Primary Antibody Deficiency Panel, Sequencing and Deletion/Duplication
Ordering Recommendation
Use to determine the genetic etiology of disease in individuals with a suspected or confirmed diagnosis of a primary antibody deficiency (eg, agammaglobulinemia, hyper-IgM syndrome, or common variable immunodeficiency). This test does not analyze B-cell expression or immunoglobulin levels and is not recommended for individuals who have not had previous clinical testing for immunodeficiencies.
New York DOH Approval Status
Specimen Required
Lavender or pink (EDTA) or yellow (ACD solution A or B).
Transport 3 mL whole blood. (Min: 3 mL)
New York State Clients: 5 mL (Min: 3 mL)
Refrigerated.
Serum or plasma; grossly hemolyzed or frozen specimens; saliva, buccal brush, or swab; FFPE tissue.
Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
New York State Clients: Ambient: 48 hours; Refrigerated: 1 week; Frozen: Unacceptable
Methodology
Massively Parallel Sequencing/Sequencing
Performed
Varies
Reported
14-21 days
Reference Interval
By report
Interpretive Data
Refer to report.
This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been cleared or approved by the US Food and Drug Administration. This test was performed in a CLIA certified laboratory and is intended for clinical purposes.
Counseling and informed consent are recommended for genetic testing. Consent forms are available online.
Laboratory Developed Test (LDT)
Note
Genes Tested: ADA; ADA2; AICDA; ATM; ATP6AP1; BLNK; BTK; CARD11; CD19; CD27; CD40; CD40LG; CD70; CD79A; CD79B; CDCA7; CR2; CTLA4; CXCR4*; DCLRE1C*; DNMT3B; GATA2; HELLS; ICOS; IGHM; IGLL1; IKZF1; IL21R; KDM6A; KMT2D; LRBA; MOGS; MS4A1; NBN; NFKB1; NFKB2; NFKBIA**; PIK3CD; PIK3R1; PLCG2; PRKCD; RAC2; RAG1; RAG2; RNF168; SH2D1A; STAT3; TCF3**; TNFRSF13B; TRNT1; TTC37; UNG; XIAP*; ZBTB24
*One or more exons are not covered by sequencing for the indicated gene; see limitations section below.
**Deletion/duplication analysis is not available for this gene.
Hotline History
CPT Codes
81403; 81404; 81405; 81406; 81408; 81479
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
2011220 | Primary Antibody Deficiency Specimen | 31208-2 |
2011223 | Primary Antibody Deficiency Panel Interp |
Aliases
- Late-onset combined immunodeficiency
- HIGM1
- HIGM2
- Hypogammaglobulinemia
- Immunoglobulin class-switch deficiency
- CD45
- Common variable hypogammaglobulinemia
- Common variable immune deficiency
- Recurrent infections
- HIGM5
- Hyper-IgM syndrome
- CD21
- Selective IgA deficiency
- Selective IgM deficiency
- Late-onset immunoglobulin deficiency
- NEMO
- HIGM3
- HIGM4
- TACI
- Common variable immunodeficiency
- Genetic antibody deficiency
- HIGM syndrome
- Lambda-5
- CD20
- IgG subclass deficiency
- CVID
- Agammaglobulinemia
- Anti-polysaccharide antibody deficiency
- Autoimmune conditions
- B-cell deficiency
- BAFFR
- IgG deficiency
- Selective antibody deficiency
- IgA deficiency
- Panhypogammaglobulinemia