Very Long Chain Fatty Acid Deficiency Deficiency : ACADVL Sequencing

Test Information

ACADVL sequencing is a molecular test used to identify variants in the gene associated with Very Long Chain Fatty Acid Deficiency Deficiency.

Turnaround Time

2 weeks

CPT Code(s)

81406

Cost

$1,500

Genes

Clinical Information

VLCAD deficiency is an inborn error of fatty acid metabolism caused by the deficiency of very long chain acyl-CoA dehydrogenase. Patients are often identified via newborn screening. Confirmation via molecular testing is then recommended. Three phenotypes of VLCAD deficiency have been described: 1) The severe, early-onset form typically presents in the first months of life with hypotonia, cardiomyopathy, arrhythmias, pericardial effusion, hepatomaegaly and hypoglycemia 2). The early childhood-onset form presents with hepatomegaly and hypoketotic hypoglycemia 3) The later-onset form includes exercise intolerance, muscle pain and/or cramps and intermittent rhabdomyolysis.

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

Sanger Sequencing

Detection

Sequencing of the gene will detect mutations in 93% of individuals with VLCAD deficiency.

Associated Tests

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. 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

Molecular Testing, Newborn Screening Follow-Up, Sanger Sequencing
Meet The Jones Family

Meet The Jones Family

The journey to becoming parents did not start as an easy one for my husband and I. We suffered the heartache of miscarriage and the unimaginable pain of burying our first born child. Our son, sweet 1 lb 1.4 ounce, 12 inches long, teeny, tiny little Joseph “Hamilton” Jones was born with spina bifida, hydrocephalus, and a heart defect. It tore our hearts out leaving the hospital without him, knowing our dreams and hope for the future were shattered. ...

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