PMC Facial Dysostosis and Frontonasal Dysplasia Panel

Up to 28 genes Turn around Time: 10 business days
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Contact:

info@pmcdx.com

Test Description

The Facial Dysostosis and Frontonasal Dysplasia Panel examines genes linked to facial dysostosis and similar disorders. These disorders are diverse genetically and primarily affect the structure of the face and skull. Due to the genetic variety, using physical traits alone to identify the cause can be challenging. The comprehensive panel test assesses multiple genes efficiently based on a single clinical sign. Some genes in this test may also be linked to other disorders not covered in this panel.

  • Associated Conditions
    • Childhood interstitial lung disease (including disorders of surfactant metabolism and primary pulmonary alveolar proteinosis)
    • Autoimmune interstitial lung, joint, and kidney disease
    • Dyskeratosis congenita
    • Alveolar capillary dysplasia with misalignment of pulmonary veins
    • Interstitial lung disease with nephrotic syndrome and epidermolysis bullosa (ILNEB syndrome)
    • Choreoathetosis and congenital hypothyroidism with or without pulmonary dysfunction, also known as brain-thyroid-lung syndrome
    • NOTCH2-related Alagille syndrome
  • Methodology

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

  • 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:

    28 genes selected