Test Code LAB9767-STR Comprehensive Testing(Recipient); LAB9768-STR Donor Testing STR Comprehensive Testing
Performing Laboratory
Barnes-Jewish Hospital Laboratory
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.
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: Peripheral blood
Container/Tube: Lavender top (EDTA)
Specimen Volume: 2 mL
Specimen Minimum Volume: 1 mL
Collection Instructions: Invert several times to mix. 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 Type: Cord blood, anticoagulated
Container/Tube: Lavender-top (EDTA)
Specimen Volume: 2 mL
Specimen Minimum Volume: 1 mL
Collection Instructions: Invert several times to mix cord blood. Clotted cord blood is not acceptable.
Additional Information: Specimen cannot be frozen.
Specimen Type: Buccal swabs
Call Barnes-Jewish Hospital Molecular Diagnostics Laboratory at 314-454-8685 for details about collection system and shipment. DNA, sufficient for PCR-based assays, may be isolated from cells obtained by a buccal swab; this is particularly well tolerated by children.
Day(s) Test Set Up
Monday and Wednesday
Turnaround Time:
STAT: not available
Routine: 3 to 5 business days
Test Classification and CPT Coding
81265
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.
Specimen Transport Temperature
All specimen typesshould be sent at ambient or refrigerated temperatures.
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.