Alpha Thalassemia Deletion/Duplication and Constant Spring Panel
GTR Test Accession: Help GTR000559516.3
INHERITED DISEASEHEMATOLOGY
Last updated in GTR: 2018-10-22
Last annual review date for the lab: 2024-05-20 LinkOut
At a Glance
Diagnosis; Mutation Confirmation; Pre-symptomatic; ...
alpha Thalassemia; Hemoglobin H disease
Genes (2): Help
HBA1 (16p13.3); HBA2 (16p13.3)
Molecular Genetics - Deletion/duplication analysis: Multiplex Ligation-dependent Probe Amplification (MLPA)
Patients with HbH present with anemia, splenomegaly, and mild jaundice. …
Not provided
Not provided
Ordering Information
Offered by: Help
PreventionGenetics, part of Exact Sciences
View lab's website
View lab's test page
Specimen Source: Help
Who can order: Help
  • Genetic Counselor
  • Health Care Provider
  • Licensed Physician
Test Order Code: Help
How to Order: Help
Please visit Lab website for details. Additional specimen types may be acceptable based on method. Please contact us about prenatal cases.
Order URL
Test service: Help
Custom Deletion/Duplication Testing
    OrderCode: 6070
Test additional service: Help
Custom Prenatal Testing
    OrderCode: 990
Test development: Help
Test developed by laboratory (no manufacturer test name)
Informed consent required: Help
No
Pre-test genetic counseling required: Help
No
Post-test genetic counseling required: Help
No
Recommended fields not provided:
Conditions Help
Total conditions: 2
Condition/Phenotype Identifier
Test Targets
Genes Help
Total genes: 2
Gene Associated Condition Germline or Somatic Allele (Lab-provided) Variant in NCBI
Methodology
Total methods: 1
Method Category Help
Test method Help
Instrument
Deletion/duplication analysis
Multiplex Ligation-dependent Probe Amplification (MLPA)
Other
Clinical Information
Test purpose: Help
Diagnosis; Mutation Confirmation; Pre-symptomatic; Risk Assessment; Screening
Target population: Help
Patients with HbH present with anemia, splenomegaly, and mild jaundice. Laboratory findings include hypochromia (low mean corpuscular hemoglobin), microcytosis (low mean corpuscular volume) with detectable inclusion bodies, moderate reticulocytosis, decreased hemoglobin levels. Ideal candidates have HPLC or capillary electrophoresis indicating Hb patterns consistent with HbH or Hb Bart (Origa and … View more
View citations (3)
  • Tamary H, Dgany O. Alpha-Thalassemia. 2005 Nov 01 [updated 2024 May 23]. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2024. PMID: 20301608.
  • Harteveld CL, Higgs DR. Alpha-thalassaemia. Orphanet J Rare Dis. 2010;5:13. doi:10.1186/1750-1172-5-13. Epub 2010 May 28. PMID: 20507641.
  • Bilson JD, Lapworth SJ. J.S. Athertya, G. Saravana Kumar, "Automatic segmentation of vertebral contours from CT images using fuzzy corners" [Comput. Biol. Med. 72 (May 1, 2016) 75-89, https://www.ncbi.nlm.nih.gov/pubmed/27017068]. Comput Biol Med. 2017;85:24. doi:10.1016/j.compbiomed.2017.04.005. Epub 2017 Apr 13. PMID: 28432934.
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS? Help
The PreventionGenetics protocol for interpreting sequence variants has been carefully developed over a period of 10 years. We are conservative in our interpretations. We do not label a variant as pathogenic or benign without conclusive evidence. Although we use a variety of software to assist us in interpretation, we rely … View more

Are family members with defined clinical status recruited to assess significance of VUS without charge? Help
Yes. Please visit our website for details at https://www.preventiongenetics.com/forms.php for Targeted variant tests.

Will the lab re-contact the ordering physician if variant interpretation changes? Help
Yes. Please visit our website for details http://preventiongenetics.com/
Recommended fields not provided:
Technical Information
Test Procedure: Help
As required, genomic DNA (gDNA) is extracted from the patient specimen. gDNA extracted from blood samples/submitted DNA from the patient is denatured and hybridized to MLPA probes specific to exonic or intronic regions of a particular gene(s). Each probe consists of two adjacent oligonucleotides that once hybridized to patient/reference DNA … View more
Availability: Help
Tests performed
Entire test performed in-house
Analytical Validity: Help
MLPA enables the detection of relatively small deletion and insertion variants within a single (1) exon of a given gene or within an entire gene.
Proficiency testing (PT):
Is proficiency testing performed for this test? Help
Yes

Method used for proficiency testing: Help
Intra-Laboratory
VUS:
Software used to interpret novel variations Help
GeneSplicer, Human Splicing Finder, MaxEntScan, Mutation Taster, NNSPLICE, PolyPhen 2, SIFT and Splice Site Finder.

Laboratory's policy on reporting novel variations Help
Sequence variants found in our patients are contributed to ClinVar. Anonymous patient sequence data will also be shared with researchers for preparation of peer-reviewed publications.
Recommended fields not provided:
Regulatory Approval
FDA Review: Help
Category: FDA exercises enforcement discretion
Additional Information

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.