ARUP's Laboratory Test Directory

Rett Syndrome (MECP2), Full Gene Sequencing : 0051378
[ image for: Patient History for Rett Syndrome (MECP2) or CDKL5-Related Disorders (CDKL5) Testing]
Patient History for Rett Syndrome (MECP2) or CDKL5-Related Disorders (CDKL5) Testing
[ image for: Additional Technical Information]
Additional Technical Information


Mnemonic: RETT FGS

Ordering Recommendation: Consultation with genetic counselor is recommended to plan the optimal MECP2 genetic testing sequence.
Methodology: Polymerase Chain Reaction/Sequencing
Performed: Varies
Reported: Within 14 days
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).

Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)

Storage/Transport Temperature: Refrigerated.

Stability (collection to initiation of testing): Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable

Reference Interval:
By report
Interpretive Data: Background Information:
Characteristics:
Classic Rett syndrome is a progressive neurodevelopmental disorder characterized by normal development until 6-18 months of age, followed by rapid developmental regression, deceleration of head growth, loss of speech and acquired motor skills, and seizures; purposeful use of hands is replaced by repetitive stereotyped hand movements. MECP2-Related disorders include Rett-like syndrome, severe congenital encephalopathy, or mild to severe mental retardation.
Incidence:
1in 10,000
Inheritance:
X-linked dominant; most cases are sporadic.
Cause:
Methyl-CpG-Binding Protein 2 (MECP2) gene mutations.
Clinical Sensitivity:
80%
Methodology:
Bidirectional sequencing of the entire MECP2 coding region and intron-exon boundaries.
Analytical Sensitivity:
99%
Analytical Specificity:
99%
Limitations:
Deep intronic mutations and large deletions/duplications will not be identified; analytical sensitivity may be compromised by rare primer site mutations.



Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com.

See Compliance Statement C: www.aruplab.com/CS
CPT Code(s): 81302
Cross References: MECP2 (Rett Syndrome (MECP2), Full Gene Sequencing)