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Test Code UGTIO UDP-Glucuronosyl Transferase 1A1 (UGT1A1), Full Gene Sequencing, Irinotecan Hypersensitivity, Saliva

Reporting Name

UGT1A1 Sequence, Irinotecan, Saliva

Useful For

Identifying individuals who are at increased risk of adverse drug reactions with drugs that are metabolized by UGT1A1, including irinotecan, atazanavir, nilotinib, pazopanib, and belinostat.

 

Genotyping patients who prefer not to have venipuncture done

Profile Information

Test ID Reporting Name Available Separately Always Performed
UGT1O UGT1A1 Gene Sequence, Irinotecan No Yes
UGTSQ UGT, Full Gene Sequencing No Yes

Testing Algorithm

See UGT1A1 Test-Ordering Algorithm in Special Instructions

Performing Laboratory

Mayo Medical Laboratories in Rochester

Specimen Type

Saliva

Specimen Required

Multiple saliva genotype tests can be performed on a single specimen after a single extraction. See Multiple Saliva Genotype Tests in Special Instructions for a list of tests that can be ordered together.

 

Container/Tube: Oragene DNA Self-Collection Kit (T651: fees apply)

Specimen Volume: Full tube

Collection Instructions:

1. Fill tube to line.

2. Send specimen in original container per kit instructions.

Forms: New York Clients-Informed consent is required. Please document on the request form or electronic order that a copy is on file. An Informed Consent for Genetic Testing (T576) is available in Special Instructions.

Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time
Saliva Ambient

Reference Values

An interpretive report will be provided.

Day(s) and Time(s) Performed

Tuesday; Varies

Test Classification

See Individual Test IDs

CPT Code Information

81350-UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide AI) (eg, irinotecan metabolism), gene analysis, common variants (eg, *28, *36, *37)

LOINC Code Information

Test ID Test Order Name Order LOINC Value
UGTIO UGT1A1 Sequence, Irinotecan, Saliva In Process

 

Result ID Test Result Name Result LOINC Value
UGTSQ UGT, Full Gene Sequencing In Process
33025 UGT1A1 Irinotecan Result 79718-3
33026 Reviewed by No LOINC Needed
33027 UGT1A1 Irinotecan Interp 69047-9

Method Name

Polymerase Chain Reaction (PCR) Followed by Gene Sequencing

(PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.)