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Test: NARP
Alternate names:
Description: NARP and mitochondrial DNA associated Leigh syndrome are part of a continuum of progressive neurodegenerative disorders among those affected within the same family. The most common mutations are 8993T>G and 8993T>C mutations in the MTATP6 gene. The clinical phenotype is typically more severe with the 8993T>G mutation than the 8993T>C mutation. Usually a Leigh disease presentation is observed in patients with mutant heteroplasmy greater than 90%. Patients carrying approximately 75-90% mutant load may have NARP syndrome, and between 60-75% may exhibit only retinitis pigmentosa. Approximately 10-20% of individuals with Leigh disease have either the 8993T>G or 8993T>C mutation. Due to genetic and clinical heterogeneity and multisystem dysfunction, we highly recommend the mitochondrial DNA screening panel (see Mitochondrial DNA Screen (Point Mutations and Deletions)) for a patient suspected of NARP or Leigh disease, unless a specific mutation has already been detected in the family.
Clinical:
Methodology: mtDNA
Turn around time: 1 month
Transit stability:
Comments:
Sample: Blood EDTA 2 ml, dried blood spots or buccal swabs
Type: Genetics
Method: NOT GIVEN
Consultant/scientist: Dr Fierdoz Omar
Tel: 021 404 4118
email: fierdoz.omar@uct.ac.za
Contact for results: Ms Surita Meldau
Tel: 021 404 4449
email: surita.meldau@uct.ac.za
Delivery address C17 NHLS Labs, NGSH, Observatory, 7925
for samples: Cape Town