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Test Code LAB3851 Matrix Metalloproteinase 7 (MMP-7)

Important Note

Place specimen on wet ice after collection and deliver to Lab immediately.

Additional Codes

MMP-7

Clinical System Name

Matrix Metalloproteinase 7 (MMP-7)

Synonyms

MMP7

Sample Requirements

Specimen: Whole Blood

Container(s): Gold, Gold Microtainer, or Red Top-Plain

Preferred Vol: 4.0 mL

Minimum Vol: 2.0 mL

Processing Instructions

Reject due to: Thawed samples, plasma samples

Spin: Y

Aliquot: Y

Temp: -20 C

Storage Location: Store the aliquot in the CPA -20 freezer, Send Outs rack.

 

Off-site Collection: Place specimen on wet ice after collection and deliver to lab immediately. Separate from cells ASAP or within two hours of collection. Transfer 2.0 mL Serum (Min. 1.0 mL) to a plastic aliquot tube.

Stability

Specimen Type Temperature Time
Serum Room Temp Unacceptable
  Refrigerated Unacceptable
  Frozen Indefinite

 

Availability

STAT Performed TAT
N M, W, F 5 - 8 d

 

Performing Laboratory

Children's Medical Center-Dallas

1935 Medical District Dr.
Dallas, TX 75235

 

Phone Number: (214) 456-2320, Option 1

Department

Department: Send Outs

Phone Number: (206) 987-2563

Methodology

Method: ELISA

Analytical Volume: 1.0 mL Serum

Limitations:

Reference Range

3.6-10.5 ng/mL

 

Interpretive Data:

< 17 ng/mL - 95% sensitivity, 97% negative predictive value.  Below 17 ng/mL, the chance is 95% that biliary atresia will not be present.
 
17-68 ng/mL - indeterminate.  Differential in this range would include biliary atresia, but also things like indeterminate cholestasis, choledocal cyst, alpha-1-antitrypsin deficiency.
 
>68 ng/mL - 95% specificity, 69% positive predictive value.  Above 68 ng/mL, the likelihood of biliary atresia is 95% 

Caution should be exercised in the interpretation of any assay for MMP-7, and the results should be considered in conjunction with the patient’s clinical condition. High MMP-7 have been detected in premature babies and young infants with cardiovascular and/ or multi-system disease. The final diagnosis of biliary atresia requires intraoperative cholangiography and the histological presence of obstruction of the extrahepatic bile duct. The normal values of MMP-7 in premature babies have not yet been established. Clinical correlation is particularly important in premature babies.

Send Out Instructions

Reference Test Name: MMP-7 Matrix Metalloproteinase 7
Reference Lab Test Code: MMP-7
Instructions: Send out Monday through Thursday via FedEx Priority Overnight.