GTR Test Accession:
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GTR000500476.4
Last updated in GTR:
2015-07-24
View version history
GTR000500476.4,
last updated:
2015-07-24
GTR000500476.3,
last updated:
2015-03-11
GTR000500476.2,
last updated:
2014-12-04
GTR000500476.1,
registered in GTR:
2014-04-03
Last annual review date for the lab: 2024-04-16
LinkOut
At a Glance
Test purpose:
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Diagnosis;
Prognostic;
Recurrence; ...
Conditions (2):
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Beckwith-Wiedemann syndrome;
Hemihypertrophy
Genes (2):
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H19 (11p15.5);
KCNQ1OT1 (11p15.5)
Methods (1):
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Molecular Genetics - Methylation analysis: High-Resolution Melting Analysis (HRMA)
Target population: Help
For patients suspected to this particular disease, methylation analysis is …
Clinical validity:
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Aberrant methylation levels are found in 82% of patients. Patients …
Clinical utility:
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Predictive risk information for patient and/or family members
Ordering Information
Offered by:
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Test short name:
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BWS
Specimen Source:
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- Buccal swab
- Fibroblasts
- Fresh tissue
- Frozen tissue
- Isolated DNA
- Peripheral (whole) blood
- Saliva
- View specimen requirements
Who can order: Help
- Genetic Counselor
- Health Care Provider
- Licensed Physician
- Physician Assistant
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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Using our website
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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No
Test strategy:
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Simultaneous analysis of imprinting centre 1 (upstream of the H19 promoter) and imprinting centre 2 (overlapping the KCNQ1OT1 promoter)
View citations (1)
- Alders M, Bliek J, vd Lip K, vd Bogaard R, Mannens M. Determination of KCNQ1OT1 and H19 methylation levels in BWS and SRS patients using methylation-sensitive high-resolution melting analysis. Eur J Hum Genet. 2009;17(4):467-73. doi:10.1038/ejhg.2008.197. Epub 2008 Oct 15. PMID: 18854861.
Pre-test genetic counseling required:
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Yes
Post-test genetic counseling required:
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Yes
Recommended fields not provided:
Test Order Code,
Lab contact for this test
Conditions
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Total conditions: 2
Condition/Phenotype | Identifier |
---|
Test Targets
Genes
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Total genes: 2
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 *
Methylation analysis
High-Resolution Melting Analysis (HRMA)
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis;
Prognostic;
Recurrence;
Risk Assessment;
Screening
Clinical validity:
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Aberrant methylation levels are found in 82% of patients. Patients with an aberrant methylation of H19 have an increased tumour risk.
View citations (1)
- Alders M, Bliek J, vd Lip K, vd Bogaard R, Mannens M. Determination of KCNQ1OT1 and H19 methylation levels in BWS and SRS patients using methylation-sensitive high-resolution melting analysis. Eur J Hum Genet. 2009;17(4):467-73. doi:10.1038/ejhg.2008.197. Epub 2008 Oct 15. PMID: 18854861.
Clinical utility:
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Predictive risk information for patient and/or family members
View citations (1)
- Increased tumour risk for BWS patients correlates with aberrant H19 and not KCNQ1OT1 methylation: occurrence of KCNQ1OT1 hypomethylation in familial cases of BWS. Bliek J, et al. Hum Mol Genet. 2001;10(5):467-76. doi:10.1093/hmg/10.5.467. PMID: 11181570.
Target population:
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For patients suspected to this particular disease, methylation analysis is recommended as the first step in disease confirmation.
Variant Interpretation:
What is the protocol for interpreting a variation as a VUS?
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Not Applicable
Not Applicable
Will the lab re-contact the ordering physician if variant interpretation changes?
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Not provided.
Not provided.
Recommended fields not provided:
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
Test Procedure:
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Methylation status of H19 and KCNQ1-overlapping transcript 1 (KCNQ1OT1) is determined on a Idaho Lightscanner.
View citations (1)
- Increased tumour risk for BWS patients correlates with aberrant H19 and not KCNQ1OT1 methylation: occurrence of KCNQ1OT1 hypomethylation in familial cases of BWS. Bliek J, et al. Hum Mol Genet. 2001;10(5):467-76. doi:10.1093/hmg/10.5.467. PMID: 11181570.
Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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This method gives 100% concordance as compared with Southern Blotting. It is at least as sensitive as Southern Blotting in detecting mosaic aberrant methylation.
View citations (1)
- Alders M, Bliek J, vd Lip K, vd Bogaard R, Mannens M. Determination of KCNQ1OT1 and H19 methylation levels in BWS and SRS patients using methylation-sensitive high-resolution melting analysis. Eur J Hum Genet. 2009;17(4):467-73. doi:10.1038/ejhg.2008.197. Epub 2008 Oct 15. PMID: 18854861.
Proficiency testing (PT):
Is proficiency testing performed for this test?
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No
No
Recommended fields not provided:
Test Confirmation,
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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Category:
Not Applicable
Additional Information
Clinical resources:
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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.