Mucolipidosis II/III Dried Blood Spot Screen

Disease names Mucolipidosis II/ I-Cell disease
Mucolipidosis IIIA/ Pseudo-Hurler Polydystrophy
Clinical info Mucolipidosis II (ML II), also known as I-Cell disease, and Mucolipidosis IIIA (ML IIIA), also known as Pseudo-Hurler Polydystrophy, are lysosomal storage disorders caused by a deficiency of N-acetylglucosamine-1-phosphotransferase (NAPT). ML II is associated with a more severe course including growth failure and failure to thrive, severe developmental delay, coarse facial features, skeletal anomalies and frequent upper respiratory infections. ML II is often lethal in childhood. ML IIIA is associated with a similar, but milder course with a wider spectrum of features and severity. In ML II and ML IIIA, lysosomal hydrolase enzymes are not properly targeted to the lysosome. Therefore, the enzyme activity of multiple lysosomal hydrolases is increased in plasma and other body fluids.
Methodology The activity of 4 lysosomal hydrolases are measured from a dried blood spot. The assay uses 4-methylumbelliferyl substrates to measure the activities of acid sphingomyelinase, alpha-iduronidase, beta-glucosidase, and alpha-mannosidase. Prenatal diagnosis and carrier testing via enzyme analysis are not available.
Associated Tests

Mucolipidosis II/III plasma screen is also available to measure hexosaminidase, beta-glucuronidase, and alpha-fucosidase.

Molecular analysis of the gene for ML II/III (GNPTAB) is also available for identification of the causative mutation within a family, carrier status and prenatal diagnosis.

Specimen Requirements

Enzyme activity can be measured in dried blood spots.

For dried blood spot collection, a minimum of three circles need to be filled in. Each circle should contain one drop of blood (about 100 microliters). See the link below for additional sample collection and handling instructions.

Sample Collection and Requirements

DBS Collection Instruction Video

In addition, a dried blood spot or blood drawn in an EDTA tube can be used for mucolipidosis II/III molecular analysis and may be sent for DNA banking. Please indicate on the requisition if DNA should be banked for follow-up molecular testing.

Transport

For a dried blood spot: When the sample has dried 3-4 hours, fold cover at score line, over sample, and tuck into flap. Samples should be placed in the mail within 24 hours of collection. Overnight shipping is preferred.

Turnaround time 10 days
CPT Codes 82657
Cost

Dried Blood Spot Analysis: $200

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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