Saethre-Chotzen syndrome : TWIST Deletion/Duplication (MLPA)

Test Information

TWIST sequencing is a molecular test used to identify variants in the gene associated with Saethre-Chotzen syndrome.

Turnaround Time

2 weeks

CPT Code(s)

81403

Cost

$350

Genes

Clinical Information

Saethre-Chotzen Syndrome is one of the most common autosomal dominant disorders of craniosynostosis, affecting approximately 1/2000 newborn infants. It is characterized by craniofacial and limb anomalies. Mutations in the TWIST gene, which maps to chromosome 7p21-p22 are found in a majority of individuals with Saethre-Chotzen syndrome. Nonsense, missense, insertion, and deletion mutations of the TWIST gene have been found in studies of patients with Saethre-Chotzen syndrome.

Indications

Molecular testing is useful to confirm the diagnosis and to identify the disease causing mutations within a family to allow for carrier testing and prenatal diagnosis.

Methodology

multiplex ligation-dependent probe amplification (MLPA)

Detection

Sequencing of the gene will detect mutations in >50% of individuals with Saethre-Chotzen syndrome.

Specimen Requirements

5 to 7 ml of peripheral blood collected in an EDTA (lavender top) tube is the preferred specimen type. The minimal blood needed for reliable DNA isolation is 3 ml. Extracted DNA, dried blood spots, and saliva are also accepted for this test.

Transport Instructions

The specimen should be kept at room temperature and delivered via overnight shipping. If shipment is delayed by one or two days, the specimen should be refrigerated and shipped at room temperature. Do not freeze the specimen. Samples collected on Friday can be safely designated for Monday delivery.

Prenatal Testing Information

Prenatal diagnosis is available if the familial mutations are known or there are clinical features identified via ultrasound suggestive of a diagnosis in the fetus. Additional fees for cell culture and maternal cell contamination may apply. Maternal cell contamination studies are required for all prenatal molecular tests. Contact the laboratory prior to sending a prenatal specimen.

Have Questions Need Support?

Call our laboratory at 1-800-473-9411 or contact one of our Laboratory Genetic Counselors for assistance.
Robin Fletcher, MS, CGC
Kellie Walden, MS, CGC

Deletion/Duplication, MLPA, Molecular Testing
Meet Ella

Meet Ella

We will remember February 26th for the rest of our lives. On that day, we received the call from the Greenwood Genetic Center that they had discovered our daughter, Ella Marie, has Kleefstra syndrome. Very early on, my wife, Kelly, observed Ella being delayed in some of her milestones. Kelly monitored Ella’s progression and sought out testing in an effort to get Ella some assistance. Along the way, we were sent to GGC and met with Dr. Roger Stevenson ...

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