We
still seem to have many more questions than answers concerning this Inherited
Polyneuropathy. Some progress has been made in the research for a genetic marker;
we now have twice as many "matches" on the X chromosome than we did
at this time last year. In reality, this is like progressing from looking for
a pin head in a hay stack to now looking for the proverbial needle. It remains
a tremendous undertaking and the researchers, to date, have only been looking
at one chromosome, the X. If it is found not to be associated with the X chromosome,
or if it is found to affect more than one gene, then we are, very realistically,
a very long way off from a blood test that will tell us who is a carrier.
With
that in mind we are trying even harder to collect the necessary pieces of the
puzzle to get as clear a picture as possible as to the mode of inheritance of
this disease. At this time, there is some debate over the X-linked theory so the
HREC is in the process of having a new pedigree analysis done as we now have nearly
twice the number of dogs positively biopsied since the last analysis was made.
In the meantime, we continue
to learn more about this disease. We thought it only caused clinical signs in
males. Now, we know that it can affect the females as well, though in most cases
it seems to affect them to a lesser degree. We had thought that affected dogs
would show recognizable signs by the age of 3 or 4 years until a biopsy confirmed
the diagnosis of a popular stud dog at the age of 9 years and other older dogs
since him. We now know that this polyneuropathy can also be expressed in wide
ranges of severity. It is this last fact that is most unnerving to me as I am
afraid we are missing the diagnosis possibly quite frequently. There are still
many veterinarians who are not familiar with the leonberger or ILP and they may
erroneously assume the symptoms are of another more common cause.
Some
dogs show only rear limb problems which vary from a mildly "sloppy"
gait to a drunken-like pattern all the way to the classical high stepping "marionette-like"
gait most of us associate with the disease. Some develop laryngeal paralysis (LP)
later. Some develop LP first and the gait changes later.
The
"nuts and bolts" to remember here, are that our Leonbergers' polyneuropathy
shows its greatest affect on the longest nerves of the body, i.e., those in the
rear limbs and the recurrent laryngeal nerve which travels from the spine, down
the neck into the chest then loops back around and comes back up the neck to end
at the muscles of the larynx. (If it was not caused by local trauma, then LP is
the result of a polymyositis or, much more commonly, a neuropathy).
We
need you owners and breeders to be vigilant for signs of genetic disease in your
dogs. At this time, the lab is asking for blood samples from any affected dogs
AND their relatives to proof a genetic marker once it is found. We also need nerve
and muscle biopsies, both positive and negative, especially from any relatives
of affected dogs, and from any dog showing possible symptoms.
To
that end, the HREC is seeking the permission of owners who will allow us to publish
the names of known affected (confirmed by biopsy) dogs. Please realize that, because
of the uncertainties of how this condition is passed from one generation to the
next, the list is fairly meaningless for use in breeding decisions.
Unfortunately, it is still hard to give advice on breeding decisions without a
clear cut mode of inheritance. In general though, it would be better to use dogs
that don't have any first degree affected relatives (parents, offspring, sibling,
half siblings, etc) if possible. Unfortunately with some dogs first affected in
the 6-10 year old age range, this is hard to truly determine. As to second degree
relatives, it is hard to say at this point.