Abstract
Alexander disease (AxD) is a fatal neurodegenerative disorder of astrocyte dysfunction in man, for which already a number of causal variants are described, mostly de novo dominant missense variants in the glial fibrillary acidic protein (GFAP). A similar disorder was already phenotypically described in animals but without the identification of causal variants. We diagnosed a Labrador retriever with a juvenile form of AxD based on clinical (tetraparesis with spastic front limbs mimicking ‘swimming puppy syndrome’) and pathological (the detection of GFAP containing Rosenthal fibers in astrocytes) features. In order to identify a causal variant, the coding sequences of the four detected GFAP transcript variants (orthologues from human transcript variants α, γ, δ/ɛ and κ) were sequenced. From the five detected variants, a heterozygous c.719G>A nucleotide substitution resulting in a p.Arg240His substitution was considered to be causal, because it is orthologous to the heterozygous de novo dominant c.716G>A (p.Arg239His) hotspot variant in man, proven to cause a severe phenotype. In addition, the variant was not found in 50 unrelated healthy Labrador retrievers. Because the condition in dogs is morphologically similar to man, it could be a promising animal model for further elucidating the genotype/phenotype correlation in order to treat or prevent this disease.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Hol EM, Pekny M : Glial fibrillary acidic protein (GFAP) and the astrocyte intermediate filament system in diseases of the central nervous system. Curr Opin Cell Biol 2015; 32: 121–130.
Sawaishi Y : Review of Alexander disease: beyond the classical concept of leukodystrophy. Brain Dev 2009; 31: 493–498.
Kamphuis W, Middeldorp J, Kooijman L et al: Glial fibrillary acidic protein isoform expression in plaque related astrogliosis in Alzheimer's disease. Neurobiol Aging 2014; 35: 492–510.
Alexander WS : Progressive fibrinoid degeneration of fibrillary astrocytes associated with mental retardation in a hydrocephalic infant. Brain 1949; 72: 373–381.
Brenner M, Goldman JE, Quinlan RA, Messing A : Alexander disease: a genetic disorder of astrocytes; in Parpura V, Haydon PG (eds): Astrocytes in (Patho)Physiology of the Nervous System. Springer: New York, NY, USA, 2009, pp 591–648.
Messing A, Brenner M, Feany MB, Nedergaard M, Goldman JE : Alexander disease. J Neurosci 2012; 32: 5017–5023.
Prust M, Wang J, Morizono H et al: GFAP mutations, age at onset, and clinical subtypes in Alexander disease. Neurology 2011; 77: 1287–1294.
Rosenthal W : Uber eine eigenthumliche, mit syringomyelie complicirte geschwulst des ruckenmarks. Bietr Pathol Anat 1898; 23: 111–143.
Alexander Disease. Website Waisman Center, University of Wisconsin-Madison. https://www.waisman.wisc.edu/alexander-disease/ (last updated 13 July 2015).
McGrath JT : Fibrinoid leukodystrophy (Alexander’s disease); in Andrews EJ, Ward BC, Altman NH (eds): Spontaneous Animal Models of Human Disease. Academic Press: New York, NY, USA, 1979, Vol 2, pp 147–148.
Cox NR, Kwapien RP, Sorjonen DC, Braund KG : Myeloencephalopathy resembling Alexander’s disease in a Scottish terrier dog. Acta Neuropathol (Berl) 1986; 71: 163–166.
Richardson JA, Tang K, Burns DK : Myeloencephalopathy with Rosenthal fiber formation in a Miniature Poodle. Vet Pathol 1991; 28: 536–538.
Weissenböck H, Obermaier G, Dahme E : Alexander’s disease in a Bernese Mountain dog. Acta Neuropathol (Berl) 1996; 91: 200–204.
Aleman N, Marcaccini A, Espino L, Bermudez R, Nieto JM, Lopez-Pena M : Rosenthal fiber encephalopathy in a dog resembling Alexander disease in humans. Vet Pathol 2006; 43: 1025–1028.
Ito T, Uchida K, Nakamura M, Nakashima K, Suzuki K, Nakayama H : Fibrinoid leukodystrophy (Alexander's disease-like disorder) in a young adult French bulldog. J Vet Med Sci 2010; 72: 1387–1390.
Gruber A, Pakozdy A, Leschnik M, Mai S, Weissenböck H : Morbus Alexander - 4 Fälle bei Hunden in Österreich. Wien Tierärztl Mschr 2010; 97: 298–301.
Wrzosek M, Giza E, Płonek M, Podgórski P, Vandevelde M : Alexander disease in a dog: case presentation of electrodiagnostic, magnetic resonance imaging and histopathologic findings with review of literature. BMC Vet Res 2015; 11: 115.
Fankhauser R, Fatzer R, Bestetti G, Deruaz JP, Perentes E : Encephalopathy with Rosenthal fiber formation in a sheep. Acta Neuropathol (Berl) 1980; 50: 57–60.
Kessell AE, Finnie JW, Manavis J, Cheetham GD, Blumbergs PC : A Rosenthal fiber encephalomyelopathy resembling Alexander's disease in 3 sheep. Vet Pathol 2012; 49: 248–254.
Sambrook J, Fritsch EF, Maniatis T eds: Molecular Cloning: a Laboratory Manual, 2nd edn. Cold Spring Harbor Laboratory Press: Cold Spring Harbor, NY, USA, 1989.
Untergasser A, Nijveen H, Rao X, Bisseling T, Geurts R, Leunissen JAM : Primer3Plus, an enhanced web interface to Primer3. Nucleic Acids Res 2007; 35: W71–W74.
Sherry ST, Ward MH, Kholodov M et al: dbSNP: the NCBI database of genetic variation. Nucleic Acids Res 2001; 29: 308–311.
Smit AFA, Hubley R, Green P RepeatMasker Open-4.0. 2013-2015 (<http://www.repeatmasker.org>).
Zuker M : Mfold web server for nucleic acid folding and hybridization prediction. Nucleic Acids Res 2003; 31: 3406–3415.
Arányi T, Váradi A, Simon I, Tusnády GE : The BiSearch web server. BMC Bioinformatics 2006; 7: 431.
Okonechnikov K, Golosova O, Fursov M : the UGENE team. Unipro UGENE: a unified bioinformatics toolkit. Bioinformatics 2012; 28: 1166–1167.
Springer S, Erlewein R, Naegele T et al: Alexander disease – classification revisited and isolation of a neonatal form. Neuropediatrics 2000; 31: 86–92.
Asahina N, Okamoto T, Sudo A, Kanazawa N, Tsujino S, Saitoh S : An infantile-juvenile form of Alexander disease caused by a R79H mutation in GFAP. Brain Dev 2006; 28: 131–133.
Cooper DN, Bacolla A, Férec C, Vasquez KM, Kehrer-Sawatzki H, Chen JM : On the sequence-directed nature of human gene mutation: the role of genomic architecture and the local DNA sequence environment in mediating gene mutations underlying human inherited disease. Hum Mutat 2011; 32: 1075–1099.
Feinstein DL, Weinmaster GA, Milner RJ : Isolation of cDNA clones encoding rat glial fibrillary acidic protein: expression in astrocytes and in Schwann cells. J Neurosci Res 1992; 32: 1–14.
Zelenika D, Grima B, Brenner M, Pessac B : A novel glial fibrillary acidic protein mRNA lacking exon 1. Brain Res Mol Brain Res 1995; 30: 251–258.
Acknowledgements
We thank Julie Van de Putte, Dominique Vander Donckt, Linda Impe, Ruben Van Gansbeke and Delphine Ameye for excellent technical assistance.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Supplementary Information accompanies this paper on European Journal of Human Genetics website
Rights and permissions
About this article
Cite this article
Van Poucke, M., Martlé, V., Van Brantegem, L. et al. A canine orthologue of the human GFAP c.716G>A (p.Arg239His) variant causes Alexander disease in a Labrador retriever. Eur J Hum Genet 24, 852–856 (2016). https://doi.org/10.1038/ejhg.2015.223
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/ejhg.2015.223
This article is cited by
-
Symptomatic care of late-onset Alexander disease presenting with area postrema-like syndrome with prednisolone; a case report
BMC Pediatrics (2022)
-
Truncating SLC12A6 variants cause different clinical phenotypes in humans and dogs
European Journal of Human Genetics (2019)