ARUP's Laboratory Test Directory

Primary Carnitine Deficiency (SLC22A5) Deletion/Duplication : 2004199
[ image for: Patient History for Primary Carnitine (SLC22A5) Testing]
Patient History for Primary Carnitine (SLC22A5) Testing
[ image for: Additional Technical Information]
Additional Technical Information


Mnemonic: PCD DELDUP

Ordering Recommendation: Diagnostic testing for primary carnitine deficiency. Carrier screening for primary carnitine deficiency.
Methodology: Polymerase Chain Reaction/Multiplex Ligation-dependent Probe Amplification
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

Interpretive Data: Background information for Primary Carnitine Deficiency (SLC22A5) Deletion/Duplication:
Characteristics
: Hypoketotic hypoglycemia during periods of fasting, hepatomegaly, Reye syndrome, sudden infant death, developmental delay, cardiac and/or skeletal myopathy, hypotonia and enlarged heart.
Incidence
: 1 in 40,000 for European Caucasian and Japanese, lower in other populations.
Inheritance
: Autosomal recessive.
Cause
: Deleterious SLC22A5 gene mutations.
Clinical Sensitivity
: Unknown; may be as high as 10-15 percent.
Methodology
: Multiplex Ligation-dependent Probe Amplification (MLPA) to detect large SLC22A5 coding region deletions/duplications.
Analytical Sensitivity
: Greater than 99 percent.
Limitations
: Mutations in genes other than SLC22A5 will not be detected; deletion/duplication breakpoints will not be determined. SLC22A5 single base pair substitutions, small deletions/duplications, and deep intronic and promoter mutations will not be detected. Mutations within the primer/probe regions could affect the analytical sensitivity of this assay.



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): 81479
Cross References: Carnitine Deficiency (Primary Carnitine Deficiency (SLC22A5) Deletion/Duplication)