POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club

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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
POODLE Update
A NESTLÉ PURINA PUBLICATION DEDICATED TO POODLE ENTHUSIASTS      VOLUME 18 | SPRING 2020

                                                       EYE DISEASE
                                                        RESEARCH
                                                       Advancements Depend on Input
                                                          from Breeders & Owners
POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
SPRING 2020

RESEARCH OF POODLE EYE DISEASES
              NEEDS SUPPORT FROM BREEDERS & OWNERS
                         Eye diseases in Poodles have          ophthalmology at the University of
                         long been a health concern. When      Pennsylvania School of Veterinary
                         Poodles joined the Canine Health      Medicine, says, “Vision problems
                         Information Center (CHIC) program     still affect far too many Poodles.
                         in 2004, eye examinations were        Compounding efforts to identify
                         one of the initial requirements       gene mutations, we have a short-
                         across all three varieties for CHIC   age of DNA samples from all
                         certification. Despite efforts to     varieties of Poodles. It takes a
                         encourage eye tests and advise        commitment from breeders and
                         breeders to selectively breed         owners working with researchers
                         against eye diseases, one expert      to help advance discovery of
                         notes an ongoing steady increase      causative gene mutations. Then,
                         in Poodle eye diseases.               it’s up to breeders to selectively
                           Gustavo Aguirre, VMD, PhD,          breed dogs that will not produce
                         professor of medical genetics and     offspring with eye diseases.”

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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
POODLE Update

 PROGRESS REPORT ON MINIATURE & TOY POODLE EYE DISEASES
 The Poodle Club of America Foundation is help-            a less severe form of ONH or a totally different
 ing to fund a six-year genetics study that began          disorder.
 in 2014 at the University of Pennsylvania. The               “I feel that ONH and Mp are part of a continuum,”
 research, led by Dr. Gustavo Aguirre, is focused          Dr. Aguirre says, noting that the two conditions
 on helping to advance understanding of optic              often appear in the same Poodle pedigrees. “I
 nerve hypoplasia/micropapilla and cataracts in            speculate that ONH is a disease caused by genes
 Miniature and Toy Poodles.                                at two separate loci, but that research needs to con-
   Optic nerve hypoplasia (ONH) is a non-progressive       tinue in order to prove or disprove the hypothesis.”
 congenital defect causing blindness or severely              Dr. Aguirre advises breeders not to breed dogs
 impaired vision. Miniature Poodles have a high            with ONH; however, he says there is not enough
 prevalence, and a few cases have been reported            information to preclude Poodles with Mp from
 in Toy Poodles. Considered a rare genetic defect,         being bred. For both eye diseases, puppies can
 ONH affects one or both eyes and occurs when              be examined as early as 6 to 8 weeks of age to
 the optic nerve fails to develop normally. Disease        identify the conditions before going to new homes.
 severity is based on the extent of damage to the          Breeders are encouraged to have eye examinations
 optic nerve.                                              of their litters.
   Originating from the optic disc at the back of the         Hereditary cataracts can be challenging because
 eye, the optic nerve is made up of nerve fibers that      they typically do not appear until a dog is around
 connect retinal cells with visual centers in the brain.   4 to 5 years of age, oftentimes after already receiv-
 The optic disc appears grayer and abnormally              ing eye clearances from health testing. In Toy and
 small in dogs with ONH due to fewer nerve fibers.         Miniature Poodles, dogs are born with normal
 This means that the brain receives fewer signals          lenses that gradually lose their transparency.
 for light reception.                                      Cataracts can involve the nucleus, or central part,
   In the ONH study, the researchers looked at             of the lens, as well as the lens cortex, or more
 the pedigrees of 43 Miniature Poodles, nine of            peripheral layers. The rate and progression of
 which were affected by ONH in both eyes. They             cataracts vary.
 found a possible common founder, though none                 “When older Poodles present with cataracts,
 of the candidate genes tested correlated with             there is no way to know if it is due to aging or
 ONH. The study was published in the January               heredity unless those dogs have records of pre-
 2020 issue of Veterinary Ophthalmology.                   vious exams dating to their younger years,” Dr.
   Meanwhile, Miniature Poodles also are suscep-           Aguirre says. “We would like to search for the
 tible to micropapilla (Mp), a condition similar to        mutation in Poodles, but we need more samples.
 ONH in which dogs have abnormally small optic             Cataracts can be caused by other things, such
 discs. Unlike ONH, Mp usually is not associated           as progressive retinal atrophy, so we need more
 with a visual defect, implying that Mp could be           samples to account for these possibilities.”

  A renowned eye disease re-             In efforts to better understand      Standard Poodles, as well as
searcher, Dr. Aguirre discovered       the genetics and treatment options     studies of optic nerve hypoplasia/
the mutation for the progressive       for eye diseases, the Poodle Club      micropapilla and cataracts in
rod-cone degeneration form of          of America Foundation is helping       Miniature and Toy Poodles. The
progressive retinal atrophy (prcd-     to fund eye disease research.          goal is to reduce the incidence
PRA) in Toy and Miniature Poodles      Currently, the Foundation is           of eye diseases in all varieties of
in 1998. DNA testing for prcd-PRA      supporting genetic research of         Poodle through education and
is a required test for CHIC certi-     polymicrogyria and day blind-          development of genetic tests.
fication for these varieties.          ness/retinal degeneration in
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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
SPRING 2020

                                                                            open, she continued to find her
                                                                            way around by smelling and
                                                                            feeling.
                                                                              Curtisy Briggs of Malvern,
                                                                            Pennsylvania, adopted the
                                                                            puppy in December 2002 at
                                                                            10 weeks of age knowing she
                                                                            was blind. “I named the puppy
                                                                            ‘Celie’ after the protagonist in
                                                                            ‘The Color Purple.’ I hoped that
                                                                            the puppy would be strong and
                                                                            overcome adversity like Celie
                                                                            did,” she says.
                                                                              The breeder had taken the
                                                                            puppy to a veterinary ophthal-
                                                                            mologist, who determined her
                                                                            eyes were normal. The problem
                                                                            appeared to be neurological and
                                                                            have to do with visual processing
                                                                            in the brain, though the cause
                                                                            of blindness was a mystery.
                                                                              “I noticed quickly that Celie was
                                                                            not completely blind,” Briggs says.
                                                                            “She seemed to see shapes and
                                                                            followed my other dogs unerr-
                                                                            ingly in a chase. I sometimes saw
                                                                            her avoid obstacles in her path,
                                                                            and she would sit and look into
                                                                            the bright sunlight as though she
                                                                            was watching the trees or sky. I
                                                                            wondered if her eyes could see,
                                                                            but her brain could not organize
                                                                            the picture right.”
                                                                              Unbeknownst to Briggs at the
                                                                            time, Celie suffered from the
                                                                            neurological condition polymi-
                                                                            crogyria (PMG), which often but
                                                                            not always affects vision. The
                                                                            puppy’s eyes had normal vision.
Born with the neurological disease
polymicrogyria, “Celie,” a Standard
                                        NEUROLOGICAL DISEASE                The optic nerves that carry visual
Poodle, was visually impaired and       PMG & VISION PROBLEMS               signs to relay centers in the brain,
had partial complex seizures contrib-      There was nothing unusual        which control pupil reflexes, eye
uting to emotional and behavioral
problems.                               about the newborn black Stan-       movement and some visual pro-
                                        dard Poodle at first. Like her      cessing, were normal, as were the
                                        littermates, she felt and sniffed   relay centers. The abnormality
                                        her way around the whelping         was at the visual cortex. All that
                                        box. When their eyes began to       Briggs knew was that Celie was

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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
POODLE Update

                                                                           on the leg. The Standard Poodle’s
 POODLE OWNERS & BREEDERS CAN HELP                                         behavior continued to worsen.
 ADVANCE EYE DISEASE RESEARCH                                                “Once I turned around to find
                                                                           Celie a few yards away hunched
 Breeders and owners of all varieties of Poodle are encouraged             over and about to spring toward
 to submit DNA from dogs affected with eye diseases, including             me,” Briggs says. “For the first
 polymicrogyria in Standard Poodles, to Dr. Gustavo Aguirre and            time in my life, for a split second,
 his team at the University of Pennsylvania. To submit samples,            I was afraid of my own dog.”
 please contact Dr. Aguirre’s lab at 215-898-9426 or by email at             Briggs decided to take Celie
 lmelnyk@vet.upenn.edu.                                                    to a Poodle eye clinic where Dr.
   Researchers at the University of Missouri are seeking DNA               Aguirre, whom she had consulted
 samples of Standard Poodles diagnosed with polymicrogyria.                about other Poodles, was going
 “The more samples we have, the more powerful our studies will             to perform eye examinations.
 be and the more likely we will be to find an answer,” says Dr. Dennis     Dr. Aguirre immediately diag-
 O’Brien. “It is critical, however, that the diagnosis is confirmed        nosed Celie’s problem as com-
 by a veterinary neurologist, as there are other diseases that can         ing from the brain, rather than
 cause vision problems.” Please contact Dr. O’Brien at ObrienD@            being a vision problem, and told
 missouri.edu to learn how to participate.                                 Briggs he had seen a few Standard
                                                                           Poodle puppies with a type of
basically blind and had somewhat     nism, but sometimes the circling      neurological blindness known as
odd behavior.                        became frantic and she refused        polymicrogyria. He had written an
  Located near the rear of the       to listen or be caught. “It was       article describing four affected
outside surface of the brain, the    almost as though she was in the       dogs that was published in 1994 in
visual cortex processes visual       grip of some urgent force com-        Progressive Veterinary Neurology.
signals into recognizable objects.   pelling her to ignore everything        “The first affected dog I saw was
The brain’s surface, or cortex, is   around her,” Briggs says.             a white male Standard Poodle,”
normally covered in large folds         The obsessive circling pro-        Dr. Aguirre says. “The dog had
called gyri. However, in dogs        gressed, and Celie was not able       bizarre visual behavior. He could
with PMG, the cortex has many        to stop herself as she ran to         not see, but he also was not
excessive small folds, or gyri,      near collapse. Briggs stopped         totally blind.”
that disrupt normal connections      playing in the yard with Celie          Dr. Aguirre has since examined
within the cortex.                   because any excitement seemed         quite a few Standard Poodles
  Functioning of the temporal        to bring on the rampant circling.     with PMG and described a range
cortex, located in front of the      She referred to this as Celie’s       of phenotypes. “Some dogs are
visual cortex, may be severely       “fugue state,” a condition in which   able to see more than others,” he
affected as well. The temporal       she seemed unaware of her sur-        says. “Most, but not all, have a
cortex is involved in emotional      roundings and often slammed           form of hydrocephalus, or fluid
responses, which is why some         into things she normally avoided.     buildup in the cavities deep within
dogs with PMG have personality          Briggs observed that Celie         the brain. We see one to two cases
issues and seizures.                 sometimes smacked her lips and        a year. There are undoubtedly
  Celie was exceptionally affec-     slightly shook her head in situ-      more cases, though most affect-
tionate and craved closeness with    ations that made her nervous.         ed dogs are likely euthanized as
Briggs when they were together       Calming medication helped for         puppies. It also is likely that dogs
in the house, but outside in the     about one year but eventually         that are mildly affected are just
yard was another story. Celie        became ineffective. One day when      not diagnosed unless a magnetic
often ran in circles, which Briggs   Celie was almost 5 years old, she     resonance imaging (MRI) study
thought was an orienting mecha-      lunged at Briggs biting her hard      is done.”

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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
SPRING 2020

   Believing that Celie had PMG,         have motor problems, and not           have been diagnosed. “As I did
Dr. Aguirre referred Briggs to a         all have behavior or emotional         with Celie, owners may struggle
veterinary neurologist at the            problems or seizures. Many of          for years without knowing what
University of Pennsylvania, who          these dogs with PMG are likely         the problem is,” Briggs says.
confirmed the diagnosis based on         going undiagnosed.”                      Describing the genetic work
MRI. The specialist also diagnosed         Veterinary neurologist Dennis        at the University of Missouri,
Celie as having partial complex          O’Brien, DVM, PhD, the Chancellor’s    Dr. O’Brien says, “The initial gene
motor seizures, which accounted          Chair in Comparative Neurology         mapping study in Dr. Gary
for the unusual behaviors of circling,   at the University of Missouri          Johnson’s lab found a locus
lip smacking and head shaking.           College of Veterinary Medicine,        more common in affected dogs
   Ironically, the calming medication                                           than in the population at large.
that Celie took lowered her thresh-                                             This locus has been difficult to
old for seizures. She had to be                                                 work with, but we have investi-
weaned off the medication, as every                                             gated that area extensively as
seizure caused more brain damage.                                               well as performed searches of
Without the medication, Celie was                                               whole genome sequences we’ve
increasingly wild, and she had begun                                            acquired. We have not found the
spinning around the house too.                                                  culprit yet. We hope to someday
   “I knew Celie had to be suffering                                            make PMG a disease of the past.”
in ways I could not even fathom
and that my other dogs were                                                     DAY BLINDNESS/RETINAL
paying a price for living with her                                              DEGENERATION IN
erratic behavior,” Briggs says.                                                 STANDARDS
   When Celie was almost 5 years                                                   In 2013, Wendy Grogan of
old, she was the oldest dog known                                               Hackettstown, New Jersey, had
to have PMG. Unfortunately, the                                                 a litter of five Standard Poodle
disease ultimately won, and Briggs                                              puppies — one white female
made the difficult decision to have                                             and four black males. She de-
her euthanized. At least there was       has been studying PMG since            cided to keep the white female.
solace for Briggs knowing that           2007. He knows firsthand the           It soon became apparent that
Celie had brought attention to           challenges of living with a dog        the Poodle she named “Sugar”
the disease and that her DNA had         with the disorder. “Oliver,” a white   walked into everything in her
gone to genetic research.                male Standard Poodle, came to          path when she was outside, yet
   “It is so important to get a          live with him in 2008 after being      she was fine in the house.
genetic test because breeders            diagnosed with PMG.                       “My son said, ‘She’s either very
are producing affected puppies              Unfortunately, Oliver, who was      stupid or blind,’” Grogan says. “I
that they attribute to bad luck,”        more severely affected than Celie,     knew she wasn’t stupid. I watched
Briggs says. “They euthanize             lived with Dr. O’Brien a short time.   her carefully for the next week,
affected puppies and then repeat         “He was a sweet dog, but it was        and then I emailed Dr. Aguirre
the breeding, producing more             tough for him to manage with           whom I knew from helping my
affected dogs. Without a test,           poor vision,” he says. “He was         mother bring dogs to his eye
there is no way to know which            getting injured too frequently,        clinics. I told him that it almost
puppies are affected with the            so I made the decision to eutha-       seemed like she was blind but
specific disease. Since abnormal-        nize him.”                             only when she went outside.”
ities vary so much, PMG can be              Since Celie’s case, more Stan-         Dr. Aguirre told Grogan he had
overlooked as a cause. Not all           dard Poodles, some even older          examined another Standard
dogs with PMG are blind, not all         than Celie with less severe PMG,       Poodle, coincidentally named

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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
POODLE Update

“Sugar,” in the 1980s who was              Thus far, DB/RD has only been
one of three puppies in a litter        reported in Poodles. It is a pro-
of five having difficulty seeing in     gressive condition that affects
bright light. “It is rare for dogs to   the cone and rod retinal receptors,
have difficulty seeing in just bright   rendering some though not all
light,” Dr. Aguirre explains. “It is    Poodles totally blind initially. “It
more common when there are              is a variable disorder,” Dr. Aguirre
retinal problems for dogs to have       explains. “Some affected dogs at
trouble seeing in dim light, indicat-   2 years of age are indistinguish-
ing problems with the rod retinal       able from dogs with end-stage
receptors. When bright light is a       progressive retinal atrophy, yet        LOOKING TO REPRINT?
problem, it means there are             in other dogs the retina remains
problems with the cone retinal          clinically intact for several years.”   Poodle Update articles may be
receptors.”                                Sugar was adopted at 4 months        reprinted provided the article
   Dr. Aguirre did not hear of          of age by a veterinary technician,      is used in its entirety and in a
another case until early 2000           Cristie Nielsen of Oceanport, New       positive manner. To request
when he began examining other           Jersey, who knew about the vision       permission to reprint this article,
Standard Poodles with day blind-        problem and hoped a treatment           please contact the editor at:
ness. When he learned about             would become available. Unfor-          Barbara.Fawver@purina.nestle.
Grogan’s Sugar, it was an oppor-        tunately, Sugar’s vision worsened.      com. Reprints should include
tunity to study the family. Examin-        “When Sugar was about 1 year         the following attribution:
ing the littermates, sire and dam,      old, I noticed that she had started     Used with permission from the
he found only Sugar was affected.       bumping into things indoors,”           Poodle Update, Nestlé Purina
   When the first Sugar was             Nielsen says. Despite being             PetCare.
diagnosed, an electroretino-            virtually blind, Sugar, now 6
gram (ERG) was used to record           years old, romps with Nielsen’s
the retina’s electrical response        male Miniature Poodle, goes for
to light or a veterinary oph-           walks and leads a full life.
thalmologist would check the               Vision problems like day
retina of the eye after it had          blindness/retinal degeneration
been removed. Today, optical            and PMG vary considerably
coherence tomography (OCT)              among individual Poodles. The
provides a high-resolution method       good news is that with help from
of examining anatomically a dog’s       researchers and diligent breeders
retina, though a dog must be            who regularly health test their
anesthetized for the procedure.         breeding stock, some of the
   Meanwhile, analysis of the DNA       hereditary eye diseases may one
of Sugar and her relatives allowed      day no longer be a problem. n
Dr. Aguirre and Karina Guziewicz,
PhD, research assistant professor
                                         Purina thanks Pat Forsyth,
of ophthalmology, to identify the        vice president of the Poodle
gene mutation. Subsequently, a DNA       Club of America Foundation
test was developed for Poodle            board of directors, for helping
day blindness/retinal degenera-          us to identify this topic for the
tion (DB/RD). The test is available      Poodle Update.
from the diagnostic testing lab
Wisdom Health, formerly Optigen.

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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
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POODLE Update - EYE DISEASE RESEARCH Advancements Depend on Input from Breeders & Owners - Purina Pro Club
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