XomeDxSlice Tool

Now Available - NEW XomeDxSlice Xpanded – Custom slice testing with trio analysis for lists >150 genes.

INSTRUCTIONS (AND TIPS)

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SEARCH BY GENE SYMBOL OR PHENOTYPE (HPO TERM)

You may also use this search to review average exome sequencing coverage by entering the gene symbol below.

SELECTED GENES FOR YOUR SLICE

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Phenotypes
Hyperalaninemia

Select all: Gene symbolChrAvg % covered at 10xLocus TypeNoteOMIMPrevious symbol(s)Phenotype(s)Slice(s)
ATP5F1A18q21.1100%gene with protein productFormer name = ATP5A1164360ATP5AL2, ATPM, ATP5A1Apnea; Autosomal recessive inheritance; Cerebellar hypoplasia; Congenital onset; Congestive heart failure; Encephalopathy; Failure to thrive; Generalized hypotonia; High-pitched cry; Hyperalaninemia; Intrauterine growth retardation; Irritability; Microcephaly; Nystagmus; Pulmonary arterial hypertension; Pulmonary hypoplasia; Seizures
CA5A16q24.299.97%gene with protein product114761CA5Autosomal recessive inheritance; Hyperalaninemia; Hyperammonemia; Hypoglycemia; Increased serum lactate; Ketoacidosis; Ketonuria; Lactic acidosis; Lethargy; Metabolic acidosis; Respiratory alkalosis; Tachypnea; Variable expressivity
COQ916q21100%gene with protein product612837C16orf49Autosomal recessive inheritance; Bradycardia; Cerebellar atrophy; Cerebral atrophy; Dystonia; Encephalopathy; Feeding difficulties; Generalized hypotonia; Global developmental delay; Hyperalaninemia; Hyperreflexia; Increased serum lactate; Intrauterine growth retardation; Lactic acidosis; Left ventricular hypertrophy; Postnatal microcephaly; Respiratory insufficiency; Seizures; Weak cry
FBXL46q16.1-q16.2100%gene with protein product605654Autosomal recessive inheritance; Cerebral atrophy; Concave nasal ridge; Delayed myelination; Downslanted palpebral fissures; Dysphagia; Encephalopathy; Epicanthus; Everted lower lip vermilion; Failure to thrive; Gastroesophageal reflux; Generalized hypotonia; Global developmental delay; Growth delay; Hyperalaninemia; Hypoplasia of the corpus callosum; Hypospadias; Increased serum lactate; Lactic acidosis; Leukodystrophy; Microcephaly; Mitochondrial respiratory chain defects; Narrow face; Phenotypic variability; Protruding ear; Seizures; Skeletal muscle atrophy; Small for gestational age; Thick eyebrow
MIPEP13q12.1299.93%gene with protein product602241Autosomal recessive inheritance; Failure to thrive; Feeding difficulties; Generalized hypotonia; Global developmental delay; Hyperalaninemia; Hypertonia; Hypertrophic cardiomyopathy; Increased serum lactate; Infantile onset; Lactic acidosis; Left ventricular noncompaction; Seizures
MRPL33q22.1100%gene with protein product607118RPML3Autosomal recessive inheritance; Dyspnea; Elevated hepatic transaminases; Failure to thrive; Feeding difficulties; Global developmental delay; Hepatomegaly; Hyperalaninemia; Hypertrophic cardiomyopathy; Increased serum lactate
PC11q13.2100%gene with protein product608786Autosomal recessive inheritance; Clonus; Congenital onset; Generalized hypotonia; Global developmental delay; Hepatomegaly; Hyperalaninemia; Hypoglycemia; Increased serum lactate; Increased serum pyruvate; Intellectual disability; Lactic acidosis; Neuronal loss in the cerebral cortex; Periventricular leukomalacia; Proximal renal tubular acidosis; SeizuresAplastic Anemia ; Bardet-Biedl Syndrome ; Bone Marrow Failure Syndromes ; Heterotaxy ; Inflammatory Bowel Disease ; Nephrotic Syndrome ; Obesity; VACTERL Association
PDHA1Xp22.1299.65%gene with protein product300502PDHAAbnormality of eye movement; Agenesis of corpus callosum; Anteverted nares; Apneic episodes precipitated by illness, fatigue, stress; Basal ganglia cysts; Cerebral atrophy; Choreoathetosis; Chronic lactic acidosis; Decreased activity of the pyruvate dehydrogenase complex; Dystonia; Episodic ataxia; Flared nostrils; Frontal bossing; Generalized hypotonia; Global developmental delay; Hyperalaninemia; Increased CSF lactate; Increased serum lactate; Infantile onset; Intellectual disability; Lethargy; Long philtrum; Microcephaly; Phenotypic variability; Ptosis; Seizures; Severe lactic acidosis; Small for gestational age; Ventriculomegaly; Wide nasal bridge; X-linked dominant inheritance
PDHX11p1399.92%gene with protein product608769Abnormality of eye movement; Ataxia; Autosomal recessive inheritance; Congenital onset; Decreased activity of the pyruvate dehydrogenase complex; Dystonia; Epicanthus; Global developmental delay; High palate; Hyperalaninemia; Hypertelorism; Increased serum pyruvate; Intellectual disability; Lactic acidosis; Metabolic acidosis; Microcephaly; Neonatal hypotonia; Optic atrophy; Partial agenesis of the corpus callosum; Pectus excavatum; Poor fine motor coordination; Poor gross motor coordination; Seizures; Spastic paraplegia; Spastic tetraplegia; Subependymal cysts; Trigonocephaly; Unsteady gait; Variable expressivity
PNPLA87q31.199.98%gene with protein product612123Autosomal recessive inheritance; Dysarthria; Dysmetria; Dystonia; Episodic vomiting; Focal seizures with impairment of consciousness or awareness; Generalized hypotonia; Gowers sign; Hemiparesis; Hyperalaninemia; Increased serum lactate; Increased serum pyruvate; Infantile onset; Lactic acidosis; Mitochondrial myopathy; Moderate sensorineural hearing impairment; Postnatal growth retardation; Progressive; Spasticity; Toe walking
POLG15q26.1100%gene with protein productVariants in the POLG gene that have a possible association with valproate-induced toxicity are not routinely reported by this test, but are available upon request.1747633-Methylglutaconic aciduria; Abdominal distention; Abdominal pain; Abnormality of the cerebral white matter; Abnormality of the extraocular muscles; Abnormality of the hand; Abnormality of the mitochondrion; Abnormality of visual evoked potentials; Adult onset; Areflexia; Astrocytosis; Ataxia; Atrophic muscularis propria; Atrophy/Degeneration involving the spinal cord; Autosomal dominant inheritance; Autosomal recessive inheritance; Bile duct proliferation; Bradykinesia; Cachexia; Cataract; Cerebellar atrophy; Cerebral cortical neurodegeneration; Choreoathetosis; Cognitive impairment; Coma; Constipation; Cortical visual impairment; Cytochrome C oxidase-negative muscle fibers; Death in early adulthood; Decreased motor nerve conduction velocity; Decreased number of large peripheral myelinated nerve fibers; Decreased sensory nerve conduction velocity; Dementia; Demyelinating peripheral neuropathy; Depressivity; Developmental regression; Diarrhea; Dilated cardiomyopathy; Distal amyotrophy; Distal muscle weakness; Distal sensory impairment; Dysarthria; Dysphagia; Dysphonia; Easy fatigability; Elevated hepatic transaminases; Elevated serum creatine phosphokinase; EMG: myopathic abnormalities; Emotional lability; Epilepsia partialis continua; Ethylmalonic aciduria; Exercise intolerance; External ophthalmoplegia; Facial palsy; Failure to thrive; Focal seizures; Foot dorsiflexor weakness; Gait ataxia; Gastroesophageal reflux; Gastrointestinal dysmotility; Gastroparesis; Generalized amyotrophy; Generalized hypotonia; Generalized muscle weakness; Generalized tonic-clonic seizures; Gliosis; Global developmental delay; Hepatic failure; Hepatomegaly; Heterogeneous; Hyperalaninemia; Hypergonadotropic hypogonadism; Hypertonia; Hypointensity of cerebral white matter on MRI; Hyporeflexia; Impaired distal proprioception; Impaired distal vibration sensation; Increased CSF protein; Increased serum lactate; Increased variability in muscle fiber diameter; Infantile onset; Intermittent diarrhea; Intestinal pseudo-obstruction; Lactic acidosis; Leukoencephalopathy; Limb ataxia; Limb muscle weakness; Malabsorption; Malnutrition; Microcephaly; Micronodular cirrhosis; Microvesicular hepatic steatosis; Migraine; Mildly elevated creatine phosphokinase; Mitochondrial myopathy; Mitral regurgitation; Mitral valve prolapse; Multiple mitochondrial DNA deletions; Muscle fiber necrosis; Muscular hypotonia; Myoclonus; Nausea; Neuronal loss in central nervous system; Nystagmus; Paralysis; Paresthesia; Parkinsonism; Parkinsonism with favorable response to dopaminergic medication; Peripheral axonal neuropathy; Pes cavus; Phenotypic variability; Poor appetite; Positive Romberg sign; Premature ovarian insufficiency; Primary amenorrhea; Progressive; Progressive external ophthalmoplegia; Progressive gait ataxia; Progressive muscle weakness; Progressive spasticity; Proximal muscle weakness; Ptosis; Ragged-red muscle fibers; Rapidly progressive; Respiratory insufficiency due to muscle weakness; Resting tremor; Rigidity; Secondary amenorrhea; Seizures; Sensorimotor neuropathy; Sensorineural hearing impairment; Sensory ataxic neuropathy; Sensory axonal neuropathy; Skeletal muscle atrophy; Small intestinal dysmotility; Spastic paraparesis; Steppage gait; Subsarcolemmal accumulations of abnormally shaped mitochondria; Testicular atrophy; Variable expressivity; Vestibular dysfunction; Visual loss; Vomiting
RRM2B8q22.399.95%gene with protein product604712Abdominal distention; Abdominal pain; Abnormality of retinal pigmentation; Abnormality of the cerebral white matter; Abnormality of the extraocular muscles; Abnormality of the hand; Abnormality of the mitochondrion; Aminoaciduria; Anterior hypopituitarism; Ataxia; Atrophic muscularis propria; Autosomal dominant inheritance; Autosomal recessive inheritance; Cachexia; Decreased motor nerve conduction velocity; Decreased number of large peripheral myelinated nerve fibers; Decreased sensory nerve conduction velocity; Demyelinating peripheral neuropathy; Depressivity; Diarrhea; Distal muscle weakness; Dysarthria; Dysphagia; Easy fatigability; Elevated hepatic transaminases; EMG abnormality; Exercise intolerance; External ophthalmoplegia; Failure to thrive; Feeding difficulties; Foot dorsiflexor weakness; Gait ataxia; Gastroesophageal reflux; Generalized hypotonia; Hearing impairment; Hyperalaninemia; Increased CSF protein; Increased muscle fatiguability; Intellectual disability; Lactic acidosis; Leukoencephalopathy; Multiple mitochondrial DNA deletions; Muscular hypotonia; Nausea; Paresthesia; Peripheral axonal neuropathy; Poor appetite; Progressive; Progressive external ophthalmoplegia; Progressive intervertebral space narrowing; Progressive neurologic deterioration; Proximal tubulopathy; Ptosis; Ragged-red muscle fibers; Reduced tendon reflexes; Seizures; Sensorimotor neuropathy; Sensorineural hearing impairment; Skeletal muscle atrophy; Small intestinal dysmotility; Third degree atrioventricular block; VomitingRhabdomyolysis
TMEM708q21.11100%gene with protein product6124183-Methylglutaconic aciduria; Abnormal aortic valve morphology; Abnormal pulmonary valve morphology; Anteverted nares; Aplasia/Hypoplasia of the corpus callosum; Arrhythmia; Ataxia; Autosomal recessive inheritance; Camptodactyly of finger; Cerebral cortical atrophy; Congenital onset; Congestive heart failure; Cryptorchidism; Death in infancy; Encephalitis; Encephalopathy; Failure to thrive; Flat face; Flat occiput; Gastroparesis; Generalized hypotonia; Global developmental delay; Hepatomegaly; Hyperalaninemia; Hyperammonemia; Hypertrophic cardiomyopathy; Hypospadias; Increased serum lactate; Inguinal hernia; Intellectual disability, moderate; Intrauterine growth retardation; Lactic acidosis; Leukoencephalopathy; Long philtrum; Low-set ears; Microcephaly; Microretrognathia; Moderate global developmental delay; Muscular hypotonia; Oligohydramnios; Premature birth; Respiratory failure; Respiratory insufficiency; Retrognathia; Short philtrum; Small for gestational age; Tremor; Umbilical hernia; Wide mouth; Wide nasal bridge
TRMT10C3q12.3100%gene with protein product615423RG9MTD1Autosomal recessive inheritance; Congenital onset; Decreased liver function; Elevated hepatic transaminases; Failure to thrive; Feeding difficulties; Gastroesophageal reflux; Generalized hypotonia; Hyperalaninemia; Increased CSF lactate; Increased serum lactate; Lactic acidosis
TYMP22q13.33100%gene with protein product131222MNGIE, ECGF1Abdominal distention; Abdominal pain; Abnormality of the cerebral white matter; Abnormality of the extraocular muscles; Abnormality of the hand; Abnormality of the mitochondrion; Areflexia; Atrophic muscularis propria; Autosomal recessive inheritance; Cachexia; Constipation; Cytochrome C oxidase-negative muscle fibers; Death in early adulthood; Decreased motor nerve conduction velocity; Decreased number of large peripheral myelinated nerve fibers; Decreased sensory nerve conduction velocity; Demyelinating peripheral neuropathy; Diarrhea; Distal amyotrophy; Distal muscle weakness; Distal sensory impairment; Dysphagia; Easy fatigability; Elevated hepatic transaminases; External ophthalmoplegia; Foot dorsiflexor weakness; Gastroesophageal reflux; Gastrointestinal dysmotility; Gastroparesis; Hyperalaninemia; Hypointensity of cerebral white matter on MRI; Increased CSF protein; Intermittent diarrhea; Lactic acidosis; Leukoencephalopathy; Malabsorption; Malnutrition; Mitochondrial myopathy; Multiple mitochondrial DNA deletions; Nausea; Paresthesia; Peripheral axonal neuropathy; Poor appetite; Progressive; Progressive external ophthalmoplegia; Ptosis; Ragged-red muscle fibers; Sensorimotor neuropathy; Sensorineural hearing impairment; Small intestinal dysmotility; Subsarcolemmal accumulations of abnormally shaped mitochondria; Vomiting


The gene coverage data provided by GeneDx represent an estimate based on previous results, but the specific sequencing coverage data for the genes selected may vary from individual to individual, and cannot be predicted exactly. Changes to an approved gene list can only be made by contacting GeneDx directly at 888-729-1206 and asking to speak with a member of our Whole Exome Sequencing Laboratory.


  SUGGESTED CUSTOM SLICES  

Customize below OR enter Suggested Slice ID on printed requisition form
(e.g. 706 XomeDxSlice - Slice ID: CS-Albinism).

Suggested Slice IDSuggested Gene List Name
CS-AlbinismAlbinism
CS-AAAplastic Anemia
CS-AutoImmuneAutoimmune Disorders
CS-BBSBardet-Biedl Syndrome
CS-BMFBone Marrow Failure Syndromes
CS-CVIDCommon Variable Immune Deficiency
CS-CKUTCongenital Kidney and Urinary Tract (CKUT) Anomalies
CS-DSDDisorders of Sex Development
CS-EDEctodermal Dysplasia
CS-FAFanconi Anemia
CS-AnemiaHemolytic Anemia
CS-HeterotaxyHeterotaxy
CS-IBDInflammatory Bowel Disease
CS-MaleInfMale Infertility
CS-WWSMuscular dystropy-dystroglycanopathy (Walker-Warburg)
CS-NephroticNephrotic Syndrome
CS-ObesityObesity
CS-PPKCIPalmoplantar keratoderma plus congenital ichthyosis
CS-Primary ImmunodefPrimary Immunodeficiency
CS-RhabdoRhabdomyolysis
CS-SRTDShort-Rib Thoracic Dysplasia
CS-VACTERLVACTERL Association
CS-WSWaardenburg Syndrome