Winter 2004-05                                     CARES Foundation, Inc.
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U.S. LABORATORIES OFFERING DNA TESTING FOR CAH

     

NAME

Center for Genetic Testing

CompGene Comprehensive

Genetic Services

 

Esoterix, Inc.

Mount Sinai Medical Center

Quest Diagnostics

DIRECTOR

Frederick V. Schaefer, Ph.D., Director of Molecular Genetics

Anthony T. Garber, Ph.D.,

Head of Molecular Genetics

 

Frank K. Fujimura, Ph.D.,

Executive Director, Molecular Genetics

Maria New, M.D., 

Professor of Pediatrics and Director, Adrenal Steroid Disorders Program

Raymond Fenwick, Ph.D.,

Scientific Director,

Molecular Endocrinology

CONTACT INFORMATION

6465 S. Yale Ave.

Tulsa, OK 74136

Toll Free: (866) 846-0315

(918) 502-1725

www.saintfrancisgenetics.com

3720 N. 24th St.

Milwaukee, WI 53222

Toll free: (877) COMPGENE

(414) 393-1000

www.compgene.com

 

4301 Lost Hills Rd.

Calabasas Hills, CA 91301

(800) 444-9111

www. esoterix.com

1 Gustave Levy Place, Box 1198, Annenberg, 17th Floor, Rm. 271

New York, NY 10029

(212) 241-7962

www.marianew.com/Laboratory

33608 Ortega Highway

San Juan Capistrano, CA 92690

(949) 728-4000

www.questdiagnostics.com

HOW LONG OFFERING CAH DNA TESTING

10 years

6 years

 

1 year

13 years

1 year

MUTATION DETECTION RATE

94%

90-95%

 

95% with PCR and Southern blot; almost 100% with sequencing

97% with PCR and Southern blot; almost 100% with sequencing

90%

HOW MANY TESTS DONE TO DATE?

Over 500

Over 500

 

About 200

Over 5,000

Over 350

RESULTS INTERPRETATION / GENETIC COUNSELING INCLUDED

Informally

Available on site, not included in testing fee

 

No genetic counseling; results interpretation given to referring physician

Yes, included in testing fee. All results reviewed by Dr. Maria New; patient given interpretation in context of all clinical data

Staff genetic counselor relays results to referring physician

CLIENT PRICE

$389

$324

 

$420

$600*

$495

ACCEPT INSURANCE?

Only from Oklahoma insurers

Only from Wisconsin insurers

 

Yes

Yes

Yes

DRAW SAMPLES AT THE LAB

Yes

Yes

 

Yes

Yes

No

ACCEPT SELF-REFERRALS

Yes

No

 

Yes

Yes

No

USUAL PROCEDURE

First, sequence most of latter half of gene; then mutation analysis by PCR; their method finds site-specific mutations, deletions and rearrangements. No Southern blot.

Standard mutation panel, direct mutation analysis. PCR and Southern blot. No sequencing. Linkage analysis.

 

PCR, multiplex mini-sequencing for 12 common mutations, Southern blot; further sequencing if requested.

PCR for panel of selected mutations and Southern blot for deletions and gene conversions; sequencing when needed to make diagnosis

PCR,  multiplex mini-sequencing for panel of selected mutations; full gene sequencing for rare mutations available in mid- to late 2005

TURN-AROUND TIME

3 weeks

Linkage analysis: 72 hrs.

DNA analysis: 7-10 days

 

2 weeks

3 weeks or less; urgent samples 2 weeks or less

1 to 2 weeks

PRENATAL DIAGNOSIS

Yes

Yes

 

No

Yes

Yes

TYPES OF SAMPLES TESTED

Blood, cells from amniotic fluid (supernatant), cultured cells from amniocentesis or CVS; preserved tissue samples

Blood, cells, prenatal cells, buccal cells, preserved tissue samples

 

Blood

Blood, DNA, cultured cells from amniocentesis and CVS

Blood; prenatal specimens accepted only after speaking with staff genetic counselor

FOR PRENATAL DIAGNOSIS, REQUIRE PARENT/S AS WELL AS OFFSPRING BE TESTED?

Not required, often helpful; do as needed/desired

Very strongly preferred, not absolutely required

 

Not applicable

Prefer to have parents or offspring, not both, for informative results. Not required when ultrasound findings are the indication for testing.

Yes, either a parent or previously affected child must be tested in addition to offspring

COMMENTS

Integrate sequencing very early in test procedure; can test DNA directly from amniotic fluid; this gives fast results; also test cell cultures for quality control and maternal cell contamination studies

Can test DNA directly from amniotic fluid; this gives fast results, also test cell cultures for quality control and maternal cell contamination studies

 

 

*Fee includes genetic counseling and reflects laboratory’s specialization in this test. Leading CAH expert Dr. Maria New personally reviews each case.

 

 Name

Center for Genetic Testing

CompGene Comprehensive

Genetic Services

Esoterix, Inc.

Mount Sinai Medical Center 

Quest Diagnostics 

DIRECTOR

Frederick V. Schaefer, Ph.D., Director of Molecular Genetics

Anthony T. Garber, Ph.D., Head of Molecular Genetics

Frank K. Fujimura, Ph.D., Executive Director, Molecular Genetics

 

Maria New, M.D., 

Professor of Pediatrics and Director, Adrenal Steroid Disorders Program

Raymond Fenwick, Ph.D.,

Scientific Director,

Molecular Endocrinology

Maria New, M.D., 

Professor of Pediatrics and Director, Adrenal Steroid Disorders Program

Raymond Fenwick, Ph.D.,

Scientific Director,

Molecular Endocrinology

Maria New, M.D.,Professor of Pediatrics and Director, Adrenal Steroid Disorders Program 

Raymond Fenwick, Ph.D., Scientific Director, Molecular Endocrinology

 

 

CONTACT INFORMATION

 

6465 S. Yale Ave.,Tulsa, OK 74136

Toll Free: (866) 846-0315;(918) 502-1725

www.saintfrancisgenetics.com

 

3720 N. 24th St.,Milwaukee, WI 53222

Toll free: (877) COMPGENE (414) 393-1000

www.compgene.com

 

4301 Lost Hills Rd.,Calabasas Hills, CA 91301

(800) 444-9111

www. esoterix.com

 

1 Gustave Levy Place, Box 1198, Annenberg, 17th Floor, Rm. 271, New York, NY 10029

(212) 241-7962

http://www.marianew.com/Laboratory.html

 

33608 Ortega Highway,San Juan Capistrano, CA 92690

(949) 728-4000

www.questdiagnostics.com

 

HOW LONG OFFERING CAH DNA TESTING

 

10 years

 

5 years

 

1 year

 

13 years

 

1 year

 

MUTATION DETECTION RATE

 

94% 

 

90-95% 

 

90-95%

 

97% with PCR and Southern blot; almost 100% with sequencing

 

90%

 

 

HOW MANY TESTS DONE TO DATE? 

 

Over 500 

 

Over 500 

 

About 200

 

Over 5,000

 

Over 350 

 

RESULTS INTERPRETATION / GENETIC COUNSELING INCLUDED 

Informally

 

 

Available on site, not included in testing fee

 

 

No genetic counseling; results interpretation given to referring physician 

 

Yes, included in testing fee. All results reviewed by Dr. Maria New; patient given interpretation in context of all clinical data 

 

Staff genetic counselor relays results to referring physician 

 

CLIENT PRICE

 

$389

 

$324

 

$420

 

*$600 $495

ACCEPT INSURANCE? 

Only from Oklahoma insurers

 

Only from Wisconsin insurers

 

Yes 

Yes

 

Yes

 

DRAW SAMPLES AT THE LAB 

Yes

Yes

 

 

Yes

 

 

Yes

 

 

Yes

 

 

ACCEPT SELF-REFERRALS 

 

Yes No Yes Yes No

USUAL PROCEDURE 

 

First, sequence most of latter half of gene; then mutation analysis by PCR; their method finds site-specific mutations, deletions and rearrangements. No Southern blot.

 

Standard mutation panel, direct mutation analysis. PCR and Southern blot. No sequencing. Linkage analysis. 

 

PCR, multiplex mini-sequencing for 12 common mutations; detection of gene conversion and gene deletions, sequencing of selected exons

PCR for panel of selected mutations and Southern blot for deletions and gene conversions; sequencing when needed to make diagnosis. 

PCR,  multiplex mini-sequencing for panel of selected mutations; full gene sequencing for rare mutations available in mid- to late 2005 

 

TURN-AROUND TIME 

3 weeks

 

 

Linkage analysis: 72 hrs.

DNA analysis: 7-10 days

 

2 weeks

 

 

3 weeks or less; urgent samples 2 weeks or less

 

1-2 weeks

 

PRENATAL DIAGNOSIS 

Yes 

 

Yes 

 

No 

 

Yes 

 

Yes

 

TYPES OF SAMPLES TESTED

 

Blood, cells from amniotic fluid (supernatant), cultured cells from amniocentesis or CVS; preserved tissue samples 

 

Blood, cells, prenatal cells, buccal cells, preserved tissue samples 

 

Blood

 

 

Blood, DNA, cultured cells from amniocentesis and CVS 

 

Blood; prenatal specimens accepted only after speaking with staff genetic counselor 

 

FOR PRENATAL DIAGNOSIS, REQUIRE PARENT/S AS WELL AS OFFSPRING BE TESTED? 

 

Not required, often helpful; do as needed/desired 

 

Very strongly preferred, not absolutely required

 

Not Applicable

 

 

Prefer to have parents or offspring, not both, for informative results. Not required when ultrasound findings are the indication for testing. 

 

Yes, either a parent or previously affected child must be tested in addition to offspring 

 

COMMENTS 

Integrate sequencing very early in test procedure; can test DNA directly from amniotic fluid; this gives fast results; also test cell cultures for quality control and maternal cell contamination studies

Can test DNA directly from amniotic fluid; this gives fast results, also test cell cultures for quality control and maternal cell contamination studies

 

*Fee includes genetic counseling and reflects laboratory’s specialization in this test. Leading CAH expert Dr. Maria New personally reviews each case.

 

 
     
     

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