α-Thalassemia Analysis

CPT 81257
Synonyms

Alpha-thal, HBA, alpha-globin, thalassemia

Test Details

Turnaround Time

9 - 12 days; in some cases, additional time may be required for confirmatory or reflex tests

Use

This test is used for diagnostic or carrier testing for alpha-thalassemia.

Special Instructions

To test fetal specimens, including cord blood, order α-Thalassemia, Fetal Analysis [484293].

Test Includes

This test includes the following genes: HBA1, HBA2.

Limitations

Technologies used do not detect germline mosaicism and do not rule out the presence of large chromosomal aberrations including rearrangements and gene fusions, or variants in regions or genes not included in this test, or possible inter/intragenic interactions between variants or repeat expansions. Variant classification and/or interpretation may change with time if more information becomes available. False positive or false negative results may occur for reasons that include: rare genetic variants, sex chromosome abnormalities, pseudogene interference, blood transfusions, bone marrow transplantation, somatic or tissue-specific mosaicism, mislabeled samples or erroneous representation of family relationships. 

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Methodology

Analysis of the alpha-globin (HBA) gene cluster is performed by polymerase chain reaction (PCR) and multiplex ligation-dependent probe amplification (MLPA). Alpha-globin variants included in the analysis are the Constant Spring non-deletion variant and the following deletions: -alpha3.7, -alpha4.2, --alpha20.5, --SEA, --FIL, --THAI, --MED, and the HS-40 regulatory region.

References

Tamary H, Dgany O. Alpha-Thalassemia. Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. In: GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993. 2005 Nov 1 [updated 2024 May 23]. PubMed 20301608

Specimen Requirements

Information on collection, storage, and volume

Specimen

Whole blood or PurFlock buccal swab kit

Volume

7 mL whole blood or PurFlock buccal swab kit

Minimum Volume

3 mL whole blood or PurFlock buccal swab kit

Container

Lavender-top (EDTA) tube or yellow-top (ACD-A) tube or PurFlock buccal swab kit

Storage Instructions

Maintain specimen at room temperature or refrigerate at 4°C. Do not freeze.

Causes for Rejection

Frozen or hemolyzed specimen; quantity not sufficient for analysis; improper container; one buccal swab; wet buccal swab

Collection

Standard phlebotomy