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Intellectual Disability via the MYT1L Gene

Summary and Pricing

Test Method

Sequencing and CNV Detection via NextGen Sequencing using PG-Select Capture Probes
Test Code Test Copy GenesTest CPT Code Gene CPT Codes Copy CPT Codes Base Price
15257 MYT1L 81479 81479,81479 $640 Order Options and Pricing
Test Code Test Copy Genes Test CPT Code Gene CPT Codes Copy CPT Code Base Price
15257MYT1L81479 81479,81479 $640 Order Options and Pricing

Pricing Comments

This test is also offered via our exome backbone with CNV detection (click here). The exome-based test may be higher priced, but permits reflex to the entire exome or to any other set of clinically relevant genes.

An additional 25% charge will be applied to STAT orders. STAT orders are prioritized throughout the testing process.

Turnaround Time

18 days on average for standard orders or 13 days on average for STAT orders.

Please note: Once the testing process begins, an Estimated Report Date (ERD) range will be displayed in the portal. This is the most accurate prediction of when your report will be complete and may differ from the average TAT published on our website. About 85% of our tests will be reported within or before the ERD range. We will notify you of significant delays or holds which will impact the ERD. Learn more about turnaround times here.

Targeted Testing

For ordering sequencing of targeted known variants, go to our Targeted Variants page.

EMAIL CONTACTS

Genetic Counselors

Geneticist

  • Renee Bend, PhD

Clinical Features and Genetics

Clinical Features

Intellectual Disability (ID) is a heterogeneous group of neurodevelopmental disorders, characterized by congenital limitation in intellectual functioning (intelligence quotient, IQ ≤70) and adaptive behavior. It is diagnosed in ~1–3% of the population before 18 years of age (American Association of Intellectual and Developmental Disabilities, AAIDD).

Deficiency of MYT1L hypothetically impairs neural development, thereby leading to mental retardation 39 (MRD39). The clinical features of MRD39 may include (but may not be limited to) severe intellectual disability, developmental delay, speech and language delay, motor delay, obesity, brachycephaly, microcephaly, neonatal hypotonia, hyperlaxity, seizures, feeding difficulties, sleep disturbances, strabismus, behavioral abnormalities such as autism, stereotypic movements, hyperactivity, attention-deficit, aggressiveness, and variable facial dysmorphism including short, square-shaped face, broad forehead, upslanted palpebral fissures, narrow eyes, broad base and bridge of the nose, upturned nose, large ears and large mouth (de Ligt et al. 2012. PubMed ID: 23033978; De Rocker et al. 2015. PubMed ID: 25232846; Mayo et al. 2015. PubMed ID: 26240977). Of note, MYT1L has also been associated with schizophrenia (Stevens et al. 2011. PubMed ID: 21990140).

Genetics

MRD39 is an autosomal dominant disorder, caused by pathogenic variants (primarily de novo) in human Myelin transcription factor 1-like gene (MYT1L). MYT1L maps to chromosome 2p25.3 and consists of 20 coding exons that translate an 1186 amino acid polypeptide. MYT1L contains one MYT domain and six to seven zinc-finger binding motifs and hypothetically acts as a neural-lineage specific transcription factor (Vierbuchen et al. 2010. PubMed ID: 20107439; Pang et al. 2011. PubMed ID: 21617644). Although small frameshift deletions, missense, nonsense and splice variants have been reported in MYT1L, the majority of the pathogenic variants are gross deletions/duplications and complex rearrangements involving MYT1L (Human Gene Mutation Database).

Clinical Sensitivity - Sequencing with CNV PG-Select

This test is predicted to detect pathogenic variants in <0.1% of individuals with intellectual disability (ID). In this context, it is important to note that although pathological variants over 800 genes have been identified in individuals with ID, a genetic diagnosis is still lacking in most cases due to extreme clinical and genetic heterogeneity of the condition (Vissers et al. 2016. PubMed ID: 26503795). Analytical sensitivity should be high because all single nucleotide pathogenic variants reported within this gene to date are detectable by sequencing. However, the majority of reported pathogenic variants (37/55) involving MYT1L are gross deletions/duplications (Human Gene Mutation Database).

Testing Strategy

This test is performed using Next-Gen sequencing with additional Sanger sequencing as necessary.

This test provides full coverage of all coding exons of the MYT1L gene plus 10 bases of flanking noncoding DNA in all available transcripts along with other non-coding regions in which pathogenic variants have been identified at PreventionGenetics or reported elsewhere. We define full coverage as >20X NGS reads or Sanger sequencing.

Indications for Test

This test is primarily implicated for the patients with intellectual disabilities who are negative for any kind of cytogenetic abnormalities, and Fragile-X syndrome and also for the family members of the patients who have MYT1L pathogenic variants. Prenatal diagnosis is possible, if the genetic diagnosis has been firmly established in an affected family member.

Gene

Official Gene Symbol OMIM ID
MYT1L 613084
Inheritance Abbreviation
Autosomal Dominant AD
Autosomal Recessive AR
X-Linked XL
Mitochondrial MT

Disease

Name Inheritance OMIM ID
Mental Retardation, Autosomal Dominant 39 AD 616521

Citations

  • de Ligt et al. 2012. PubMed ID: 23033978
  • De Rocker et al. 2015. PubMed ID: 25232846
  • Human Gene Mutation Database (Bio-base).
  • Mayo et al. 2015. PubMed ID: 26240977
  • Pang et al. 2011. PubMed ID: 21617644
  • Stevens et al. 2011. PubMed ID: 21990140
  • Vierbuchen et al. 2010. PubMed ID: 20107439
  • Vissers et al. 2016. PubMed ID: 26503795

Ordering/Specimens

Ordering Options

We offer several options when ordering sequencing tests. For more information on these options, see our Ordering Instructions page. To view available options, click on the Order Options button within the test description.

myPrevent - Online Ordering

  • The test can be added to your online orders in the Summary and Pricing section.
  • Once the test has been added log in to myPrevent to fill out an online requisition form.
  • PGnome sequencing panels can be ordered via the myPrevent portal only at this time.

Requisition Form

  • A completed requisition form must accompany all specimens.
  • Billing information along with specimen and shipping instructions are within the requisition form.
  • All testing must be ordered by a qualified healthcare provider.

For Requisition Forms, visit our Forms page


Specimen Types

Specimen Requirements and Shipping Details

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ORDER OPTIONS

View Ordering Instructions

1) Select Test Method (Backbone)


1) Select Test Type


2) Select Additional Test Options

STAT and Prenatal Test Options are not available with Patient Plus.

No Additional Test Options are available for this test.

Note: acceptable specimen types are whole blood and DNA from whole blood only.
Total Price: $
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