Miniature Schnauzer Breed: Health & Avian Tuberculosis (MAC) Montgomery Dog Show Urs Giger Keijiro Mizukami

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Miniature Schnauzer Breed: Health & Avian Tuberculosis (MAC) AMSC @ Montgomery Dog Show 2016 Urs Giger Keijiro Mizukami Section of Medical Genetics School of Veterinary Medicine University of Pennsylvania Philadelphia PennGen@lists.upenn.edu Hereditary Diseases in 900 800 700 600 500 400 300 200 100 0 900 hereditary diseases ~200 mutations Overall in dogs 1950 1960 1970 1980 1990 2000 2005 2010 Progressive retinal atrophy Sick sinus syndrome Oxalate urinary calculi Myotonia congenita Mucopolysaccharidosis VI Stomatocytosis Hyperlipidemia Pancreatitis Hepatic AV fistula & others Normal PRA 1

Stomatocytosis in Normal blood smear Stomatocytosis Hyperlipidemia in Abnormal blood cell counts large red cells No clinical illness 2500 Triglycerides (mg/dl) 2000 1500 1000 500 0 reference variant Eva Mutation Status White plasma instead of clear; predisposes to pancreatitis Furrow Calcium Oxalate Calculi in Common Also others bichon Frise, Shih Tzu Eva Furrow 2

Mucopolysaccharidosis MPS VI in Rare in DNA test available Skeletal deformities Ocular lesions Liver enlargement Neurologic disturbances Urine Test Affected White blood cell inclusions MPS VI Normal Patient MPS VI/VII Patient 2 Normal Normal Miniature Schnauzer Puppies Myotonia congenita Muscle hypertrophy Bunny hoping, dimpling Chloride channel-1 mutation 3

Myotonia congenita in >3000 dogs worldwide screened by DNA test since 2000 18% carriers, all related to one known common ancestor today very rare WSAVA Hereditary Disease Committee World Small Animal Veterinary Association Assisting clinicians with diagnosis, treatment and control of hereditary diseases and genetic predispositions in dogs and cats. Ø http://research.vet.upenn.edu/dnageneticstestinglaboratory Search/tabid/7620/Default.aspx 4

Acknowledgements American Minature Schnauzer Club Carole Weinberger, president AMSC Health Committee Patti Henderson Kurt Garmaker Initial studies Errolyn Martin Numerous pet owners and breeders Veterinary clinicians internationally e.g, Natalia Ignatenko, DVM Kiev Financial Research Support Gray Lady Foundation AKC Canine Health Foundation National Institutes of Health OD 01939 Acknowledgements Research support Gray Lady Foundation AKC Canine Health Foundation National Institutes of Health OD 01939 PennGen Laboratory Keijiro Mizukami, DVM PhD Angella Dorsey-Oresto, VMD PhD Anna Eringis Karthik Raj, MS Collaborators Gary Johnston, DVM PhD Missouri Eva Furrow, VMD, PhD Minneapolis Tosso Leeb, PhD Bern, Switzerland Small Animal Hospital ~30,000 animals/ year 5

Mycobacterium avium Complex (MAC) Most mammals are naturally resistant including dogs Mostly seen in immunosuppressed people Rare reports in the canine literature Mycobacterium aviumis a ubiquitoussoil bacterium. Intracellular pathogens - macrophages In the past 25 years, systemic avian tuberculosis has been seen in, suggesting a genetic predisposition to infection. Other breed predisposition:basset hound ~1990 Young to middle age dogs Often undiagnosed or misdiagnosed Mycobacteriosis avium Complex (MAC) Lethargy Inappetence Weakness Nasal discharge Conjunctivitis Diarrhea Lymphadenopathy Hepatomegaly Splenomegaly Ddx: Lymphoma Many acid fast staining organisms Histiocytic sarcoma Systemic infection Bacterial culture PCR species identification 6

Mycobacteriosis avium Complex (MAC) Lethargy, Inappetence Nasal discharge Conjuncivitis Diarrhea Lymphadenopathy Hepatomegaly Splenomegaly MAC in MAC Affected Carrier producer/analysis No Giant and Middle Schnauzers Carrier - analysis However, also seen in Bassets. 7

MAC Investigations in Collect and select samples and dogs Genome wide association study (GWAS) Whole genome sequence Affected dogs with MAC Comparison to other Comparison to other dogs Specific search for gene in region Identification of Mutation Immune dysfunction studies Chromosomes 38 autosomes + XX/XY ~20,000 genes ~3 billion bases 8

SNPs = Single Nucleotide Polymorphisms (170K) On 38 canine chromosome pairs Green bars: Screening thousands of SNPs to look for variation A B Canine Chromosomes (Autosomes) Thermocycler Real time Thermocycler Polymerase Chain Reaction 9

Genome Wide Association Study GWAS Example DNA Change in MAC Immune Function Ø Single Nucleotide Polymorphisms (SNPs) Ø Single base changes are called SNPs Ø Representing mutation Ø Some are variable between breeds and individuals of a breed. Ø Functional defect not yet defined. Ø EDTA blood Ø Cheek swabs Ø Semen Ø Tissue Dog 1 GG Dog 2 GT Dog 3 TT A Adenine C Cytosine G Guanine T Thymine SNP CATCTGCATCG CATCTTCATCG 10

MAC Screening v>300 screened v ~8 % are carriers for MAC v223 reported to AMSC Health Committee v 6% or 14 dogs are carriers 2-2 Affecteds 1-2 Carriers Normals 1-1 v Common ancestor vall carriers have Jerry O s Future Shock and Bandsman s Newsprint (mother and son) in pedigree vpotential exceptions are being investigated. vsmall survey thus far. MAC Survey in v>300 screened v ~8 % are carriers for MAC v223 reported to AMSC Health Committee v 6% or 14 dogs are carriers and 1 is affected v Common ancestor vall carriers have Jerry O s Future Shock and Bandsman s Newsprint (mother and son) in pedigree vpotential exceptions are being investigated. v Small survey thus far compared to vmyotonia congenita (>3000 Min schnauzers) vnad in Papillons (~ 500 nearly same time period) vmps IIIB in Schipperkes (~3000) 11

Accuracy of MAC Screening v DNA mutation tests are most accurate far better than others v MAC DNA testing is precise to detect carriers and affecteds v Limitation are related to dog identification and human errors G. Smith Autosomal Recessive Inheritance Carrier Female Normal Male Carrier Female Carrier Male 1-2 1-1 1-2 1-2 50% Heterozygous Carriers 50% Normal ( Clear ) 25% Affected 50% Heterozygous Carriers 25% Normal ( Clear ) 1-2 1-2 1-1 1-1 2-2 1-2 1-2 1-1 Recessively inherited disorder are spread in the population by heterozygous, clinically asymptomatic/ unaffected dogs. 12

Breeding Recommendations against MAC Breed only DNA tested Min Schnauzers In future dogs can be cleared by tested parents. DNA testing does not determine if you can breed or not but with whom. Breed clear to clear or clear to carrier. Do not avoid breeding carriers with otherwise great breed characteristics. Test offspring intended for breeding from clear to carrier matings. Do not select against/for one disease/trait American Miniature Schnauzer Club (AMSC) @ Montgomery Dog Show 2016 Urs Giger Keijiro Mizukami Section of Medical Genetics School of Veterinary Medicine University of Pennsylvania Philadelphia PennGen@lists.upenn.edu 13