X-inactivation Studies

Test Information

Turnaround Time

2 weeks

CPT Code(s)

81204

Cost

$350

Clinical Information

Determination of maternal and paternal X chromosome activation status is useful in the diagnostic analysis of nonrandom patterns. Skewed patterns of inactivation in female carriers of a number of X-linked recessive disorders and asymptomatic female carriers of some X-linked dominant diseases have been observed. By using the methylation-sensitive restriction enzyme HpaII and the polymerase chain reaction, the methylation status of both the maternal and paternal X chromosome is determined. Methylation of the HpaII restriction endonuclease site in the human androgen-receptor gene, HUMARA, correlates with X-inactivation. In approximately 10% of cases, the testing is uninformative due to the presence of the same allele size on both X chromosomes.

Indications

X-inactivation studies are useful in diagnosing some X-linked recessive disorders and determining carrier status of family members.

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.

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, Other Molecular Testing, X-inactivation Studies
One Mother's Story

One Mother's Story

After a long three-year struggle trying to have children, our son, Charlie, was born on April 18, 2009. He was our miracle...perfect in every way! When Charlie was five days old, our pediatrician called to notify us that one of the numbers from the heel prick test was a bit high. We headed to the hospital that afternoon for more tests. I will never forget the following day. It was cool and crisp - not a cloud in the sky....

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