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Showing posts with label Canine Illnesses. Show all posts
Showing posts with label Canine Illnesses. Show all posts

Breakthrough In Pain Treatment For Dogs With Osteosarcoma

Between 6000-8000 dogs in the United States receive treatment for Osteosarcoma each year.  Typically a disease of large breed dogs, Osteosarcoma can affect breeds of all sizes.  As the disease progresses, it reshapes normal healthy bone tissue and changes it to tumorous bone.  In dogs as in people, this remodeling process becomes increasingly more painful as the disease progresses, impacting activity levels and quality of life.
Dr. Vladimir Osipov Sarcomaimages.com

The Dorothy Cimino Brown, DVM and Kimberly Agnello DVM University of Pennsylvania Study

Seventy dogs suffering from Osteosarcoma participated in this study.  A variety of breeds were represented including Rottweilers, Golden Retrievers, Labrador Retrieves and various mixed breeds. The average size of the dogs in the study was 90 pounds, and the average age fell between 8 and 9 years.  The study was conducted by splitting the group in half and treating both groups with standard care, while the second group also received a single injection of a Neurotoxin, SP-sap (P-saporin), near the tumor site.

A similar neurotoxin many of us are familiar with is Botox, the anti-wrinkle injection. Botox acts to block signals from the nerves to the muscles, so that the muscles can no longer contract.  When specific muscles cannot contract, the wrinkle appears to soften.

Similarly, SP-sap works by attaching itself to the pain sensing nerves. Once attached, the sap portion kills off the nerve.  The theory is, no more pain sensing nerve then no more pain.

Study Results

Six weeks into the study, 74% of the dogs in the control group (those receiving only standard care) had significant increases in pain levels, and needed to be removed from the control group or "unblinded" in order to have their pain management adjusted.  

In contrast with the control group, only 24% of the dogs in the SP-sap group needed to be "unblinded" for adjustments to their pain management.

Additionally, the dogs in the control group, who were receiving only standard care, experienced a 6% increase in pain severity testing.  The dogs who received the single SP-sap injection experienced no increase in pain severity.

And more encouraging, the dogs in the control group experienced and 8% decreases in how pain interferes with their daily activities, while the SP-sap group had a 5% improvement in their daily activities.

The Implications

As Osteosarcoma afflicts both dogs and people in the same manner, this study is potentially good news for both humans and canines.  Relieving pain is critical to improving the patient's quality of life, response to treatment and the overall patient outcome.  The positive results from this study are likely to spark further investigation into SP-sap and other neurotoxins for pain management of Osteosarcoma as well as other diseases with chronic pain symptoms as well.

To learn more about this study visit: American Society of Anesthesiologists (ASA) (2013, October 23). Chronic pain in dogs with bone cancer relieved with new treatment.

Osteosarcoma in Dogs: Diagnosis, Treatment and Outcomes

Great Dane and Chihuahua Skeletons
Courtesy of Wikimedia Commons

While Osteosarcoma represents just 5% of all canine tumors, it is estimated that between 6000 and 8000 new cases will be diagnosed this year in the United States. As the most common type of bone cancer in dogs, Osteosarcoma accounts for approximately 85% of canine tumors that originate in the skeletal system. This is an aggressive cancer where malignant tumors develop deep within the bone; from there they destroy healthy bone and remodel it with tumorous bone from the inside out.  The tumerous bone becomes increasingly painful and is not as strong as healthy bone, potentially causing the bone to break easily with minor injury.

Risk Factors Associated With Development of Osteosarcoma In Dogs
Osteosarcoma is generally a disease of large breed dogs, and although any size dog may develop the disease, it is estimated that large breeds such as the Scottish Deerhound are 200 times more likely to develop the disease than are toy breeds. High risk breeds include Rottweilers, Deerhounds, Greyhounds, Great Pyrenees and Mastiffs as well as other large breed dogs.  Typical age of onset is 7-10 years of age, however large breeds may develop the disease earlier, in fact there have been large breed cases with diagnosis as early as under one year of age.

Factors that are suspected in increasing risk of developing the disease in addition to breed size include puppy diets that promote rapid puppy growth, spay and neuter, genetics and environmental factors:
  • As tumors are frequently found near growth plates, factors that affect the growth rate and promote rapid growth are suspected in increasing likelihood of developing this cancer. 
  • One long term historical study of Rottweilers showed that the earlier that a puppy was spayed or neutered the more likely it was to develop Osteosarcoma. Casterated males are 65% more likely to develop this cancer than intact males, and spayed females are 35% more likely to develop the disease than intact females.
  • As certain lines of dogs within breeds have an increased propensity for developing this cancer, a genetic component is suspected as well.
  • Fluoridation of drinking water has been linked to the development of Osteosarcoma in studies of both rats and young men in the North Eastern United States.

Diagnosis of Oesteosarcoma
Symptoms of Osteosarcoma will vary based on the location of the primary tumor. As the tumor grows, the affected area becomes increasingly painful. Swelling eventually develops around the tumor and the area is painful to the touch. 
  • Development of a tumor in a leg bone may cause sudden onset lameness or intermittent lameness over a period of several weeks.
  • Dog with tumors in their jaw bones may exhibit difficulty swallowing and/or excessive drooling. 
  • Dogs with cranial or spinal tumors may present with neurologic deficits. 
  • Dogs with pelvic tumors may exhibit difficulty defecating as their primary symptom.

It is important to see a veterinarian as soon as you suspect the disease, as it progresses very rapidly.  In most instances once a diagnosis of Osteosarcoma has been made, it has already micrometastasized to other areas of the body including the lungs and other bones.  Additionally, as the tumorous bone is weaker than normal bone, it can fracture easily.  Pathological fractures resulting from Osteosarcoma will not heal, so it is important to begin treatment as soon as possible.

Diagnosis is initially made by x-ray.  Once a bone tumor is suspected, the veterinarian should take x-rays of the lungs as well to see if the tumor has metastasized to that area.  Prognosis and treatment options will vary greatly if metastasis is evident in the lungs.  The tumor will also be aspirated with a small needle to obtain a sample of the tumor for further analysis and determination of the nature of the tumor.  This procedure does carry a small risk that the aspiration of the tumor could fracture the already weakened bone.

Additionally, the vet may aspirate the lymph nodes or any skin masses, do a full blood panel and perform an abdominal ultrasound in order to determine the spread of the cancer and overall health of the dog.  A bone scan may be performed in order to determine the spread of the disease to other bones and the extent of the tumor in the primary location.

Treatment For Osteosarcoma
The standard of care for the treatment of Osteosarcoma requires that the tumor be removed to prevent further spread of the disease.  In most instances, this means amputation of the affected limb.  Dogs typically respond well to this treatment, however overweight dogs, arthritic dogs or elderly dogs may not be good candidates for amputation. 

If the tumor has not progressed too far, a limb sparing procedure may be attempted.  The most successful procedures are performed where the tumor is on the bone just above the wrist of the dog and the tumor is still relatively small in size. Generally in these procedures, the removed bone must be replaced with bone from another site on the dog or from a bone bank.  Since there is a high complication rate with this procedure and a longer, more involved recovery than an amputation, amputation may eventually be necessary anyway.

In cases where neither amputation nor limb sparing procedures can be performed, the dog may be treated with palliative radiation therapy.  While radiation will not extend the life of the dog, it can be an effective pain management tool to improve the quality of the remaining life of the dog. This treatment provides relief to approximately 75% of the dogs that receive this therapy.  Radiation doses are given 1 to 4 times and are usually administered at one week intervals.

Follow-up to surgical removal of the tumor or limb includes chemotherapy.  In most instances the tumor has already micrometastisized at the time of diagnosis.  Chemotherapy, while not effective in treating tumors with visible signs of existence, is effective at destroying the microscopic disease.

Updated 11/5/13: Breakthrough in Pain Management for Dogs Suffering with Osteosarcoma

Prognosis After Treatment For Osteosarcoma
Following surgery, dogs that do not receive chemotherapy can expect an average life span of an additional 3 months post surgery.  Those treated with chemotherapy may enjoy a median lifespan of one year.  Approximately 50% treated with both surgery and chemotherapy will survive 1 year, less than 30% will survive two years and 10% will make it to 3 years.  While these statistics sound discouraging, it is important to keep in mind that in dog years, and especially in large breeds with shorter life expectancies, an additional year represents between 10-13% of a dog’s total expected life span.

Improving Your Dogs Odds In Preventing Development Of Osteosarcoma
If you have a large breed dog, or are aware that this issue has developed within your dog’s lines, there are some precautions you can take to improve his odds at heading-off or delaying the onset of the disease.
  • Feed your puppy an “all life stages” dog food, and not a specially formulated puppy food that will accelerate growth.
  • Wait until your dog is at least one year old before spaying or neutering him or her.  Leave males intact if you have a well fenced yard and no intact females in the home.
  • Provide spring water for drinking water for your dog; carbon based filters such as PUR and Brita do not remove fluoride.
  • Regularly examine your dog while petting for lumps and sensitive areas as he ages.

15 Warning Signs of Cancer in Dogs



Cancer is increasingly common in pet animals, and as pets age, the likelihood of contracting some form of the disease increases substantially.  In fact, cancer accounts for almost half of the deaths of pets over 10 years of age. 

In breeds like the golden retriever it is estimated that between 60 and 80% will contract a form of cancer. But cancer is not restricted to geriatric canines, dogs as young as 4 years old may be diagnosed with it.

While dogs in general contract cancer at approximately the same rate as humans; cats tend to get fewer cancers, perhaps owing to their nine lives. Some cancers such as Hemangiosarcom and Oesteosarcoma have a higher rate of occurrence within certain breeds, suggesting a genetic component is probably at work.

If your dog’s breed has a propensity for developing a specific type of cancer, it is a good idea to familiarize yourself with the early warning symptoms of the onset of the disease.  Awareness of the signs of cancer in dogs combined with early detection and quick action can significantly improve the outcome for your pet.

sleeping senior dog
By Darnyi Zsóka via Wikimedia Commons

Common Warning Signs of Cancer in Dogs

If you suspect a combination of the following symptoms in your pet, consult your veterinarian promptly; when it comes to the health of your pet, it is always better to be safe now than sorry later.

  1. Foul Odors from the Mouth or Other Orifices: Foul Odors from the Mouth: If you detect offensive odors emanating from your dog’s mouth, and there has been no change in diet, you should have it checked out. Halitosis combined with excessive drooling, difficulty eating or swallowing can be a sign of oral cancer.   Bloody saliva indicates a prompt visit to the vet is in order. Bad odors from the ears, anal area or any other part of your pet’s body, should be checked out as well.  While food allergies, mites, impacted anal glands, infections from bites or scrapes or yeast infections can cause foul odors, it is best to seek veterinary advice to clear up any of these conditions and check for the underlying cause of the odor.
  2. Nasal discharge. This can be a sign of allergies, or especially if discolored or bloody, a symptom of cancer of the nasal and sinus cavities.
  3. Excessive Drooling and Difficulty Eating or Swallowing.  Excessive drooling, especially combined with a strong halitosis merits further investigation.  Anytime a dog has difficulty eating or swallowing you should consult a veterinarian immediately.  
  4. Difficulty Breathing and Coughing. Dogs having difficulty breathing  should be examined immediately.  For both humans and dogs, shortness of breath is a critical symptom.  Heart disease, lung cancer and hemangiosarcoma are potential underlying causes of breathing difficulties.  Early detection of any of these diseases can improve your dog’s prognosis.
  5. Excessive Panting.  It is normal for dogs to pant following exercise (for 20-30 minutes) or in extremely warm conditions.  Prolonged panting however may be a symptom of a severe injury or chronic illness such as heart failure, Cushing's syndrome, pneumonia or lung tumors.  
  6. Loss of Appetite. Dogs usually do not stop eating without a cause.  If your dog suddenly loses his appetite and there has been no change in diet, you should consider a trip to the vet, particularly if it is combined with some of the other symptoms on this list.  While this may not be a symptom of cancer, it could be a symptom of another serious issue where early intervention is beneficial.
  7. Lethargy. Lack of stamina or fatigue developing over a relatively short time frame can be symptoms of cancer.  Beyond normal aging, a dog that over a period of weeks or months that exhibits a noticeable decrease in activity levels should be seen by your veterinarian.  Other possible causes of lethargy and lack of appetite can include parasites such as tapeworms, roundworms, hookworms and whipworms, conditions that you will also want to address quickly.
  8. Depression.  You can’t put your finger on it, but Rover just doesn't seem to be himself.  Depressed dogs don’t seem to take pleasure in their usual activities; they tend to lie down away from the family activities exhibiting a decreased interest in their surroundings.  This can be a symptom of a change in the family dynamic or environment, but if there have been no changes to the family routine, depression combined with a several other symptoms on this list should be noted when discussing your dog’s health with your veterinarian.
  9. Changes in Bathroom Habits. A dog that is normally well house trained begins soiling the house (and there have been no changes in the household dynamics to upset him) or the consistency of the bowel movement is unusual.  This symptom combined with depression were our first clues that something was wrong with our dog Kebe, prior to her being diagnosed with a branching cancerous tumor. Additionally, difficulty using the bathroom, frequent bathroom use or blood in urine or stool are all symptoms indicating a prompt visit to your vet is in order.
  10. Abdominal Distention. If your dog’s abdomen becomes bloated or distended it could be a sign of an accumulation of abnormal discharge within the body. Accumulation of fluids can be indicative of congestive heart failure and cardiac hemangiosarcoma.
  11. Lameness or Difficulty Walking.  Sudden onset of lameness or pain during exercise, when the dog has not engaged in any extreme physical activities can be indicative of arthritis or bone cancer (osteosarcoma).
  12. Weight Loss:  Just as in humans, cancer can cause its victims to lose weight dramatically.  If your pet has experienced weight loss, and you have not adjusted caloric intake or increased activity levels of your pet, then a trip to the vet is indicated.  If you notice sudden weight loss in your dog, along with other signs from this list (especially weight loss combined with decreased activity levels), be sure to mention it to your veterinarian.
  13. Vomiting or Diarrhea.  Vomiting and/or excessive diarrhea that continue for more than a day should be checked out by a vet.  At the very least, the dog may become dehydrated, a condition easily remedied by administration of fluids.  Prolonged vomiting or the inablility to hold down fluids and solids can indicate pancreatitis, kidney disease or digestive cancer.
  14. Lumps That are Unresolved or Growing. Not all lumps on or under your dog’s skin will be cancerous, but they are a cause for concern.  If the lump is growing rapidly, is ulcerated or bleeding, warm or painful to the touch you should consult your veterinarian. While it may just be a cyst, your vet can perform a needle biopsy and a veterinary pathologist can determine if the cells are cancerous or not.
  15. Sores That Don’t Heal. If your pet has wounds or sores that are not healing, it could be a sign of infection, skin disease, diabetes or cancer.
While many items on this list, when exhibited individually, are not cause for concern, an accumulation of 3 or more of these symptoms is reason to visit your veterinarian.

As your pet ages, it is a good idea to routinely examine him by stroking and petting his entire body. Tummy rubs and scratching around the ears and neck can aid in detecting any unusually bumps, and your dog will enjoy it too.  An annual physical examination along with annual laboratory analysis (for elderly pets) can be useful in early detection of a variety of disorders including those that affect the kidney, liver, heart or bowel.

Canine Hip Dysplasia Can Now Be Predicted At Birth By DNA



http://www.flickr.com/photos/dimas_sc/3100685891/
A few breeders and I occasionally have a chuckle over the fact that pet buyers seem to be more concerned with knowing hip scores than are most other breeders.  Perhaps the other breeders have already done their homework on the OFA database or our websites; it certainly appears that the puppy buyers have done their homework regarding finding a reputable breeder. Good for them; that’s the kind of home I like my puppies to go to.

Canine Hip Dysplasia is a physically debilitating disorder that is both emotionally and financial draining for dog owners.  With no cure other than pain management or hip replacement surgery, diagnosis of hip dysplasia is the breeder’s as well as the pet owner’s heartbreak.  Stocky breeds such as the Bulldog and those weighing over 60 pounds such as the St. Bernard experience hip dysplasia rates of up to 72% and 46% respectively.  It is estimated by Cornell University that 22% of canine hospitalizations in the USA are hip dysplasia related. Interestingly, the disease’s occurrence is minimal in sight hounds such as the whippet, saluki, borzoi and greyhound with an average occurrence of just 1-2%.  Border collies fall in the middle range of dysplasia occurrence at around 11%.

For over 40 years, breeders have attempted to minimize the occurrence of canine hip dysplasia (CHD) through the use of phenotypical screening methods.   As a predictive method for removing poor breeding candidates from their breeding programs, responsible breeders have submitted x-rays of mature dogs for hip scoring to institutions such as the OFA, BVA, FCI and University of Pennsylvannia seeking to determine the laxity of the hip joint, and therefore the likelihood of the animal developing CHD as a trait that might be passed on to its progeny.

Various studies of the efficacy of these screening programs have met with mixed results.  Some studies show little to no improvement in the occurrence of CHD. Even in countries, such as Finland, where an enforced threshold of hip scores was applied to registrations, results were varied across breeds, with some breeds demonstrating a lower incidence of CHD and others showing an actual increase in CHD.

Canine hip dysplasia is understood to be influenced by both genetic and environmental factors.  As a polygenetic mode of inheritance has long been suspected, attempts to isolate the genetics of the disease have long been frustrated.  Breeders seeking to improve their lines and their breed have been marginally successful as a whole, despite their best efforts.  Forty years of breeders’ best efforts may call into question the scoring methodologies of the various institutions. 


OFA vs. PennHIP
OFA uses a single radiographic view, the hip-extended view, to determine laxity of the hip joint (a predictive measure of the likelihood of developing CHD).  By contrast, the PennHIP method uses 3 radiographic views (the distraction view, the compression view and the hip-extended view) to determine the laxity of the joint.  A study released in 2010 by the University of Pennsylvania (http://webcanine.com/2010/canine-hip-dysplasia-may-be-underreported/), compared results from dogs scored by both OFA and PennHIP to determine the likelihood of CHD onset. Their findings were disturbing. According to Penn researchers, “Even if breeders were to selectively breed only those dogs having OFA-rated “excellent” hips — the highest ranking but in some breeds, a very small gene pool, the study suggests that 52-100 percent of the progeny, depending on breed, would be susceptible to hip dysplasia based on the Penn Vet scoring method.”  In fact 52% of the dogs with OFA “excellent” scores, 82% of the OFA “good” scores and 95% of the OFA “fair” scores fell below the PennHIP threshold of.3, making them by PennHIP standards susceptible to CHD. (It should be noted that the University of Pennsylvania holds the patent for the PennHIP test, and a financial incentive could exist in their findings).  Could the PennHIP method provide the key to a significant reduction in incidence of CHD?

PennHIP allows for early testing of puppies; they may be tested as early as sixteen weeks, which is still well beyond the typical puppy placement age of around 8 weeks. By contrast, OFA scores may not be obtained until the dog has reached 2 years of age.  As 3 x-ray views are required for the PennHIP testing method, depending on your area of the country, the cost can be substantially greater than OFA testing.  Additionally, the PennHIP method does not currently have the same recognition international as the OFA methodology.  What if a genetic test existed that could predict the likelihood of developing CHD?

Genetic Testing
The canine genome project, begun in June 2003, determined that the canine genome contains approximately 2.5 billion DNA pairs, much like that of humans and other mammals.  In 2004, a preliminary set of about 600,000 single nucleotide polymorphisms (SNPs), which amounts to a SNP roughly every 5,000 DNA base pairs, was released to researchers to aid in the study of genetically transmitted diseases and disorders. Armed with this massive amount of data, researchers at the Department of Animal Science, China Agricultural University,Beijing, China  developed an algorithm that accurately predicts CHD from genomic data.  This means that puppies can be tested prior to weaning, in fact as soon as DNA is available, allowing for poor breeding prospects to be petted-out well before maturity. 

The Beijing researchers’ model was based on 359 dogs in the first sample and 38 dogs in the second sample.  The dogs whose results were used in the study came from the Baker Institute, The Guiding Eyes for the Blind and Cornell University Hospital for Animals (as the 38 dog control group).
They began by developing an Estimated Breeding Value (EBV) of each of the dogs based on 4 criteria: the dog’s Norberg Angle (NA), OFA score, the distraction index (DI) and the dorsolateral subluxation score (DLS). The former two are evaluated from the extended hip projection and are phenotypically as well as genetically correlated while the latter two are evaluated on different x-ray views and are also phenotypically and genetically correlated. It is interesting to note that the researchers believed that no measure alone completely represents hip morphology. In fact, their methodology was the similar to that of the PennHIP with the OFA score thrown in for good measure.  In the final analysis, the Norberg angle (NA) correlated to the OFA score and as most dogs had NAs measured, NA was chosen for this study to determine the EBV. The researchers then used 22,000 SNP’s across the genome and the EBV of the sample dogs to produce the predictive formula, an algorithm, termed the Genomic Breeding Value (GBV). 

Validation of the Formula Methodology:
The researchers performed two types of validations consisting of a cross validation and an independent validation. For the cross validation they used a Jackknife Cross Validation.  This consisted of hiding the dog’s EBV and removing its GBV from the dataset used to create the original predictive formula. The formula was then recalculated by using the EBV and genotype from the other 358 dogs in the study. This process was repeated for each of the 359 dogs. The cross validation performed showed a strong correlation (R>0.7) above 70% between the EBV (phenotype) and the GBV (genetic).
To develop the independent validation, the GBV formula was applied to 38 Labrador retriever dogs with no pedigree relationship to the original 359 dogs from which the GBV formula was derived. Correlations between the predicted GBV and the actual EBV (the physical conformation of the dog) were compared.

The Results:
When 5,000 SNPs out of the original 22,000 SNPs remained in the formula, the correlation was remarkable, above 0.98 or 98%. The researchers then identified the 100-500 most influential SNPs that had provided the most information to the GBV formula. The reduced number of SNPs showed that genomic prediction could remain effective with the most influential 100-500 SNPs chosen from the original 22,000SNPs.  However, as the number of SNPs in the reference panel dropped below 50, the formula became significantly less reliable.

The Beijing researchers expect that a reliable GBV predictive formula for hip conformation will be available for most breeds of interest, “Prediction of CHD from genomic data is feasible, and can be applied for risk management of CHD and early selection for genetic improvement to reduce the prevalence of CHD in breeding programs. The prediction can be implemented before maturity, at which age current radiographic screening programs are traditionally applied, and as soon as DNA is available.” However, phenotypical testing (hip x-ray grading) will continue to be necessary in order to retrain the GBV predictive formula, and thereby refine the accuracy of the genomic predictive model.

While the majority of the 359 dogs used in the study were Labrador retrievers and Lab crosses with Greyhounds, other minor breeds’ hip morphologies were also well predicted by the GBV formula. Therefore, we can expect that multiple breeds will be able to be integrated together into a single genetic test, even though they are from diversified phenotypic and genotypic populations.

Implications:
The possibility of a genetic test for predicting CHD in young puppies raises some interesting ethical questions.  Puppies genetically predisposed to CHD should be removed from breeding programs, but where do they go?  What are the ethics of breeders presenting puppies to pet puppy buyers knowing that they have a strong likelihood (70% or greater) of developing CHD?  Additionally, if the genetic statistics correspond with those of the University of Pennsylvania survey, we are left with a very small gene pool in many breeds.  Add to that other genetic disorders being researched, such as cancer and breed specific issues, and the gene pool of good breeding candidates is likely to grow even smaller.  Relying on a substantially reduced gene pool could have unintended consequences.  Recessive, genetic “trash” could manifest into new, more terrifying health issues. 

These are all questions that are sure to be discussed heatedly as understanding of the canine genome progresses. Once these tests are available to the public, they will have to be financially feasible in order to effectively make an impact on breeding programs.  As we approach this new era in breeding prospect selectivity, perhaps a stepped approach to improving breeding prospects is in order.  Under this approach, initially breeders would breed one dog with a relatively high EBV and GBV to one with a moderate EBV and GBV, and seek to improve the GBV threshold for the sire or dam on each successive generation.  This would be a measured approach, however canine generations evolve very quickly – every 2 years compared with 20 years in humans.  Your thoughts and comments are welcomed!

photo credit: Dimas_ via photopin cc