Table 1.
Test | Indications | Examples |
---|---|---|
Sanger sequencing | Disorders with minimal locus heterogeneity | Fabry disease (GLA), Denys–Drash (WT1), cystinosis (CTNS) |
CGH/SNP array, MLPA |
Large CNVs suspected | CAKUT, aHUS (CFH, CFHR), nephronophthisis (NPHP1) |
Targeted phenotype- associated gene panel Targeted ES (virtual gene panel) |
Disorders with locus heterogeneity Disorders with overlapping phenotypes Disorders associated with genes from common pathway |
SRNS Hereditary tubulopathies, Complement-related disorders |
ES |
Phenotype indistinct and underlying cause unknown Second-tier test after gene panel testing |
Unexplained kidney failure |
GS |
Due to high costs, interpretation challenges and long analytical period, currently only used in research for cases still unsolved after ES Emerging clinical use |
ADPKD (PKD1) |