• Test Code:
  • Department:
  • Test Synonyms:
    AlzheimerEarly onset AlzheimerALS2ANGAPOEAPPC9ORF72CHMP2BCSF1RDCTN1FIG4 FUSGRNMAPTOPTNPRNPPSEN1PSEN2SETXSORL1TARDBPTREM2VCP
  • CPT Code(s):
    Contact KDL for billing information
Background:

Alzheimer disease is characterized by progressive dementia, amyloid plaque build-up in the brain and neurodegeneration. Symptoms may include memory loss, confusion, hallucinations, and possible jerking or other Parkinsons-like features. Hereditary early onset Alzheimer disease is characterized by familial dementia beginning before 60 years of age. These disorders are typically autosomal dominant. This next generation sequencing test will assess the coding regions for 21 genes associated with dementia.

Reasons for Referral:

  • Family history of dementia before the age of 60
  • Confirmation of a clinical diagnosis
  • Carrier testing

For detailed information and ordering instructions, please refer to Full Gene Analysis (1240). Genes may be added or removed from the list below if clinically indicated.

The 21 Dementia-associated genes are listed below:
ALS2, ANG, APOE, APP, C9ORF72*, CHMP2B, CSF1R, DCTN1, FIG4, FUS, GRN, MAPT, OPTN, PRNP, PSEN1, PSEN2, SETX, SORL1, TARDBP, TREM2, VCP 

*C9orf72 hexanucleotide repeat expansion not performed

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References:

  1. Alzheimer’s Association: http://www.alz.org/what-is-dementia.asp
  2. Bird TD. Alzheimer Disease Overview. 1998 Oct 23 [Updated 2018 Dec 20]. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2020. Available from: http://www.ncbi.nlm.nih.gov/books/NBK1161/

Additional Info:

The Knight Cancer Institute at Oregon Health & Science University is a pioneer in the field of precision cancer medicine. The institute's director, Brian Druker, M.D., helped prove it was possible to shut down just the cells that enable cancer to grow. This breakthrough has made once-fatal forms of the disease manageable and transformed how cancer is treated. The OHSU Knight Cancer Institute is the only National Cancer Institute-designated Cancer Center between Sacramento and Seattle – an honor earned only by the nation's top cancer centers. It is headquarters for one of the National Cancer Institute's largest research collaboratives, SWOG, in addition to offering the latest treatments and technologies as well as hundreds of research studies and clinical trials.

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