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Multi-Drug Sensitivity in Rough Collies (MDR1)

 

It is now widely accepted that the Collie breeds (Rough Collies, Smooth Collies, and Border Collies) appear to be hypersensitive to certain toxins (natural or drug-induced) and are more prone to stress-related problems.

The problem first came to light in 1983 when several Collies died from Ivermectin poisoning and, since then, the veterinary profession has accepted this drug should never be given to Collies. More recently a Rough Collie died from eating horse faeces (Ivermectin is used for worming horses and any excess drug passes out with their faeces).

Researchers have since found that approximately 60% of Rough and Smooth Collies appear to be susceptible not only to Ivermectin, but to a wide range of other drug substances. The MDR1 (multi-drug resistant) gene is responsible for ensuring the the body's natural P-glycoprotein functions normally by protecting the body from both environmental toxins and adminstered toxins eg drugs, and acting as a transport mechanism moving substances from cell to cell. P-glycoproteins are normally extensively distributed in the blood-brain and blood-testes barriers as well as major organs such as the liver, kidneys, intestines and placenta. When they are present in the intestinal tract three things normally occur - the substance may be metabolised; it may enter the circulatory system; or it may be passed out of the large intestine with the faeces.

In MDR1-affected dogs the function of the P-glycoprotein is compromised so toxins may leak into the major organs. If these compounds leak across the blood-brain barrier, they enter the central nervous system causing toxic reactions such as excessive salivation, Ataxia, blindness, coma, respiratory problems or even death.

Because of the lack of the P-glycoprotein transporter in the body, an MDR1-affected dog also tends to have a deficiency of Cortisol (a steroid hormone produced by the Adrenal glands). Cortisol is responsible for stress management and the maintenance of an efficient immune system, and a deficiency can therefore lead to stress-related problems such as colitis or inflammatory bowel disease. 

An MDR1 Normal dog (+/+) receives a healthy MDR1 gene from each of its parents and can therefore only pass on healthy genes to its offspring. Such animals do not exhibit drug toxicity.

A ‘Carrier' (+/-) is a dog that has received a normal MDR1 gene from one of its parents, and a defective gene from the other parent. Please bear in mind that a carrier can pass either a normal or a defective gene onto its offspring resulting in approximately 50% of the puppies inheriting a defective MDR1 gene. Unfortunately the dominance of the MDR1 + gene has been found to be incomplete as some ‘carrier' animals also appear to be susceptible to high doses of those drugs that cause problems in MDR1-affected dogs, that is, those with two defective MDR1 genes (-/-).

An Affected dog (-/-) receives a defective MDR1 gene from both its parents, so such dogs will display toxic reactions to a wide range of drug compounds (see list below). A genetic test for MDR1 was introduced in 2007 and it is most important that responsible breeders test their stock and use only Normal (+/+) dogs in their breeding programmes so as to eliminate the defective MDR1 genes as soon as possible.

If you have an MDR1-affected Collie (-/-) you could be in a position to save its life by providing your veterinary surgeon with a copy of its MDR1 Certificate and the list of drug compounds that your Collie should never be given. Of those vets who have already been asked to put MDR1 test results onto a Collie's records, all have been aware of the Ivermectin problem but have had no idea about the broad spectrum of drug compounds that can severely threaten an MDR1-affected dog. Please note there are usually alternative, safe drugs your Collie could be given instead.

The table here shows three classes of drug compounds: Class A includes substances that have been proven to pass through the blood-brain barrier in MDR1-affected dogs and cause problems; Class B lists substances which have shown interactions in animal tests, whereas Class C substances can be given without problems, even to affected dogs:  

 Class A

DO NOT USE in dogs with MDR1 defect.

An affected dog (-/-) carries two MDR1 gene mutations, having received one from each of its parents. It will also  pass on a mutant MDR1 gene to its offspring.

MDR1-affected dogs are likely to experience drug toxicity following normal doses of the drugs listed here:

Anti-Parasitic drugs: 

Ivermectine substances: Diapec®, Ecomectin®, Equimax®,Eqvalan®, Ivomec®, Noromectin®, Paramectin®, Qualimec®, Sumex® & Virbamec®

Doramectine substances: Dectomax®

Moxidectine substances: Cydectin® & Equest®

Loperamide substances (anti-diarrhoea): Immodium®
 


Class B


Toxic reactions have been known to occur so only use under the close supervision of your vet

Cancer treatments (Cytostatics): Vinblastine, Doxorubicine, Paclitaxel, Docetaxel, Methotrexat & Vincristine

Glucocortisoids (steroids commonly used to treat auto-immune diseases): Dexamethason

Immuno-suppressants: Cyclosporine A

Heart glycosides: Digoxine & Methyldigoxine

Antiarrhythmics (heart problems): Verapamil, Diltiazem & Chinidine

Pain control: Morphine & Butorphenol

Anti-emetics (sickness/vomiting): Ondansetron & Domperidon

Antibiotics: Sparfloxacin, Grepafloxicin & Erythromycin

Antihistamines: Ebastin

Tranquillisers & pre-anaesthetic agents: Aceptomazine (ACP) & Butorphenol

Other drugs: Etoposide, Mitoxantrone, Ondanestron, Paclitaxel, Rifampicin
 


Class C


Can be used safely providing the correct dosage is given.

Stronghold®, Advocate® & Milbemax® can be used only in the recommended application and dosage.

The importance of knowing your Collie's MDR1 status cannot be over-emphasised, as you never know when he or she may require surgery and/or drug treatment. If your dog is known to be affected (-/-), you will at least be in a position to inform your vet of the dangers of certain drugs, by printing off the information above.

There are two laboratories offering DNA tests for MDR1 - Laboklin Laboratories of Manchester (UK branch of the Laboklin Company of Bad Kissingen, Germany) and Genomia in the Czech Republic.

The test is carried out using simple buccal (cheek) swabs, which you can easily do yourself. The DNA sample collected identifies genetic normal, affected and carrier animals. Collies can be tested at any age and I now test all my puppies before sale. 

July 2010.

References: Veterinary Clinical Pharmacology Laboratory, Washington State University,

'Ivermectin Revisited', The International Collie Society's Handbook 2004, & 'MDR Update', ICS H'bk 2007/8

www.mdr1-defekt.de  (Sandra Schaffer & Marita Von Dicken's MDR1 database includes MDR1 results from all countries)

 

 

 

©2008 Karibuni Rough Collies