Clinical Genetic Test
offered by
GTR Test Accession:
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GTR000512560.4
Last updated in GTR:
2019-09-10
View version history
GTR000512560.4,
last updated:
2019-09-10
GTR000512560.3,
last updated:
2018-10-04
GTR000512560.2,
last updated:
2014-10-21
GTR000512560.1,
registered in GTR:
2014-05-14
Last annual review date for the lab: 2024-07-01
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At a Glance
Test purpose:
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Diagnosis
Conditions (14):
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Autoimmune lymphoproliferative syndrome type 2B;
Autoimmune lymphoproliferative syndrome due to CTLA4 haploinsufficiency;
Autoimmune lymphoproliferative syndrome type 1
more...
Genes (15):
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Methods (2):
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Molecular Genetics - Sequence analysis of the entire coding region: Next-Generation (NGS)/Massively parallel sequencing (MPS); ...
Target population: Help
Not provided
Clinical validity:
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Not provided
Clinical utility:
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Not provided
Ordering Information
Offered by:
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Cincinnati Children's Hospital Medical Center Genetics and Genomics Diagnostic Laboratory
View lab's website
View lab's test page
View lab's website
View lab's test page
Test short name:
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ALPS
Test Order Code:
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https://www.cincinnatichildrens.org/service/d/diagnostic-labs/mo
View other test codes
View other test codes
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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Complete the appropriate test requisition and have it signed by the referring physician.
Order URL
Order URL
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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Decline to answer
Test strategy:
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Individual Sanger sequencing is also available for the genes on this panel. See the ALPS diagnostic testing algorithm for testing strategy recommendations.
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:
Specimen source,
Lab contact for this test
Conditions
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Total conditions: 14
Condition/Phenotype | Identifier |
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Test Targets
Genes
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Total genes: 15
Gene | Associated Condition | Germline or Somatic | Allele (Lab-provided) | Variant in NCBI |
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Methodology
Total methods: 2
Method Category
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Test method
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Instrument *
Sequence analysis of the entire coding region
Next-Generation (NGS)/Massively parallel sequencing (MPS)
Targeted variant analysis
Bi-directional Sanger Sequence Analysis
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis
Recommended fields not provided:
Clinical validity,
Clinical utility,
Target population,
What is the protocol for interpreting a variation as a VUS?,
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?,
Is research allowed on the sample after clinical testing is complete?,
Sample negative report,
Sample positive report
Technical Information
Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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Approximately 75% of patients with ALPS have a germline pathogenic variant in FAS. The next largest group (10%) have somatic FAS pathogenic variants in double negative T cells. Sorting of double negative T cells and FAS somatic variant testing is available at our lab, please refer to our website or …
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Assay limitations:
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Variants in the regulatory regions and nonreported variants in the untranslated regions may not be
detected by this test. Large deletions/ duplications, large
insertions and other complex genetic events will not be
identified using sequencing methodology.
Proficiency testing (PT):
Is proficiency testing performed for this test?
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Yes
Method used for proficiency testing: Help
Inter-Laboratory
Yes
Method used for proficiency testing: Help
Inter-Laboratory
Recommended fields not provided:
Test Confirmation,
Citations to support assay limitations,
Description of internal test validation method,
Citations for Analytical validity,
PT Provider,
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:
Molecular 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.