Test Directory
Prothrombin (F2) Gene Mutation (G20210A)
Justification
The relative risk for deep vein thrombosis in adults heterozygous for the 20210G>A variant is increased two- to fivefold. The relative risk for thrombosis for children is increased three- to fourfold. The variant may also increase the risk for pregnancy loss.
STAT: < 48 hours (M-F)
RT-PCR
Draw Tube: Purple Top
Sample Type: EDTA Whole Blood
Specimen Requirements
| Sample Type | Volume Required | Minimum Volume | Stability | |
|---|---|---|---|---|
| PREFERRED | EDTA Whole Blood | 3mL | 1mL | Room Temp.: 1 month Refrigerated: 1 month |
| ALTERNATIVE | Cheek swab | 2 swab | - | Room Temp.: 1 month Refrigerated: 1 month |
| REJECTION CRITERIA | Sample contamination; sample compromised |
| SPECIAL INSTRUCTIONS | - |
General Information
| METHODOLOGY | RT-PCR |
| STAT TAT | < 48 hours (M-F) |
| STAT TAT Performance | > 90% of results released in 48 hours |
| ROUTINE TAT | < 3 days |
| ALTERNATIVE NAMES | G20210A, c.*97G>A, 20210G>A, F2 mutation, FII mutation |
| DESCRIPTION | This test detects the 20210G>A variant (c.*97G>A) using real-time PCR. This test can detect whether a patient is normal or has one 20210G>A allele (i.e., heterozygous) or two alleles (i.e., homozygous). |
| LIMITATIONS | Rare variants within the primer binding sites could lead to allele drop-out and a potential false negative result. |
| NORMAL RANGE | No mutation found |
| ASSOCIATED TESTING | - |
| REFERENCES | 1. Gohil R, Peck G, Sharma P. The genetics of venous thromboembolism. A meta-analysis involving approximately 120,000 cases and 180,000 controls. Thromb Haemost. 2009;102:360–70. 2. Lijfering WM, et al. Selective testing for thrombophilia in patients with first venous thrombosis: results from a retrospective family cohort study on absolute thrombotic risk for currently known thrombophilic defects in 2479 relatives. Blood. 2009;113:5314–22. 3. Rosendaal FR, Reitsma PH. Genetics of venous thrombosis. J Thromb Haemost. 2009;7 Suppl 1:301–4. |
| SAMPLE REPORT | Upon request |
| NEW YORK STATE APPROVED | No |
Test Codes
| ORDER CODE | P3105 |
| CPT CODE | 81240 |
| LOINC CODE | 24476-4 |