Peer-reviewed veterinary case report
How a dog's glucocorticoid receptor mutation affects steroid response
By Yamanaka, Kosei et al.·Published in BMC veterinary research·2019·Joint Faculty of Veterinary Medicine, Japan·View original on PubMed →
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Original publication title: Functional characterization of canine wild type glucocorticoid receptor and an insertional mutation in a dog.
- Species:
- dog
Plain-English summary
A dog with suspected iatrogenic Cushing syndrome (a condition caused by excessive glucocorticoid use) was found to have a mutation in its glucocorticoid receptor (GR), which is important for how the body responds to these medications. This mutation resulted in a shorter GR that reacted poorly to prednisolone, a common glucocorticoid treatment. While the exact impact of this mutation on the dog's health isn't fully understood, it highlights that some dogs may respond differently to glucocorticoids due to genetic variations. Understanding these differences can help veterinarians tailor treatments for individual dogs.
People also search for: dog Cushing syndrome symptoms · glucocorticoid sensitivity in dogs · prednisolone side effects in dogs
Abstract
BACKGROUND: Glucocorticoids, among the most widely utilized drugs in veterinary medicine, are employed to treat a wide variety of diseases; however, their use often induces adverse events in dogs. The efficacy of glucocorticoids usually depends on dosage, although differences in sensitivity to glucocorticoids in individual animals have been reported. Glucocorticoids bind to the cytoplasmic glucocorticoid receptor (GR), which is expressed in almost all cells. These receptors are key factors in determining individual sensitivity to glucocorticoids. This study examined individual differences in glucocorticoid sensitivity in dogs, focusing on reactivity of the GR to prednisolone. RESULTS: We first molecularly cloned the GR gene from a healthy dog. We discovered a mutant GR in a dog suspected to have iatrogenic Cushing syndrome. The mutant GR had extra nucleotides between exons 6 and 7, resulting in a truncated form of GR that was 98 amino acids shorter than the wild-type dog GR. The truncated GR exhibited very low reactivity to prednisolone, irrespective of concentration. CONCLUSIONS: We have identified the truncated form of canine GR in a dog with iatrogenic Cushing syndrome. This truncated form showed the very less sensitivity to glucocorticoid in vitro, unfortunately, we could not elucidate its clinical significance. However, our data is a first report about the function of canine GR, and will facilitate the analysis of canine glucocorticoid sensitivity.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31651346/