Leslie A. Lyons, PhD
Gilbreath-McLorn Endowed Professor of Comparative Medicine, Department of Veterinary Medicine & Surgery, College of Veterinary Medicine, University of Missouri-Columbia, Columbia, MO, USA
Genetic testing is a key component to state-of-the-art healthcare. Since the 1960s, direct DNA mutation testing has been performed on newborn humans for rapid detection of inborn errors of metabolism. Each state in the USA and various countries world-wide tailor their now more extensive newborn DNA screening programs to detect the common mutations found in their regions most predominant ethnic groups. The same high standard of healthcare is available for companion animals, even cats, their breeds being analogous to human ethnic groups and races. Dozens of DNA mutations have been identified in cats that are pertinent to specific breeds. Because controlled breeding is routine and the norm in pedigreed cats, the potential for a higher standard of healthcare is even higher than humans, since genetic testing can be used to prevent the mating of individuals that produce unhealthy, undesired offspring. This presents the pertinent genetic mutations that should be monitored for their healthcare.
Simple Mutations for Simple Traits and Diseases
To date, over 40 genes conferring approximately 70 mutations have been documented to cause phenotypic, disease, or blood type variations in the domestic cat.44,45 Since the presentation in this volume series in 2010,46 twelve new genes causing cat phenotypes and health issues have been identified, implying 3–4 mutations are now being identified each year for cats. The genetically characterized diseases and health concerns for specific breeds is presented in Table 1. An additional mutation for retinal atrophy in the Abyssinian cat has been discovered,41 as well as genes conferring fur types, including hairless47 and tabby patterns48. The discovery of the hypokalemia mutation for Burmese cats reveals that a gene influencing overall potassium levels in cats can also influence blood pressure in humans.38 By considering the breed relationships, genetic health concerns across cat populations can be inferred. Additional DNA mutations have been identified in domestic cats that are not of significant consequence to breeds. These additional mutations are presented in Table 2. These breed specific diseases should be monitored with populations and are available as commercial tests from a wealth of companies and veterinary programs around the world (Table 3). If similar conditions are suspected in cats, the publishing authors will generally consider testing for the known mutation as a non-commercial service and may continue analysis of the entire gene to determine if new mutations can be identified and causative for the conditions.
Many mutations that have been identified in domestic cats and their breeds control the phenotypes that often demarcate a breed and control the aesthetic value of our pets. Knowledge and understanding of the mode of inheritance and the effect of the phenotypic alleles can support cat health in an indirect manner, by population management. If breeders can be counselled on breeding schemes that will produce more of the color and fur type varieties and less that are undesired, less unwanted cats are produced. Less unwanted cats reduces cat overpopulation and the likelihood that individuals representing breeds will be relegated to animal shelters. In addition, if a breeder has more desired cats and less excess cats, more time, energy, and precious funds can be designated to the healthcare. Importantly, the reduction of cattery size inherently reduces stress and stress-associated health issues, such as upper respiratory diseases, urinary tract diseases, and feline infectious peritonitis. Thus, the correct genetic management of a simple coat color trait may indirectly improve the health of the entire cattery.
Several desired genetic mutations are associated with health concerns and are now documented. The mutations for taillessness have been identified.49 Continued studies of the breed and other background genetics may now elucidate why some Manx have lameness, constipation, or incontinence as a secondary impact of improper vertebral development. The discovery of the tailless mutation has also revealed that Japanese Bobtail cats do not have mutations in the same gene and that the Pixie-Bob breed has Manx and Japanese Bobtail genetic contributions. Similarly, the genetic mutation for Scottish Fold has been identified but is yet to be published. Once this mutation is revealed, studies to understand the development of osteochondroplasia can be initiated.50-53 In the future, the association of deafness and white should have similar revelations of the importance of genetic background and modifying genes.51-53
Genetic testing can provide definitive answers for many health concerns and can predict risk for certain diseases. Personalized medicine is improving human healthcare and is becoming available for the domestic cat. Technology and competition will reduce the costs of genetic testing in cats, making it feasible to perform large batteries of genetic tests and eventually whole genome sequencing. Veterinarians will have more predictive powers for health concerns and will be able to implement proper interventions. As the genetic data becomes more readily available, veterinarians will be providing larger roles in healthcare management of individual cats and their populations. Genetic counselling is becoming a norm in veterinary medicine, bringing together the tests of the individual into consideration with the genetic diversity and health of the entire breed population. As humans continue to live longer and higher quality lives, so too will our furry companion felines.
Table 1. Common commercialized DNA tests for diseases in domestic cats and breeds
Disease/trait (alleles)
|
MOI‡
|
Phenotype
|
Breeds
|
Gene
|
Mutation
|
Fold (Fd, fd+)
|
AD
|
Ventral ear fold
|
Scottish Fold
|
|
Unpublished
|
Hairless (Hr+, hr)47
|
AR
|
Atrichia
|
Sphynx
|
KRT71
|
c.816+1G>A
|
Manx (M, m+)
|
AD
|
Absence/short tail
|
Manx, American Bobtail, Pixie-Bob
|
|
c.998delT, c.1169delC, and c.1199delC, c.998_1014dup17delGCC
|
AB blood type (A+, b)71
|
AR
|
Determines type B
|
All cats
|
CMAH
|
c.1del-53_70, c.139G>A
|
Craniofacial defect
|
AR
|
Craniofacial defect
|
Burmese
|
|
Unpublished
|
Gangliosidosis 172
|
AR
|
Lipid storage disorder
|
Korat, Siamese
|
GBL1
|
c.1457G>C
|
Gangliosidosis 273
|
AR
|
Lipid storage disorder
|
Burmese
|
HEXB
|
c.1356del-1_8, c.1356_1362delGTTCTCA
|
Gangliosidosis 274
|
AR
|
Lipid storage disorder
|
Korat
|
HEXB
|
c. 39delC
|
Glycogen storage disease IV75
|
AR
|
Glycogen storage disorder
|
Norwegian Forest
|
GBE1
|
IVS11+1552_IVS12-1339 del6.2kb ins334 bp
|
Hypertrophic cardiomyopathy
|
AD
|
Cardiac disease
|
Maine Coon
|
MYBPC
|
c.93G>C
|
HCM76
|
AD
|
Cardiac disease
|
Ragdoll
|
MYBPC
|
c.2460C>T
|
Hypokalemia38
|
AR
|
Potassium deficiency
|
Burmese
|
WNK4
|
c.2899C>T
|
Polydactyla77
|
AD
|
Extra toes
|
Pixie-Bob, Maine Coon
|
SHH
|
c.479A>G, c.257G>C, c.481A>T
|
Progressive retinal atropy42
|
AR
|
Late onset blindness
|
Abyssinian
|
CEP290
|
IVS50+9T>G
|
Progressive retinal atropy41
|
AD
|
Early onset blindness
|
Abyssinian
|
CRX
|
c.546delC
|
Polycystic kidney disease78
|
AD
|
Kidney cysts
|
Persian
|
PKD1
|
c.10063C>A
|
Pyruvate kinase deficiency43
|
AR
|
Hemopathy
|
Abyssinian
|
PKLR
|
c.693+304G>A
|
Spinal muscular atrophy79
|
AR
|
Muscular atrophy
|
Maine Coon
|
LIX1-LNPEP
|
Partial gene deletions
|
‡ Mode of inheritance of the non-wild type variant
§ Long fur variants are more or less common depending on the breed.
Not all transcripts for a given gene may have been discovered or well documented in the cat, mutations presented as interpreted from original publication.
Table 2. Uncommon mutations for inherited domestic cat diseases†
Disease
|
Gene
|
Mutation‡
|
11b-hydroxylase deficiency (congenital adrenal hypoplasia)80
|
CYP11B1
|
Exon 7 G>A
|
Dihydropyrimidinase deficiency
|
DPY8
|
c.1303G>A
|
Fibrodysplasia ossificans progressiva
|
ACVR1
|
G617A (R206H)
|
Gangliosidosis 119
|
GLB1
|
c.1448G>C
|
Gangliosidosis 285
|
HEXB
|
c.1467_1491inv
|
Gangliosidosis 288
|
HEXB
|
c.667C>T
|
Gangliosidosis 275
|
GM2A
|
c.390_393GGTC
|
Hemophilia B90
|
F9
|
c.247G>A
|
Hemophilia B90
|
F9
|
c.1014C>T
|
Hyperoxaluria93
|
GRHPR
|
G>A I4 acceptor site
|
Hypothyroidism
|
TPO
|
Unpublished
|
Lipoprotein lipase deficiency96
|
LPL
|
c.1234G>A
|
Mannosidosis, alpha81
|
LAMAN
|
c.1748_1751delCCAG
|
Mucolipidosis II82
|
GNPTA
|
c.2655C>T
|
Mucopolysaccharidosis I83
|
IDUA
|
c.1107_1109delCGA or c.1108_1110 GAC
|
Mucopolysaccharidosis VI84
|
ARSB
|
c.1427T>C
|
Mucopolysaccharidosis VI86,87
|
ARSB
|
c.1052A>G
|
Mucopolysaccharidosis VII89
|
GUSB
|
c.1052A>G
|
Muscular dystrophy
|
DMD
|
900bp del M promoter exon 1
|
Niemann-Pick C91
|
NPC
|
c.2864G>C
|
Porphyria (congenital)92
|
UROS
|
c.140C>T, c.331G>A
|
Porphyria* (acute intermittent)94
|
HMBS
|
c.842_844delGAG, c.189dupT, c.250G>A, c.445C>T
|
Vitamin D resistant rickets95
|
CYP27B1
|
c.223G>A, c.731delG
|
Vitamin D resistant rickets97
|
CYP27B1
|
c.637G>T
|
† The presented conditions are not prevalent in breeds or populations but may have been established into research colonies.
‡ Not all transcripts for a given gene may have been discovered or well documented in the cat, mutations presented as interpreted from original publication.
*A variety of mutations have been identified, yet unpublished for porphyrias in domestic cats. Contact PennGen at the University of Pennsylvania for additional information.
Table 3. Domestic cat DNA testing laboratories
† Tests reference to those listed in Table 1. If a laboratory offers only one or two test, those tests are listed. PKD and the HCMs are the most popular cat tests offerings.
‡ PennGen also offers tests for diseases in Table 2 that are not of concern to the cat breeds or cat population in general.
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