Test ID: HHTP
Hereditary Hemorrhagic Telangiectasia, ENG and ACVRL1 Full Gene Analysis
Method Description
Describes how the test is performed and provides a method-specific reference
Genomic DNA is extracted from whole blood. The ENG and ACVRL1 genes are amplified by PCR. The PCR product is then purified and sequenced in both directions using fluorescent dye-terminator chemistry. Sequencing products are separated on an automated sequencer and trace files analyzed for variations in the exons and intron/exon boundaries using mutation detection software and visual inspection. (Unpublished Mayo method)
Multiplex ligation-dependent probe amplification (MLPA) is used to detect the presence of large genomic deletions and duplications of all 15 exons of ENG and all 10 exons of ACVRL1. MLPA requires the hybridization of 2 adjacent probes to each exon; these probes are then amplified by PCR. Deletions are seen as decreased signal relative to control probes arising from the deleted exon(s), while duplications result in increased signal. (Package insert: SALSA MLPA Kit P093-B1 HHT/PPH1, MRC Holland)
Day(s) and Time(s) Test Performed
Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.
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