diagnosis;
Mutation Confirmation;
Pre-symptomatic
Clinical validity:
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Incidence of mutations in the GNAS1 gene is 60 - 90 %.
Clinical utility:
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Target population:
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Individuals exhibiting symptoms consistent with Albright Hereditary Osteodystrophy (AHO), Pseudohypoparathyroidism type 1A (PHP 1A), Pseudopseudohypoparathyroidism (PPHP), and Progressive Osseus Heteroplasia (POH). Incidence of mutations in the GNAS1 gene is 60 - 90 %.
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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HGMD, Disease specific databases and an Internal Variant Database are used for variant interpretation. An assessment is also made with a splice site predictor program. Once established as a VUS, Polyphen and SIFT analyses are performed to help provide an interpretation.
HGMD, Disease specific databases and an Internal Variant Database are used for variant interpretation. An assessment is also made with a splice site predictor program. Once established as a VUS, Polyphen and SIFT analyses are performed to help provide an interpretation.
Are family members with defined clinical status recruited to assess significance of VUS without charge?
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Yes.
Yes.
Will the lab re-contact the ordering physician if variant interpretation changes?
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Yes. Ordering physician or genetic counselor contacted and a revised report issued
Yes. Ordering physician or genetic counselor contacted and a revised report issued
Research:
Is research allowed on the sample after clinical testing is complete?
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No
No
Recommended fields not provided:
Sample negative report,
Sample positive report
Technical Information
Test Procedure:
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New sample/same method
Test Confirmation:
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New sample/same method
Test Comments:
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Exon 1 included
Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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Analytical sensitivity, specificity and accuracy greater than 99%; determined by in-house validations.
Proficiency testing (PT):
Is proficiency testing performed for this test?
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Yes
Method used for proficiency testing: Help
CAP Survey MGL3 for Sequencing Platform
PT Provider: Help
American College of Medical Genetics / College of American Pathologists, ACMG/CAP
Description of PT method: Help
CAP MGL3 for proficiency testing in Sanger Sequencing platform
Yes
Method used for proficiency testing: Help
CAP Survey MGL3 for Sequencing Platform
PT Provider: Help
American College of Medical Genetics / College of American Pathologists, ACMG/CAP
Description of PT method: Help
CAP MGL3 for proficiency testing in Sanger Sequencing platform
VUS:
Software used to interpret novel variations
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SIFT and Polyphen
Laboratory's policy on reporting novel variations Help
Routine report
SIFT and Polyphen
Laboratory's policy on reporting novel variations Help
Routine report
Recommended fields not provided:
Assay limitations,
Description of internal test validation method,
Major CAP category, CAP category, CAP test list
Regulatory Approval
FDA Review:
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Category:
FDA exercises enforcement discretion
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.