A misplaced war
Dermatomyositis is basically a misguided inflammatory response, like friendly fire. The body is defending itself against an enemy that is no longer there. Previous research by others had suggested that the major histocompatibility complex (MHC), which acts like a forward operating base for the immune system, was associated with dermatomyositis.
But the disease is complex, meaning it has genetic and environmental causes. Many dog owners report that symptoms of dermatomyositis appear after some kind of traumatic event, like being shipped on a plane, driven across country or having a viral infection.
The fact is that dogs often share our human environment — living in our homes, riding in our cars, eating our food, playing in our yards. “So dogs are more likely to be exposed to the same environmental triggers as humans,” Clark says. In many diseases, like cancer or diabetes, “there are lots of things at play that cause a person to develop that disease. The same is true in dogs.”
Clark knew there were environmental triggers; she had to find the genetic guns. While there are some cases of similar diseases in other breeds, full-blown dermatomyositis in dogs is limited to the collie and Shetland sheepdog gene pools. The range of characteristics of the disease also points to several genetic components, as opposed to a simple dominant or recessive genetic disorder. “We knew this was going to be a really hard project from Day One,” Clark says.
Clark started her work on dermatomyositis during a postdoc at Texas A&M in 2004, but the project fizzled, and she turned her attention to the genetic cause of coat patterns. In 2010, after Clark joined the faculty at Clemson, a program officer at the National Institutes of Health told her the NIH didn’t receive many proposals for dermatomyositis research. In other words, this was a proposal that they would be excited to receive.
“We stopped everything and wrote a proposal for dermatomyositis.” In 2010, her team received a grant from the Collie Health Foundation, and she got samples for analysis from the dogs treated at A&M. In 2013, Clark got a grant from the NIH.
Lassie to the rescue!
Clark needed DNA from a lot of dogs for the study because of the complexity of the disease. Fortunately, she says, there are 84 million pet dogs in the United States. Cheek swabs and small blood samples came in from around the world from 160 collies and shelties, dogs who were affected with dermatomyositis and dogs with no history of the disease. Clark and then-doctoral candidate Jacquelyn Evans, who was the lead author of the PLoS paper, compared all 39 pairs of chromosomes in each dog, looking for the smoking gun. (Evans received her PhD in August; she’s now a fellow at the NIH working in a genetics lab.)
“I remember when we saw [the results]. We were speechless. We started looking at the genotypes (the combinations of variations) and writing them down, and it was exciting,” Clark says.
In a graphic illustration of the dogs’ genomes, there’s a large spike on the collie’s at chromosome 10, and two large spikes on the Shetland sheepdog’s, on chromosomes 10 and 31.
The spikes represent genetic mutations in two genes, PAN2 and MAP3K7CL, which are involved in coding proteins — making enzymes and proteins or giving other genes instructions for making proteins. Together with the MHC, the three genes interact to create the disease. They’re the smoking guns.
Now that they know where the mutations are, “we can genotype a dog and know that dog’s individual risk for developing the disease,” Clark says. “We can also take a sire and a dam and look at their genotypes and determine what combinations of alleles, or mutations, the puppies might receive. And so breeders can select mates that will not produce a high-risk puppy.”
It’s information breeders have been hoping for, says Rooksie Noorai, a co-author of the PLoS paper who did her research as a Ph.D. candidate in Clark’s lab. Breeders don’t always know if their dogs have dermatomyositis because the symptoms sometimes don’t develop until after the dogs are bred.
In 2011, Noorai adopted a sheltie, Jessie, with dermatomyositis from a breeder who had contacted Clark. Jessie had symptoms — lesions on her face and tail — and Noorai, now a geneticist in Clemson’s Genomics Institute, was also able to let Jessie contribute to the dermatomyositis study.
Clark’s team has developed a genetic test for collies and shelties that is helping breeders identify dogs who are at high, moderate and low risk of having puppies with the dermatomyositis mutations.
Although this study is a breakthrough in understanding the genetic basis of dermatomyositis, Clark believes there is a lot more to learn about the disease. Future research will focus on dogs with moderate risk genotypes, specifically asking why some moderate-risk dogs develop the disease and others don’t.
Working toward an end
In the TV show, Lassie always came to the rescue. In Clark’s lab, you could say she’s coming to Lassie’s rescue.
“She’s making a difference,” Noorai says. Not only for dogs, but for people. “Dogs make humans’ lives better. Helping dogs helps people,” she says. The research findings with dogs will enable researchers of dermatomyositis in humans to make greater progress as well in determining causes and treatments.
Clark, who has owned two collies — Dr. Watson, her current dog, is a handsome devil with a merle coat resulting from a gene Clark has studied for years — would just as soon not have to do genetic studies for dermatomyositis.
“The end goal,” she says, “is that slowly breeders start eliminating these mutations. Then there won’t be a need to genotype the dog because the disease won’t exist.”