|
|
 |
MOLECULAR GENETICS TESTS - SPINAL MUSCULAR ATROPHY |
| |
| |
Background:
Spinal muscular atrophy (SMA) is an autosomal recessive disorder, which
has been mapped to chromosome 5q11.2-q13.3. Childhood-onset proximal SMA
is characterised by degeneration of anterior horn cells of the spinal
cord leading to symmetrical limb and trunk paralysis.
SMA is the second most common fatal autosomal recessive disease of early
life after cystic fibrosis, with an incidence of between 1 in 6,000 to 1
in 10,000 live births. Depending on the clinical severity SMA is
classified into types I, II and III. Type I, Werdnig-Hoffman disease is
lethal in infants and manifests at birth or within 6 months of age.
These patients never sit unaided. Type II patients sit, but never walk
unaided and survival depends on how much the respiratory muscles are
affected. Type III SMA, Kugelberg-Welander disease, is a relatively mild
disorder with onset in adolescence or later.
Analysis:
- PCR and restriction digest based analysis for the SMN gene (exon 7 and 8)
and the NAIP gene.
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 patient sample/s is received.
Cost of test:
SMA - $635 Note: Prices excludes GST (12.5%) and
may change without notice.
Please click on a link below to view information
about another specific test.
|
|