Pet-Specific Care for the Veterinary Team. Группа авторов
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Hip dysplasia provides a good example of how selection pressure improves the standard, albeit slowly. Let's say we create a scoring system for hips in which 0 represents severe dysplasia and 100 represents perfect hips. In our ACCT, the mean hip score for the population is 55 and the heritability of the trait is believed to be 0.25. To try to improve hip joint morphology in the breed, we mate a stud with a hip score of 88 with a bitch with a score of 92. The average score of the parents is 90, which is 35 points higher than the mean for the breed. Should that produce terriers with great hips? The response to selection (R) is 0.25 × 35, or 8.75. Thus, in the litter produced, the mean hip score for the pups is predicted to be 63.75 (55 + 8.75). We have managed to shift the whole bell‐shaped curve of hip scores to the right, but not by the magnitude you may have expected. Now you see why creating real improvement with polygenic traits takes so long, even when using superior breeding animals.
3.4.11 Bias
In scrutinizing genetic reports in the literature, one must note that study bias is rampant in clinical research, even studies published in peer‐reviewed journals. Nonselection is defined as failure to include a subject or subjects from the population of interest in the experiment or study group; nonresponse is the failure to include a subject or subjects from the study population in the results and analyses of the study. Thus, for a disorder as common as hip dysplasia, prevalence data by breed are often contentious. Because submission of radiographs to most registries is voluntary, owners with dogs that are most likely to have hip dysplasia may see no reason to pay to have the radiographs submitted to the registry, which leads to substantial nonresponse bias and underestimation of the actual prevalence of hip dysplasia in these breeds.
This argument is not far‐fetched. Owners with dogs that have clinical evidence of hip dysplasia are not likely to ask to have radiographs taken because they know their animal will not be certified. Other owners, who have radiographs done thinking their animal is clear and learn that it has hip dysplasia, may elect not to have those reports sent to the registry, so as not to be stigmatized by the results.
Nonselection bias also plagues hip dysplasia statistics. Even if the registry decides to petition a national breed club, such as the ACCT Club, and asks all registrants to participate in a cost‐free hip evaluation plan to gather breed statistics on hip morphology, the potential for bias still exists. If the breed club has a strong policy of encouraging the breeding of only disease‐free dogs, might there not be dog owners who do not agree with those policies and therefore choose to not belong to the club? Or might there not be a sizeable population of owners of the breed who do not belong to the breed club because they are pet owners, not breeders? In any case, results cannot be extrapolated to the entire breed, just the frame selected for study.
Much of the research on which breed statistics for genetic disorders have been based is subject to nonresponse and nonselection bias. When bias is not addressed, readers are left to make their own assumptions on the basis of the results reported.
A better approach is for veterinarians to take a proactive stance and to consider preventive care on a pet‐specific basis whenever possible. In fact, understanding predispositions and risk profiles for individual pets allows veterinarians to create a lifetime care plan for most of their clients, based on the specific risks of each individual patient (see 1.2 Providing a Lifetime of Care), even if risk cannot be completely assessed.
EXAMPLES
A cocker spaniel breeder takes your advice and performs DNA testing for phosphofructokinase deficiency on a prospective breeding pair. The potential sire is clear, but the bitch is determined to be a carrier. What are the odds that this mating will result in affected pups?
Because the sire is clear, he must be homozygous for the normal allele (PP). The bitch, as a carrier, has the heterozygous genotype Pp. A mating of these two would produce roughly 50% homozygotes (PP) and 50% carriers (Pp), but no affected individuals (pp). Given the new technology, which allows genotypic determination for this trait in cocker spaniels, the occurrence of affected individuals can be completely eliminated even when it may be difficult to completely eliminate the recessive allele itself from a population.
The best way to predict disease is to first create a risk profile.
The main risk factors for disease are often attributable to genetics, environmental, and lifestyle characteristics, and existing conditions that can lead to co‐morbidities.
Early detection of disease depends on both genotypic and phenotypic testing.
It is important to realize that it is not possible, or even advisable, to use predictive tests to try to eliminate all deleterious alleles from a breeding line.
Bias exists in most forms of research citing predisposition to disease; the information still has validity, but needs to be appreciated in context.
Abbreviation
DNA Deoxyribonucleic acid
Recommended Reading
1 Ackerman, L. (2011). The Genetic Connection: A Guide to Health Problems in Purebred Dogs, 2e. Lakewood, CO: AAHA Press.
2 Ackerman, L. (2019). The skinny on genes: what you should know about genetic testing. AAHA Trends 35 (6): 39–42.
3 Ackerman, L. (2020). Proactive Pet Parenting: Anticipating pet health problems before they happen. Problem Free Publishing.
4 Baker, L., Muir, P., and Sample, S.J. (2019). Genome‐wide association studies and genetic testing: understanding the science, success, and future of a rapidly developing field. Journal of the American Veterinary Medical Association 255 (10): 1126–1136.
5 Bell, J., Cavanagh, K., Tilley, L., and Smith, F. (2012). Veterinary Medical Guide to Dog and Cat Breeds. Jackson, WY: Teton NewMedia.
6 Shaffer, L.G., Geretshlaeger, A., Ramirez, C.J. et al. (2019). Quality assurance checklist and additional considerations for canine clinical genetic testing laboratories: a follow‐up to the published standards and guidelines. Human Genetics: 501–508.
3.5 Conformation Extremes and the Veterinary Team
Emma Goodman Milne, BVSc, M RCVS
Inde pendent Veterinary Surgeon, France
3.5.1 Summary