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MLH1 Germline Mutation Detection by Next-Generation Sequencing (Whole Blood)

Published: August 9, 2026Updated: August 16, 2026

This test checks for inherited changes in the MLH1 gene, which plays a role in DNA repair. These changes may increase your risk of certain cancers.

Quick summary

["Knowing your MLH1 gene status can help guide cancer prevention and monitoring strategies."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
79416-4
Short code
MLH1 gene Del+Dup Bld/T MLPA
Synonyms
MLH1 gene Del+Dup Bld/T MLPA
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
1.5
Ref high
9
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
mlpa
CPT
83002
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may recommend this test if you have a family history of hereditary nonpolyposis colorectal cancer (Lynch syndrome) or other related cancers, or if you have symptoms that suggest a genetic predisposition. It’s also used in genetic counseling and risk assessment for cancer surveillance programs.

What to Expect Before the Test

You’ll provide a blood sample, usually drawn from a vein in your arm. The process is quick and typically painless. No special preparation is needed, but inform your doctor about any medications or health conditions you have.

What the Test Results Mean

If a mutation is found, it means you’ve inherited a change in the MLH1 gene that may increase your risk of certain cancers, such as colorectal, endometrial, or ovarian cancer. If no mutation is detected, your risk may be lower, but further monitoring may still be advised depending on your family history.

Next Steps and Follow-Up

Results will be discussed with you by your healthcare provider, who may recommend additional testing, cancer screening, or lifestyle recommendations tailored to your risk profile. Genetic counseling can help clarify next steps and support.

Reference range

Follicular: 1.5-9.0 mIU/mLN/A

Specimen: whole-blood

For females: inform if menstrual cycle status. For certain tests, timing within menstrual cycle may matter.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: MLH1 Gene Mutations and Cancer Risk

Short name

MLH1 Germline Mutation Test

Frequently asked questions

What does a positive result mean for my cancer risk?
A positive result indicates an inherited mutation in the MLH1 gene, which is linked to Lynch syndrome—a condition that increases the risk of colorectal, endometrial, ovarian, and other cancers. Your doctor will help you understand your personalized risk and recommend appropriate surveillance or preventive strategies.
Can this test be used to detect cancer in my body?
No, this test specifically checks for inherited gene mutations, not active cancer in your body. However, if you develop symptoms of cancer, further diagnostic tests (like imaging or biopsies) may be needed to evaluate your condition.
How often will I need follow-up tests if I have a mutation?
Follow-up frequency depends on your specific mutation and family history. Your doctor may recommend regular cancer screenings (e.g., colonoscopies, mammograms) or other monitoring based on guidelines for Lynch syndrome. Genetic counselors can help tailor this plan to your needs.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy