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GJB2 Sequencing, Full Gene Sequencing

Test Number 511405
Test number copied
CPT 81252
Synonyms
  • Connexin 26
  • Hearing Loss (GJB2)

Test Details

Methodology

DNA sequencing

Result Turnaround Time

14 - 21 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Test Includes

Detects mutations in the coding region and noncoding first exon of the (GJB2) gene, plus at least two and typically 20 flanking intronic nucleotides upstream and downstream of each coding exon, covering the conserved donor and acceptor splice sites.

Use

Confirms a diagnosis of GJB2-related nonsyndromic sensioneural hearing loss; detects carriers.

Limitations

This method does not reliably detect mosaic variants; large deletions; large duplications, inversions, or other rearrangements; deep intronic variants or variants outside of the regions targeted by this analysis. It may be affected by allele-dropout, it may not allow determination of the exact numbers of T/A or microsatellite repeats, and it does not allow any conclusion as to whether two heterozygous variants are present on the same or on different chromosome copies.

Custom Additional Information

Connexin 26 is one of the most significant genes involved in congenital, nonsyndromic, sensorineural hearing loss (NSHL, OMIM 220920) (GJB2, OMIM 121011). Connexin 26 produces a protein that directs the intracellular transfer of ions and molecules that are important in hearing. GJB2 is associated with both autosomal recessive (DFNB1) and autosomal dominant (DFNA3) hearing loss.

Specimen Requirements

Specimen

Whole blood, buccal swab, amniotic fluid, or chorionic villus sample (CVS) (Submission of maternal blood is required for fetal testing.)

Volume

7 mL whole blood, 4 buccal swabs, 10 mL amniotic fluid, or 20 mg CVS

Minimum Volume

3 mL whole blood, 2 buccal swabs, 5 mL amniotic fluid, or 10 mg CVS

Container

Lavender-top (EDTA) tube or yellow-top (ACD) tube; sterile plastic conical tube, two confluent T-25 flasks for fetal testing; or LabCorp buccal swab kit

Storage Instructions

Maintain specimen at room temperature or refrigerate at 4°C.

Causes for Rejection

Frozen specimen; hemolysis; quantity not sufficient for analysis; improper container; wet buccal swab

References

Dong J, Katz DR, Eng CM, Kornreich R, Desnick RJ. Nonradioactive detection of the common connexin 26 167delT and 35delG mutations and frequencies among Ashkenazi Jews. Mol Genet Metab. 2001 Jun; 73(2):160-163.11386851
Milunsky JM, Maher TA, Yosunkaya E, Vohr BR. Connexin-26 gene analysis in hearing-impaired newborns. Genet Test. 2000; 4(4):345-349.11216657
Scott DA, Kraft ML, Carmi R, et al. Identification of mutations in the connexin 26 gene that cause autosomal recessive nonsyndromic hearing loss. Hum Mutat. 1998; 11(5):387-394.9600457
Smith RJH, Van Camp G. Nonsyndromic hearing loss and deafness, DFNB1. GeneReviews. 2008 Sep 28 (updated 2011 Jul 14). Available at http://www.ncbi.nlm.nih.gov/books/NBK1272. Accessed September 10, 2009.20301449
Sobe T, Vreugde S, Shahin H, et al. The prevalence and expression of inherited connexin 26 mutations associated with nonsyndromic hearing loss in the Israeli population. Hum Genet. 2000; 106(1):50-57.10982182

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
511405 GJB2 DNA Sequencing 35300-3 511407 GJB2 DNA Sequencing 35300-3
Order Code511405
Order Code NameGJB2 DNA Sequencing
Order Loinc35300-3
Result Code511407
Result Code NameGJB2 DNA Sequencing
UofM
Result LOINC35300-3