Charcot-Marie-Tooth Disease, Type 1A MLPA

Disorder Charcot-Marie-Tooth 1A Disease
Hereditary Neuropathy with Liability to Pressure Palsies
Gene Name PMP22
Clinical info

Charcot-Marie-Tooth (CMT) disease is the most common form of inherited peripheral neuropathy, and these conditions have a prevalence of approximately 1 in 3000 individuals. Clinical symptoms include distal muscle weakness with atrophy, loss of deep tendon reflexes, high-arched feet, and loss of sensation. These conditions tend to be progressive, and while most families demonstrate autosomal dominant inheritance, autosomal recessive and X-linked inheritance also occurs. Symptoms and age of onset are variable, but early signs of the disorder include clumsiness, balance problems, and difficulty using the hands to grasp. Hearing loss occurs in some affected individuals, and eventually, some patients require the assistance of a wheelchair. Lifespan and intelligence are not typically affected.

Charcot-Marie-Tooth disease is comprised of several types and subtypes. CMT1 is responsible for almost half of all cases of CMT, with CMT2 and CMTX making up an additional 10-15% each. Within the CMT1 type, about 70-80% of cases are due to changes in the PMP22 most often associated with a duplication involving chromosome 17p12. Reciprocal deletions of this region are associated with hereditary neuropathy with liability to pressure palsies, HNPP.

Indications Molecular testing is useful to confirm the diagnosis and to identify the disease causing deletion or duplication within a family to allow for carrier testing and prenatal diagnosis.
Detection

An estimated 30-50% of patients diagnosed with Charcot-Marie-Tooth disease will have a copy number variant in the PMP22 gene. This analysis also detects deletions and duplications in the MPZ and GJB1 genes although sequence variants in these two genes are more common than copy number variants.

This test is available individually or as first-tier testing with reflex to the Charcot-Marie-Tooth Hereditary Neuropathy 54-gene panel.

Specimen Requirements 5 to 10 ml of peripheral blood collected in an EDTA (lavender top) Vacutainer tube is preferred. The minimal blood needed for reliable DNA isolation is 3 ml
Transport The specimen should be kept at room temperature and delivered via overnight shipping. FedEx is preferred. If shipment is delayed by one or two days, the specimen should be refrigerated and shipped at room temperature. Do not freeze the specimen. Samples collected on Friday can be safely designated for Monday delivery.
Turnaround time 3 weeks
Prenatal testing Prenatal diagnosis is available if a familial deletion or duplication has been confirmed. Additional fees for cell culture and maternal cell contamination may apply. Maternal cell contamination studies are required for all prenatal molecular tests. Contact the laboratory prior to sending a prenatal specimen.
CPT Codes 81324
Cost

$500

Prenatal diagnosis is $1000.  Please contact the laboratory for more information.

Contact For further information contact one of our This email address is being protected from spambots. You need JavaScript enabled to view it. at 1-800-473-9411.

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Please submit a completed Requisition Form with all samples.

 

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Molecular Diagnostic Lab Faculty

Clearing Div - do not delete (is not shown)