Urs Giger, Prof. Dr. med. vet., MS, FVH, DACVIM, DECVIM (Internal Medicine), ECVCP (Clinical Pathology)
School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA
Although there are ~100 breeds of cats, the vast majority are domestic shorthair cats. There are >200 hereditary disorders and genetic predispositions to disease recognized in cats, and for some genetic tests have been developed. The clinical approach and management are being discussed along with case examples.
At present, ~200 hereditary disorders have been adequately documented in cats, and every year a few new defects are being reported. They are similar to those observed to dogs, and some are representing important disease models for humans to study the pathophysiology and assess efficacy and safety of novel therapies. The feline breed variations are considerably less than in dogs and there are several simple traits determining much of a pedigreed cat and breed, such as Manx and Scottish fold ear cats (dominant) and coat textures (recessive; e.g., Devon, Cornish, Sphinx) beside their ancestry. Some disorders appear to occur commonly in certain breeds, while others are isolated to a particular family. Most disorders are autosomal recessively inherited, but there are x-chromosomal recessive traits (hemophilia A and B, dystrophin muscular dystrophy, orange) and several autosomal dominant traits with incomplete penetrance (e.g., polycystic kidney disease, hypertrophic cardiomyopathy). Hereditary eye disorders are much less commonly observed in cats than in dogs. With about 100 breeds many disorders are breed specific, but most can also be encountered in the domestic shorthair (DSH) cat. Surprisingly, hip dysplasia and patellar luxations occur commonly in cats and certain breeds but the clinical signs are likely due to the smaller size and weight less severe than in dogs. The molecular genetic defects are now known for ~20 hereditary disorders in cats, which are breed specific and listed in the table below. Each breed known to have a particular disorder is generally afflicted by the same mutation. Interestingly, there are two forms of gangliosidosis in Korat cats, and only for mucopolysaccharidosis type VI in the Siamese are there two disease-causing mutations described. Moreover, there are now several traits for coat color and texture as well as the important blood type A and B defined at the molecular level. DNA testing has become commercially available for most of these diseases and traits.
Examples of hereditary disorders characterized at the molecular genetic level in cats (Giger, 2009).
Disorder
|
Breed
|
Hematologic disorders
|
Pyruvate kinase deficiency
|
Abyssinian, Somali, DSH cat
|
Porphyria
|
Siamese, DSH cats
|
Hemophilia B
|
DSH cat
|
Muscular diseases
|
Spinal muscular atrophy
|
Maine Coon cat
|
Dystrophin muscular dystrophy
|
DSH cat
|
Storage diseases
|
Mucopolysaccharidosis type I
|
DSH cats
|
Mucopolysaccharidosis type VI
|
Siamese, DSH cat
|
Mucopolysaccharidosis type VII
|
DSH cat
|
Alpha mannosidosis
|
Persian, DSH cat
|
Gangliosidosis GM1
|
Siamese, Korat cat
|
Gangliosidosis GM2
|
Korat cat
|
Glycogenosis type IV
|
Norwegian Forest cat
|
Mucolipidosis II (I-Cell)
|
DSH cats
|
Nieman-Pick disease type C
|
DSH cats
|
Heart defects
|
Hypertrophic cardiomyopathy
|
Maine Coon cat
|
Metabolic diseases
|
Hyperchylomicronemia
|
DSH cat
|
Renal diseases
|
Polycystic kidney disease
|
Persian, Himalayan, DSH cats
|
Hyperoxaluria
|
DSH cats
|
Eye diseases
|
Retinitis pigmentosa
|
Abyssinian
|
Oculocutaneous albinism
|
DSH cats
|
The genetic basis of several coat colors and textures are also defined.
The cat's karyotype is 38XX or 38XY. The feline genome sequence (2.5x published and 7x high density sequence is being completed) has been completed during the past year; tools like single nucleotide polymorphism (SNP) chips are being developed to mine the feline genome for specific traits and disorders. This will greatly facilitate the characterization of the molecular bases of simple and complex hereditary diseases in cats. Genetic predisposition to cancer seems to be less common in cats than in dogs. Their genetic predisposition to many viral infections still needs to be unraveled. While the essential nutrients and intermediary metabolism are recognized to be considerably different in cats to other mammals and drug reactions are well recognized, the immune system seems more tolerable to transplantation and immune-mediated disorders occur less commonly. However, many of the principles discussed under the previous presentations on the dog also apply to advances in clinical feline genetics.
References
1. Giger U, Haskins ME. Inherited disorders. In Consultations in Feline Medicine, 2nd ed. Ed. JR August, Philadelphia: WB Saunders, 1994.
2. Giger U. Clinical genetics, in Textbook of Veterinary Internal Medicine, Eds. Ettinger S.J. and Feldman E.C., Philadelphia, PA, Saunders, 2005.
3. Giger U, Haskins ME. Erbkrankheiten in Katzenkrankheiten, Eds. Horzinek M. Lutz H., Enke Verlag, 2005.
4. Pontius JU, et al. Initial sequence and comparative analysis of the cat genome. Genome Research 2007.
5. O'Brien SJ, et al. State of cat genomics. Trends in Genetics 2008.