Test Code LAB9770 STR Identity Testing
Methodology
Short tandem repeat (STR) polymorphic DNA markers are amplified by polymerase chain reaction (PCR) using the Promega PowerPlex 16 HS System, labeled with fluorescent markers and used to distinguish patient and donor cells as different on a Capillary Electrophoresis Fluorescence Detection instrument.
STR markers used in analysis include: D3S1358, TH01, D21S11, D18S51, Penta E, D5S818, D13S317, D7S820, D16S539, CSF1PO, Penta D, Amelogenin, vWA, D8S1179, TPOX, and FGA. (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.)
References
PowerPlex16 HS System Technical Manual. Promega Corporation, 6/2012 revision
Van Deerlin VMD. Identity testing: Applications of DNA typing Anatomic Pathology. In Diagnostic Molecular Pathology, Leonard DGB, editor; 2002 Elsevier Science, Philadelphia, PA.
Performing Laboratory
BJH Molecular Diagnostic Laboratory
Specimen Requirements
Call Barnes-Jewish Hospital Molecular Diagnostics Laboratory at 314-454-8685 for collection instructions.
Form: Molecular Diagnostics Requisition
Submit only 1 of the following specimens:
Specimen Type: Whole blood
Container/Tube: Lavender-top (EDTA)
Specimen Volume: Full tube
Specimen Minimum Volume: 1-2 mL
Collection Instructions: Invert several times to mix blood. Clotted blood is not acceptable.
Additional Information: Specimen cannot be frozen.
Specimen Type: Bone marrow
Container/Tube: Lavender top (EDTA)
Specimen Volume: 2 mL
Specimen Minimum Volume: 1 mL
Collection Instructions: Invert several times to mix bone marrow. Clotted bone marrow is not acceptable.
Additional Information: Specimen cannot be frozen.
Specimen Transport Temperature
Ambient/Refrigerate/Frozen NO
Reference Values
An interpretative report will be provided.
Literature Reference:
Au WY, Chan EC, Lie AKW, et al. Poor engraftment after allogeneic bone marrow transplantation: role of chimerism analysis in treatment and outcome. Ann Hematol 2003;82:410-15.
Day(s) Test Set Up
Monday and Wednesday
Turnaround Time:
STAT: not available
Routine: 3 to 5 business days
Test Classification and CPT Coding
81267
Additional Information
For BJH Laboratory Use Only
Alternate Tube:
1 yellow-top ACD (solution A or B) tube
Analyte Stability:
Blood and bone marrow are stable 0 to 4 hours at ambient temperature, and up to 168 hours refrigerated.
Laboratory Processing Instructions:
Test performed in BJH Molecular Diagnostics. Please deliver specimens no later than Friday at 1600 for Monday testing and Tuesday at 1600 for Wednesday testing.