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Test ID BLOD1218 Carbohydrate Deficient Transferrin for Congenital Disorders of Glycosylation, Serum

Reporting Name

CDG, S

Useful For

Screening for congenital disorders of glycosylation

 

This test is not useful for screening patients for chronic alcohol abuse.

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Specimen Type

Serum


Ordering Guidance


This test is for congenital disorders of glycosylation. If the ordering provider is looking for evaluation of alcohol abuse, order CDTA / Carbohydrate Deficient Transferrin, Adult, Serum.

 

If either PMM2-CDG (CDG-Ia) or MPI-CDG (CDG-Ib) is suspected, order PMMIL / Phosphomannomutase and Phosphomannose Isomerase, Leukocytes.



Necessary Information


1. Patient's age is required.

2. Reason for testing is required.



Specimen Required


Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 0.1 mL

Collection Instructions: Centrifuge and aliquot serum into a plastic vial.


Specimen Minimum Volume

0.05 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Serum Frozen (preferred) 45 days
  Refrigerated  28 days
  Ambient  7 days

Reference Values

Ratio

Normal

Indeterminate

Abnormal

Transferrin mono-oligo/di-oligo ratio

≤0.06

0.07-0.09

≥0.10

Transferrin A-oligo/di-oligo ratio

≤0.011

0.012-0.021

≥0.022

Transferrin tri-sialo/di-oligo ratio

≤0.05

0.06-0.12

≥0.13

Apo CIII-1/Apo CIII-2 ratio

≤2.91

2.92-3.68

≥3.69

Apo CIII-0/Apo CIII-2 ratio

≤0.48

0.49-0.68

≥0.69

 

Day(s) Performed

Monday, Thursday

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

82373

Report Available

3 to 6 days

Reject Due To

Gross hemolysis OK
Gross lipemia OK
Gross icterus OK

Method Name

Affinity Chromatography-Mass Spectrometry (MS)

Forms

1. Congenital Disorders of Glycosylation (CDG, CDGN, OLIGU) Patient Information

2. If not ordering electronically, complete, print, and send a Biochemical Genetics Test Request (T798) with the specimen.

Testing Algorithm

Suggested Testing Strategy:

 

Disorder

Target

Mayo Test ID

N-glycan, core 1 mucin type O-glycosylation, and conserved oligomeric Golgi (COG) complex defects

Transferrin, apolipoprotein CIII

CDG / Carbohydrate Deficient Transferrin for Congenital Disorders of Glycosylation, Serum

N-glycan, core 1 mucin type O-glycosylation, and COG complex defects

Serum total N-linked glycans, transferrin, and apolipoprotein CIII

CDGN / Congenital Disorders of N-Glycosylation, Serum (includes test ID CDG)

Stepwise analysis of transferrin, apolipoprotein CIII, and serum total N-glycans

alpha-dystroglycanopathies,

GPI anchor disorders

Genes: DAG1, FKRP, FKTN, ISPD, LARGE1, POMGNT1, POMGNT2, POMT1, POMT2

PIGA, PIGL, PIGM, PIGN, PIGO, PIGT, PIGV, PIGW, PGAP2, PGAP3

CDGGP / Congenital Disorders of Glycosylation Gene Panel, Varies

 

For more information see:

Congenital Disorders of Glycosylation: Screening Algorithm

Epilepsy: Unexplained Refractory and/or Familial Testing Algorithm.

Sanford Laboratories - Bemidji Additional Information:

Sanford Interface Build Information

Result Code Result Code Description
13419 Reason for Referral
13421 Mono-Oligo/Di-Oligo Ratio
13422 A-Oligo/Di-Oligo Ratio
16123 Tri-Sialo/Di-Oligo Ration
16124

APO CIII-1/CIII-2 Ratio

16125 APO CIII-0/APO CIII-2 Ratio
13423 Interpretation
13425 Reviewed By