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Schipperke Health
Genetic Disorder - MPS IIIB
Note Update: SCA Health and Genetics Committee re MPSIIIB (10/31/04)

There have been a few errors in test results. They are most probably due to human error on the part of either the sample gatherer or the lab, but we can not pin point where the problem was. The test itself is very accurate.

That being said we would recommend:
All breeding animals should be tested. Do not rely on normal by pedigree.

If you are breeding known carriers:
Normal dogs bred to carriers should be retested to be sure they are normal.
Puppies from known carriers should be tested.

If anyone notices discrepancies in their test results, it would help if you would send details to Shirley Quillen, Chairman of the Health and Genetics Committee at imaskip@earthlink.net .

Mucopolysaccharidosis type IIIB (MPS IIIB) in Schipperkes and DNA testing


This recently identified genetic disease is present in Schipperkes and in humans. When a dog is affected it is ultimately lethal. The gene has been identified in many of our dogs in the current population. It is imperative that we learn about this disease and test all dogs prior to using them for breeding from this point forward. Read the information below furnished by Dr. Ellinwood, the researcher studying this disease.

MPS IIIB Testing Kits can be requested by calling (215) 898-8894. For instructions, see the Submission Form.

It is by permission of and request from the researcher Dr. Matthew Ellinwood that this information be widely disseminated
among Schipperke fanciers and breeders.

If you are a breeder and find that you have an unplaced affected pup, or if you are an owner of an affected dog, and you would like to know how you can help to further efforts to find a treatment and a cure for this devastating disease, we encourage you to contact Lisa G. Sarvas DVM via FAX (215-573-2162), or regular mail (Dr. N.M. Ellinwood, 3900 Delancey Street, Philadelphia, PA 19104-6010.

Summary
Detail
 
Summary: What is Mucopolysaccharidosis type IIIB (MPS IIIB). The disease MPS IIIB, also known as Sanfilippo syndrome type IIIB, is an inherited disease classified as a lysosomal storage disease (LSD). Lysosomes are "bags" within cells of the body, filled with special enzymes which disassemble molecules in an orderly manner. If one of the enzymes is missing, due to mutations in the gene for that enzyme, the disassembly stops, and undegraded molecules accumulate in lysosomes (hence the term LSD), and the cells become sick or die, which leads to disease. The compound accumulating in MPS IIIB is heparan sulfate and the affected enzyme is N-acetyl-a-D-glucoseaminidase (NAGLU).

What are the symptoms of MPS IIIB. The clinical signs in the dogs are related to brain disease, appear between 2-4 years of age, and include tremor, and difficulty in balancing, walking, and negotiating obstacles such as stairs. The disease is progressive, and owners have chosen euthanasia, usually 1-2 years after recognizing clinical signs.

How is MPS IIIB inherited? The inheritance pattern of MPS IIIB is autosomal recessive. Both males and females are equally capable of having the disease, or of being carriers. Carriers are absolutely normal, and will not have signs of the disease.

Is there a DNA test and if so what do the DNA test results mean?. We have a mutation based test for the NAGLU mutation in the Schipperke breed. Testing offered through at the University of Pennsylvania reports a result of affected, carrier, or normal.

How do I go about getting my dog tested? See the submission form, and attached instructions and check list.

Who receives notification of the DNA test results? Results are confidential and are released only to the individual that submitted the sample.

How common is this disease and how long has it been in the Schipperke breed? The mutant gene may be as far back as eleven generations, and hence may be very broadly distributed in the Schipperke population. The carrier frequency is unknown, but judging from similar diseases in cattle, it may be as high as 15%.

If the mutation is so old, why has this not been seen before? Probably this disease has been seen before, but was not recognized. Factors contributing to this including a low frequency of cases, non-specific clinical signs, an adult onset, a lack of post-mortem examinations, and very limited knowledge among medical professionals.

Who should have their animals tested? Every breeding animal should be DNA tested for this disease. All pups that are waiting to be placed in permanent homes should be considered for testing, to spare their new owners a great deal of anguish and anxiety.

When can I test my dog and how much does testing cost? Testing begins April 1, 2003, and costs $75/dog. A price of $50/per is in effect until June 1, 2003.

How soon can I expect to get results back? Results will be available in 3-4 weeks from the time of receipt of samples.

What do I do if I have pups waiting to go to homes? Priority testing to ensure that pups waiting for placement are not affected will be made. See the details below.

Do we provide "rush" testing on samples, bulk prices or special litter prices? Rush testing is not available. There are also no bulk submission or litter submission price adjustments.

What samples is the test run on? The test can be run on either 1-2 ml of EDTA blood (lavender topped tube), or on cheek swabs.


Detail:
What is MPS IIIB

The disease MPS IIIB, also known as Sanfilippo syndrome type IIIB, is an inherited disease. It is one of a group of eleven different genetic diseases known as the MPS disorders. The MPS disorders are all classified as lysosomal storage diseases. Other better-known lysosomal storage diseases that occur in humans include Tay-Sachs disease and Gaucher disease. The feature that unites lysosomal storage diseases is that they have abnormal lysosomal function. The lysosome is an important structure of virtually all cells in the body, and serves as the "garbage disposal" of the cell. In humans MPS IIIB is seen in approximately one out of 73,000 live births.

The lysosome is essentially a "bag" within cells of the body, which is filled with special enzymes. The lysosome's function is to disassemble large molecules of a cell that need to be recycled or disposed of. The way in which molecules are dissembled in the lysosomes involves a series of steps, something like an automobile assembly line, but in reverse. In place of the "disassembly" line workers who each do one specific job, the lysosome employs many different enzymes, which again have just one job each. These enzymes, when all are present, disassemble molecules in an orderly and efficient manner. When one of the enzymes is missing, due to mutations in all copies of the gene for that specific enzyme, the orderly processes of disassembly stops, and large undegraded molecules begin to accumulate in the lysosomes, hence the name lysosomal storage disease. Eventually the lysosomes of a cell become so large, that it interferes with the normal job of a cell, and the cells become sick or die, which leads to the clinical signs and symptoms of the disease.

In MPS IIIB the compound which is stored is called heparan sulfate. Heparan sulfate is one of a number of compounds known as glycosaminoglycans (GAGs), which are themselves long strings of chemically modified sugar molecules important in structures like bone and cartilage and in the communication machinery betweens cells in the body, especially in the brain. The term mucopolysaccharide is actually on old-fashioned