section epub:type=”chapter” id=”c0052″ role=”doc-chapter”> Leslie A. Lyons Genetic testing is an important diagnostic tool for the veterinarian, breeder, and owner. It can help breeders determine appropriate pairings to produce highly desired traits. Other traits or diseases are undesirable, and genetic testing can be used to prevent and potentially eradicate them from a population. However, genetic tests are not foolproof, and the accuracy of the test procedure and the reputation and customer service of the genetic testing laboratory must be considered. This chapter reviews the known inherited diseases of the cat from the genetic point of view. Inherited diseases; phenotype; genetic traits; mutations; incomplete penetrance; variable expression; genetic tests Until now, the inherited diseases and traits currently described in the cat were more likely to be identified in a specific breed than in random-bred cats. However, with the advent of low-cost whole genome sequencing and large databases of normal variants in the cat genome, more and more genetic variants causing health concerns in random-bred cats are easier to determine (see Chapter 51: The Feline Genome and Clinical Implications). Estimates of the cat population in the United States range from 58.4 to 85.8 million (2016 data).1 Only a small percentage of this cat population is represented by cats of a specific breed. Many traits that can also be considered diseases are actually the hallmarks or identifiers of some cat breeds. Inbreeding does not cause mutations to occur at a higher rate within a breed, although inbreeding, popular sire effects, and population bottlenecks will allow rare mutations to occur more frequently within that population. Usually recessive mutations, which can go unrecognized for many generations because they require the causative mutation to be present on both chromosomes, are the traits and diseases that tend to suddenly appear in inbred populations. The higher likelihood of an undesired trait appearing in a breed population gives the impression that breeds are unhealthier than random-bred populations. Fortuitous and deleterious mutations occur at the same rate regardless of whether the cat is pedigreed or random bred. Fancy-breed cats are more likely to have a higher standard of health care and are more likely to be closely observed than the random-bred alley cat or housecat. Thus, ascertainment bias contributes to the identification of deleterious traits that are presented to the veterinarian. However, many mutations have been found in random-bred cats. Diseases or conditions that are caused by genetic abnormalities cannot be cured, but the associated health problems may be manageable. An overall goal for identifying the mutations for genetic conditions is the correction of the defect by way of gene or stem cell therapies or better management by way of designer drug therapies. Genetic testing is currently an effective preventive medicine tool because proper breeding can prevent the birth of diseased individuals; moreover, genetic testing may lead to the ultimate cure. This chapter reviews the known inherited diseases of the cat from the genetic point of view. Additional details regarding the diagnosis and treatment of the specific diseases can be found in other chapters in this volume. A list of common genetic terms can be found in Box 52.1 and additional resources are found in Box 52.2. A cat’s appearance (phenotype) is a combination of visible traits and morphologic types. Attributes of the phenotype can be desirable or undesirable. As in breeds of other species, a disease or health concern can sometimes be considered part of a desired phenotype. For example, a Manx cat is tailless, but incontinence and lameness are associated with this characteristic. Because phenotypes can be a result of a single gene, the interaction of several genes, the accumulation of environmental exposures, or a combination of interactions, a veterinarian may choose a different clinical management or make a different prognosis if a phenotype is known to have a genetic cause. If the same condition is found in a different species, there may be opportunities to try novel approaches by considering comparative medicine. Several characteristics are common to genetic diseases that will help distinguish sporadic, idiopathic occurrences from inherited conditions. The following are six common hallmarks of inherited diseases: To date, only advanced age of parents at birth has not been shown to have an effect in feline inherited diseases. Examples of parental age effects in humans include older or very young mothers having a higher frequency of children with trisomy-21 (Down syndrome)1 and certain types of dwarfism are associated with advanced paternal age.2 Two examples of diseases that present as sporadic and inherited forms are kidney cysts and lymphosarcoma. Each of the five characteristics that define genetic diseases can help differentiate cats with polycystic kidney disease (PKD) from cats with sporadic kidney cysts. Kidney cysts can occur in any cat, but not all cystic presentations are indicative of PKD. Polycystic kidney disease can sometimes be detected by ultrasound as early as 6 to 8 weeks of age, and consistently by 10 months of age.3 Both kidneys are affected, and multiple cysts are usually present. The cysts are not similar in size but are similar in etiology. Prior to the availability of a genetic test in 2004, PKD was rampant in Persian cats and was also considered a health concern in related breeds, such as the Exotic Shorthairs and Himalayan. Surprisingly, this genetic problem has a high frequency in one of the oldest and largest cat breeds (Persians), which is not a small or closed population. However, the early onset, bilateral presentation, and high prevalence in a breed clearly demarcate this condition as a heritable problem. Conversely, an older, random-bred cat with one or a few cysts in one kidney would not be a candidate for heritable PKD and genetic testing. Mediastinal lymphosarcoma has been identified in Oriental Shorthair cats that test negative for feline leukemia virus (FeLV) and generally younger than 2 years of age although a genetic cause has not yet been identified.4,5 Related breeds, such as Siamese, Colorpoint Shorthair, and the longhaired varieties of Siamese, may also have an increased prevalence of mediastinal lymphoma. The tumors respond well to chemotherapy, but the reoccurrence rate is high, and the disease generally has a poor prognosis. This disease is found in a closed, inbred population with an early onset, a generally uniform presentation, and the tumor is found in areas not common to older-onset forms of lymphosarcoma. These hallmarks strongly suggest that mediastinal lymphoma is a heritable condition in Oriental Shorthair cats. Non-genetic factors (e.g., toxins, infections, infestations, sporadic damage and changes to DNA, and environmental influences such as diet, exercise, and social surroundings) can produce a phenotype that looks just like an inherited characteristic or disease; this is termed a phenocopy. Detailed examinations of cats with heart murmurs may reveal different presentations of heart disease. Some cases may be genetic while others may be environmentally induced, such as insufficient dietary taurine resulting in dilated cardiomyopathy.6 Some diseases may present differently in different tissues; this is termed pleiotropic effects of the same gene. For example, some completely white cats have normal eye coloration while others have blue eyes or one blue and one green eye, and some may be deaf.7 The variations in eye color and hearing are pleiotropic effects of the White gene. Genetic testing can help the clinician rule out common and environmental causes of clinical presentations as opposed to a condition caused by a heritable defect. A cat’s phenotype and its health can be influenced by both genetic (inherited) and non-genetic (environmental) influences. The diseases and traits that have known mutations—hence clearly heritable and genetic—are generally called simple or single gene traits, because the presentation is controlled mostly by a specific DNA variant in a specific gene. The environment may play some role in the presentation of a simple genetic trait, but the major contribution to the phenotype is from the single gene defect. Most of the early mutations identified in any species have been single gene traits, mainly because the presentation is similar to that found in another species. Comparative genetics and comparative medicine work in a similar fashion; the genetic knowledge for one species can be transferred to another species. Through comparative genetics, genes that cause defects in one species, such as humans, dogs, or mice, can be scanned for causative mutations when a similar disease presentation or phenotype is discovered in the cat. The comparative genetics approach is often termed a “candidate gene” approach. Discovered in the 1990s, the first mutations identified in cats were for lipid and lysosomal storage diseases8,9 because these diseases have well-defined phenotypes and known genes with mutations are found in humans (see reviews by Banks and Chamberlain10 and Valayannopoulos et al.11). Most of the common diseases, coat colors, and coat types have been deciphered in the cat following the same candidate gene approach, that is, by finding a replicate trait in another species, usually mice, and checking the same gene for causative mutations in the cat genome. Once a mutation is known, a genetic test can be established. Genetic testing for domestic cat diseases and appearance traits is a rapidly growing asset for the veterinary community. Over 60 genes have been identified to have DNA mutations that cause feline health problems or alterations in appearance (Tables 52.1, 52.2, and Table 52.1 + Denotes the wild type allele, when known. Table 52.2 + Denotes the wild type allele, when known. aRepresents the breed in which the DNA variant was identified. Other breeds may be affected if they have common ancestry, especially those in the same breed family. Not all transcripts for a given gene may have been discovered or well documented in the cat; DNA variants are presented as interpreted from the original publication. Domestic cats have been selected to produce breeds mainly based on aesthetic qualities, especially coloration, fur length and type, and some morphologic types such as folded or curled ears. Most of the genes controlling these traits are simple, and many of the causative mutations have been identified. Table 52.1 presents the common genes and loci that affect feline phenotypic traits. A trait is initially given a locus name, such as Brown, before the actual gene has been identified. The locus name usually is a descriptor of the trait, although the location in the genome for the locus will not be initially known; however, the mode of inheritance of the different alleles is usually determined. The alleles are given single- or two-letter designations, with lower case implying a recessive allele. Once the gene is identified, such as tyrosinase-related protein 1 (TRYP1) for Brown, the mutations are written to describe the genetic alteration within the gene, and the gene will be designated with the alleles, such as TRYP1b for the brown allele. Because the phenotypic mutations are of value to cat breeders for managing breeding programs, genetic tests for many traits are readily available from commercial laboratories. Since most of the mutations for the aesthetic traits are recessive, the mutant alleles must be present in both chromosome copies for the effect to be visible, and heterozygous cats can carry the mutation without detection. Recessive mutations tend to be found in the genes that produce the enzymes of biological pathways. Thus, most of the coat color mutations are recessive because they are usually part of disrupting the pigment production pathways. Many genes that affect pathways also have more than one mutation causing different effects; this is termed an allelic series. The locus for brown color variants, Brown, has two mutations in the causative gene, TRYP1. The wild-type allele, B, which causes normal black pigment, is dominant to the brown allele, b, which causes a reduced amount of black pigment, producing a brownish hue to the fur. The brown allele is dominant to the light brown allele (bl), which imparts a cinnamon color or reddish effect on the fur. The allelic series is written as B > b > bl to indicate the dominance of one allele over another. In the case of the Color locus, C, which is also an allelic series, sepia coloration (cbcb) which is a defining characteristic of the Burmese (Fig. 52.1) and Singapura (Fig. 52.2) breeds, is codominantly expressed with the Siamese points (cscs) producing an additive affect. Thus, compound heterozygous cats (cbcs) have an intermediate coloration compared with that of the Burmese and the Siamese; this color is usually referred to as mink and is characteristic of the Tonkinese breed (Fig. 52.3). Complete albinos, which have an additional allele at the Color locus, have also been identified. The locus is controlled by the gene tyrosinase; TYR and the allelic series is written as C > cb = cs > c. An additional allele for complete albinism in TYR has been identified in the domestic cat, extending the allelic series to C > cb = cs > c = c2.12–14 In some cases, new variants within a gene, (i.e., new alleles) are rare and not all combinations of the allelic patterns have been identified; thus, the influence of one allele over another cannot always be deciphered, such as the newer mocha variant for the Color locus.15 Most coat color mutations are common to all cats and are effective for genetic typing in all breeds and populations. However, some color varieties are not found in all breeds, thus the variant(s) may not be present, and it maybe be wasteful to test for them. Even though long fur is common in pedigreed and random-bred cats, long fur is an exception in that it can be caused by five different mutations in the gene fibroblast growth factor 5 (FGF5).16,17 One mutation is common to almost all breeds and populations, which suggests that this mutation is the most ancient and was present before breeds were developed. The other long fur mutations are more specific to particular breeds (Personal Communication, L.A. Lyons).18 Some cats have long fur because of two different mutations in the gene FGF5. These cats would be considered compound heterozygotes. Thus, all mutations must be genotyped to determine whether a cat carries a mutation for long fur. Ragdolls, Maine Coons, and Norwegian Forest cats each have a long hair variant that is most common in that breed.
Genetics of Feline Diseases and Traits
Abstract
Keywords
INTRODUCTION
HALLMARKS OF GENETIC DISEASES
SIMPLE GENETIC TRAITS
Genetic Traits with Known Mutations
e-Table 52.1). To date, other than the muscular dystrophy mutation, all mutations in the cat are autosomal (i.e., not found on the X or Y chromosomes (allosomes) but on the autosomal chromosomes). A variety of commercial laboratories can now perform feline genetic diagnostics, allowing both the clinician and the owner to obtain DNA test results. DNA is easily obtained from a cat by using a cotton bud, cotton tip applicator, or cytology brush as a buccal swab. The samples can be sent to any laboratory in the world because the DNA is stable at room temperature. The DNA test can identify carriers of the traits, predict the incidence of traits in breeding programs, and influence medical prognoses and treatments. Once a genetic test proves that an animal has a genetic trait, preventive therapies and dietary changes could be implemented to slow or prevent the onset and progression of the associated disease. Thus, genetic testing should not be viewed as an alternative to veterinary care but instead as a tool for veterinary care, part of a cat’s overall health management plan.
Disease or Trait (alleles), OMIA Trait ID
MOI
Phenotype
Gene
Gene Name
Mutation
AR
Banded fur to solid
ASIP
Agouti-signaling protein
c.122_123delCA; Pbe haplotype
AR
Brown, light brown color variants
TYRP1
Tyrosinase-related protein 1
b = IVS6(1262)+5 G>A, bl = c.298 C>T
AR
Burmese, Siamese color pattern, full albino
TYR
Tyrosinase
cb = c.715 G>T, cs = c.940 G>A, c = c.975delC, c2 = c.1204 C>T (DSH), c.820_936delinsAATCTC
AR
Black to grey/blue, Orange to cream
MLPH
Melanophilin
c.83delT
AD
Shortening of long bones
UGDH
UDP-Glucose 6-Dehydrogenase
3.3 kb deletion &rearrangement
AR
Brown/red color variant
MC1R
Melanocortin receptor 1
c.250 G>A; c.del439TCT; c.del638_667
AD
Ventral ear fold
TRPV4
Transient receptor potential cation channel, subfamily V, member 4
c.1024 G>T
AR
Pigment glitter
?
Unpublished
~500 bp indel
AR
White feet
KIT
KIT
c.1035_1036delinsCA
AR
Atrichia
KRT71
Keratin 71
c.816+1 G>A
AD
Absence of phaeomelanin
Unknown
Unknown
Unknown
AD
Kinked tail
HES7
Hairy and Enhancer of split family, transcription factor 7
c.5 A>G
AD
Rostral curled pinnae
Unknown
Unknown
Unknown
AD
Curly hair coat
Unknown
Unknown
Unknown
AR
FGF5
Fibroblast growth factor 5
c.356_367insT, c.406 C>T, c.474delT, c.475 A>C; c.577 G > A
AR
Absent undercoat
HR
Hairless
c.1255_1256dupGT, c.1404+2delTinsCAG, c.2112 G>A, c.2243 C>T, c.2593 C>T, c.3389insGACA
AD
Absent or short tail
TBX1
T-box protein 1
c.998delT, c.1169delC, c.1199delC, c.998_1014dup17delGCC
X-linked
Change in pigment hue
?
Unpublished
5 kb indel
AD
Hairless, brush coat
LPAR6
Lysophosphatidic acid receptor 6
c.249delG
AD
SHH
Sonic hedgehog
c.479 A>G, c.257 G>C, c.481 A>T
AR
Curly hair coat
LPAR6
Lysophosphatidic acid receptor 6
c.250_253delTTTG
AR
Curly hair coat
KRT71
Keratin 71
c.1108-4_1184delinsAGTTGGAG, c.1196insT
AD
Curly hair coat
KRT71
Keratin 71
c.445-1 G>C
AR
Curly hair coat
LIPH
Lipase H
c.478-483delTCCGGG
Co-D
Bicolor/van white
KIT
KIT
7125ins intron 1 FERV1 element
AR
Blotched/classic tabby pattern
LVRN
Laeverin
c.176 C>A; c.416 C>A; c.682 C>A; c.2522 G>A
AD
No tabby pattern
DKK4
Dickkopf Wnt signaling pathway inhibitor 4
c.53 C>T; c.188 G>A
AD
Loss of pigmentation
KIT
KIT
~700ins intron 1 FERV1 LTR
AR?
Length of pheomelanin band
CORIN
Corin, serine peptidase
c.2383 C>T (Siberian)
DSH, Domestic shorthair; MCC, Maine Coon cat; MOI, mode of inheritance of the non–wild type variant; NFC, Norwegian Forest cat.
In reference to the mutant allele: AD, autosomal dominant; AR, autosomal recessive; co-D, co-dominant.
OMIA, Online Mendelian Inheritance in Animals (https://omia.org/home). Entries provide links to citations and clinical descriptions of phenotypes and diseases.
Disease (alleles), OMIA Trait ID (-9685)
MOI‡
Phenotype (Affected Breeds)a
Gene
Gene Name
Mutation
AR
Determines type B (various breeds)
CMAH
Cytidine monophospho-N-acetylneuraminic acid hydroxylase
c.136 C>T, c.139 G>A, c.268 T>A, c.1600G>A, c.364 C>T, c.179 G>T, c.187 T>G; c.773 G>A
Autoimmune lymphoproliferative disease118002064
AR
Non-neoplastic lymphoproliferative disease (British Shorthair)
FASL
FAS-ligand
c.413_414insA
AR
ALX1
Aristaless-Like Homeobox 1
c.496delCTCTCAGGACTG
Gangliosidosis type 1120 000402
AR
GLB1
Galactosidase, beta 1
c.1448 G>C
Gangliosidosis type 245 01462
AR
HEXB
Hexominidase B
c.1356_1362delGTTCTCA
Gangliosidosis type 248 01462
AR
Lysosomal storage disease (Korat)
HEXB
Hexominidase B
c.39delC
AR
GBE1
Glycogen branching enzyme 1
IVS11+1552_IVS12-1339 del6.2 kb ins334 bp
Hermansky–Pudlak syndrome-5122
AR
HPS5
Hermansky–Pudlak syndrome 5 protein
c.2571-1 G>A
AR
Forebrain commissural malformation (Toyger)
GDF7
Growth differentiation factor 7
c.221_227delGCCGCGC
AD
ALMS1
Alstrom syndrome protein 1
c.7384 G>C
AD
MYBPC
Myosin binding protein C
c.91 G>C
AD
MYBPC
Myosin binding protein C
c.2460 C>T
AD
TNNT2
Troponin T
c.95-108 G > A
AR
WNK4
WNK lysine deficient protein kinase 4
c.2899 C>T
AR
FOXN1
Forkhead box N1
c.1030_1033delCTGT
AR
CEP290
Centrosomal protein 290 kDa
IVS50 + 9 T>G
AD
CRX
Cone-rod homeobox
c.546delC
AR
KIF3B
Kinesin family member 3B
c.1000 G>A
AR
AIPL1
Aryl hydrocarbon receptor interacting protein-like 1
c.577 C>T
AD
PKD1
Polycystin 1
c.10063 C>A
AR?
PKD2
Polycystin 2
c.2211delG
AR
PKLR
Pyruvate kinase, liver, red blood cells
c.693+304 G>A
AR
LTBP3
Latent transforming growth factor beta binding protein 3
c.158delG
AR
Congenital myasthenic syndrome (Devon Rex)
COLQ
Collagen-like tail subunit of asymmetric acetylcholinesterase
c.1190 G>A
AR
LIX1-LNPEP
Limb expression 1 homolog – leucyl/cysteinyl aminopeptidase
Partial gene deletions
MOI, Mode of inheritance of the non–wild type variant.
In reference to the mutant allele: AD, autosomal dominant; AR, autosomal recessive; co-D, co-dominant.
OMIA, Online Mendelian Inheritance in Animals (https://omia.org/home); a database with links to citations and clinical descriptions of phenotypes and diseases; when 9685 is added to a trait identification number, it denotes the domestic cat.
Phenotypic Mutations
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