Panel pinpoints causes of genetic hearing loss


Answers from the Lab

Genetic hearing loss is fairly common, and the precise cause impacts clinical management. In this test-specific episode of the "Answers From the Lab" podcast, Nicole Boczek, Ph.D., and Melanie Meyer, M.S., CGC, explain how Mayo Clinic Laboratories' updated hearing loss panel enhances the detection of genetic variants, for optimal patient care.

"This test uses next generation sequencing to detect variants in 200 genes associated with hereditary hearing loss," Dr. Boczek says. "We also utilize several supplementary methods to better interrogate tricky genomic regions. Adding these methods has a lot of value for both the patient and the provider."

Besides detecting variants that cause only hearing loss, the panel also identifies variants leading to syndromes with additional clinical features. "These results would alert the provider that other organ systems need to be medically managed, as well as hearing loss," Meyer says.

The test is recommended for patients from birth to age 55 as soon as hearing loss is diagnosed. "Mayo Clinic has unique expertise to help providers understand patient results, " Dr. Boczek says.

Listen to learn more about Mayo Clinic Laboratories' Audiologene Hearing Loss Panel.

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Testing

Useful information

Establishing a diagnosis of a syndromic or nonsyndromic hereditary hearing loss disorder.

Identifying variants within genes known to be associated with hereditary hearing loss, allowing for predictive testing of at-risk family members.

Specimen requirements

Patient Preparation: A previous bone marrow transplant from an allogenic donor will interfere with testing. Call 800-533-1710 for instructions for testing patients who have received a bone marrow transplant.

Submit only 1 of the following specimens:

Specimen Type: Whole blood

Container/Tube:

Preferred: Lavender top (EDTA) or yellow top (ACD)

Acceptable: Any anticoagulant

Specimen Volume: 3 mL

Collection Instructions:

  1. Invert several times to mix blood.
  2. Send whole blood specimen in original tube. Do not aliquot.

Specimen Stability Information: Ambient (preferred)/Refrigerated

Specimen Type: Skin biopsy

Supplies: Fibroblast Biopsy Transport Media (T115)

Container/Tube: Sterile container with any standard cell culture media (eg, minimal essential media, RPMI 1640). The solution should be supplemented with 1% penicillin and streptomycin.

Specimen Volume: 4-mm punch

Specimen Stability Information: Refrigerated (preferred)/Ambient

Additional Information: A separate culture charge will be assessed under CULFB / Fibroblast Culture for Biochemical or Molecular Testing. An additional 3 to 4 weeks is required to culture fibroblasts before genetic testing can occur.

Specimen Type: Cultured fibroblasts

Container/Tube: T-25 Flask

Specimen Volume: 2 Flasks

Collection Instructions: Submit confluent cultured fibroblast cells from a skin biopsy from another laboratory. Cultured cells from a prenatal specimen will not be accepted.

Specimen Stability Information: Ambient (preferred)/Refrigerated (<24 hours)

Additional Information: A separate culture charge will be assessed under CULFB / Fibroblast Culture for Biochemical or Molecular Testing. An additional 3 to 4 weeks is required to culture fibroblasts before genetic testing can occur.

Performance information

  • Analytic time: 28- 42 days
  • Day(s) and time(s) performed: Varies

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Samantha Rossi

Samantha Rossi is a Digital Marketing Manager at Mayo Clinic Laboratories. She supports marketing strategies for product management and specialty testing. Samantha has worked at Mayo Clinic since 2019.