Oxford Molecular Genetics Laboratory Genetics Laboratories, Churchill Hospital, Old Road, Headington, Oxford, OX3 7LE www.ouh.nhs.uk/geneticslab ANDERSEN-TAWIL SYNDROME (ATS) KCNJ2 (OMIM: 600681) Introduction Andersen-Tawil syndrome (ATS) is a multisystem channelopathy characterised by a triad of periodic paralysis, ventricular arrhythmias, and distinctive dysmorphic facial or skeletal features. ATS is inherited in an autosomal dominant pattern with intra-familial variable expression and incomplete penetrance. It is predisposed to by mutations in the KCNJ2 gene[a-d]. REFERRAL PROCEDURE • Diagnostic referrals are accepted for probands with a suspected or confirmed diagnosis of Brugada syndrome. o Referrals are accepted from Cardiology, Clinical Genetics and other relevant medical specialities. o Clinical information and details of relevant family history should be provided with all referrals either on the original request form or on a separate pre-referral form (Cardiac arrhythmia prereferral form). • Family test referrals are only accepted from Clinical Genetics specialists. o Referrals for affected family members (i.e. segregation analysis) must be accompanied by appropriate clinical information. o Referrals for unaffected family members will only be considered for variants with clear evidence for pathogenicity. • Clinical advice is available from Dr Edward Blair, Consultant Clinical Geneticist, at the Churchill Hospital (Ed.Blair@ouh.nhs.uk). • Further information about the test can be obtained from the laboratory (OxfordCardiac@nhs.net) Sample Requirements This analysis requires 0.5 µg of DNA, preferably at >100 ng / µl. DNA from blood or post-mortem tissues is suitable. Testing Strategy Molecular analysis is undertaken by fluorescent dideoxy sequencing of the coding exon and intron/exon boundaries of KCNJ2. Target Reporting Times Referral Type Molecular Analysis Diagnostic Familial Sequence analysis of KCNJ2 Familial mutation(s) Target Reporting Time (working days) 40 10 • Please see the current price list on the Oxford Genetics laboratory Molecular genetics page References: [a] Nguyen et al (2013) Int J Cardiol. 170(1):1-16 ; [b] Marquis-Nicholson et al (2014) Circ Cardiovasc Genet. 7(1):17 22; [c] Mizusawa et al (2014) Circ. J. 78(12):2827-33 [d] Griffin et al (2015) Heart Rhythm 12(2):419-422 N.B. Details are correct for the date of printing only. Last updated August, 2015