DNA Diagnostics

Request forms - Foreign patients

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Phenotype Gene (Analysis) OMIM Exons/Amplicons Technique Price in Euro
AD request form
AD, FTLD PSEN1  104311 3 - 12 PCR+sequencing 400
AD, CAA APP  104760 16 - 17 PCR+sequencing 400
AD, CAA APP promotor variations 104760 2 amplicons PCR+sequencing 400
AD, CAA APP duplication 104760 gene dosage MAQ 400
AD PSEN1ex9 deletion 104760 gene dosage MAQ 400
AD, FTLD PSEN2  600759 3 - 12 PCR+sequencing 400
AD, FTLD APOE (only in mutation carriers) 107741 1 PCR+sequencing 400
FTLD, AD GRN 138945 2 - 13 PCR+sequencing 500
FTLD, AD MAPT  157140 1, 9 - 13 PCR+sequencing 400
CJD, GSS, FFI, AD PRNP 176640 1 (3 amplicons) PCR+sequencing 400
CAA request form
CAA, AD APP  104760 16 - 17 PCR+sequencing 400
CAA, AD APP promotor variations 104760 2 amplicons PCR+sequencing 400
CAA, AD APP duplication 104760 gene dosage MAQ 400
CAA, AD APOE (only in mutation carriers) 107741 1 PCR+sequencing 400
FTLD request form
FTLD, AD GRN 138945 2 - 13 PCR+sequencing 500
FTLD, AD MAPT  157140 1, 9 - 13 PCR+sequencing 400
FTLD, ALS C90RF72 repeat expansion PCR+sequencing  
FTLD VCP 601023 3 - 17 PCR+sequencing 600
FTLD CHMP2B 609512 1 - 6 PCR+sequencing 400
AD, FTLD PSEN1  104311 3 - 12 PCR+sequencing 400
PD request form
PD LRRK2 609007 24,25,29,30,31,35,41 PCR+sequencing 400
PD PARK2 602544 1 - 12 PCR+sequencing 500
PD PARK2 deletions/duplications 602544 exon dosage MAQ + QPCR 900
PD SNCA  163890 2 - 6 PCR+sequencing 400
PD SNCA duplication/triplication 163890 gene dosage QPCR 400
PD PINK1 608309 1 - 8 PCR+sequencing 400
PD DJ1 602533 2 - 6 PCR+sequencing 400
ALS request form
ALS SOD1  147450 1 - 5 PCR+sequencing 400
ALS, FTLD C90RF72 repeat expansion PCR+sequencing  
ALS TARDBP 605078 2 - 6 PCR+sequencing 400
ALS FUS 137070 1 - 15 PCR+sequencing 600
Prion diseases request form
CJD, GSS, FFI, AD PRNP 176640 1 (3 amplicons) PCR+sequencing 400
CJD, GSS, FFI, AD PRNP codon129 polymorphism 176640 1 amplicon PCR+sequencing 200
Fabry request form
Fabry disease GLA 300644 1 - 7 PCR+sequencing 400
CMT request form
CMT1 CMT1A duplication 118220 exon dosage MAQ 500
HNPP HNPP deletion 162500 exon dosage MAQ 500
CMT1, CMT2 GJB1 302800 2 (3 amplicons) PCR+sequencing 400
CMT1, CMT2 MPZ 118200 1 - 6 (5 amplicons) PCR+sequencing 400
CMT1 PMP22 118220  1 - 4 PCR+sequencing 400
CMT2 MFN2 609260 1 - 17 (16 amplicons) PCR+sequencing 650
HSP request form
Spastic paraplegia SPAST (SPG4) 182601 1 - 17 (16 amplicons) PCR+sequencing 650
Spastic paraplegia SPAST dosage 182601 exon dosage MLPA 500
Spastic paraplegia SPG3A 182600  1 - 14 PCR+sequencing 600
Epilepsy request form
Dravet syndrome, SMEI, GEFS+ SCN1A 607208 1 - 26 (28 amplicons) PCR+sequencing 1100
Dravet syndrome, SMEI SCN1A dosage 607208 exon dosage MAQ 600
BNS, BFNS KCNQ2 121200 1 - 17 (18 amplicons) PCR+sequencing 700
PEO request form
PEO, Alpers syndrome POLG 157640 2 - 23 (16 amplicons) PCR+sequencing 650
PEO PEO1 (Twinkle) 609286 1 - 5 (6 amplicons) PCR+sequencing 400
Presymptomatic screening
      mutation   200
Carrier testing
      mutation   200

Abbreviatons:
AD Alzheimer Disease
ALS Amyotrophic Lateral Sclerosis
B(F)NS  Benigne (familial) neonatal seizures
CAA Cerebral Amyloid Angiopathy
CJD Creutzfeldt-Jakob Disease
CMT1  Charcot-Marie-Tooth disease type 1
CMT2  Charcot-Marie-Tooth disease type 2
FFI Fatal Familial Insomnia
FTLD Frontotemporal Lobar Degeneration
GEFS+  Generalized epilepsy with febrile seizures plus
GSS Gerstmann-Sträussler-Scheinker
HNPP Hereditairy neuropathy with liability to pressure palsies
HSP Hereditary spastic paraplegia
MAQ Multiplex Amplicon Quantification 
MLPA Multiplex Ligation-dependent Probe Amplification
PD Parkinson disease
PEO   Progressive external ophtalmoplegia
SMEI  Severe myoclonic epilepsy of infancy