Hyperoxaluria, hyperglycoluria and renal oxalosis in Gilbert's potoroos (Potorous gilbertii )

Histological survey for oxalate nephrosis in Victorian koalas (Phascolarctos cinereus)

The Mount Lofty Ranges koala (Phascolarctos cinereus) population in South Australia has a high prevalence of the renal disease oxalate nephrosis, for which an underlying genetic cause is suspected. South Australian koalas primarily originate from those in French Island, Victoria; however, oxalate nephrosis has not previously been reported in Victorian koalas. Examination of kidney tissue sections from 63 koalas across Victoria found that nine koalas were affected by oxalate nephrosis (14.3%). These included 2/5 koalas from French Island (40%), 4/14 koalas from the western regions (29%), 2/11 Raymond Island koalas (18%), and 1/13 Cape Otway koalas (8%). There were no cases of oxalate nephrosis identified in the Strzelecki koalas (n = 12). These findings suggest that oxalate nephrosis occurs in koalas from French Island and populations that have received significant influx of koalas from French Island, but not in the Strzelecki region, which has little to no French Island input. This lends support to the theory that an inherited abnormality of oxalate metabolism could underlie the high prevalence of oxalate nephrosis in the Mount Lofty Ranges koala population, and molecular investigations are currently underway to investigate a genetic cause.

Oxalate-degrading bacteria, including Oxalobacter formigenes, colonise the gastrointestinal tract of healthy koalas (Phascolarctos cinereus) and those with oxalate nephrosis

BACKGROUND

Koalas in the Mount Lofty Ranges, South Australia, have a high prevalence of oxalate nephrosis, or calcium oxalate kidney crystals. Gastrointestinal tract oxalate-degrading bacteria, particularly Oxalobacter formigenes, have been identified in other animal species and humans, and their absence or low abundance is postulated to increase the risk of renal oxalate diseases. This study aimed to identify oxalate-degrading bacteria in the gastrointestinal tract of koalas and determine their association with oxalate nephrosis.

METHODS

Caecal and faecal samples were collected at necropsy from 22 Mount Lofty Ranges koalas that had been euthanased on welfare grounds, with 8 koalas found to have oxalate nephrosis by renal histopathology. Samples were analysed by PCR for the oxc gene, which encodes oxalyl-CoA decarboxylase, and also by Illumina sequencing of the V3-V4 region of the bacterial 16S rRNA gene.

RESULTS

The oxc gene was detected in 100% of koala samples, regardless of oxalate nephrosis status. Oxalobacter formigenes was detected in all but one faecal sample, with no difference in abundance between koalas affected and unaffected by oxalate nephrosis. Other species of known oxalate-degrading bacteria were infrequently detected.

CONCLUSION

This is the first study to identify Oxalobacter and other oxalate-degrading bacterial species in koalas, but an association with oxalate nephrosis and absence or low abundance of Oxalobacter was not found. This suggests other mechanisms underlie the risk of oxalate nephrosis in koalas.

Seasonal variation in occurrence of oxalate nephrosis in South Australian koalas (Phascolarctos cinereus)

Many koalas (Phascolarctos cinereus) in the Mount Lofty Ranges, South Australia, are affected by oxalate nephrosis, in which renal calcium oxalate deposition occurs. In other species, suboptimal water intake increases the risk of urinary calcium oxalate crystal formation. Koalas principally rely on eucalypt leaf moisture content to maintain hydration but the Mount Lofty Ranges region has hot, dry summers. This study investigates the association between temperature, rainfall and eucalypt leaf moisture and the occurrence of oxalate nephrosis in this population of koalas. Koalas from the Mount Lofty Ranges population that had died or were euthanased between 2008 and 2016 were necropsied and oxalate nephrosis was determined by histopathology (n=50). Leaf moisture content of Mount Lofty eucalypts was determined seasonally. It was found that increased numbers of koalas with oxalate nephrosis died in the months following high mean maximal temperature and in the months following low rainfall. Eucalypt leaf moisture content was not significantly associated with koala deaths. These findings suggest that hot and dry summer/autumn periods contribute to an increased incidence of koala deaths due to oxalate nephrosis. This is probably due to the effects of evaporative water loss and/or lack of access to supplementary drinking water at this time.