Mitochondrial Disorders (mtDNA) Sequencing and Deletion Analysis by NGS
Ordering Recommendation
Assess for sequence variants in the mitochondrial genome (mtDNA) causing mitochondrial disorders, especially for individuals with clinical symptoms characteristic of a specific disorder, such as leber hereditary optic neuropathy (LHON), mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS), myoclonic epilepsy with ragged-red fibers (MERRF), and neurogenic weakness with ataxia and retinitis pigmentosa (NARP).
New York DOH Approval Status
Specimen Required
Lavender (K2 or K3EDTA). Also acceptable: Buccal swabs.
Transport 5 mL whole blood (Min: 2 mL) or 2 buccal swabs. (Min: 2 swabs)
Test is not performed at ARUP; separate specimens must be submitted when multiple tests are ordered.
Refrigerated.
Ambient: 24 hours; Refrigerated: 1 week; Frozen: Unacceptable
Methodology
Massively Parallel Sequencing
Performed
Varies
Reported
21-28 days
Reference Interval
By report
Interpretive Data
Performed by non-ARUP Laboratory
Note
Hotline History
Hotline History
CPT Codes
81460; 81465
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
3001966 | EER Mito Disorders, mtDNA, Seq/Del | 11526-1 |
3001967 | Mito Disorders, mtDNA, Seq/Del | 40995-3 |
Aliases
- cblJ Type
- Chronic Intestinal Pseudoobstruction with Myopathy and Ophthalmoplegia (CIPO)
- Maternally Inherited Diabetes Mellitus (MIDM)
- Lactic acidosis
- Lebers Hereditary Optic Neuropathy (LHON)
- Complex III Deficiency
- Complex IV(Cytochrome C Oxidase) Deficiency
- Complex V (ATP Synthesis) Deficiency
- Diabetes and Hearing Loss
- Kearns-Sayre Syndrome (KSS)
- Maternally Inherited Diabetes/Deafness (MIDD)
- Methylmalonic Aciduria and Homocystinuria
- Myoclonic Epilepsy Ragged-Red Fibers (MERRF)
- Maternally Inherited Deafness
- Pearson Syndrome
- Sensorineural Hearing Loss (SNHL)
- Mitochondrial Encephalomyopathy (Lactic Acidosis and Stroke-Like Episodes) (MELAS)
- Mitochondrial Myopathy (MM)
- Aminoglycoside-Induced Deafness
- Chronic Progressive External Ophthalmoplegia (CPEO)
- Mitochondrial Neurogastrointestinal Encephalopathy Syndrome (MNGIE)
- Coenzyme Q10 Deficiency
- Complex I Deficiency
- Neurogenic Weakness Ataxia and Retinitis Pigmentosa (NARP)
- Optic Atrophy
- Oxidative Phosphorylation (OXPHOS) Deficiency
GeneDx