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LabPLUS is part of Auckland District Health Board
and provides medical laboratory testing
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MOLECULAR GENETICS TESTS - HUNTINGTON DISEASE
 
 
Background:
Huntington disease is an inherited autosomal dominant disease that gives rise to progressive selective (localised) neural cell death associated with choreic movements and dementia. Increases in the length of a CAG triplet repeat, called 'Huntington' located on Chromosome 4p16.3 are associated with the clinical disease. There is an inverse relationship between repeat length and age of onset, the higher in frequency of juvenile onset cases arising from paternal transmission. The normal range of repeat sizes is between 5-30 whereas 30-36 is considered an intermediate range where the risk of developing clinical disease is undetermined. Those affected usually have allele size greater than 37 repeats.

Analysis:
  • The laboratory routinely uses two sets of primers to rule out null alleles.
  • The laboratory can now also perform a southern blot assay to confirm homozygosity and to detect repeats in excess of the range of the PCR assay (more than 80 repeats).
Indications for Testing:
  • Confirmation of clinical diagnosis of Huntington disease.
  • Carrier testing for individuals who have a family history of HD.
  • Prenatal diagnosis in pregnancies at risk
NOTE:

For pre-symptomatic testing and prenatal diagnosis the patient must have undergone genetic counseling through the established national protocol for Huntington Disease Testing.

Speciment Requirements:
Blood: 3 x 4.0mL whole blood into EDTA tubes . Invert several times to mix. Forward within 24-48 hours at ambient temperature.

Paediatric Samples: Minimum of 3mL whole blood in EDTA tubes.

Prenatal Samples:
  • Chorionic Villus: Obtain 20mg chorionic villus sample (CVS) and transfer to a vial containing transport medium.
  • Amniotic Fluid: A minimum of 20mL amniotic fluid required. Bloody specimens may reflect extensive contamination with maternal cells. Such a specimen may not be suitable for testing.
NOTE:

  • Maternal cell contamination is a potential problem when analysing DNA from CVS samples or cultured amniotic cells. To rule out the presence of maternal cell contamination a peripheral blood specimen in EDTA from the mother must be sent with the prenatal sample (minimum 3ml whole blood in EDTA required).
Tissue: 200 mg of tissue. Specimen must be snap frozen within one hour of collection. Send specimen frozen on dry ice.

Paraffin blocks of tissue are also acceptable. The tissue sample should not have had prolonged immersion in formalin before embedding.

NOTE:

  • Referral reason plus adequate information and family history must be submitted with the specimen. Pedigree must be included where appropriate.
Usual test turnaround time:
6 weeks once sample is received.

Cost of test:
HD - $438.75
Note: Prices excludes GST (12.5%) and may change without notice.


Please click on a link below to view information about another specific test.

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