Dihydrolipoamide Dehydrogenase (DLD) Deficiency
Use
The dihydrolipoamide dehydrogenase deficiency (DLDD) test offers molecular detection of two pathogenic variants in the DLD gene, G229C (c.685G>T) and Y35* (c.104dupA), which account for greater than 95% of Ashkenazi‑Jewish DLDD variants. DLDD, also known as maple syrup urine disease type III, is an autosomal recessive disorder with clinical features that include lactic acidosis, hypotonia, poor feeding, vomiting, growth deficiencies and neurological deficits that include intellectual disability, spasticity and seizures.
Special Instructions
For prenatal diagnosis with a fetal specimen: parents must be documented carriers of one of the mutations tested; maternal blood or DNA must be available; contact the laboratory genetic counselor before submission.
Limitations
Not provided.
Methodology
PCR-based
Biomarkers
Result Turnaround Time
Not provided.
Related Documents
For more information, please review the documents below
Specimen
Whole Blood
Volume
5 mL
Minimum Volume
4 mL
Container
EDTA (lavender-top) or ACD (yellow-top) tube
Collection Instructions
Whole blood: Normal phlebotomy procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze.
Storage Instructions
Store and ship room temperature immediately. Do not freeze.
Causes for Rejection
Do not accept blood that is clotted, or shipped in damaged containers. Wrong test indication.
