GTR Test Accession:
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GTR000509089.10
NYS CLEP
Last updated in GTR:
2023-12-01
View version history
GTR000509089.10,
last updated:
2023-12-01
GTR000509089.9,
last updated:
2022-08-23
GTR000509089.8,
last updated:
2021-09-08
GTR000509089.7,
last updated:
2019-11-01
GTR000509089.6,
last updated:
2017-06-21
GTR000509089.5,
last updated:
2016-11-10
GTR000509089.4,
last updated:
2016-10-31
GTR000509089.3,
last updated:
2015-11-23
GTR000509089.2,
last updated:
2014-12-10
GTR000509089.1,
registered in GTR:
2013-12-13
Last annual review date for the lab: 2024-12-04
LinkOut
At a Glance
Test purpose:
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Diagnosis
Conditions (1):
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Focal segmental glomerulosclerosis 4, susceptibility to
Genes (1):
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APOL1 (22q12.3)
Methods (1):
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Molecular Genetics - Sequence analysis of select exons: Bi-directional Sanger Sequence Analysis
Target population: Help
Individuals with Kidney disease
Clinical validity:
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Not provided
Clinical utility:
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Not provided
Ordering Information
Offered by:
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Specimen Source:
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- Isolated DNA
- Peripheral (whole) blood
- Saliva
- View specimen requirements
Who can order: Help
- Genetic Counselor
- Health Care Provider
- Licensed Physician
- Physician Assistant
- Registered Nurse
Test Order Code:
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lmAPOL1-Av2_L
View other test codes
View other test codes
Lab contact:
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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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Test service:
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Clinical Testing/Confirmation of Mutations Identified Previously
Test development:
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Test developed by laboratory (no manufacturer test name)
Informed consent required:
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Yes
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 strategy
Conditions
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Total conditions: 1
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 select exons
Bi-directional Sanger Sequence Analysis
* Instrument: Not provided
Clinical Information
Test purpose:
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Diagnosis
Target population:
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Individuals with Kidney disease
View citations (5)
- Genovese G, Friedman DJ, Ross MD, Lecordier L, Uzureau P, Freedman BI, Bowden DW, Langefeld CD, Oleksyk TK, Uscinski Knob AL, Bernhardy AJ, Hicks PJ, Nelson GW, Vanhollebeke B, Winkler CA, Kopp JB, Pays E, Pollak MR. Association of trypanolytic ApoL1 variants with kidney disease in African Americans. Science. 2010;329(5993):841-5. doi:10.1126/science.1193032. Epub 2010 Jul 15. PMID: 20647424.
- Freedman BI, Kopp JB, Langefeld CD, Genovese G, Friedman DJ, Nelson GW, Winkler CA, Bowden DW, Pollak MR. The apolipoprotein L1 (APOL1) gene and nondiabetic nephropathy in African Americans. J Am Soc Nephrol. 2010;21(9):1422-6. doi:10.1681/ASN.2010070730. Epub 2010 Aug 05. PMID: 20688934.
- Rudolf Virchow and the durability of cellular pathology. Malkin HM, et al. Perspect Biol Med. 1990;33(3):431-43. doi:10.1353/pbm.1990.0005. PMID: 2188214.
- Ashley-Koch AE, Okocha EC, Garrett ME, Soldano K, De Castro LM, Jonassaint JC, Orringer EP, Eckman JR, Telen MJ. MYH9 and APOL1 are both associated with sickle cell disease nephropathy. Br J Haematol. 2011;155(3):386-94. doi:10.1111/j.1365-2141.2011.08832.x. Epub 2011 Sep 13. PMID: 21910715.
- Friedman DJ, Kozlitina J, Genovese G, Jog P, Pollak MR. Population-based risk assessment of APOL1 on renal disease. J Am Soc Nephrol. 2011;22(11):2098-105. doi:10.1681/ASN.2011050519. Epub 2011 Oct 13. PMID: 21997396.
Variant Interpretation:
Are family members with defined clinical status recruited to assess significance of VUS without charge?
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Yes. *Please call. Offered on a case-by-case basis.
Yes. *Please call. Offered on a case-by-case basis.
Will the lab re-contact the ordering physician if variant interpretation changes?
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No. Ordering provider is encouraged to periodically contact the lab to see if there is any new information available. However, if the ordering physician has GeneInsight Clinic, they may receive automatic updates on classification through that program.
No. Ordering provider is encouraged to periodically contact the lab to see if there is any new information available. However, if the ordering physician has GeneInsight Clinic, they may receive automatic updates on classification through that program.
Research:
Is research allowed on the sample after clinical testing is complete?
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No
No
Recommended fields not provided:
Clinical validity,
Clinical utility,
What is the protocol for interpreting a variation as a VUS?,
Sample negative report,
Sample positive report
Technical Information
Test Procedure:
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This test is performed by Sanger sequencing of exon 6 of APOL1.
Test Confirmation:
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All clinically significant variants are confirmed by Sanger sequencing or an alternate assay.
Availability:
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Tests performed
Entire test performed in-house
Entire test performed in-house
Analytical Validity:
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This assay has greater than 99.9% accuracy to detect mutations in the sequence analyzed.
Assay limitations:
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This test does not detect large deletions or variants in other coding exons or non-coding regions that could affect gene expression.
Proficiency testing (PT):
Is proficiency testing performed for this test?
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Yes
Method used for proficiency testing: Help
Intra-Laboratory
Yes
Method used for proficiency testing: Help
Intra-Laboratory
VUS:
Software used to interpret novel variations
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Alamut, UCSC Genome Browser, gnomAD, ExAC, ESP, 1000 Genomes, PolyPhen, SIFT, AlignGVGD, and more.
Alamut, UCSC Genome Browser, gnomAD, ExAC, ESP, 1000 Genomes, PolyPhen, SIFT, AlignGVGD, and more.
Recommended fields not provided:
Citations to support 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:
FDA exercises enforcement discretion
NYS CLEP Approval:
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Number:
87060
Status: Approved
Status: Approved
Additional Information
Reviews:
Suggested reading:
Clinical resources:
Molecular resources:
Consumer resources:
IMPORTANT NOTE:
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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.