Mitochondrial DNA Depletion Testing (Leukocyte)

CPT: 81479
Updated on 11/7/2024

Special Instructions

This assay is not currently available in New York state.


Expected Turnaround Time

14 - 28 days


Specimen Requirements


Specimen

Whole blood or extracted DNA (from blood only)

Whole blood

Whole blood or extracted DNA (from blood only)


Volume

Whole blood: 4 mL or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)

4 mL

Whole blood: 4 mL or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


Minimum Volume

Whole blood: 2 mL or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


Container

Whole blood: lavender-top (EDTA) tube or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)

Lavender-top (EDTA) tube

Whole blood: lavender-top (EDTA) tube or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


Collection

Whole blood: standard phlebotomy or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)

Draw blood into EDTA tube.

Whole blood: standard phlebotomy or extracted DNA: contact MNG Genetic Services 844-664-8378 (844-MNGTEST)


Storage Instructions

Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze. 

Ship ASAP, but stable up to 5 days post-collection at room temperature. Do not freeze.

Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze. 


Stability Requirements

Room temperature: 14 days

Refrigerated: 30 days

Frozen: do not freeze

Temperature

Period

Room temperature

5 days

Refrigerated

5 days

Frozen

Do not freeze

Room temperature: 14 days

Refrigerated: 30 days

Frozen: do not freeze


Causes for Rejection

Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container

Frozen blood EDTA tube

Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container


Test Details


Use

Diagnostic testing

To diagnose the mitochondrial DNA depletion syndrome (MDS). The test is also useful in assessing variants of uncertain significance in nuclear DNA genes that cause MDS. MDS is a clinically heterogeneous group of mitochondrial disorders characterized by a reduction of the mtDNA copy number in affected tissues without mutations or rearrangements in the mtDNA. MDS is phenotypically heterogeneous, and can affect a specific organ or a combination of organs, with the main presentations described being either hepatocerebral (i.e. hypotonia, muscle weakness, bulbar weakness), encephalomyopathic (i.e. hypotonia, muscle weakness, psychomotor delay) or neurogastrointestinal (i.e. gastrointestinal dysmotility, peripheral neuropathy). Additional phenotypes include fatal infantile lactic acidosis with methylmalonic aciduria, spastic ataxia (early-onset spastic ataxia-neuropathy syndrome), and Alpers syndrome (see these terms).

Diagnostic testing


Limitations

This assay does not detect single nucleotide variants (SNVs), small indels and large deletions. False positive or false negative results may occur for reasons that include homologous regions, blood transfusions, bone marrow transplantation, tissue-specific heteroplasmy, mislabeled samples or erroneous representation of family relationships. Low levels of heteroplasmy may not be reliably detected. Interpretation of the clinical significance of gene variations is limited by information about the variant that is available at the time of reporting and by the quality and quantity of clinical information provided with the sample. The interpretation of the clinical significance of variants may change.  

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration.

This assay does not detect single nucleotide variants (SNVs), small indels and large deletions. False positive or false negative results may occur for reasons that include homologous regions, blood transfusions, bone marrow transplantation, tissue-specific heteroplasmy, mislabeled samples or erroneous representation of family relationships. Low levels of heteroplasmy may not be reliably detected. Interpretation of the clinical significance of gene variations is limited by information about the variant that is available at the time of reporting and by the quality and quantity of clinical information provided with the sample. The interpretation of the clinical significance of variants may change.  

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.


Methodology

Real-time quantitative PCR analysis to identify mitochondrial depletion

Real-time Quantitative PCR Analysis

Real-time quantitative PCR analysis to identify mitochondrial depletion


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