Genetics Comprehensive
Metabolism Panel

Early detection for better management of metabolic disorders

GenviewDx laboratory’s Comprehensive Metabolism-associated gene panel consists of 199 genes and mutations found in these genes are known to be involved in various monogenetic metabolic disorders in patients. Identifi cation of causative mutations helps timely treatment. Specifi cally, these gene mutations produce non-functional enzymes in key metabolic pathways of energy usage, storage and converting branches. As a result of these non-functional enzymes, metabolic intermediate toxic products accumulate in patients and cause various metabolic syndromes.

Although inherited metabolic disorders are rare events, the combined prevalence is estimated at 1:1000 to 1:2000 newborns with common symptoms including poor feeding, irregular appetite, lethargy, jaundice, digestive problems, irregular weight regulation, seizures, developmental delays, and abdominal pain. In addition, there are non-specifi c warning signs such as high blood pressure, high cholesterol, and high triglyceride levels. For example, glycogen storage disease, Parkinson disease, muscular dystrophy, maple syrup urine disease, myopathy, tyrosinemia, lipid storage disease, cerebral folate defi ciency, alkaptonuria are a few of the diseases revealed by the GenviewDx’s comprehensive metabolic genetic panel test. Therefore, this comprehensive metabolism genetic test panel is recommended for anyone with the associated symptoms or personal or family history of metabolic disorders. The wide range of conditions covered in this panel makes it ideal for individuals with broad symptoms that could be linked to one of many different disorders.

Since some of the symptoms can also be a result of unrelated physiological disorders, this genetic test helps: a) confi rm or rule out the diagnosis with specifi c gene mutation, b) personalized treatment options, c) indicate the risk factors for family members, d) identify risks for other diseases and plan for prophylaxis treatment options.

Description Genes
IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)IDH2
CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequenceCACNA1A
CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequenceCSTB
ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X)ASPA
BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X)BCKDHB
CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequenceCFTR
DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)DPYD
F9 (coagulation factor IX) (eg, hemophilia B), full gene sequenceF9
G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequenceG6PD
G6PC (glucose-6-phosphatase, catalytic subunit) (eg, glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)G6PC
GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A)GBA
HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)HEXA
HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)HFE
MCOLN1 (mucolipin 1) (eg, mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb)MCOLN1
MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)MTHFR
MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysisMECP2
SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5)SLCO1B1
SMPD1 (sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, type A) gene analysis, common variants (eg, R496L, L302P, fsP330)SMPD1
SERPINA1 (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitrypsin, member 1) (eg, alpha-1-antitrypsin deficiency), gene analysis, common variants (eg, *S and *Z)SERPINA1
TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)TPMT
UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)UGT1A1
MoPath procedure level 1ACADM, LCT
MoPath procedure level 2APOE, PPARG
MoPath procedure level 5BTD, MMACHC, SLC25A4
MoPath procedure level 6ABCD1, ACADS, ARSA, BCKDHA, COX10, COX15, CPOX, DGUOK, DHCR7, FH, GLA, IDS, MMAB, MMAA, OTC, SLC22A5, SLC25A20, SLC2A1, SURF1, TYMP
MoPath procedure level 7ACADVL, ASS1, ATP7B, BSCL2, CBS, CLCNKB, CPT1A, DLD, FAH, GAA, GALT, GALC, GLUD1, GCDH, GCK, GNE, HADHA, HADHB, MCCC1, MCCC2, MUT, PAH, PCCA, PC, PCCB, PDHA1, PDHX, POLG, PRKAG2, PYGM
MoPath procedure level 8SLC12A3
Unlisted MoPath procedureABCA1, ABCB4, ABCC2, ABCD3, ABCD4, ABCG5, ABCG8, ACACA, GALNS, GAMT, GATM, GBE1, GYS1, GYS2, HADH, HMGCL, HPRT1, HSD17B10, HYAL1, LIPA, LPL, MAN2B1, ISCU, MMADHC, NAGA, NAGLU, NHEG1, PCK1, PCK2, PEPD, PEX1, PEX10, PEX12, PEX13, PEX14, PEX16, PEX19, PEX2, PEX26, PEX3, PEX5, PEX6, PEX7, PHKA1, PHKA2, PHKB, PHKG1, PHKG2, PHYH, PRPS1, PTS, PYGL, QDPR, RBCK1, RFT1, RNASEH2A, RNASEH2B, RNASEH2C, SAMHD1, SEC23B, SGSH, SLC16A1, SLC17A5, SLC25A13, SLC25A15, SLC25A26, SLC2A2, SLC30A10, SLC35A1, SLC35A2, SLC35C1, SLC39A4, SLC3A1, SLC40A1, SLC41A2, SLC41A3, SLC46A1, SLC5A1, SLC6A19, SLC6A8, SLC6A9, SLC7A7, SSR4, STT3A, STT3B, SUCLA2, SUCLG1, SUOX, TALDO1, TAT, TBC1D4, TCN2, TFR2, TIMM8A, TMEM126A, TMEM165, TNPO3, TMEM70, TPP1, TREX1, TRIM32, TRIM37, TRMU, TRPM6, TRPM7, TSFM, TTC19, TUFM, TUSC3, UMPS, UCP2, UPB1, UQCRB, UQCRQ, UROD, UROS, WFS1, XDH, YARS2, ZMPSTE24
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