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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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MSIO<br />

88566<br />

Interpretation: Elevated concentrations of IgG antibodies to Micropolyspora faeni are consistent<br />

with the diagnosis of HP caused by exposure to this antigen. Elevated concentrations of IgG antibodies<br />

to Micropolyspora faeni were found in a small number of sera from patients with HP (10%).(2)<br />

Reference Values:<br />

0-12 years: < or =4.9 mg/L<br />

13-18 years: < or =9.1 mg/L<br />

>18 years: < or =13.2 mg/L<br />

Clinical References: 1. Fink JN, Zacharisen MC: Hypersensitivity pneumonitis. In Allergy<br />

Principles and Practice. Vol. 1. 5th edition. Edited by E Middleton Jr, CE Reed, EF Ellis, et al. St.<br />

Louis, MO, Mosby-Year Book Inc., 1998 2. Anderson E, Jacob GL, Roberts GD, Homburger HA:<br />

Comparative evaluation of enzyme immunoassay and immunodiffusion for detection of IgG antibodies<br />

to hypersensitivity pneumonitis antigens. Poster Presentation, AAAAI Annual Meeting, San Diego, CA,<br />

March 3-8, 2000. J Allergy Clin Immunol 2000;105:S304<br />

Microsatellite Instability (MSI), Tumor<br />

Clinical Information: Hereditary nonpolyposis colorectal cancer (HNPCC), also known as Lynch<br />

syndrome, is an autosomal dominant inherited cancer syndrome that predisposes individuals to the<br />

development of colorectal, endometrial, gastric, upper urinary tract, and other cancers. Individuals with<br />

HNPCC/Lynch syndrome have a germline mutation in 1 of several genes involved in DNA mismatch<br />

repair (MMR). The majority of mutations associated with HNPCC/Lynch syndrome occur in MLH1 and<br />

MSH2; however mutations in MSH6 and PMS2 have also been identified. There are now several<br />

strategies for evaluating individuals whose personal and/or family history of cancer is suggestive of<br />

HNPCC/Lynch syndrome. Tumors from individuals with HNPCC/Lynch syndrome demonstrate<br />

microsatellite instability (MSI), characterized by numerous alterations in a type of repetitive DNA<br />

called microsatellites. Two distinct MSI tumor phenotypes have been described: MSI-H (instability in<br />

>30% of microsatellites examined) and MSS/MSI-L (instability in

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