Cystic Fibrosis (CFTR) 32 Mutations, Atypical
2001969
Ordering Recommendation
Diagnostic testing for individuals with nonclassic CF presentation.
Mnemonic
CF PAN 5T
Methodology
Polymerase Chain Reaction/Oligonucleotide Ligation/Fragment Analysis
Performed
Sun-Sat
Reported
7-10 days  
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
  
Collect
Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).   
Specimen Preparation
Transport 3 mL whole blood. (Min: 1 mL)  
Storage/Transport Temperature
Refrigerated.    
Unacceptable Conditions
  
Remarks
  
Stability
Ambient: 3 days; Refrigerated: 1 week; Frozen: Unacceptable  
Reference Interval
By report  
Interpretive Data
Background information for Cystic Fibrosis, Nonclassic (CFTR)32 Mutations and 5T:
Characteristics of Nonclassic Cystic Fibrosis (CF)
: Findings are often limited to a single organ system such as isolated pancreatitis, bilateral absence of the vas deferens, nasal polyposis, or bronchiectasis.
Incidence of Classic CF:
1 in 3,000 Caucasians or Ashkenazi Jewish, 1 in 8,000 Hispanics, 1 in 15,000 African Americans, 1 in 32,000 Asians.
Incidence of Nonclassic CF
: Unknown.
Inheritance:
Autosomal recessive.
Penetrance
: High for severe mutations, variable for mild mutations.
Cause of Nonclassic CF:
Typically one severe and one mild/moderate CFTR mutations on opposite chromosomes.
Mutations Tested
: G85E, R117H, R334W, R347P, R347H, 394delTT, A455E, I507del, F508del, V520F, G542X, S549N, S549R, G551D, R553X, R560T, 621+1G>T, 711+1G>T, 1078delT, R1162X, W1282X, N1303K, 1717-1G>A, 1898+1G>A, 2183AA>G, 2184delA, 2789+5G>A, 3120+1G>A, 3659delC, 3849+10kbC>T, 3876delA, 3905insT. The IVS-8/poly T variant is also analyzed.
Clinical Sensitivity:
Ashkenazi Jewish 94 percent; Caucasian 89 percent; Hispanic 73 percent; African American 65 percent; Asian American 55 percent.
Methodology
: PCR, oligonucleotide ligation assay (OLA), fluorescent hybridization probes, and capillary electrophoresis.
Analytical Sensitivity & Specificity
: 99 percent.
Limitations
: Diagnostic errors can occur due to rare sequence variations. Only the 32 CFTR mutations listed above, and the IVS-8 poly T site, will be interrogated.



Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com.

See Compliance Statement C: www.aruplab.com/CS  
Note
ISV-8 is automatically analyzed and reported.
CPT Code(s)
81220, 81224
Components
Component Test Code*Component Chart Name
0050603Cystic Fibrosis (CFTR) R117H and 5T
0051151Cystic Fibrosis Symptom
0055454Cystic Fibrosis (CFTR) Atypical, Allele1
0055456Cystic Fibrosis (CFTR) Atypical, Allele2
0056003Cystic Fibrosis (CFTR) 5T Mutation
0056037Cystic Fibrosis Ethnicity
0056039Cystic Fibrosis Family History
2002133Cystic Fibrosis (CFTR) Atypical, Spcm
2002134Cystic Fibrosis (CFTR) Atypical, Interp
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • nonclassic CF variants