XomeDxSlice Tool

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



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Increased serum pyruvate

Select all: Gene symbolChrAvg % covered at 10xLocus TypeNoteOMIMPrevious symbol(s)Phenotype(s)Slice(s)
ACAT26q25.3100%gene with protein product100678Chorea; Generalized hypotonia; Global developmental delay; Increased serum lactate; Increased serum pyruvate; Sporadic
AIFM1Xq26.1100%gene with protein product300169PDCD8, NAMSDAbnormal middle ear reflexes; Abnormal speech discrimination; Abnormality of the striatum; Areflexia; Decreased nerve conduction velocity; Delayed speech and language development; Developmental regression; Distal muscle weakness; Distal sensory impairment; Generalized hypotonia; Generalized muscle weakness; Hearing impairment; Hypokinesia; Impaired pain sensation; Increased connective tissue; Increased CSF lactate; Increased serum lactate; Increased serum pyruvate; Increased variability in muscle fiber diameter; Intellectual disability; Irritability; Kyphosis; Moderate global developmental delay; Pes cavus; Respiratory distress; Respiratory insufficiency; Scoliosis; Sensorimotor neuropathy; Sensory axonal neuropathy; Sensory neuropathy; Severe muscular hypotonia; Skeletal muscle atrophy; Tinnitus; Tongue fasciculations; Unsteady gait; X-linked recessive inheritance
BCS1L2q35100%gene with protein product603647Abnormal pattern of respiration; Abnormality of the abdominal wall; Abnormality of the coagulation cascade; Alopecia; Aminoaciduria; Anhidrosis; Ataxia; Autosomal recessive inheritance; Brittle hair; Cataract; Cerebellar atrophy; Cerebral atrophy; Cholangitis; Cholestasis; Chronic lactic acidosis; Cirrhosis; CNS demyelination; Coarse hair; Death in early adulthood; Decreased liver function; Decreased mitochondrial complex III activity in liver tissue; Decreased transferrin saturation; Depressivity; Dry hair; Dysarthria; Dystonia; EEG abnormality; Elevated hepatic iron concentration; Elevated hepatic transaminases; Emotional lability; Exercise intolerance; Failure to thrive; Feeding difficulties in infancy; Generalized hypotonia; Gliosis; Global developmental delay; Hair shafts flattened at irregular intervals and twisted through 180 degrees about their axes; Hallucinations; Hearing impairment; Hepatic steatosis; Hepatocellular necrosis; Heterogeneous; Hyperreflexia; Hypertrichosis; Hypertrophic cardiomyopathy; Hypoglycemia; Hypogonadism; Increased CSF lactate; Increased serum ferritin; Increased serum iron; Increased serum lactate; Increased serum pyruvate; Infantile onset; Intellectual disability; Intrauterine growth retardation; Lactic acidosis; Metabolic acidosis; Microvesicular hepatic steatosis; Mitochondrial encephalopathy; Mitochondrial inheritance; Muscle weakness; Nystagmus; Ophthalmoplegia; Optic atrophy; Phenotypic variability; Pigmentary retinopathy; Pili torti; Progressive; Ptosis; Ragged-red muscle fibers; Renal Fanconi syndrome; Respiratory failure; Rhabdomyolysis; Rod-cone dystrophy; Seizures; Sensorineural hearing impairment; Spasticity; Strabismus; Tubulointerstitial nephritis; Variable expressivity
LDHA11p15.1100%gene with protein product150000Autosomal recessive inheritance; Elevated serum creatine phosphokinase; Exercise intolerance; Increased serum lactate; Increased serum pyruvate; Juvenile onset; Muscle cramps; Muscle stiffness; Myalgia; Myoglobinuria; Renal insufficiency; Rhabdomyolysis; RigidityRhabdomyolysis
MPC16q27100%gene with protein product614738BRP44LAutosomal recessive inheritance; Congenital onset; Generalized hypotonia; Global developmental delay; Hepatomegaly; Hypoglycemia; Increased serum lactate; Increased serum pyruvate; Lactic acidosis; Organic aciduria; Variable expressivity
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
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
TWNK10q24.31100%gene with protein productFormer name = C10orf2606075IOSCA, C10orf2Abnormality of movement; Abnormality of the autonomic nervous system; Adult onset; Areflexia; Ataxia; Athetosis; Atrophy/Degeneration affecting the brainstem; Atrophy/Degeneration involving the spinal cord; Autosomal dominant inheritance; Autosomal recessive inheritance; Cerebellar atrophy; Cerebral atrophy; Cerebral cortical atrophy; Clumsiness; Cognitive impairment; Cytochrome C oxidase-negative muscle fibers; Dementia; Depressivity; Dilated cardiomyopathy; Dysarthria; Dysphagia; Dysphonia; EMG: myopathic abnormalities; Epilepsia partialis continua; Epileptic encephalopathy; Excessive daytime somnolence; Exercise intolerance; Fatigue; Gait disturbance; Gastroparesis; Generalized hypotonia; Global developmental delay; Gonadal dysgenesis; Hearing impairment; Hypergonadotropic hypogonadism; Hyporeflexia; Impaired distal proprioception; Impaired distal vibration sensation; Increased serum lactate; Increased serum pyruvate; Increased variability in muscle fiber diameter; Intellectual disability; Intestinal pseudo-obstruction; Limb muscle weakness; Loss of ability to walk; Migraine; Mildly elevated creatine phosphokinase; Multiple mitochondrial DNA deletions; Muscle fiber necrosis; Muscle weakness; Myalgia; Myoclonus; Nystagmus; Ophthalmoplegia; Optic atrophy; Phenotypic variability; Poor eye contact; Positive Romberg sign; Primary amenorrhea; Progressive; Progressive external ophthalmoplegia; Progressive gait ataxia; Progressive muscle weakness; Proximal muscle weakness; Psychosis; Ptosis; Ragged-red muscle fibers; Reduced tendon reflexes; Seizures; Sensorineural hearing impairment; Sensory ataxia; Sensory ataxic neuropathy; Sensory axonal neuropathy; Specific learning disability; Subsarcolemmal accumulations of abnormally shaped mitochondria; Vestibular dysfunction
UQCRC216p12.2100%gene with protein product191329Autosomal recessive inheritance; Hyperammonemia; Hypoglycemia; Increased serum lactate; Increased serum pyruvate; Metabolic acidosis

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.


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-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-IBDInflammatory Bowel Disease
CS-MaleInfMale Infertility
CS-WWSMuscular dystropy-dystroglycanopathy (Walker-Warburg)
CS-NephroticNephrotic Syndrome
CS-PPKCIPalmoplantar keratoderma plus congenital ichthyosis
CS-Primary ImmunodefPrimary Immunodeficiency
CS-SRTDShort-Rib Thoracic Dysplasia
CS-WSWaardenburg Syndrome