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SAMPLE REPORT. Date Collected: 04/29/2012 Date Received: 05/01/2012

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Patient Name:

UCS, Patient10

Referring Physician:

Specimen #:

61361714-06

Patient #:

60882892

DOB: 09/20/1987

Sex: Female

Lab ID:

Hospital ID:

Specimen Type: Peripheral Blood

Client #:

109224

Case #:

60821402

Date Collected: 04/29/2012

Date Received: 05/01/2012

109224 / 000000

Genzyme Client

Ichigaya Tokyu Building 9F

4-2-1 Kudan-Kita

Chiyoda-ku, TOKYO 102-0073

JAPAN

Ethnicity:

Caucasian

Indication:

Carrier Test / No Family History; Family history of cystic fibrosis - brother known carrier

Inheritest

Carrier Screen

Disease

Gene

Result and Interpretation

Mucopolysaccharidosis Type I

IDUA

POSITIVE for one c.152G>A (p.G51D) mutation. This individual is

predicted to be a carrier. Genetic counseling is recommended. See

Additional Clinical Information.

Cystic Fibrosis

CFTR

Negative for the mutations analyzed. This individual's risk to be a carrier

is reduced from 1/2 (50%) to 1/15 (7%) based on these results, the

reported family history, and Caucasian ancestry.

All Other Diseases

Negative for the mutations analyzed. These results reduce, but do not

eliminate, the chance to be a carrier. See Carrier Screen Information

Table for disease-specific details.

Mucopolysaccharidosis Type I:

Mucopolysaccharidosis type I, also known as Hurler syndrome, is an autosomal recessive

disease with variable severity and age of onset. Symptoms of severe disease typically include coarsening of the facial features,

hepatosplenomegaly, skeletal dysplasia, corneal clouding, cardiac disease, and intellectual disability. Treatment is primarily

supportive although bone marrow/stem cell transplantation or enzyme replacement therapy may be available. (Clarke L,

PubMed ID:20301341) Genetic counseling is recommended to discuss the potential clinical and/or reproductive implications of

these results, as well as recommendations for testing family members and, when applicable, this individual's partner. If this

individual's reproductive partner is also a carrier of a mutation in this gene, then the risk for an affected fetus is 25%.

Unless otherwise noted, all interpretations are based on a negative family history and the absence of symptoms. These results

may need further interpretation depending on the clinical presentation.

ADDITIONAL CLINICAL INFORMATION:

COMMENTS:

This analysis provides carrier testing by analyzing 431 mutations associated with more than 90 diseases. Mutations are

selected for relatively high frequency in the general population or in specific ethnic populations; therefore, the clinical sensitivity

and specificity varies for each disease and for each ethnic group. This analysis does not rule out the presence of

disease-causing mutations in other regions of the genes analyzed or in other genes, and will not detect germline mosaicism.

Routine, targeted sequence analysis may identify other sequence variants as well as targeted mutations. Interpretations and

risk calculations, where applicable, are based on the ethnic information and clinical and family relationships provided, as well

as the current understanding of the molecular genetics of the conditions tested. References and additional disease information

are available at www.integratedgenetics.com/Inheritest.

If other carrier testing was ordered, such as spinal muscular atrophy SMN1 copy number analysis, fragile X syndrome analysis,

or Tay-Sachs disease enzyme analysis, results will be reported separately.

SAMPLE REPORT

City Hospital

123 City Avenue

Anywhere, ST 12345

00/00/1987

(2)

The standard of care for Tay-Sachs disease carrier detection in all ethnic groups is enzyme (hexosamindase A) analysis. For

maximum sensitivity and specificity, enzyme analysis should be performed in addition to DNA mutation analysis.

The standard of care for determining carrier status for sickle cell disease and other hemoglobinopathies is hemoglobin

electrophoresis and CBC.

METHOD/LIMITATIONS:

Isolated DNA is amplified by whole genome amplification. Mutation analysis is performed by array-based hybridization and allele-specific primer extension

using a custom Illumina Infinium(TM) array (IG v1.1). Confirmation of mutation identity is achieved by targeted DNA sequencing. Sequencing results are

reported using the numbering and nomenclature recommended by the Human Genome Variation Society (HGVS, http://www.hgvs.org/). False positive or

negative results may occur for reasons that include: genetic variants, blood transfusions, bone marrow transplantation, mislabeled specimens, or erroneous

representation of family relationships.

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Adenosine Deaminase Deficiency (ADA)

NM_000022.2: c.320T>C (p.L107P), c.632G>A (p.R211H), c.646G>A (p.G216R), c.956_960delAAGAG (p.E319fs), c.986C>T (p.A329V)

General

42%

1 in 289

1 in 497

Alpha-Mannosidosis (MAN2B1)

NM_000528.3: c.2248C>T (p.R750W)

Caucasian

23%

1 in 350

1 in 454

Andermann Syndrome (SLC12A6)

NM_133647.1: c.2436delG (p.T813fs)

French Canadian

99%

1 in 23

1 in 2200

Argininosuccinic Aciduria, also known as Argininosuccinic

Acid Lyase Deficiency (ASL)

NM_000048.3: c.346C>T (p.Q116*), c.446+1G>A, c.532G>A (p.V178M)

General

31%

1 in 132

1 in 190

Aspartylglucosaminuria (AGA)

NM_000027.3: c.214T>C (p.S72P), c.[482G>A; 488G>C] (p.[R161Q; C163S])

Finnish

98%

1 in 81

1 in 4000

Ataxia-Telangiectasia (ATM)

NM_000051.3: c.103C>T (p.R35*), c.1564_1565delGA (p.E522fs),

c.3245_3247delATCinsTGAT (p.H1082fs), c.3576G>A (p.S1135_K1192del58), c.5712dupA (p.S1905fs), c.5908C>T (p.Q1970*), c.5932G>T (p.E1978*), c.7517_7520delGAGA (p.R2506fs), c.7638_7646delTAGAATTTC (p.R2547_S2549delRIS)

Amish

99%

Unknown

Costa Rican

56%

1 in 100

1 in 226

General

16%

1 in 100

1 in 118

North African Jewish

97%

1 in 81

1 in 2667

Norwegian

55%

1 in 197

1 in 436

Autosomal Recessive Spastic Ataxia of Charlevoix-Saguenay

(SACS)

NM_014363.4: c.7504C>T (p.R2502*), c.8844delT (p.I2949fs)

French Canadian

96%

1 in 21

1 in 500

Bardet-Biedl Syndrome, BBS1-Related (BBS1)

NM_024649.4: c.1169T>G (p.M390R)

General

55%

1 in 390

1 in 865

Bardet-Biedl Syndrome, BBS10-Related (BBS10)

NM_024685.3: c.271dupT (p.C91fs)

General

45%

1 in 418

1 in 759

Beta Hemoglobinopathy, Beta Thalassemia (HBB)

NM_000518.4: 140C>T, 138C>T, 137C>G, 81A>G, 80T>A, c.-79A>G, c.-78A>C, c.-78A>G, c.1A>G (p.M1V), c.2T>G (p.M1R), c.17_18delCT (p.P6fs), c.20delA (p.E7fs), c.25_26delAA (p.K9fs), c.27dupG (p.S10fs), c.36delT (p.T13fs), c.45dupG (p.W16fs), c.46delT (p.W16fs), c.48G>A (p.W16*), c.51delC (p.K18fs), c.52A>T (p.K18*), c.59A>G (p.N20S), c.75T>A (p.=(no change at G25)), c.79G>T (p.E27*), c.85dupC (p.L29fs), c.90C>T (p.= (no change at G30)), c.92G>C (p.R31T), c.92+1G>A, c.92+1G>T, c.92+2T>A, c.92+2T>C, c.92+5G>C, c.92+6T>C, c.93-21G>A, c.112delT (p.W38fs), c.114G>A (p.W38*), c.118C>T (p.Q40*), c.126_129delCTTT (p.F42fs), c.135delC (p.F46fs), c.155delC (p.P52fs), c.203_204delTG (p.V68fs), c.217dupA (p.S73fs), c.271G>T (p.E91*), c.287dupA (p.L97fs), c.315+1G>A, 197C>T, 106C>G, 3C>A, 2A>C, 2A>G, 1G>T, c.383_385delAGG (p.Q128_A129delQAinsP), c.*113A>G, c.316-281_*209del619

African American

90%

1 in 75

1 in 741

East Asian

93%

1 in 50

1 in 700

Mediterranean

97%

1 in 20

1 in 634

Middle Eastern

84%

1 in 30

1 in 182

South Asian

95%

1 in 20

1 in 381

Southeast Asian

90%

1 in 30

1 in 291

Beta Hemoglobinopathy, Sickle Cell Disease (HBB)

NM_000518.4: c.20A>T (p.E7V)

African American

>99%

1 in 14

Negligible

Hispanic

>99%

1 in 183

Negligible

Patient Name: UCS, Patient10

Specimen #: 61361714-06

Patient #: 60882892

(3)

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Beta Hemoglobinopathy, Sickle Cell Disease (HBB)

NM_000518.4: c.20A>T (p.E7V)

Middle Eastern

>99%

1 in 360

Negligible

Native American

>99%

1 in 176

Negligible

Beta Hemoglobinopathies, Hemoglobins C, D, E, and O

(HBB)

NM_000518.4: c.19G>A (p.E7K), c.79G>A (p.E27K), c.364G>A (p.E122K), c.364G>C (p.E122Q)

African American

>99%

1 in 46

Negligible

Asian

>99%

1 in 119

Negligible

Asian Indian

>99%

1 in 68

Negligible

Middle Eastern

>99%

1 in 255

Negligible

Native American

>99%

1 in 292

Negligible

Southeast Asian

>99%

1 in 15

Negligible

Bloom Syndrome (BLM)

NM_000057.2: c.2207_2212del6insTAGATTC (p.Y736fs)

Ashkenazi Jewish

97%

1 in 134

1 in 4434

Canavan Disease (ASPA)

NM_000049.2: c.433-2A>G, c.693C>A (p.Y231*), c.854A>C (p.E285A), c.914C>A (p.A305E)

Ashkenazi Jewish

98%

1 in 55

1 in 2700

Caucasian

50%

Unknown

Cartilage-Hair Hypoplasia (RMRP)

NG_017041.1: r.71a>g

Amish

91%

1 in 19

1 in 200

Finnish

92%

1 in 76

1 in 938

General

48%

Unknown

Citrullinemia Type I (ASS1)

NM_000050.4: c.421-2A>G, c.1168G>A (p.G390R)

General

20%

1 in 119

1 in 148

Japanese

49%

Unknown

Cobalamin C Disease (MMACHC)

NM_015506.2: c.271dupA (p.R91fs), c.331C>T (p.R111*), c.394C>T (p.R132*)

General

58%

Unknown

Congenital Disorder of Glycosylation Type 1a (PMM2)

NM_000303.2: c.338C>T (p.P113L), c.357C>A (p.F119L), c.422G>A (p.R141H), c.470T>C (p.F157S), c.691G>A (p.V231M)

Caucasian

70%

1 in 71*

1 in 234

Congenital Finnish Nephrosis: See Nephrotic Syndrome,

NPHS1-Related (NPHS1)

Cystic Fibrosis (CFTR)

NG_016465.1: c.54-5940_273+10250del21kb (p.S18fs), c.178G>T (p.E60*), c.223C>T (p.R75*), c.254G>A (p.G85E), c.262_263delTT (p.L88fs), c.273+1G>A, c.273+3A>C, c.274-1G>A, c.274G>T (p.E92*), c.313delA (p.I105fs), c.325_327delTATinsG (p.Y109fs), c.349C>T (p.R117C), c.350G>A (p.R117H), c.366T>A (p.Y122*), c.442delA (p.I148fs), c.489+1G>T, c.531delT (p.I177fs), c.532G>A (p.G178R), c.579+1G>T, c.579+5G>A, c.580-1G>T, c.617T>G (p.L206W), c.803delA (p.N268fs), c.805_806delAT (p.I269fs), c.935_937delTCT (p.F312del), c.948delT (p.F316fs), c.988G>T (p.G330*), c.1000C>T (p.R334W), c.1013C>T (p.T338I), c.1040G>A (p.R347H), c.1040G>C (p.R347P), c.1055G>A (p.R352Q), c.[1075C>A; 1079C>A] (p. [Q359K; T360K]), c.1090T>C (p.S364P), c.1364C>A (p.A455E), c.1438G>T (p.G480C), c.1477C>T (p.Q493*), c.1519_1521delATC (p.I507del), c.1521_1523delCTT (p.F508del), c.1545_1546delTA (p.Y515*), c.1558G>T (p.V520F), c.1572C>A (p.C524*), c.1585-1G>A, c.1624G>T (p.G542*), c.1646G>A (p.S549N), c.1647T>G (p.S549R ), c.1652G>A (p.G551D), c.1654C>T (p.Q552*), c.1657C>T (p.R553*), c.1675G>A (p.A559T), c.1679G>C (p.R560T), c.1680-1G>A, c.1721C>A (p.P574H), c.1766+1G>A, c.1766+5G>T, c.1820_1903del84 (p.M607_Q634del), c.1911delG (p.Q637fs), c.1923_1931del9insA (p.S641fs), c.1973_1985del13insAGAAA (p.R658fs), c.1976delA (p.N659fs), c.2051_2052delAAinsG (p.K684fs), c.2052delA (p.K684fs), c.2052dupA (p.Q685fs), c.2125C>T (p.R709*), c.2128A>T (p.K710*), c.2175dupA (p.E726fs), c.2290C>T (p.R764*), c.2657+5G>A, c.2668C>T (p.Q890*), c.2737_2738insG (p.Y913*), c.2988G>A (p.=(no change at Q996)), c.2988+1G>A, c.3039delC (p.Y1014fs), c.3067_3072delATAGTG (p.I1023_V1024del), c.3196C>T (p.R1066C), c.3266G>A (p.W1089*), c.3276C>A (p.Y1092*), c.3276C>G (p.Y1092*), c.3302T>A (p.M1101K), c.3454G>C (p.D1152H), c.3472C>T (p.R1158*), c.3484C>T (p.R1162*), c.3528delC (p.K1177fs), c.3536_3539delCCAA (p.T1179fs), c.3587C>G (p.S1196*), c.3612G>A (p.W1204*), c.3659delC (p.T1220fs), c.3712C>T (p.Q1238*), c.3717+12191C>T, c.3744delA (p.K1250fs), c.3752G>A (p.S1251N), c.3764C>A (p.S1255*), c.3773dupT (p.L1258fs), c.3846G>A

African American

81%

1 in 61

1 in 316

Ashkenazi Jewish

97%

1 in 24

1 in 767

Asian American

49-55%

1 in 94

<1 in 183

Caucasian

93%

1 in 25

1 in 343

Hispanic

77%

1 in 58

1 in 248

Patient Name: UCS, Patient10

Specimen #: 61361714-06

Patient #: 60882892

(4)

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Cystinosis (CTNS)

NM_004937.2: c.-39kb_848del57kb, c.198_218del21 (p.I67_P73del7), c.413G>A (p.W138*)

French Canadian

70%

1 in 39

1 in 127

General

61%

1 in 158

1 in 403

D-Bifunctional Protein Deficiency (HSD17B4)

NM_000414.3: c.46G>A (p.G16S), c.1369A>T (p.N457Y)

General

35%

Unknown

Dihydrolipoamide Dehydrogenase Deficiency (DLD)

NM_000108.3: c.104dupA (p.Y35*), c.685G>T (p.G229C)

Ashkenazi Jewish

>95%

1 in 107

<1 in 2121

Dihydropyrimidine Dehydrogenase Deficiency (DPYD)

NM_000110.3: c.1905+1G>A

Northern European

Caucasian

71%

Unknown

Ethylmalonic Encephalopathy (ETHE1)

NM_014297.3: c.487C>T (p.R163W), c.488G>A (p.R163Q), c.505+1G>T

Mediterranean/Arab

30%

Unknown

Familial Dysautonomia (IKBKAP)

NM_003640.3: c.2087G>C (p.R696P), c.2204+6T>C

Ashkenazi Jewish

>99%

1 in 31

<1 in 3000

Familial Hyperinsulinism, ABCC8-Related (ABCC8)

NM_000352.3: c.3989-9G>A, c.4160_4162delTCT (p.F1387del)

Ashkenazi Jewish

97%

1 in 52

1 in 1700

Familial Mediterranean Fever (MEFV)

NM_000243.2: c.2040G>A (p.M680I), c.2040G>C (p.M680I), c.2080A>G (p.M694V), c.2082G>A (p.M694I), c.2177T>C (p.V726A)

Arab

71%

1 in 5

1 in 14

Armenian

78%

1 in 5

1 in 19

Ashkenazi Jewish

69%

1 in 81^

1 in 259

North African Jewish

94%

1 in 7

1 in 100

Turkish

74%

1 in 5

1 in 16

Fanconi Anemia Group C (FANCC)

NM_000136.2: c.67delG (p.D23fs), c.456+4A>T

Ashkenazi Jewish

99%

1 in 100

1 in 9900

Galactosemia, GALT-Related (GALT)

NM_000155.2: c.[-1039_753del3162; 820+51_*789del2294ins12], c.253-2A>G, c.404C>T (p.S135L), c.413C>T (p.T138M), c.563A>G (p.Q188R), c.584T>C (p.L195P), c.626A>G (p.Y209C), c.855G>T (p.K285N)

African American

65%

1 in 78

1 in 221

Ashkenazi Jewish

88%

>1 in 127

>1 in 1050

Caucasian

81%

1 in 108

1 in 564

Gaucher Disease (GBA)

NM_001005741.2: c.84dupG (p.L29fs), c.115+1G>A, c.1226A>G (p.N409S), c.1297G>T (p.V433L), c.1342G>C (p.D448H), c.1448T>C (p.L483P), c.1604G>A (p.R535H)

Ashkenazi Jewish

98%

1 in 15

1 in 700

General

69%

Unknown

Glutaric Acidemia Type 1 (GCDH)

NM_000159.2: c.1204C>T (p.R402W), c.1262C>T (p.A421V)

German

Amish

94%

47%

1 in 158

1 in 9*

1 in 134

1 in 297

Glutathione Synthetase Deficiency (GSS)

NM_000178.2: c.-9+5G>A, c.129+1663A>G, c.847C>T (p.R283C)

General

30%

Unknown

Glycine Encephalopathy, GLDC-Related (GLDC)

NM_000170.2: c.1545G>C (p.R515S), c.1691G>T (p.S564I)

Finnish

70%

1 in 117

1 in 387

Glycogen Storage Disease Type Ia (G6PC)

NM_000151.2: c.79delC (p.Q27fs), c.247C>T (p.R83C), c.248G>A (p.R83H), c.379_380dupTA (p.Y128fs), c.562G>C (p.G188R), c.648G>T (p.=(no change at L216)), c.724C>T (p.Q242*), c.980_982delTCT (p.F327del), c.1039C>T (p.Q347*)

Ashkenazi Jewish

99%

1 in 64

1 in 6300

Caucasian

69%

1 in 177

1 in 568

Chinese

76%

1 in 177

1 in 734

Japanese

90%

1 in 177

1 in 1761

Glycogen Storage Disease Type Ib (SLC37A4)

NM_001164277.1: c.352T>C (p.W118R), c.1015G>T (p.G339C), c.1042_1043delCT (p.L348fs)

Caucasian

46%

1 in 354

1 in 654

Japanese

42%

1 in 354

1 in 609

Glycogen Storage Disease Type II: See Pompe Disease

(GAA)

Glycogen Storage Disease Type IIIa (AGL)

NM_000642.2: c.1222C>T (p.R408*), c.1384delG (p.V462*), c.2309-1G>A, c.2590C>T (p.R864*), c.2681+1G>A, c.3682C>T (p.R1228*), c.3965delT (p.V1322fs), c.3980G>A (p.W1327*), c.4260-12A>G, c.4456delT (p.S1486fs)

Caucasian

40%

Unknown

Faroese

99%

1 in 30

1 in 2900

North African Jewish

99%

1 in 37

1 in 3600

Patient Name: UCS, Patient10

Specimen #: 61361714-06

Patient #: 60882892

(5)

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Glycogen Storage Disease Type IIIb (AGL)

NM_000642.2: c.16C>T (p.Q6*), c.18_19delGA (p.Q6fs)

Caucasian

99%

Unknown

GRACILE Syndrome (BCS1L)

NM_004328.4: c.232A>G (p.S78G)

Finnish

99%

1 in 110

1 in 10,900

Hereditary Fructose Intolerance (ALDOB)

NM_000035.3: c.448G>C (p.A150P), c.524C>A (p.A175D), c.1005C>G (p.N335K)

General

75%

1 in 71

1 in 281

HMG-CoA Lyase Deficiency (HMGCL)

NM_000191.2: c.109G>T (p.E37*), c.122G>A (p.R41Q)

Saudi Arabian

86%

Unknown

Spanish/Portuguese

85%

Unknown

Holocarboxylase Synthetase Deficiency (HLCS)

NM_000411.6: c.1522C>T (p.R508W), c.1648G>A (p.V550M)

General

38%

<1 in 158

<1 in 254

Homocystinuria, CBS-Related (CBS)

NM_000071.2: c.572C>T (p.T191M), c.833T>C (p.I278T), c.919G>A (p.G307S)

General

26%

1 in 227

1 in 306

Irish

71%

1 in 127

1 in 435

Spanish

52%

1 in 250*

1 in 519

Hurler Syndrome: See Mucopolysaccharidosis Type I (IDUA)

Hyperoxaluria Type 1: See Primary Hyperoxaluria Type 1

(AGXT)

Hyperoxaluria Type 2: See Primary Hyperoxaluria Type 2

(GRHPR)

Joubert Syndrome 2 (TMEM216)

NM_001173990.1: c.218G>T (p.R73L)

Ashkenazi Jewish

99%

1 in 92

1 in 9100

Junctional Epidermolysis Bullosa, LAMA3-Related (LAMA3)

NM_000227.3: c.1981C>T (p.R661*)

Pakistani

(Herlitz

99%

type)

Unknown

Junctional Epidermolysis Bullosa, LAMB3-Related (LAMB3)

NM_000228.2: c.124C>T (p.R42*), c.727C>T (p.Q243*), c.958_1034dup77 (p.N345fs), c.1903C>T (p.R635*)

General

55%

1 in 418

1 in 927

Italian

22%

<1 in 375

<1 in 480

Junctional Epidermolysis Bullosa, LAMC2-Related (LAMC2)

NM_005562.2: c.283C>T (p.R95*)

Italian

29%

<1 in 425

<1 in 598

Krabbe Disease (GALC)

NM_000153.2: c.[246A>G; 913A>G] (p.[I82M; I305V]), c.683_694del12insCTC (p.N228_S232del5insTP), c.857G>A (p.G286D), c.1161+6555_*9573del32kb, c.1472delA (p.K491fs), c.1586C>T (p.T529M), c.1700A>C (p.Y567S), c.2002A>C (p.T668P)

Caucasian

60%

1 in 158

1 in 393

Japanese

57%

Unknown

LCHAD Deficiency (HADHA)

NM_000182.4: c.1528G>C (p.E510Q)

General

Dutch

87%

71%

1 in 158*

1 in 138

1 in 1208

1 in 473

Leigh Syndrome, French-Canadian Type (LRPPRC)

NM_133259.3: c.1061C>T (p.A354V)

French Canadian

98%

1 in 23

1 in 1100

Maple Syrup Urine Disease Type 1A (BCKDHA)

NM_000709.3: c.1312T>A (p.Y438N)

General

11%

1 in 321

1 in 360

Mennonite

99%

1 in 13

1 in 1200

Maple Syrup Urine Disease Type 1B (BCKDHB)

NM_183050.2: c.548G>C (p.R183P), c.832G>A (p.G278S), c.1114G>T (p.E372*)

Ashkenazi Jewish

95%

1 in 97

1 in 1921

Maple Syrup Urine Disease Type 3: See Dihydrolipoamide

Dehydrogenase Deficiency (DLD)

MCAD Deficiency (ACADM)

NM_000016.4: c.985A>G (p.K329E)

General

79%

1 in 63

1 in 296

Patient Name: UCS, Patient10

Specimen #: 61361714-06

Patient #: 60882892

(6)

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Metachromatic Leukodystrophy (ARSA)

NM_000487.5: c.302G>A (p.G101D), c.465+1G>A, c.542T>G (p.I181S), c.769G>C (p.D257H), c.1210+1G>A, c.1232C>T (p.T411I), c.1283C>T (p.P428L)

Caucasian

56%

1 in 141

1 in 319

Japanese

50%

1 in 132

1 in 263

Methylmalonic Acidemia, MMAA-Related (MMAA)

NM_172250.2: c.433C>T (p.R145*)

Caucasian

42%

1 in 300

1 in 516

Methylmalonic Acidemia, MMAB-Related (MMAB)

NM_052845.3: c.556C>T (p.R186W)

Caucasian

33%

1 in 435

1 in 648

Methylmalonic Acidemia, MUT-Related (MUT)

NM_000255.3: c.322C>T (p.R108C), c.655A>T (p.N219Y), c.1106G>A (p.R369H), c.2150G>T (p.G717V)

African American

35%

1 in 195

1 in 299

Caucasian

28%

1 in 195

1 in 270

Hispanic

41%

1 in 195

1 in 329

Methylmalonic Aciduria and Homocystinuria Type cblC: See

Cobalamin C Disease (MMACHC)

Mucolipidosis Type IV (MCOLN1)

NM_020533.2: c.-1015_788del6433, c.406-2A>G

Ashkenazi Jewish

96%

1 in 89

1 in 2200

Mucopolysaccharidosis Type I (IDUA)

NM_000203.3: c.152G>A (p.G51D), c.208C>T (p.Q70*), c.266G>A (p.R89Q), c.613_617dupTGCTC (p.E207fs), c.979G>C (p.A327P), c.1037T>G (p.L346R), c.1205G>A (p.W402*), c.1598C>G (p.P533R)

Caucasian

60%

1 in 158

1 in 393

Japanese

42%

1 in 158

1 in 271

Scandanavian

79%

1 in 158

1 in 748

Nemaline Myopathy, NEB-Related (NEB)

NM_004543.4: c.7432-2025_7536+372del2502bp (p.R2478_D2512del35)

Ashkenazi Jewish

>95%

1 in 168

<1 in 3341

Nephrotic Syndrome, NPHS1-Related (NPHS1)

NM_004646.3: c.121_122delCT (p.L41fs), c.2335-1G>A, c.3325C>T (p.R1109*), c.3478C>T (p.R1160*)

Finnish

94%

1 in 45

1 in 734

Maltese

99%

1 in 22

1 in 2100

Nephrotic Syndrome, NPHS2-Related (NPHS2)

NM_014625.2: c.353C>T (p.P118L), c.413G>A (p.R138Q), c.467dupT (p.L156fs), c.851C>T (p.A284V), c.868G>A (p.V290M), c.948delT (p.A317L)

General

60%

Unknown

Neuronal Ceroid-Lipofuscinosis, CLN3-Related (CLN3)

NM_000086.2: c.461-280_677+382del966 (p.G154fs)

General

85%

1 in 230

1 in 1527

Neuronal Ceroid-Lipofuscinosis, CLN5-Related (CLN5)

NM_006493.2: c.225G>A (p.W75*), c.1175_1176delAT (p.Y392*)

Finnish

(Finnish

99%

variant)

1 in 115

1 in 11,400

Neuronal Ceroid-Lipofuscinosis, CLN8-Related (CLN8)

NM_018941.3: c.70C>G (p.R24G)

Finnish

(northern

99%

epilepsy

variant)

1 in 135

1 in 13,400

Neuronal Ceroid-Lipofuscinosis, PPT1-Related (PPT1)

NM_000310.3: c.223A>C (p.T75P), c.364A>T (p.R122W), c.451C>T (p.R151*)

Finnish

98%

1 in 67

1 in 3300

General

57%

1 in 480

1 in 1114

Neuronal Ceroid-Lipofuscinosis, TPP1-Related (TPP1)

NM_000391.3: c.509-1G>C, c.622C>T (p.R208*)

General

53%

1 in 250

1 in 530

Niemann-Pick Disease Type A (SMPD1)

NM_000543.4: c.911T>C (p.L304P), c.996delC (p.F333fs), c.1493G>T (p.R498L)

Ashkenazi Jewish

97%

1 in 116

1 in 3834

Niemann-Pick Disease Type B (SMPD1)

NM_000543.4: c.1828_1830delCGC (p.R610del)

Ashkenazi Jewish

Brazilian

50%

20%

Unknown

Unknown

North African

87%

Unknown

Niemann-Pick Disease Type C, NPC1-Related (NPC1)

NM_000271.4: c.3182T>C (p.I1061T)

General

20%

1 in 183

1 in 228

Niemann-Pick Disease Type C, NPC2-Related (NPC2)

NM_006432.3: c.58G>T (p.E20*)

General

56%

1 in 866

1 in 1966

Patient Name: UCS, Patient10

Specimen #: 61361714-06

Patient #: 60882892

(7)

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Nijmegen Breakage Syndrome (NBN)

NM_002485.4: c.657_661delACAAA (p.K219fs), c.1089C>A (p.Y363*)

Eastern European Slavic

99%

1 in 177

1 in 17,600

Non-Ketotic Hyperglycinemia, GLDC-Related: See Glycine

Encephalopathy, GLDC-Related (GLDC)

Phenylalanine Hydroxylase Deficiency, includes

Phenylketonuria (PAH)

NM_000277.1: c.117C>G (p.F39L), c.143T>C (p.L48S), c.194T>C (p.I65T), c.473G>A (p.R158Q), c.782G>A (p.R261Q), c.838G>A (p.E280K), c.842C>T (p.P281L), c.896T>G (p.F299C), c.1066-11G>A, c.1222C>T (p.R408W), c.1241A>G (p.Y414C), c.1315+1G>A

Caucasian

57%

1 in 50

1 in 114

Irish

69%

1 in 33

1 in 104

Turkish

55%

1 in 26

1 in 56

Polycystic Kidney Disease, Autosomal Recessive (PKHD1)

NM_138694.3: c.107C>T (p.T36M), c.1486C>T (p.R496*), c.5895dupA (p.L1966fs), c.5896dupC (p.L1966fs), c.8870T>C (p.I2957T), c.9689delA (p.D3230fs), c.10174C>T (p.Q3392*), c.10412T>G (p.V3471G)

Finnish

79%

1 in 70

1 in 329

General

14%

1 in 70

1 in 81

Pompe Disease (GAA)

NM_000152.3: c.-32-13T>G, c.525delT (p.E176fs), c.1935C>A (p.D645E), c.2481+110_2646+39del538 (p.G828_N882del55), c.2560C>T (p.R854*)

African American

43%

1 in 60

1in 104

Chinese

80%

1 in 112

1 in 556

Dutch

64%

1 in 100

1 in 276

Primary Hyperoxaluria Type 1 (AGXT)

NM_000030.2: c.454T>A (p.F152I), c.508G>A (p.G170R), c.731T>C (p.I244T)

General

46%

1 in 289

1 in 534

Primary Hyperoxaluria Type 2 (GRHPR)

NM_012203.1: c.103delG (p.D35fs), c.404+3_404+6delAAGT

Asian

50%

Unknown

Caucasian

58%

Unknown

Propionic Acidemia, PCCA-Related (PCCA)

NM_000282.3: c.[1196G>A; 1676G>T] (p.[R399Q; W559L])

Japanese

17%

<1 in 65

<1 in 78

Propionic Acidemia, PCCB-Related (PCCB)

NM_000532.4: c.502G>A (p.E168K), c.1173dupT (p.V392fs),

c.1218_1231del14insTAGAGCACAGGA (p.G407fs), c.1228C>T (p.R410W), c.1283C>T (p.T428I)

Caucasian

32%

<1 in 112

<1 in 164

Japanese

57%

<1 in 65

<1 in 149

Latin American

77%

<1 in 112

<1 in 483

Spanish

68%

<1 in 112

<1 in 347

Rhizomelic Chondrodysplasia Punctata Type 1 (PEX7)

NM_000288.3: c.649G>A (p.G217R), c.653C>T (p.A218V), c.875T>A (p.L292*), c.903+1G>C

General

72%

1 in 158*

1 in 561

Salla Disease (SLC17A5)

NM_012434.4: c.115C>T (p.R39C)

Finnish

96%

1 in 200

1 in 4976

Sandhoff Disease (HEXB)

NM_000521.3: c.850C>T (p.R284*)

Italian

29%

Unknown

Sickle Cell Disease: See Beta Hemoglobinopathy, Sickle

Cell Disease (HBB)

Sjogren-Larsson Syndrome (ALDH3A2)

NM_000382.2: c.943C>T (p.P315S), c.1297_1298delGA (p.E433fs)

Caucasian

Swedish

36%

87%

1 in 250*

1 in 200

1 in 1531

1 in 390

Smith-Lemli-Opitz Syndrome (DHCR7)

NM_001360.2: c.278C>T (p.T93M), c.452G>A (p.W151*), c.506C>T (p.S169L), c.724C>T (p.R242C), c.725G>A (p.R242H), c.906C>G (p.F302L), c.964-1G>C, c.976G>T (p.V326L), c.1054C>T (p.R352W), c.1210C>T (p.R404C), c.1228G>A (p.G410S), c.1342G>A (p.E448K)

General

69%

1 in 71

1 in 226

Sulfate Transporter-Related Osteochondrodysplasias,

includes Achondrogenesis Type 1B, Atelosteogenesis Type

2, Diastrophic Dysplasia, and Recessive Multiple Epiphyseal

Dysplasia (SLC26A2)

NM_000112.3: c.-26+2T>C, c.532C>T (p.R178*), c.835C>T (p.R279W), c.1020_1022delTGT (p.V341del), c.1957T>A (p.C653S)

Finnish

96%

1 in 50

1 in 1226

General

70%

1 in 158

1 in 524

Patient Name: UCS, Patient10

Specimen #: 61361714-06

Patient #: 60882892

(8)

Inheritest

Carrier Screen Information Table:

Disease (Gene)

Reference Sequence: Mutations

Population

Detection

Rate

Pre-test

carrier risk

(no family

history)

Post-test

carrier risk

(when result

negative)

Tay-Sachs Disease (HEXA)

NM_000520.4: c.-2564_253+5128del7945insG, c.1421+1G>C,

c.1274_1277dupTATC (p.Y427fs), c.1073+1G>A, c.805+1G>A, c.805G>A (p.G269S), c.745C>T (p.R249W), c.739C>T (p.R247W)

Ashkenazi Jewish

98%**

1 in 27**

1 in 1300

General

46%**

1 in 300**

1 in 554

US French Canadian

47%**

1 in 73**

1 in 136

Tyrosinemia Type 1 (FAH)

NM_000137.1: c.554-1G>T, c.698A>T (p.D233V), c.782C>T (p.P261L), c.786G>A (p.W262*), c.1062+5G>A

Ashkenazi Jewish

99%

1 in 158

1 in 15,700

Finnish

95%

1 in 122

1 in 2421

French Canadian

95%

1 in 56

1 in 1100

General

50%

1 in 158

1 in 315

Usher Syndrome Type IF (PCDH15)

NM_033056.3: c.733C>T (p.R245*)

Ashkenazi Jewish

>75%

1 in 147

<1 in 585

Usher Syndrome Type III (CLRN1)

NM_174878.2: c.144T>G (p.N48K)

Ashkenazi Jewish

98%

1 in 120

1 in 5951

Walker-Warburg Syndrome, FKTN-Related (FKTN)

NM_001079802.1: c.1167dupA (p.F390fs)

Ashkenazi Jewish

99%

1 in 79

1 in 7800

Wilson Disease (ATP7B)

NM_000053.3: c.2333G>T (p.R778L), c.3207C>A (p.H1069Q), c.3402delC (p.A1135fs)

Caucasian

36%

1 in 90

1 in 140

Chinese

39%

1 in 50

1 in 81

Japanese

18%

1 in 50

1 in 60

Zellweger Syndrome Spectrum, PEX1-Related, includes

Infantile Refsum Disease, Neonatal Adrenoleukodystrophy,

and Zellweger Syndrome (PEX1)

NM_000466.2: c.2097dupT (p.I700fs), c.2528G>A (p.G843D), c.2916delA (p.G973fs)

General

67%

1 in 134

1 in 404

* Incidence figures unavailable. Carrier frequency approximated from prevalence.

** Excludes pseudodeficiency alleles.

^ The carrier frequency in healthy Ashkenazi Jewish individuals has been reported to be as high as 1 in 5. However, based on

the observed incidence of disease, the carrier frequency corresponds to 1 in 81.

This test was developed and its performance characteristics determined by Esoterix Genetic Laboratories, LLC. It has not been cleared or approved by the Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Results of this test are for investigational purposes only. The result should not be used as a diagnostic procedure without confirmation of the diagnosis by another medically diagnostic product or procedure.

References

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