Leukaemia (Rapid Acute) DNA and RNA NGS Panel

Code
ALRP
Sample Reqs
A (3mL minimum) or bone marrow aspirate sample
Turnaround
3 days
Special instructions
No special instructions.

Sample type guide

A      Lavender Vacutainer, EDTA anticoagulant, 4ml/6ml (6ml EDTA tubes are used for specific PCR assays)

Requires patient informed consent

 

Test details

This next-generation sequencing (NGS) panel, with a turnaround time of 3 days, enables the rapid analysis of key DNA and RNA targets where the speed of result is essential to guide therapy for acute leukaemia cases.

The panel can simultaneously interrogate 45 DNA target genes and 30 RNA fusion driver genes (see below). A comprehensive profile of myeloid mutations can be produced from a single NGS run; over 700 unique fusion transcripts can be sequenced.

Gene content on the panel has been curated to cover relevant targets for all the major myeloid disorders – acute myeloid leukaemia (AML), myelodysplastic syndromes (MDS), myeloproliferative neoplasms (MPNs), chronic myeloid leukaemia (CML), chronic myelomonocytic leukaemia (CMML), and juvenile myelomonocytic leukaemia (JMML). Among the targets are Calreticulin (CALR), JAK2, MPL and NPM1, which were previously offered as individual tests.

 

DNA – 28 hotspot genes ANKRD26, ABL1, BRAF, CBL, CSF3R, DDX41, DNMT3A, FLT3 (ITD, TKD), GATA2, HRAS, IDH1, IDH2, JAK2, KIT, KRAS, MPL, MYD88, NPM1, NRAS, PPM1D, PTPN11, SMC1A, SMC3, SETBP1, SF3B1, SRSF2, U2AF1, WT1.
DNA – 17 full genes ASXL1, PRPF8, BCOR, RB1, CALR, RUNX1, CEBPA, SH2B3, ETV6, STAG2, EZH2, TET2, IKZF1, TP53, NF1, ZRSR, PHF6.
DNA – 5 expression genes BAALC, MECOM, MYC, SMC1A, WT1.
DNA – 5 expression control genes EIF2B1, FBXW2, PSMB2, PUM1, TRIM27.
DNA Panel (45 genes)
RNA –30 fusion driver genes ABL1, ALK, BCL2, BRAF, CCND1, CREBBP, EGFR, MLLT10, ETV6, FGFR1, FGFR2, FUS, HMGA2, JAK2, KMT2A, (MLL PDTs), MECOM, MET, MLLT3, MYBL1, MYH11, NTRK3, NUP98 NUP214 PDGFRA PDGFRB RARA RBM15 RUNX1 TCF3 TFE
RNA panel (30 genes)

Profile details

This NGS assay allows for rapid generation of comprehensive profile of variants (both DNA and RNA) from a single NGS run. This assay can profile both DNA and RNA targets including DNA mutations and translocations detected from RNA targets and allows for simultaneous interrogation of 45 DNA target genes and 30 RNA fusion driver genes. The broad fusion panel enables sequencing of over 700 unique fusion transcripts.

The panel covers relevant targets for acute myeloid leukaemia, myelodyplastic syndromes and myeoproliferative neoplasms, including CML, CMML and JMML. Among the targets are Calreticulin (CALR), JAK2, MPL  and NPM1, which were previously offered as individual tests.

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