Abstract

Simple SummaryResearch on rare diseases has specific problems, such as low or small patient groups, limited public awareness, and limited financial support. By definition, a rare disease affects not more than 50 per 100,000 individuals, but with over 6000 unique, rare diseases, more than 300 million people are affected worldwide. Especially, genetic screens are difficult to perform for rare diseases. Due to selective inbreeding in dogs, often these rare diseases present at high frequency in specific dog breeds. This paper in the special issue on “(epi) genetic disorders in companion animals” describes an example of how a novel gene was found that regulates copper accumulation in the liver in a specific dog breed, the Bedlington terriers, and describes an example of how gene products titrate each other’s function on the liver copper accumulation in Labrador retrievers. These two examples clearly show the power in dog genetics for both veterinary and human medicine. Although inbreeding is under great societal scrutiny due to its consequential large number of inherited diseases, dog genetics will directly positively influence animal welfare, in addition to basic knowledge of biochemical regulation systems, and lastly, it will be beneficial for people suffering from rare diseases.Wilson’s Disease is a rare autosomal recessive disorder in humans, often presenting with hepatic copper overload. Finding the genetic cause of a rare disease, especially if it is related to food constituents like the trace element copper, is a Herculean task. This review describes examples of how the unique population structure of in-bred dog strains led to the discovery of a novel gene and two modifier genes involved in inherited copper toxicosis. COMMD1, after the discovery in 2002, was shown to be a highly promiscuous protein involved in copper transport, protein trafficking/degradation, regulation of virus replication, and inflammation. Mutations in the ATP7A and ATP7B proteins in Labrador retrievers and Dobermann dogs resulted in a wide variation in hepatic copper levels in these breeds. To our knowledge, numerous dog breeds with inherited copper toxicosis of unknown genetic origin exist. Therefore, the possibility that men’s best friend will provide new leads in rare copper storage diseases seems realistic.

Highlights

  • Copper storage disorders are considered rare diseases

  • In contrast to Wilson disease (WD), which is associated with copper accumulation in the liver, Menkes disease (MD) is a disease caused by reduced copper levels in various organs

  • Indian Childhood Cirrhosis (ICC), Endemic Tyrolean Infantile Cirrhosis (ETIC), or Idiopathic copper toxicosis (ICT) are very rare copper overload diseases related to copper homeostasis [39,40,41]

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Summary

Introduction

Copper storage disorders are considered rare diseases. This review paper focuses on the utilization of canine genetics to discover causative and modifier genes of hepatic copper storage diseases in dogs. The unique population structure of dogs will be described to show its feasibility in studying copper-related disorders. Examples of a simple Mendelian inherited copper-storage disease (inherited copper toxicosis, Wilson disease alike) and one with a more complex mode of inheritance in specific dog breeds will be presented. A perspective on how to implement canine patients with a rare disease in (advanced) pre-clinical research to the benefit of a patient with rare copper storage diseases is discussed, the clinical presentation can be similar but not necessarily identical when comparing these two species

Copper Homeostasis
Wilsons Disease
30 October
Menkes Disease
Very Rare Copper Related Diseases
Two Decades of Canine Genetics
The Unique Population Structure of Dog Breeds Amplifies Rare Mutations
COMMD1 Mutations in Bedlington Terriers
COMMD1
ATP7A and ATP7B Mutations in Labrador Retrievers and Dobermann Dogs
The Mutual Benefits for Men and Dogs in Rare Copper Storage Diseases
Dogs as a Test Bed for Humans with Copper Storage Diseases
Full Text
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