PMC Hereditary Nervous System/Brain Cancer Panel

Up to 42 genes Turn around Time: 10 business days
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Test Description

PMC Hereditary Nervous System/Brain Cancer Panel examines genes linked to a predisposition for brain and nervous system tumors. Because of overlapping clinical features| using a broad panel test can efficiently assess several potential genes for individuals with similar clinical symptoms. Some genes included in this panel may also be associated with conditions unrelated to the clinical indication for testing. This test is specifically tailored for heritable germline mutations and is not designed for identifying somatic mutations in tumor tissue.

  • Associated Conditions
    • APC-associated polyposis conditions
    • Basal cell nevus syndrome, also known as Gorlin syndrome
    • Beckwith-Wiedemann syndrome
    • Carney complex
    • Coffin-Siris syndrome
    • Constitutional mismatch repair deficiency (CMMR-D)
    • Costello syndrome
  • Methodology

    Targeted Exome/ Slice Exome (Next Generation Sequencing including Copy Number Variation)

  • Assay Information
    • KIF1B: Sequencing analysis for exons 20| 30 includes only cds +/- 10 bp.
    • EZH2: Sequencing analysis for exons 20 includes only cds +/- 10 bp.
    • EGLN1: Sequencing analysis for exons 5 includes only cds +/- 10 bp.
    • EPAS1: Deletion/duplication analysis is not offered for exon 3. Sequencing analysis for exons 3 includes only cds +/- 0 bp.
    • MLH1: Deletion/duplication analysis covers the promoter region. Sequencing analysis for exons 12 includes only cds +/- 10 bp.
    • MSH6: Sequencing analysis for exons 7| 10 includes only cds +/- 10 bp.
    • DICER1: Sequencing analysis for exons 22 includes only cds +/- 10 bp.
  • Limitations

    All sequencing technologies have limitations. A negative result from this analysis does not rule out a possible genetic diagnosis as some variants may not be detected by this test. This test is not designed to detect low level mosaicism, structural rearrangements, indels >40bp, deep intronic variants of unknown clinical significance, or large cytogenetic CNVs. Certain inherent qualities of the human genome, for example repetitive regions/homopolymers, GC rich, pseudogenes, and rare polymorphisms, pose significant technical challenges such as sequence misalignment that may potentially impact the accuracy of the results. False negative results may also occur in the setting of allogeneic bone marrow, stem cell transplantation, active or chronic hematologic conditions, recent blood transfusions, suboptimal DNA quality or PCR trace contamination. Other potential sources of error include sample mix-ups and clerical issues.

  • References
    • 1. Richards S et al. Genetics in medicine. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. 2015 May;17(5):405-24 (PMID: 25741868)
    • 2. GnomAD (gnomAD)
    • 3. CSPEC (ClinGen variant classification rules registry) Criteria Specification Registry
    • 4. Normal copy number variation in healthy individuals database of genomic variants: http://dgv.tcag.ca/dgv/app/home
  • Tagged Genes

    Primary panel:

    42 genes selected