
Juvenile renal dysplasia (JRD), also referred to as juvenile nephropathy,
is an important category of kidney diseases in canines. Dysplasia is defined as abnormal
growth or development of cells or organs. In the case of JRD the kidney fails to
develop properly during embryogenesis in the womb. At birth immature structures consisting
of undifferentiated fetal cells or tissue types are found in the kidney, and are
persistent throughout the life of the animal.
Many breeds of dogs are afflicted with JRD, and this has been documented in both
veterinary text books, as well as case reports and articles in the scientific literature(see:
breeds with rd).
Of note is that JRD in these breeds share a common phenotype, characterized by immature
glomeruli, and/or tubules and persistent mesenchyme. Given the evolution of the domestic
dog it would not be surprising if the disease causing mutation for JRD is conserved
among the various breed. In fact this has been shown to be true for type I von Willebrands
disease, and epilepsy . The recently discovered mutation
for a form of epilepsy in dogs has also been found in wolves.
The morphological features of JRD in dogs differ slightly from those in man, and therefore selection of genes
that are responsible for this disease is somewhat difficult.
During the development of the fetus, certain genes act in a pathway or cascade to
direct the development of the various organs and structures that make up the body
(think of it as dominos:if one domino is missing the other ones wont perform their
task in the array). Since every cell contains two copies of every gene, one non-mutated
copy may be sufficient to complete to cascade (recessive inheritance). The human
genome contains about 20,000 to 25,000 genes, and the canine genome is likely to
contain about the same number. Of these several hundred or more may be dedicated
to the maturation of specific organs. Not all of these “tissue specific” genes are
absolutely essential to the development of specific cell types, as has been shown
in “knockout mice”, where genes have been completely eliminated with no observable
effect on the animal. In the case of renal dysplasia in model organisms such as the
mouse, mutated transcription factors (genes that code for proteins that turn on other
genes) or growth factors (genes that code for proteins that promote the growth of
cells), have been implicated in causing the disease(Ref).
The mode of inheritance of JRD has been widely debated, as this disease can present
itself with a wide range of symptoms and pathological findings. Definitive diagnosis
of JRD is done by a wedge biopsy which reveals dysplastic lesions, including abnormal
ducts, and glomeruli. Individuals with an abnormal biopsy can be asymptomatic, showing
no signs of the disease, On the other hand, they may present with classic signs of
chronic end stage renal failure (4), or somewhere between these two extremes. Given
this broad spectrum of symptoms affected individuals often go unnoticed, and remain
in the breeding population. This is why development of a genetic test is critical
to the management and elimination of this disease. Further a genetic test will shed
light on the mode inheritance.
The purpose of this research is to examine possible candidate genes in the above
categories that are known to be expressed in a spatial and temporal manner in the
developing kidney within the structures that are ultimately affected in animals with
JRD. The ultimate goal is to find a disease causing mutation, and develop a genetic
test for management and elimination of this disease (see : kinds of genetic tests). Only a direct
test is acceptable for proper management of this disease.