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HelpTest Code PMMIL Phosphomannomutase and Phosphomannose Isomerase, Leukocytes
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Reporting Name
PMM-PMI, LeukocytesSpecimen Type
Whole Blood ACDOrdering Guidance
The initial screening test for congenital disorders of glycosylation is transferrin isoform analysis (CDG / Carbohydrate Deficient Transferrin for Congenital Disorders of Glycosylation, Serum). The results of the transferrin isoform analysis should be correlated with the clinical presentation to determine the most appropriate testing strategy, which may include this test.
Shipping Instructions
For optimal isolation of leukocytes, it is recommended the specimen arrive refrigerated within 6 days of collection to be stabilized. Collect specimen Monday through Thursday only and not the day before a holiday. Specimen should be collected and packaged as close to shipping time as possible.
Specimen Required
Container/Tube:
Preferred: Yellow top (ACD solution B)
Acceptable: Yellow top (ACD solution A)
Specimen Volume: 6 mL
Collection Instructions: Send specimen in original tube. Do not aliquot.
Reject Due To
| Gross hemolysis | Reject |
Specimen Stability Information
| Specimen Type | Temperature | Time | Special Container |
|---|---|---|---|
| Whole Blood ACD | Refrigerated (preferred) | 6 days | YELLOW TOP/ACD |
| Ambient | 6 days | YELLOW TOP/ACD |
Specimen Minimum Volume
3 mL
Special Instructions
Day(s) Performed
Preanalytical processing: Monday through Saturday
Assay performed: Twice per month
Specimen Retention Time
WBC homogenate: 1 monthReport Available
30 to 45 daysReference Values
PHOSPHOMANNOMUTASE
Normal >350 nmol/h/mg protein
PHOSPHOMANNOSE ISOMERASE
Normal >1,300 nmol/h/mg protein
Useful For
Diagnosing congenital disorders of glycosylation Ia (phosphomannomutase-2 deficiency: PMM2-CDG) and Ib (phosphomannose isomerase deficiency: MPI-CDG) as measured in leukocytes
Follow-up testing for patients with an abnormal type I CDG transferrin isoform profile
This test is not useful for carrier testing.
Testing Algorithm
For more information see Congenital Disorders of Glycosylation: Screening Algorithm.
CPT Code Information
82657
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| PMMIL | PMM-PMI, Leukocytes | 100735-0 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 50836 | Specimen | 31208-2 |
| 50837 | Specimen ID | 57723-9 |
| 50838 | Source | 31208-2 |
| 50839 | Order Date | 82785-7 |
| 50840 | Reason For Referral | 42349-1 |
| 50841 | Method | 85069-3 |
| 50842 | Phosphomannomutase, Leuko | 78970-1 |
| 50843 | Phosphomannose Isomerase, Leuko | 78963-6 |
| 50844 | Interpretation | 59462-2 |
| 50845 | Amendment | 48767-8 |
| 50846 | Reviewed By | 18771-6 |
| 50847 | Release Date | 82772-5 |
Forms
1. 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 in Special Instructions:
-Informed Consent for Genetic Testing (T576)
-Informed Consent for Genetic Testing-Spanish (T826)
2. Biochemical Genetics Patient Information (T602) in Special Instructions
3. If not ordering electronically, complete, print, and send a Biochemical Genetics Test Request (T798) with the specimen.
Genetics Test Information
Congenital disorders of glycosylation (CDG) are a large and growing group of inborn errors of glycan metabolism that are clinically diverse, but most often present during infancy or childhood.
A diagnostic workup for a CDG should begin with transferrin analysis by liquid chromatography-mass spectrometry (CDG / Carbohydrate Deficient Transferrin for Congenital Disorders of Glycosylation, Serum).
Follow-up testing of an abnormal type 1 CDG transferrin isoform profile may include enzymatic analysis for the diagnosis of phosphomannomutase-2 deficiency (PMM2-CDG) and phosphomannose isomerase deficiency (MPI-CDG).