Abstract

Craniomandibular osteopathy (CMO) and calvarial hyperostotic syndrome (CHS) are proliferative, non-neoplastic disorders affecting the skull bones in young dogs. Different forms of these hyperostotic disorders have been described in many dog breeds. However, an incompletely dominant causative variant for CMO affecting splicing of SLC37A2 has been reported so far only in three Terrier breeds. The purpose of this study was to identify further possible causative genetic variants associated with CHS in an American Staffordshire Terrier, as well as CMO in seven affected dogs of different breeds. We investigated their whole-genome sequences (WGS) and filtered variants using 584 unrelated genomes, which revealed no variants shared across all affected dogs. However, filtering for private variants of each case separately yielded plausible dominantly inherited candidate variants in three of the eight cases. In an Australian Terrier, a heterozygous missense variant in the COL1A1 gene (c.1786G>A; p.(Val596Ile)) was discovered. A pathogenic missense variant in COL1A1 was previously reported in humans with infantile cortical hyperostosis, or Caffey disease, resembling canine CMO. Furthermore, in a Basset Hound, a heterozygous most likely pathogenic splice site variant was found in SLC37A2 (c.1446+1G>A), predicted to lead to exon skipping as shown before in SLC37A2-associated canine CMO of Terriers. Lastly, in a Weimaraner, a heterozygous frameshift variant in SLC35D1 (c.1021_1024delTCAG; p.(Ser341ArgfsTer22)) might cause CMO due to the critical role of SLC35D1 in chondrogenesis and skeletal development. Our study indicates allelic and locus heterogeneity for canine CMO and illustrates the current possibilities and limitations of WGS-based precision medicine in dogs.

Highlights

  • Craniomandibular osteopathy (CMO) in dogs is a common type of a hyperostotic disorder, which mainly affects the mandible (OMIA 000236-9615)

  • By applying short-read whole-genome sequences (WGS) as the current gold standard in precision medicine, we aimed to identify further plausible variants associated with canine hyperostotic disorders such as CMO and calvarial hyperostotic syndrome (CHS) to improve the understanding of the etiology of these rare genetic disorders

  • We investigated a CHS-affected American Staffordshire Terrier and seven CMO-affected dogs of different breeds

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Summary

Introduction

Craniomandibular osteopathy (CMO) in dogs is a common type of a hyperostotic disorder, which mainly affects the mandible (OMIA 000236-9615). CMO is a developmental orthopedic disorder described in several dog breeds, and it is clinically equivalent to human infantile cortical hyperostosis, known as Caffey disease [1] (OMIM 114000). The clinical signs in human patients appear under 6 months of age and are usually self-regressive. This includes swelling and inflammation of soft tissues, as well as hyperostosis of the facial bones, especially the mandible [2]. An autosomal recessive type of Caffey disease was recently described, reporting a nonsense variant in the AHSG gene that encodes alpha 2-HS glycoprotein involved in the formation of bone tissue [6]

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