Test Detail

Craniomandibular osteopathy (CMO)

Musculoesquelético · Dog

Proliferative bone disease of the mandible and the temporomandibular region that affects terrier breeds (Cairn, Scottish and West Highland white terrier). It presents with painful inflammation and difficulty eating, typically intermittently and self-limiting. It is caused by a splicing variant in SLC37A2 and shows autosomal dominant inheritance with incomplete penetrance.
Inheritance patternAutosomal dominant with incomplete penetrance. Affected heterozygotes and homozygotes without clinical signs have been described, so the genotype alone does not predict the phenotype.
Gene / MutationSLC37A2 c.1332C>T (CanFam3.1 g.9387327G>A), a synonymous variant that affects a splicing enhancer site (it eliminates an ASF/SF-2 factor binding site) and causes a 79-bp deletion. Described in Cairn, Scottish and West Highland white terriers (Hytönen et al., 2016). In Basset hound: SLC37A2 c.1446+1G>A (Letko et al., 2020), a different variant.
PenetranceIncomplete and variable: there are affected heterozygotes and homozygotes without clinical signs. The severity and duration of episodes vary between individuals.
Codeybba
Turnaround time10 days
Price52,60 €

Incidence

Documented in Cairn terrier, Scottish terrier and West Highland white terrier (OMIA:002244-9615). In the Basset hound a different causal variant has been described. No reliable carrier frequencies per breed are available: limited data.

Breeder management

- Test breeding animals of the affected breeds if a test is available.
- Avoid crossing two carriers.
- Because of the incomplete penetrance and the mild or self-limiting phenotype, do not automatically exclude on the basis of genotype; assess each case.
- Combine the genetic data with clinical and radiological examination.

Specialist notes

The genotype does not equal the phenotype: there are homozygotes without signs and affected heterozygotes, consistent with a dominant model of incomplete penetrance. CMO is often self-limiting and improves when the growth plates close. A different causal variant exists in the Basset hound, so the test should be chosen according to the breed.

References

1. Hytönen MK, Arumilli M, Lappalainen AK, et al. Molecular Characterization of Three Canine Models of Human Rare Bone Diseases: Caffey, van den Ende-Gupta, and Raine Syndromes. PLoS Genet. 2016;12(5):e1006037. PMID: 27187611.
2. Letko A, Leuthard F, Jagannathan V, et al. Whole Genome Sequencing Indicates Heterogeneity of Hyperostotic Disorders in Dogs. Genes (Basel). 2020;11(2):163. PMID: 32033218.
3. OMIA:002244-9615. Craniomandibular osteopathy, SLC37A2-related in Canis lupus familiaris. https://omia.org/OMIA002244/9615/

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