Hirz M, Drögemüller M, Schänzer A, Jagannathan V, Dietschi E, Goebel H H, Hecht W, Laubner S, Schmidt M J, Steffen F, Hilbe M, Köhler K, Drögemüller C, Herden C
Institute of Veterinary Pathology, Justus-Liebig-University Giessen, Germany.
Institute of Genetics, Vetsuisse Faculty, University of Bern, Switzerland.
Mol Genet Metab. 2017 Mar;120(3):269-277. doi: 10.1016/j.ymgme.2016.12.007. Epub 2016 Dec 19.
Neuronal ceroid lipofuscinoses (NCLs) are inherited lysosomal storage diseases that have been described in a variety of dog breeds, where they are caused by different mutations in different genes. However, the causative gene defect in the breed Alpenländische Dachsbracke remained unknown so far. Here we present two confirmed cases of NCL in Alpenländische Dachsbracke dogs from different litters of the same sire with a different dam harboring the same underlying novel mutation in the CLN8 gene. Case 1, a 2-year-old male Alpenländische Dachsbracke was presented with neurological signs including disorientation, character changes including anxiety states and aggressiveness, sudden blindness and reduction of food intake. Magnetic resonance imaging (MRI) scans showed cerebral atrophy with dilation of all cerebral ventricles, thinning of the intermediate mass of the thalamus and widening of the cerebral sulci. Postmortem examination of the central nervous system (CNS) showed neuronal loss in the cerebral cortex, cerebellum and spinal cord with massive intracellular deposits of ceroid pigment. Additional ceroid-lipofuscin deposits were observed in the enteric nervous system and in macrophages within spleen, lymph nodes and lung. Ultrastructural analyses confirmed NCL with the presence of osmiophilic membrane bounded lamellar-like structures. Case 2, a 1,5-year old female Alpenländische Dachsbracke was presented with progressive generalized forebrain disease including mental changes such as fearful reactions to various kinds of external stimuli and disorientation. The dog also displayed seizures, absence of menace reactions and negative cotton-ball test with normal pupillary light reactions. The clinical and post mortem examination yielded similar results in the brain as in Case 1. Whole genome sequencing of Case 1 and PCR results of both cases revealed a homozygous deletion encompassing the entire CLN8 gene as the most likely causative mutation for the NCL form observed in both cases. The deletion follows recessive inheritance since the dam and a healthy male littermate of Case 1 were tested as heterozygous carriers. This is the first detailed description of CLN8 gene associated NCL in Alpenländische Dachsbracke dogs and thus provides a novel canine CLN8 model for this lysosomal storage disease. The presence of ceroid lipofuscin in extracerebral tissues may help to confirm the diagnosis of NCL in vivo, especially in new dog breeds where the underlying mutation is not known.
神经元蜡样脂褐质沉积症(NCLs)是一类遗传性溶酶体贮积病,已在多种犬种中被描述,不同犬种的病因是不同基因发生了不同突变。然而,迄今为止,阿尔卑斯山腊肠犬种的致病基因缺陷仍不明确。在此,我们报告了两例确诊的阿尔卑斯山腊肠犬NCL病例,它们来自同一父系不同母系的不同窝犬,在CLN8基因中携带相同的潜在新突变。病例1是一只2岁的雄性阿尔卑斯山腊肠犬,出现了包括定向障碍在内的神经症状、性格改变(如焦虑状态和攻击性)、突然失明以及食欲减退。磁共振成像(MRI)扫描显示脑萎缩,所有脑室扩张,丘脑中间块变薄,脑沟增宽。中枢神经系统(CNS)的尸检显示大脑皮质、小脑和脊髓中的神经元丢失,伴有大量类蜡样色素的细胞内沉积。在肠神经系统以及脾脏、淋巴结和肺中的巨噬细胞中也观察到了额外的类蜡样脂褐质沉积。超微结构分析通过嗜锇性膜包绕的层状样结构的存在证实了NCL。病例2是一只1.5岁的雌性阿尔卑斯山腊肠犬,出现进行性全前脑疾病,包括精神变化,如对各种外部刺激的恐惧反应和定向障碍。这只狗还出现癫痫发作、无威胁反应以及棉棒试验阴性但瞳孔对光反应正常。临床和尸检检查在大脑中得出了与病例1相似的结果。病例1的全基因组测序和两例的PCR结果显示,一个包含整个CLN8基因的纯合缺失是两例中观察到的NCL形式最可能的致病突变。由于病例1的母犬和一只健康的同窝雄性幼犬被检测为杂合携带者,该缺失遵循隐性遗传。这是阿尔卑斯山腊肠犬中与CLN8基因相关的NCL的首次详细描述,因此为这种溶酶体贮积病提供了一种新的犬类CLN8模型。脑外组织中类蜡样脂褐质的存在可能有助于在体内确诊NCL,特别是在潜在突变未知的新犬种中。