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Cleft lip, cleft palate and syndactyly (CLPS)

Musculoesquelético · Dog

Hereditary syndrome of the Nova Scotia Duck Tolling Retriever that combines cleft lip and/or palate with syndactyly (cutaneous and/or bony fusion of the third and fourth digits). It is caused by a frameshift deletion in ADAMTS20 that alters craniofacial and limb development during embryogenesis. The signs are present from birth and inheritance is autosomal recessive.
Inheritance patternAutosomal recessive.
Gene / MutationADAMTS20 2-bp deletion: c.1358_1359del p.(Lys453Ilefs*4) (CanFam3.1 g.10553479_10553480del; OMIA001140-9615); originally published as c.1360_1361delAA p.(Lys453Ilefs*3). It causes a frameshift and premature truncation of the protein (loss of about 1,461 amino acids). OMIA classifies it as pathogenic (P).
PenetranceHigh penetrance in homozygotes; in the original study primary palate cleft was 100 % penetrant and secondary palate cleft, ~92 %. Heterozygotes are clinically healthy. There is phenotypic variability: expression ranges from cleft of the nasal folds to bilateral cleft lip, and syndactyly may be incomplete or soft-tissue only.
Codeebdo
Turnaround time15 days
Price52,60 €

Incidence

Nova Scotia Duck Tolling Retriever. The 13 CLPS cases in the original study were homozygous for the deletion and several parents were carriers, consistent with recessive inheritance. The true population frequency of ADAMTS20 deletion carriers in the breed is not well characterised (limited data); the figure of 'one third heterozygotes' appearing in the literature refers to a synonymous variant of PUS7L, not to ADAMTS20.

Breeder management

- Genotype breeding animals before mating.\n- Do not mate two carriers (25 % affected homozygotes).\n- Mate carriers with clear homozygotes and keep only the clear offspring for breeding.\n- Exclude affected homozygotes from breeding.\n- Given the recessive nature, genotype-based selection makes it possible to eliminate affected animals without giving up breed diversity.

Specialist notes

Neonatal management of cleft palate may require tube feeding and/or reconstructive surgery; syndactyly is usually managed surgically on an optional basis. Before attributing the condition to ADAMTS20, rule out other causes of oral clefting, such as the DLX6-linked form of cleft palate (OMIA001919-9615), also described in the NSDTR.

References

1. Wolf ZT et al. 2015. Genome-wide association studies in dogs and humans identify ADAMTS20 as a risk variant for cleft lip and palate. PLOS Genetics. PMID: 25798845
2. Dubail J, Apte SS. 2015. Insights on ADAMTS proteases and ADAMTS-like proteins from mammalian genetics. Matrix Biology. PMID: 25770910
3. OMIA:001140-9615. Cleft lip with or without cleft palate, ADAMTS20-related in Canis lupus familiaris. Online Mendelian Inheritance in Animals.

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