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HelpTest Code GNSPD Platelet Storage Pool Deficiency Gene Panel, Next-Generation Sequencing, Varies
Ordering Guidance
This test is designed to evaluate a variety of hereditary platelet storage pool deficiencies and to be utilized for genetic confirmation of a phenotypic diagnosis of a platelet storage pool deficiency. If testing for hereditary platelet disorders using a larger, comprehensive panel is desired, a 70-gene platelet panel is available; order GNPLT / Platelet Disorders, Comprehensive Gene Panel, Next-Generation Sequencing, Varies.
This test is not designed to evaluate for hereditary bleeding disorders. For patients with clinical suspicion of an inherited bleeding disorder, it is important to exclude plasmatic factor deficiencies (eg, von Willebrand disease, hemophilia, or other factor deficiencies) prior to considering an inherited platelet function defect. If bleeding is the indication for testing and testing for hereditary bleeding disorders is desired, bleeding panels are available. For more information see GNBLF / Bleeding Disorders, Focused Gene Panel, Next-Generation Sequencing, Varies or GNBLC / Bleeding Disorders, Comprehensive Gene Panel, Next-Generation Sequencing, Varies.
For assessment of hereditary platelet disorders that have ultrastructural abnormalities, such as gray platelet syndrome, order PTEM / Platelet Transmission Electron Microscopic Study, Whole Blood.
For assessment of hereditary platelet disorders due to quantitative surface glycoprotein deficiencies, order PLAFL / Platelet Glycoprotein Flow Platelet Surface Glycoprotein by Flow Cytometry, Blood.
Customization of this panel and single gene analysis for any gene present on this panel are available. For more information see CGPH / Custom Gene Panel, Hereditary, Next-Generation Sequencing, Varies.
Targeted testing for familial variants (also called site-specific or known variants testing) is available for the genes on this panel. See FMTT / Familial Variant, Targeted Testing, Varies. To obtain more information about this testing option, call 800-533-1710.
Shipping Instructions
Specimen preferred to arrive within 96 hours of collection.
Necessary Information
Platelet Esoteric Testing Patient Information is required. Testing may proceed without the patient information, however, the information aids in providing a more thorough interpretation. Ordering providers are strongly encouraged to fill out the form and send with the specimen.
Specimen Required
Specimen Type: Whole blood
Patient Preparation: A previous bone marrow transplant from an allogenic donor will interfere with testing. Call 800-533-1710 for instructions for testing patients who have received a bone marrow transplant.
Container/Tube:
Preferred: Lavender top (EDTA)
Acceptable: Yellow top (ACD)
Specimen Volume: 3 mL
Collection Instructions:
1. Invert several times to mix blood.
2. Send whole blood specimen in original tube. Do not aliquot.
Specimen Stability Information: Ambient (preferred) 4 days/Refrigerated
Forms
1. Platelet Esoteric Testing Patient Information is required.
2. New York Clients-Informed consent is required. Document on the request form or electronic order that a copy is on file. The following documents are available:
-Informed Consent for Genetic Testing (T576)
-Informed Consent for Genetic Testing (Spanish) (T826)
3. If not ordering electronically, complete, print, and send an Coagulation Test Request (T753) with the specimen.
Useful For
Evaluating hereditary platelet storage pool deficiencies in patients with a personal or family history suggestive of a hereditary platelet storage pool deficiency
Diagnosing hereditary platelet storage pool deficiencies for patients in whom phenotypic testing is nondiagnostic, but there is a strong clinical suspicion of the hereditary platelet storage pool deficiency
Confirming a hereditary platelet storage pool deficiency diagnosis with the identification of a known or suspected disease-causing alteration in one or more of 24 genes associated with a variety of hereditary platelet storage pool deficiencies
Determining the disease-causing alterations within one or more of these 24 genes to delineate the underlying molecular defect in a patient with a laboratory diagnosis of a platelet storage pool deficiency
Identifying the causative alteration for genetic counseling purposes
Prognosis and risk assessment based on the genotype-phenotype correlations
Providing a prognosis in syndromic hereditary platelet storage pool deficiencies
Carrier testing for close family members of an individual with a hereditary platelet storage pool deficiency diagnosis
This test is not intended for prenatal diagnosis
Genetics Test Information
This test utilizes next-generation sequencing to detect single nucleotide and copy number variants in 24 genes associated with a variety of hereditary platelet storage pool deficiency disorders: ABCC4, AP3B1, AP3D1, BLOC1S3, BLOC1S5, BLOC1S6, DTNBP1, FLI1, GFI1B, HPS1, HPS3, HPS4, HPS5, HPS6, LYST, NBEA, NBEAL2, ORAI1, PLAU, STIM1, STXBP2, VIPAS39, VPS33B, and WAS. See Targeted Genes and Methodology Details for Platelet Storage Pool Deficiency Gene Panel and Method Description for additional details.
Identification of a disease-causing variant may assist with diagnosis, prognosis, clinical management, recurrence risk assessment, familial screening, and genetic counseling for a variety of hereditary platelet storage pool deficiency disorders.
Testing Algorithm
The clinical workup for detecting inherited platelet disorders should begin with a careful review of complete blood cell count and peripheral blood smear results, as well as other platelet tests, such as light transmission platelet aggregometry, electrical impedance whole blood aggregometry, platelet function analyzer 100 (PFA-100), platelet transmission electron microscopy (TEM), and platelet flow cytometric analysis. TEM is an essential tool for laboratory diagnosis of various hereditary platelet disorders that have ultrastructural abnormalities, such as gray platelet syndrome. Flow cytometry is the preferred method to assess hereditary platelet disorders due to quantitative surface glycoprotein deficiencies.
Platelet laboratory testing may not be able to identify all inherited platelet disorders. Occasionally, the clinical picture may be consistent with a defect in primary hemostasis, but the results of platelet function tests may be normal or non-diagnostic.
Genetic testing for hereditary platelet disorders is indicated if:
-Platelet tests indicate a deficiency or functional abnormality
-There is a clinical suspicion for a hereditary platelet disorder due to family history or patient’s clinical presentation
-Acquired causes of deficiencies associated with platelet disorders have been excluded
If a platelet disorder is a concern, a set of clinical guidelines from the British Society for Haematology on testing for heritable platelet disorders is freely available.
Special Instructions
Reporting Name
Storage Pool Deficiency Panel, NGSSpecimen Type
VariesSpecimen Minimum Volume
1 mL
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Varies | Varies | ||
Reject Due To
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.Reference Values
An interpretive report will be provided.
Day(s) Performed
Varies
Report Available
28 to 42 daysSpecimen Retention Time
Whole blood: 2 weeks (if available); Extracted DNA: 3 monthsPerforming Laboratory
Mayo Clinic Laboratories in Rochester
CPT Code Information
81443
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| GNSPD | Storage Pool Deficiency Panel, NGS | 105335-4 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 619328 | Test Description | 62364-5 |
| 619329 | Specimen | 31208-2 |
| 619330 | Source | 31208-2 |
| 619331 | Result Summary | 50397-9 |
| 619332 | Result | 82939-0 |
| 619333 | Interpretation | 69047-9 |
| 619334 | Additional Results | 82939-0 |
| 619335 | Resources | 99622-3 |
| 619336 | Additional Information | 48767-8 |
| 619337 | Method | 85069-3 |
| 619338 | Genes Analyzed | 82939-0 |
| 619339 | Disclaimer | 62364-5 |
| 619340 | Released By | 18771-6 |