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CLINICAL AND HUMAN TESTING CARRIER SCREENING FOR FAMILY PLANNING Let knowledge be your guide. Identify genetic conditions before or during a pregnancy to help predict the chances of having a child with a genetic disorder. HerediT® CF Highly accurate carrier screen for clinically relevant cystic fibrosis mutations. A direct answer about a common genetic disorder. For couples considering having a child or those with a family history of cystic fibrosis, male infertility or for whom an ultrasound has indicated an increased risk for cystic fibrosis, the HerediT® Cystic Fibrosis Carrier Screening laboratory-developed test provides highly accurate results on clinically relevant mutations. TEST PERFORMANCE DATA The HerediT Cystic Fibrosis carrier screening test includes the most comprehensive number of disease-causing mutations available (136 mutations). The performance characteristics of the HerediT CF test have been analytically validated using CFTR gene mutations shown to be phenotypically relevant.1,2,3. ETHNICITY DETECTION RATE POPULATION RISK RESIDUAL RISK AFTER A NEGATIVE SCREEN Caucaisan Ashkenazi 93% 1/25 1/344 Jewish 95% 1/24 1/461 Hispanic 82% 1/58 1/318 African American 76% 1/61 1/251 Asian 76% 1/25 1/208 1: Clinical and functional translation of CFTR. US CF Foundation, Johns Hopkins University, The Hospital for Sick Children Web site. http://www.CFTR2.org. Accessed Oct 4, 2012. 2: Update on Carrier Screening for Cystic Fibrosis, ACOG Committee Opinion No. 486. Obstet Gynecol. 2011;117(4):1028-1031. 3: Paladino T, et al. Comprehensive Cystic Fibrosis Screening Panel for the Detection of Clinically Relevant Mutations. Poster session presented at: American College of Medical Genetics and Genomics Annual Clinical Genetics Meeting; 2013 June 20-23; Phoenix, AZ. Should you test your patients? More than 10 million Americans are carriers of the CF genetic mutation from across all racial and ethnic groups. The American Congress of Obstetricians and Gynecologists (ACOG) Committee on Genetics recommends cystic fibrosis carrier screening for all patients who are planning a pregnancy or seeking prenatal care. How is the test performed? The HerediT® Cystic Fibrosis Carrier Screen test is performed on a simple blood or buccal (cheek) swab sample and results are typically reported within 20 working days. HerediT® UNIVERSAL Customizable, comprehensive carrier screening for 250+ genetic disorders. Clearly defined results. Clearly defined risks. The HerediT® UNIVERSAL laboratory-developed test screens for mutations associated with more than 250 clinically relevant and impactful genetic conditions and presents categorized results to help with both interpretation and counseling. CUSTOMIZABLE TO MEET YOUR PARENT’S NEEDS We offer three options for your convenience: COMPLETE PANEL The comprehensive option designed to test for mutations in over 250 genetic disorders. STANDARD PANEL Test for disorders guided by ACOG and ACMG recommendatioons. JEWISH ANCESTRY PANEL Test for over 65 conditions common in the Ashkenazi and Sephardic populations How is the test performed? The HerediT® UNIVERSAL test is performed on a simple blood or buccal (cheek) swab sample and results are typically reported within 20 working days. How is the test performed? The HerediT® Cystic Fibrosis Carrier Screen test is performed on a simple blood or buccal (cheek) swab sample and results are typically reported within 20 working days. DISEASE LIST The following diseases are included in the HerediT UNIVERSAL test. *Standard panel †Jewish Ancestry Panel [ACOG] = Recommended by ACOG [ACMG] = Recommended by ACMG Gene specific sequencing is available for most disorders. 11-Beta-Hydroxylase-Deficient Congenital Adrenal Hyperplasia Aspartylglycosaminuria 17-Alpha Hydroxylase Deficiency Ataxia-Telangiectasia† 17-Beta Hydroxysteroid Dehydrogenase 3 Deficiency Ataxia with Vitamin E Deficiency Autosomal Recessive Polycystic Kidney Disease 21-Hydroxylase-Deficient Classical Congenital Adrenal Hyperplasia† Bardet-Biedl Syndrome: BBS1 Related 21-Hydroxylase-Deficient Nonclassical Congenital Adrenal Hyperplasia† Bardet-Biedl Syndrome: BBS2 Related 3-Beta-Hydroxysteroid Dehydrogenase Deficiency 3-Methylcrotonyl-CoA Carboxylase Deficiency: MCCA Related 3-Methylcrotonyl-CoA Carboxylase Deficiency: MCCB Related Bardet-Biedl Syndrome: BBS10 Related Bardet-Biedl Syndrome: BBS11 Related Bardet-Biedl Syndrome: BBS12 Related Congenital Disorder of Glycosylation: Type 1B: MPI Related Congenital Disorder of Glycosylation: Type 1C: ALG6 Related Congenital Lipoid Adrenal Hyperplasia Congenital Neutropenia: Recessive Glutaric Acidemia: Type I Creatine Transporter Defect Bartter Syndrome: Type 4A Cystinosis Cystic Fibrosis [ACOG/ACMG] *† D-Bifunctional Protein Deficiency Beta-Hexosaminidase Pseudodeficiency† Diabetes: Recessive Permanent Neonatal 5-Alpha Reductase Deficiency Beta-Ketothiolase Deficiency 6-Pyruvoyl-Tetrahydropterin Synthase Deficiency Biotinidase Deficiency Dihydropyrimidine Dehydrogenase Deficiency Du Pan Syndrome Abetalipoproteinemia† Bloom Syndrome [ACMG] *† Canavan Disease [ACOG/ACMG] *† Achromatopsia: CNGB3 Related Carnitine Palmitoyltransferase IA Deficiency Adrenoleukodystrophy: X-Linked Alkaptonuria Alpha Thalassemia [ACOG] *† Alpha-1-Antitrypsin Deficiency Alpha-Mannosidosis Alport Syndrome: COL4A3 Related Alport Syndrome: COL4A4 Related Alport Syndrome: X-linked Amegakaryocytic Thrombocytopenia† Andermann Syndrome Androgen Insensitivity Syndrome: Complete Antley-Bixler Syndrome Argininosuccinate Lyase Deficiency Aromatase Deficiency ARSACS Arts Syndrome Cartilage-Hair Hypoplasia Cerebrotendinous Xanthomatosis† Charcot-Marie-Tooth Disease with Deafness: X-Linked: GJB1 Related Charcot-Marie-Tooth Disease with Deafness: X-Linked: PRPS1 Related Gaucher Disease [ACMG] *† Gitelman Syndrome Corticosterone Methyloxidase Deficiency† Crigler-Najjar Syndrome Carpenter Syndrome Galactokinase Deficiency Globoid Cell Leukodystrophy Beta Thalassemia [ACOG] *† Adenosine Deaminase Deficiency Fragile X Syndrome*† Fumarase Deficiency Glucose-6-Phosphate Dehydrogenase Deficiency† Bare Lymphocyte Syndrome: Type II Carnitine Palmitoyltransferase II Deficiency† Fanconi Anemia: Type J Corneal Dystrophy and Perceptive Deafness 3-Phosphoglycerate Dehydrogenase Deficiency Acyl-CoA Oxidase I Deficiency Fanconi Anemia: Type G Copper Transport Disorders 3-Methylglutaconic Aciduria: Type 3† Acrodermatitis Enteropathica Fanconi Anemia: Type C [ACMG]*† Dystrophic Epidermolysis Bullosa: Recessive Ehlers-Danlos Syndrome: Type VIIC Ellis-van Creveld Syndrome: EVC Related Ellis-van Creveld Syndrome: EVC2 Related Emery-Dreifuss Myopathy: X-Linked Enhanced S-Cone Ethylmalonic Aciduria Fabry’s Disease Cholesteryl Ester Storage Disease Factor IX Deficiency Choreoacanthocytosis† Factor VIII Deficiency Glycine Encephalopathy: AMT Related Glycine Encephalopathy: GLDC Related Glycogen Storage Disease: Type IA† Glycogen Storage Disease: Type IB Glycogen Storage Disease: Type II Glycogen Storage Disease: Type III† Glycogen Storage Disease: Type IV † Glycogen Storage Disease: Type V Glycogen Storage Disease: Type VII† GM1-Gangliosidoses GRACILE Syndrome Guanidinoacetate Methyltransferase Deficiency Hemochromatosis: Type 2A: HFE2 Related Hemochromatosis: Type 3: TFR2 Related Choroideremia Familial Chloride Diarrhea Hemoglobinopathy: Hb C [ACOG]*† Chronic Granulomatous Disease: X-Linked Familial Dysautonomia [ACOG/ ACMG] *† Hemoglobinopathy: Hb D [ACOG] *† Citrullinemia: Type I Familial Hyperinsulinism: Type 1: ABCC8 Related† Hemoglobinopathy: Hb E [ACOG] *† Familial Hyperinsulinism: Type 2: KCNJ11 Related Hemoglobinopathy: Hb O [ACOG] *† Classical Galactosemia† Cohen Syndrome Combined Pituitary Hormone Deficiency: PROP1 Related Congenital Disorder of Glycosylation: Type 1A: PMM2 Related Familial Mediterranean Fever† Hereditary Fructose Intolerance Familial Mediterranean Fever: Mild Form† Herlitz Junctional Epidermolysis Bullosa: LAMB3 Related Fanconi Anemia: Type A Hermansky-Pudlak Syndrome: Type 1 Maple Syrup Urine Disease: Type 1A Nonsyndromic Hearing Loss and Deafness: DFNB3 Related Short-Chain Acyl-CoA Dehydrogenase Deficiency† Hermansky-Pudlak Syndrome: Type 3 Maple Syrup Urine Disease: Type 1B† Nonsyndromic Hearing Loss and Deafness: GJB2 Related† Sickle-Cell Anemia [ACOG] *† HMG-CoA Lyase Deficiency Oculocutaneous Albinism: Type 1 Smith-Lemli-Opitz Syndrome Holocarboxylase Synthetase Deficiency Maple Syrup Urine Disease: Type 3† Oculocutaneous Albinism: Type 4 Meckel Syndrome: Type 1 Omenn Syndrome Homocystinuria Caused by CBS Deficiency Medium-Chain Acyl-CoA Dehydrogenase Deficiency Spinal Muscular Atrophy: SMN1 Related [ACMG] *† Stargardt Disease Hunter Syndrome Metachromatic Leukodystrophy† Ornithine Transcarbamylase Deficiency Hurler Syndrome† Ornithine Translocase Deficiency Methylmalonic Acidemia: MMAA Related Pendred Syndrome Sulfate Transporter-Related Osteochondrodysplasia Persistent Mullerian Duct Syndrome: Type I Tyrosine Hydroxylase Deficiency Hypohidrotic Ectodermal Dysplasia: X-Linked Hypophosphatasia Inclusion Body Myopathy: Type 2† Isovaleric Acidemia Joubert Syndrome† Methylmalonic Acidemia: MMAB Related Methylmalonic Acidemia: MUT Related Methylmalonic Aciduria and Homocystinuria: Type cblC Sjogren-Larsson Syndrome Stuve-Wiedemann Syndrome Tay-Sachs Disease [ACOG/ACMG] *† Persistent Mullerian Duct Syndrome: Type II Tyrosinemia: Type I† Phenylalanine Hydroxylase Deficiency† Usher Syndrome: Type 1C Usher Syndrome: Type 1B POLG Related Disorders: Autosomal Recessive Usher Syndrome: Type 1D Mucolipidosis: Type IV [ACMG] *† Polyglandular Autoimmune Syndrome: Type 1† Usher Syndrome: Type 2A Multiple Pterygium Syndrome Primary Carnitine Deficiency Multiple Sulfatase Deficiency Primary Hyperoxaluria: Type 1 Very Long-Chain Acyl-CoA Dehydrogenase Deficiency Leber Congenital Amaurosis: GUCY2D Related Muscle-Eye-Brain Disease Primary Hyperoxaluria: Type 2 Walker-Warburg Syndrome† Myotubular Myopathy: X-Linked Primary Hyperoxaluria: Type 3† Werner Syndrome Leber Congenital Amaurosis: LCA5 Related Navajo Neurohepatopathy Progressive Familial Intrahepatic Cholestasis: Type 2 Wilson Disease Leber Congenital Amaurosis: RDH12 Related Nephrotic Syndrome: Type 1 Propionic Acidemia: PCCA Related Nephrotic Syndrome: Type 2 Propionic Acidemia: PCCB Related Zellweger Spectrum Disorders: PEX1 Related Leydig Cell Hypoplasia Neuronal Ceroid-Lipofuscinosis: CLN3 Related Pycnodysostosis Limb-Girdle Muscular Dystrophy: Type 2A Neuronal Ceroid-Lipofuscinosis: CLN5 Related Pyruvate Dehydrogenase Deficiency: Autosomal Recessive Limb-Girdle Muscular Dystrophy: Type 2B Neuronal Ceroid-Lipofuscinosis: CLN6 Related Pyruvate Dehydrogenase Deficiency: X-Linked Limb-Girdle Muscular Dystrophy: Type 2C Neuronal Ceroid-Lipofuscinosis: CLN8 Related Retinal Dystrophies: RLBP1 Related Limb-Girdle Muscular Dystrophy: Type 2D Neuronal Ceroid-Lipofuscinosis: MFSD8 Related Limb-Girdle Muscular Dystrophy: Type 2E Neuronal Ceroid-Lipofuscinosis: PPT1 Related Limb-Girdle Muscular Dystrophy: Type 2F Neuronal Ceroid-Lipofuscinosis: TPP1 Related Limb-Girdle Muscular Dystrophy: Type 2I Niemann-Pick Disease: Type A [ACMG] *† Juvenile Retinoschisis: X-Linked Lamellar Ichthyosis: Type 1 Laryngoonychocutaneous Syndrome Leber Congenital Amaurosis: CEP290 Related Leigh Syndrome: French- Canadian MTHFR Deficiency: Severe† Mucolipidosis: Type II/III Nemaline Myopathy: NEB Related† Lipoprotein Lipase Deficiency Niemann-Pick Disease: Type B Long-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency Niemann-Pick Disease: Type C1 Lysinuric Protein Intolerance Niemann-Pick Disease: Type C2 Nijmegen Breakage Syndrome Pseudocholinesterase Deficiency† Retinitis Pigmentosa: Autosomal Recessive: DHDDS Related† Rhizomelic Chondrodysplasia Punctata: Type 1 Salla Disease Sanfilippo Syndrome: Type A Sanfilippo Syndrome: Type B Sanfilippo Syndrome: Type C Sanfilippo Syndrome: Type D SCID: X-Linked Usher Syndrome: Type 1F † Usher Syndrome: Type 3† Wolcott-Rallison Syndrome Zellweger Spectrum Disorders: PEX2 Related Zellweger Spectrum Disorders: PEX6 Related Zellweger Spectrum Disorders: PEX10 Related Chile China México Río refugio 9641 Pudahuel, Santiago +56 2 2935 3299 [email protected] 102#, 1009 Yishan Road Xuhui Districtl, Shangai +86 021 64956276 [email protected] Av. Coyoacán #1622 Local 207, Colonia del Valle Delegación Benito Juarez D.F. +52 55 52003250 [email protected] www.taag-genetics.com