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Liverpool Women's Hospital
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  Crown Street
Liverpool, L8 7SS
Tel: tel:0151 708 9988
Fax: 0151 702 4028
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Current Services May 2005
The number of disorders for which molecular genetic testing is possible is increasing rapidly. The laboratory monitors the situation and reviews the services accordingly. Please contact the laboratory for an updated list of services provided. There is an organised UK network (UKGTN) for testing for rare disorders. The laboratory has arrangements with other centres for tests not included on the list below. Please contact the laboratory for details. Useful sources of information are the UK directory of molecular genetic services (www.cmgs.org) and the European directory of DNA laboratories (www.eddnal.com).

The preferred sample type is 5-10 mls blood (1-2 mls from small children) collected into EDTA , though other samples may be suitable. Please contact the laboratory for further details.

 


Carrier detection and prenatal diagnosis using mutation detection and/or linked marker analysis.


Breast Cancer (familial)

Limited mutation testing of BRCA1 only at present. Referrals only accepted from Clinical Genetics Department.


CADASIL


Diagnostic and presymptomatic testing available.


Cystic Fibrosis



Diagnostic testing , carrier detection and prenatal diagnosis using test for 29 mutations. Linked marker analysis where necessary. Other rarer mutations available by specific request.


Dentatorubral-
pallidoluysian
Atrophy (DRLA)


Diagnostic testing using direct mutation detection.

Duchenne/ Becker
Muscular
Dystrophy
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Diagnostic testing using multiplex deletion test. Carrier detection and prenatal diagnosis using fluorescent dosage analysis


Diagnostic testing, carrier detection using test for the common mutations only. Further mutation studies as part of an ongoing research programme.


Familial Adenomatous
Polyposis

Presymptomatic testing using mutation screening in exon 15 only, plus linked marker analysis where necessary.


Fragile X Syndrome

Diagnostic testing, carrier detection and prenatal diagnosis using direct FRAX A mutation detection.
FRAX E testing if specifically requested.



Friedrich Ataxia

Diagnostic testing and carrier detection using direct detection of the GAA expansion mutation. Other point mutation analysis available on request.


Gilbert's Syndrome

Diagnostic testing for TATAA box mutation only.


Haemochromatosis


Diagnostic testing and family studies for the common C282Y mutation. Analysis of the H63D mutations by request only.

Hereditary Motor and
Sensory
Neuropathy (HMSN)

Hereditary Liability to Pressure
Palsies (HNPP)
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Diagnostic and presymptomatic testing for common 17p duplication/deletion by fluorescent dosage analysis.

Diagnostic and presymptomatic testing for three common mutations in the PRSS1 gene. Further testing available as part of the EUROPAC research programme


Diagnostic testing and presymptomatic testing using direct mutation detection. Presymptomatic testing samples only accepted from the Clinical Genetics Department.


Diagnostic testing and presymptomatic testing using direct mutation detection.


Leber's Hereditary Optic Neuropathy
(LHON)



Diagnostic testing using screen for 3 common mutations.


Medium Chain
Acyldehydrogenase
Deficiency (MCAD)



Diagnostic testing and carrier detection using test for K329E common mutation.


Mitrochondrial Mutations

Diagnostic testing using screen for common mutations associated with MELAS, MERRF, NARP plus screen for common deletion.


Myotonic Dystrophy

Diagnostic and presymptomatic testing for CTG expansion mutation.


Nail-Patella syndrome

Diagnostic testing for unknown mutations in the LMX1B gene by sequence analysis and family studies.


Norries Disease
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Diagnostic testing for unknown mutations in the Norries gene by sequence analysis and family studies.


Neuroferritinopathy

Diagnostic and presymptomatic testing for 408insA mutation.


Pantothenate Kinase associated neurodegeneration - PANK2 gene (Hallervorden-Spatz)

Diagnostic index case testing and family studies.


Peutz-Jegher syndrome

Diagnostic testing and family studies.


Prader Willi/ Angelman
Syndrome


Diagnostic testing using methylation studies. Linked marker analysis on families to test for deletions, uniparental disomy.


Sexing

Confirmation of sex chromosome abnormalities determined cytogenetically using test for AMXY and SRY sequences. Prenatal diagnosis for X-linked disorders using test for AMXY sequences.


Silver- Russell syndrome

Testing for chromosome 7 uni-parental disomy. Parental samples required.


Spinal Muscular
Atrophy


Diagnostic testing using screen for SMN deletion. Prenatal diagnosis using linked markers plus SMN deletion screen. Additional point mutation testing on request.


Spinal Cerebellar
Ataxia
(types 1,2,3,6,7)

Diagnostic testing and presymptomatic testing using direct mutation detection. Routine service for SCA 1, 2, 3 and 6 unless specified. SCA 7 testing by request only.


Zygosity/ Paternal
analysis


Zygosity testing of twins using a panel of 11 highly polymorphic markers. Paternity testing only available for clinical not social/legal cases.