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Spada E, Galluzzo P, Torina A, Loria GR, Perego R, Grippi F, Blanda V, Baggiani L, D'Amico A, Pennisi MG, Helps CR, Malik R, Westman M, Gandolfi B, Spencer S, Proverbio D, Tasker S. Evaluating the association between blood genotype or phenotype and haemoplasma infection in UK and Italian cats. Vet Rec 2022:e2282. [PMID: 36222468 DOI: 10.1002/vetr.2282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 08/29/2022] [Accepted: 09/21/2022] [Indexed: 11/08/2022]
Abstract
BACKGROUND In humans, blood groups are associated with varying prevalence of infections. The aim of this study was to determine if associations exist between the feline AB blood group system and haemoplasma infection. METHODS Data from two studies were combined. In the first study, DNA samples from 131 haemoplasma-infected and 132 haemoplasma-uninfected UK cats underwent pyrosequencing to determine their blood genotype as AA, Ab or bb. In the second study, blood samples from 160 Italian cats of known blood phenotype A, B or AB underwent PCR testing for feline haemoplasma species DNA. RESULTS Haemoplasma infection was demonstrated in cats of all phenotypes and genotypes. A significantly higher number of Ab genotype cats tested positive for overall haemoplasma infection status (p = 0.04) and for Mycoplasma haemofelis infection (p = 0.03). LIMITATIONS Haemoplasma-infected Italian cats were few, possibly increasing the chance of type II error, and the presence of purebred cats in the sample population may have had a confounding effect. CONCLUSIONS Feline haemoplasmas do not appear to preferentially use either blood type A or B antigens as attachment sites for erythrocyte colonisation. Further investigations in a larger number of haemoplasma-infected cats of known blood phenotype are warranted to explain the association between genotype Ab and haemoplasma infection.
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Affiliation(s)
- Eva Spada
- Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Paola Galluzzo
- Istituto Zooprofilattico Sperimentale della Sicilia 'Adelmo Mirri', Palermo, Italy
| | - Alessandra Torina
- Istituto Zooprofilattico Sperimentale della Sicilia 'Adelmo Mirri', Palermo, Italy
| | - Guido R Loria
- Istituto Zooprofilattico Sperimentale della Sicilia 'Adelmo Mirri', Palermo, Italy
| | - Roberta Perego
- Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Francesca Grippi
- Istituto Zooprofilattico Sperimentale della Sicilia 'Adelmo Mirri', Palermo, Italy
| | - Valeria Blanda
- Istituto Zooprofilattico Sperimentale della Sicilia 'Adelmo Mirri', Palermo, Italy
| | - Luciana Baggiani
- Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Alessia D'Amico
- Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Maria G Pennisi
- Department of Veterinary Sciences, University of Messina, Messina, Italy
| | - Chris R Helps
- Langford Vets, Bristol Veterinary School, University of Bristol, Langford, UK
| | - Richard Malik
- Centre for Veterinary Education, University of Sydney, Sydney, New South Wales, Australia.,School of Veterinary and Animal Science, Charles Sturt University, Wagga Wagga, New South Wales, Australia
| | - Mark Westman
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, Australia
| | - Barbara Gandolfi
- Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, Missouri, USA
| | - Sarah Spencer
- Comparative Biological Sciences, Royal Veterinary College, London, UK.,Bristol Veterinary School, University of Bristol, Bristol, UK
| | - Daniela Proverbio
- Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Séverine Tasker
- Bristol Veterinary School, University of Bristol, Bristol, UK.,Linnaeus Veterinary, Shirley, UK
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2
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Spada E, Jung H, Proverbio D, Perego R, Baggiani L, Ciuti S, Sharp CR, Nash KJ, Westman M, Lait PJP, Davidow EB. Lack of association between feline AB blood groups and retroviral status: a multicenter, multicountry study. J Feline Med Surg 2022; 24:e194-e202. [PMID: 35635064 PMCID: PMC10812261 DOI: 10.1177/1098612x221100082] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/21/2022] [Indexed: 05/16/2024]
Abstract
OBJECTIVES The relationship between blood group antigens and disease has been studied in humans. Blood types have been associated with both decreased and increased rates of various infections. In addition, blood group expression has been shown to vary with some cancers and gastrointestinal diseases. The objective of this study was to explore whether there is a relationship between blood type and retroviral infections in cats. METHODS Case records from a veterinary research laboratory, veterinary teaching hospitals and veterinary blood banks were retrospectively searched for cats where both blood type and retroviral status (feline leukemia [FeLV], feline immunodeficiency virus [FIV] or both) were listed (part 1). In addition, a sample of 33 cats with confirmed FIV infection was genotyped to determine blood groups (part 2). RESULTS In part 1, 709 cats were identified, 119 of which were positive for retroviral infection. Among all cases, 621 were type A (87.6%), 68 were type B (9.6%) and 20 were type AB (2.8%). There was no relationship between overall retroviral status (positive/negative) and blood type (P = 0.43), between FeLV status and blood type (P = 0.86) or between FIV status and blood type (P = 0.94). There was no difference in the distribution of blood types between cats that were healthy and typed as possible blood donors vs sick cats that were typed prior to a possible transfusion (P = 0.13). In part 2, of the 33 FIV-infected cats, all blood group genotypes were identified, although this test did not discriminate type A from type AB. CONCLUSIONS AND RELEVANCE No relationship was identified between feline retroviral status and blood type in this study. The relationship between blood type and other disease states requires further study in veterinary patients.
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Affiliation(s)
- Eva Spada
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Hyein Jung
- Veterinary Clinical Sciences, Washington State University, Pullman, WA, USA
| | - Daniela Proverbio
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Roberta Perego
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Luciana Baggiani
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Silvia Ciuti
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine and Animal Sciences (DIVAS), University of Milan, Lodi, Italy
| | - Claire R Sharp
- School of Veterinary Medicine, Murdoch University, Perth, Australia
| | - Katherine J Nash
- School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia
| | - Mark Westman
- Sydney School of Veterinary Science, The University of Sydney, Sydney, NSW, Australia
| | - Philippa JP Lait
- Molecular Diagnostic Unit, Diagnostic Laboratories, Langford Vets, Langford, Bristol, UK
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3
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Anderson H, Davison S, Lytle KM, Honkanen L, Freyer J, Mathlin J, Kyöstilä K, Inman L, Louviere A, Chodroff Foran R, Forman OP, Lohi H, Donner J. Genetic epidemiology of blood type, disease and trait variants, and genome-wide genetic diversity in over 11,000 domestic cats. PLoS Genet 2022; 18:e1009804. [PMID: 35709088 PMCID: PMC9202916 DOI: 10.1371/journal.pgen.1009804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 05/06/2022] [Indexed: 11/30/2022] Open
Abstract
In the largest DNA-based study of domestic cats to date, 11,036 individuals (10,419 pedigreed cats and 617 non-pedigreed cats) were genotyped via commercial panel testing elucidating the distribution and frequency of known disease, blood type, and physical trait associated genetic variants across cat breeds. This study provides allele frequencies for many disease-associated variants for the first time and provides updates on previously reported information with evidence suggesting that DNA testing has been effectively used to reduce disease associated variants within certain pedigreed cat populations over time. We identified 13 disease-associated variants in 47 breeds or breed types in which the variant had not previously been documented, highlighting the relevance of comprehensive genetic screening across breeds. Three disease-associated variants were discovered in non-pedigreed cats only. To investigate the causality of nine disease-associated variants in cats of different breed backgrounds our veterinarians conducted owner interviews, reviewed clinical records, and invited cats to have follow-up clinical examinations. Additionally, genetic variants determining blood types A, B and AB, which are relevant clinically and in cat breeding, were genotyped. Appearance-associated genetic variation in all cats is also discussed. Lastly, genome-wide SNP heterozygosity levels were calculated to obtain a comparable measure of the genetic diversity in different cat breeds. This study represents the first comprehensive exploration of informative Mendelian variants in felines by screening over 10,000 pedigreed cats. The results qualitatively contribute to the understanding of feline variant heritage and genetic diversity and demonstrate the clinical utility and importance of such information in supporting breeding programs and the research community. The work also highlights the crucial commitment of pedigreed cat breeders and registries in supporting the establishment of large genomic databases, that when combined with phenotype information can advance scientific understanding and provide insights that can be applied to improve the health and welfare of cats. Domestic cats are one of the world’s most popular companion animals, of which pedigreed cats represent small unique subpopulations. Genetic research on pedigreed cats has facilitated discoveries of heritable conditions resulting in the availability of DNA testing for studying and managing inherited disorders and traits in specific cat breeds. We have explored an extensive study cohort of 11,036 domestic cat samples representing pedigreed cats of 90 breeds and breed types. This work provided insight into the heritage of feline disease and trait alleles. We gained knowledge on the most common and relevant genetic markers for inherited disorders and physical traits, and the genetic determinants of the clinically relevant AB blood group system. We also used a measure of genetic diversity to compare inbreeding levels within and between breeds. This information can help support sustainable breeding goals within the cat fancy. Direct-to-consumer genetic tests help to raise awareness of various inherited single gene conditions in cats and provide information that owners can share with their veterinarians. In due course, ventures of this type will enable the genetics of common complex feline disease to be deciphered, paving the way for precision healthcare with the potential to ultimately improve welfare for all cats.
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Affiliation(s)
- Heidi Anderson
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
- * E-mail:
| | - Stephen Davison
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Katherine M. Lytle
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Leena Honkanen
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Jamie Freyer
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Julia Mathlin
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Kaisa Kyöstilä
- Department of Medical and Clinical Genetics, University of Helsinki, Helsinki, Finland
- Department of Veterinary Biosciences, University of Helsinki, Helsinki, Finland
- Folkhälsan Research Center, Helsinki, Finland
| | - Laura Inman
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Annette Louviere
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Rebecca Chodroff Foran
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Oliver P. Forman
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
| | - Hannes Lohi
- Department of Medical and Clinical Genetics, University of Helsinki, Helsinki, Finland
- Department of Veterinary Biosciences, University of Helsinki, Helsinki, Finland
- Folkhälsan Research Center, Helsinki, Finland
| | - Jonas Donner
- Wisdom Panel Research Team, Wisdom Panel, Kinship, Portland, Oregon, United States of America
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4
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Cannavino A, LeVine D, Blais MC. Characterization of post-transfusion anti-FEA 1 alloantibodies in transfusion-naive FEA 1-negative cats. J Feline Med Surg 2022; 24:e124-e130. [PMID: 35510900 PMCID: PMC9160940 DOI: 10.1177/1098612x221094502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Objectives The aim of this study was to characterize anti-feline erythrocyte antigen (FEA) 1 alloantibodies following sensitization of FEA 1-negative cats, including their rate of appearance, agglutination titer over time and immunoglobulin class. A secondary aim was to obtain polyclonal anti-FEA 1 alloantibodies to increase the availability of FEA 1 blood typing. We also describe a case study documenting an acute hemolytic transfusion reaction in a transfusion-naive FEA 1-negative feline patient that received FEA 1-positive blood. Methods In this prospective clinical study, 35 cats with blood group type A underwent extensive blood typing for FEA 1–5. Two cats were identified as FEA 1-negative; these cats were transfused uneventfully with 50 ml of FEA 1-positive, but otherwise compatible, packed red blood cells. Post-transfusion blood samples were collected routinely as long as anti-FEA 1 alloantibodies were detected. Appearance of anti-FEA 1 alloantibodies was detected using a gel column crossmatch method. Results Anti-FEA 1 alloantibodies were detected as early as 5 days post-transfusion and remained detectable for over 400 days in one cat. Agglutination titers in both cats were relatively weak (1:1 to 1:8). The main immunoglobulin class was IgM. Conclusions and relevance Transfusion of FEA 1-negative, transfusion-naive cats with FEA 1-positive blood results in production of post-transfusion anti-FEA 1 alloantibodies as early as 5 days post-transfusion. Our results confirm the potential immunogenicity of FEA 1 and support crossmatching prior to a blood transfusion, even in transfusion-naive cats. Further studies are needed to better document the clinical importance of these post-transfusion antibodies, as well as to facilitate routine blood typing for the FEA 1 antigen in cats.
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Affiliation(s)
- Alyssa Cannavino
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Dana LeVine
- Department of Clinical Sciences, Bailey Small Animal Teaching Hospital, College of Veterinary Medicine, Auburn University, Auburn, AL, USA
| | - Marie-Claude Blais
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
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5
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Feline Blood Groups: A Systematic Review of Phylogenetic and Geographical Origin. Animals (Basel) 2021; 11:ani11123339. [PMID: 34944117 PMCID: PMC8698024 DOI: 10.3390/ani11123339] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 11/18/2021] [Accepted: 11/21/2021] [Indexed: 11/24/2022] Open
Abstract
Simple Summary Numerous breeds have been identified in the domestic cat, grouped according to their phylogenetic or geographical origin. In the cat, the AB blood group system is the most important feline system, and the determination of the blood group by specific methods is an essential step to avoid or reduce the risk of an adverse reaction in the recipient patient. Many studies have been published on the distribution and prevalence of blood types in pedigree and non-pedigree cats, but the information has never been collated in a systematic manner. Abstract Domestic cats descended from the African wildcat several thousand years ago. Cats have spread to all parts of the world, probably along routes between civilizations or geographical boundaries, leading to the movement of species, from Asia to the African continent through the Mediterranean basin, and finally to the American continent, Australia, and New Zealand. Currently, 73 cat breeds are recognized by the International Cat Association. With the increasing interest in the selection of breeds, the determination of blood groups in cats has acquired importance over time. The AB blood group system is the most important blood system in cats, in which A, B, and AB or C blood groups are identified. This systematic review describes data from previously published reports about cat blood types and cat breeds. After applying specific criteria, 28 eligible studies were identified in which the prevalence percentages for each blood group in correlation with specific cat breeds were reported. The breeds were, in turn, divided into four groups according to their geographic and phylogenetic origins as follows: Asian cat breeds, American cat breeds, European cat breeds, and breeds from Oceania. Although numerous studies were carried out before 2021, gaps in the literature on the AB system and, in particular, the Mik group are highlighted.
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6
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Uno Y, Yaguchi M, Kobayashi T, Onozawa E, Ochiai K, Yoshida K, Nakamura C, Udagawa C, Omi T. Phenotypic and Genetic Characterization for Incompatible Cross-Match Cases in the Feline AB Blood Group System. Front Vet Sci 2021; 8:720445. [PMID: 34589535 PMCID: PMC8473794 DOI: 10.3389/fvets.2021.720445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 08/13/2021] [Indexed: 11/13/2022] Open
Abstract
The feline AB blood group system (blood types A, B, and AB) encoding the cytidine monophosphate-N-acetylneuraminic acid hydroxylase (CMAH) gene is the most significant in transfusion medicine and hemolysis of the newborn for cats. Blood typing and cross-matching in pre-transfusion testing are crucial to determining blood compatibility and thus prevent hemolytic transfusion reactions. We here performed serological and genetic investigations to characterize blood samples from cats with discordant results for card agglutination (CARD) and the alloantibody agglutination test for blood typing in two cats (subjects K and R). Subject K showed incompatible cross-matching in pre-transfusion testing. Red blood cells from subjects K and R determined blood type B from the CARD method showed blood type AB by alloanti-A and alloanti-B antibodies in agglutination testing. Genomic DNA sequencing of the coding region (exons 1a to 14) for the cat CMAH gene showed that subject K had four mutations with heterozygosity at c.139C>T, c.179G>T, c.327A>C, and c.364C>T. Similarly, the CMAH gene of subject R carried six mutations with heterozygosity at c.142G>A, c.187A>G, c.268T>A, c.327A>C, c.773G>A and c.1603G>A, representing a new diplotype including a novel synonymous single nucleotide polymorphism (SNP) in exon 7 (c.773 G>A: Arg258Gln). The CMAH diplotype in subjects K and R was different from major diplotype in blood type B cats. This study is the first to report CMAH variants in cats with discordant blood types between CARD and TUBE methods. These results could assist in the classification of feline AB blood types for transfusion medicine to avoid blood incompatibilities.
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Affiliation(s)
- Yumiko Uno
- Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Masami Yaguchi
- Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | | | - Eri Onozawa
- Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Kazuhiko Ochiai
- Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan.,Research Center for Animal Life Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Karin Yoshida
- Veterinary Medical Teaching Hospital, Nippon Veterinary and Life Science University, Tokyo, Japan
| | | | - Chihiro Udagawa
- Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Toshinori Omi
- Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan.,Research Center for Animal Life Science, Nippon Veterinary and Life Science University, Tokyo, Japan
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7
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Sangkaew T, Pengpis S, Ritthikulprasert S. The frequency of feline AB blood types and the risk of incompatibility reactions in Bangkok, Thailand, and vicinities. Vet Clin Pathol 2021; 50:198-202. [PMID: 34031915 DOI: 10.1111/vcp.12957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Revised: 07/30/2020] [Accepted: 08/21/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Mismatched blood transfusions and neonatal isoerythrolysis (NI) are life-threatening conditions in cats. The distribution of feline blood types, which varies geographically, can estimate the risks of mismatched transfusion reactions and NI due to random mating. OBJECTIVES The objectives were to determine the frequency of feline AB blood types in Bangkok, Thailand, and surrounding vicinities and calculate the risks of transfusion reactions and NI in domestic shorthair (DSH) cats. METHODS A standard tube method was performed to analyze the A/B antigen on erythrocytes. Reverse typing was performed to confirm blood types B and AB. RESULTS Domestic shorthair (n = 229) and purebred (n = 91) cats were prospectively recruited from 39 districts in Bangkok and 11 districts in four nearby provinces. Overall, 97.5% and 2.5% of the cats were type A and type B, respectively. No cats were type AB. All DSH cats were type A. Type B blood was found in 17.1% of Persian and 4% of Scottish Fold cats. Due to the blood type frequencies in DSH cats, the potential risk of major transfusion reactions, minor transfusion reactions, or NI was 0%. CONCLUSIONS This is a large study of feline blood types in Bangkok and vicinities. Type A blood was predominant in DSH cats and associated with a minimal risk for mismatched transfusion reactions and NI. Blood types A and B were found in Persian and Scottish Fold cats. Blood typing is mandatory for blood transfusion procedures and breeding purposes in cat populations.
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Affiliation(s)
- Teerawee Sangkaew
- Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Siwaporn Pengpis
- Chula Feline Center, Small Animal Teaching Hospital, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Sukullaya Ritthikulprasert
- Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand.,Chula Feline Center, Small Animal Teaching Hospital, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
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8
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Taylor S, Spada E, Callan MB, Korman R, Leister E, Steagall P, Lobetti R, Seth M, Tasker S. 2021 ISFM Consensus Guidelines on the Collection and Administration of Blood and Blood Products in Cats. J Feline Med Surg 2021; 23:410-432. [PMID: 33896248 PMCID: PMC10741281 DOI: 10.1177/1098612x211007071] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
PRACTICAL RELEVANCE Blood and blood products are increasingly available for practitioners to use in the management of haematological conditions, and can be lifesaving and therapeutically useful for patients with anaemia and/or coagulopathies. It is important for feline healthcare that donors are selected appropriately, and transfusions of blood or blood products are given to recipients that will benefit from them. Complications can occur, but can be largely avoided with careful donor management and recipient selection, understanding of blood type compatibility, and transfusion monitoring. CLINICAL CHALLENGES Feline blood transfusion, while potentially a lifesaving procedure, can also be detrimental to donor and recipient without precautions. Cats have naturally occurring alloantibodies to red cell antigens and severe reactions can occur with type-mismatched transfusions. Blood transfusions can also transmit infectious agents to the recipient, so donor testing is essential. Finally, donors must be in good health, and sedated as appropriate, with blood collected in a safe and sterile fashion to optimise the benefit to recipients. Transfusion reactions are possible and can be mild to severe in nature. Autologous blood transfusions and xenotransfusions may be considered in certain situations. EVIDENCE BASE These Guidelines have been created by a panel of authors convened by the International Society of Feline Medicine (ISFM), based on available literature. They are aimed at general practitioners to provide a practical guide to blood typing, cross-matching, and blood collection and administration.
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Affiliation(s)
| | - Eva Spada
- Veterinary Transfusion Research Laboratory
(REVLab), Department of Veterinary Medicine (DIMEVET), University of Milan,
Italy
| | - Mary Beth Callan
- Department of Clinical Sciences and Advanced
Medicine, School of Veterinary Medicine, University of Pennsylvania,
USA
| | - Rachel Korman
- Cat Specialist Services, Underwood, Queensland,
Australia
| | - Ellie Leister
- Pet Intensive Care Unit, Underwood, Queensland,
Australia
| | - Paulo Steagall
- Department of Clinical Sciences, Faculty of
Veterinary Medicine, Universite de Montréal, QC, Canada
| | - Remo Lobetti
- Bryanston Veterinary Hospital, Johannesburg,
South Africa
| | | | - Séverine Tasker
- Bristol Veterinary School, University of
Bristol, Langford, UK; and Linnaeus Group, Shirley, UK
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9
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Can H, Erkunt Alak S, Köseoğlu AE, Şahar U, Bostanbaş B, Baydarlı S, Döşkaya M, Ün C. Molecular characterization of cytidine monophospho-N-acetylneuraminic acid hydroxylase (CMAH) gene and frequency of blood types in stray cats of İzmir, Turkey. BMC Genomics 2021; 22:282. [PMID: 33874895 PMCID: PMC8054402 DOI: 10.1186/s12864-021-07588-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Accepted: 04/07/2021] [Indexed: 11/16/2022] Open
Abstract
Background Cytidine monophospho-n-acetylneuraminic acid hydroxylase (CMAH) gene associated with blood groups in cats encodes CMAH enzyme that converts Neu5Ac to Neu5Gc. Although variations in CMAH gene of pedigree cats have been revealed, the presence/lack of them in non-pedigree stray cats is unknown. Therefore, the present study aimed to investigate the variations in CMAH gene and the quantity of Neu5Ac and Neu5Gc on erythrocytes of non-pedigree stray cats (n:12) living in İzmir, Turkey. Also, the frequency of blood types was determined in 76 stray cats including 12 cats that were used for CMAH and Neu5A/Neu5Gc analysis. Results In total, 14 SNPs were detected in 5’UTR as well as in exon 2, 4, 9, 10, 11 and 12 of CMAH gene. Among these SNPs, -495 C > T in 5’UTR was detected for the first time as heterozygous in type A and AB cats, and homozygous and heterozygous in type B cats. The remaining 13 that have been detected in previous studies were also found as homozygous or heterozygous. Both Neu5Gc and Neu5Ac were detected in type A and AB cats. In type B cats, only Neu5Ac was detected. Among two type AB cats, the level of Neu5Ac was found higher in cat carrying heterozygous form (T/C) of 1392T > C. The prevalence of type B cats (67.1 %) was higher than others. Conclusions The presence of a new SNP as well as previous SNPs indicates that more variations can be found in stray cats with a more comprehensive study in the future. Also, the high prevalence of type B cats demonstrates the possible risk of neonatal isoerythrolysis among stray cats living in İzmir, Turkey.
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Affiliation(s)
- Hüseyin Can
- Faculty of Science Department of Biology Molecular Biology Section, Ege University, Bornova, 35040, İzmir, Turkey
| | - Sedef Erkunt Alak
- Faculty of Science Department of Biology Molecular Biology Section, Ege University, Bornova, 35040, İzmir, Turkey
| | - Ahmet Efe Köseoğlu
- Faculty of Science Department of Biology Molecular Biology Section, Ege University, Bornova, 35040, İzmir, Turkey
| | - Umut Şahar
- Faculty of Science Department of Biology Molecular Biology Section, Ege University, Bornova, 35040, İzmir, Turkey
| | - Berna Bostanbaş
- Department of Veterinary Affairs, Municipality of Narlıdere, İzmir, Turkey
| | - Serdar Baydarlı
- Department of Veterinary Affairs, Municipality of Narlıdere, İzmir, Turkey
| | - Mert Döşkaya
- Faculty of Medicine, Department of Parasitology, Ege University, Bornova, İzmir, Turkey
| | - Cemal Ün
- Faculty of Science Department of Biology Molecular Biology Section, Ege University, Bornova, 35040, İzmir, Turkey.
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10
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Binvel M, Arsenault J, Depré B, Blais MC. Identification of 5 novel feline erythrocyte antigens based on the presence of naturally occurring alloantibodies. J Vet Intern Med 2020; 35:234-244. [PMID: 33336860 PMCID: PMC7848337 DOI: 10.1111/jvim.16010] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 12/06/2020] [Accepted: 12/07/2020] [Indexed: 11/29/2022] Open
Abstract
Background Since the discovery of the Mik antigen, several studies have described blood incompatibilities unrelated to the AB system in cats. Objective To estimate the prevalence of cats with non‐AB incompatibilities associated with naturally occurring alloantibodies (NOAb), and to begin mapping the corresponding feline erythrocyte antigens (FEA). Animals Two hundred and fifty‐eight type A cats. Methods Prospectively, cats were evaluated for the presence of NOAb by crossmatching in groups of 4‐6 cats. When NOAb were detected in a cat, its plasma was used as reagent to assess for the presence of the corresponding FEA in all cats included thereafter, and agreement observed between results of this extensive blood typing was evaluated. Results The chance of detecting incompatibilities by randomly crossmatching 2 cats was 3.9%, which resulted in at least 7% of type A cats having NOAb. Blood typing and agreement analyses performed with 7 newly detected NOAb allowed the identification of 5 presumably distinct FEA. Feline erythrocyte antigens 1 and 5 were most frequent with prevalence of 84% and 96%, respectively. Only FEA 1‐negative status was associated with a higher risk of presenting NOAb; with 16.7% of 42 FEA 1‐negative cats having NOAb compared to 5.1% of 216 FEA 1‐positive cats. Conclusions and Clinical Importance This study represents a first step of FEA identification outside the AB system. Because of its prevalence and association with NOAb, FEA 1 might correspond to the Mik antigen.
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Affiliation(s)
- Marie Binvel
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Canada
| | - Julie Arsenault
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Canada
| | - Boris Depré
- Emergency and Critical Care, Adomvet, Lyon, France
| | - Marie-Claude Blais
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Canada
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Tommaso MD, Miglio A, Crisi PE, Boari A, Rocconi F, Antognoni MT, Luciani A. Frequency of Blood Types A, B and AB in a Population of Non-Pedigree Domestic Cats from Central Italy. Animals (Basel) 2020; 10:ani10101937. [PMID: 33096858 PMCID: PMC7589244 DOI: 10.3390/ani10101937] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 10/01/2020] [Accepted: 10/20/2020] [Indexed: 02/06/2023] Open
Abstract
Simple Summary This study aimed to evaluate the frequency of AB blood groups in non-pedigree domestic cats in Central Italy. The presence of natural alloantibodies in the feline blood group system can cause life-threatening transfusion reactions due to mismatched transfusion and, depending on the parents’ blood type, can also account for hemolytic reactions in newborn kittens. Based on the frequency of the AB blood groups found in the 483 cats studied, a potential risk (6.5%) of acute hemolytic transfusion or neonatal reactions was calculated. Therefore, determining the blood group in non-pedigree domestic cats from Central Italy before transfusion is strongly recommended, as has been reported for other geographical areas. Moreover, particular attention should be paid to the mating of non-purebred cats. Abstract Blood transfusion reactions and neonatal isoerythrolysis are common events in the feline population due to the presence of natural alloantibodies in the AB blood group system. It is known that the frequency of feline blood types varies according to the geographic region and breed. Therefore, the aims of this study were to investigate the frequency of AB blood groups in non-pedigree domestic cats in Central Italy and estimate the risk of a life-threatening transfusion reaction and neonatal isoerythrolysis, caused by mismatched transfusion or incompatible random mating, respectively. The AB blood group was determined on non-pedigree domestic feline patients and potential blood donors submitted at the Veterinary Teaching Hospitals of the Universities of Teramo (Abruzzo Region, Teramo, Italy) and Perugia (Umbria Region, Teramo, Italy), and visited at veterinary practitioners in Rome (Lazio Region, Teramo, Italy) using commercial immunochromatographic cartridges and commercial agglutination cards. There were four hundred and eighty-three cats included in the study. The frequencies of the blood types were: 89.9% type A, 7.0% type B, and 3.1% type AB. The probability of an acute hemolytic transfusion reaction or a neonatal isoerythrolysis was 6.5%. Although the frequency of type B in non-pedigree domestic cats living in Central Italy was relatively low, to reduce the risk of fatal transfusion reactions, blood group typing is recommended before each transfusion.
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Affiliation(s)
- Morena Di Tommaso
- Faculty of Veterinary Medicine, Veterinary University Hospital, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (P.E.C.); (A.B.); (F.R.); (A.L.)
- Correspondence: (M.D.T.); (A.M.)
| | - Arianna Miglio
- Department of Veterinary Medicine, University of Perugia, 06100 Perugia, Italy;
- Correspondence: (M.D.T.); (A.M.)
| | - Paolo Emidio Crisi
- Faculty of Veterinary Medicine, Veterinary University Hospital, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (P.E.C.); (A.B.); (F.R.); (A.L.)
| | - Andrea Boari
- Faculty of Veterinary Medicine, Veterinary University Hospital, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (P.E.C.); (A.B.); (F.R.); (A.L.)
| | - Francesca Rocconi
- Faculty of Veterinary Medicine, Veterinary University Hospital, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (P.E.C.); (A.B.); (F.R.); (A.L.)
| | | | - Alessia Luciani
- Faculty of Veterinary Medicine, Veterinary University Hospital, University of Teramo, Piano d’Accio, 64100 Teramo, Italy; (P.E.C.); (A.B.); (F.R.); (A.L.)
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12
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McDermott FM, Maloney S, McMillan C, Snead E. The Prevalence of Blood Groups in Domestic Cats in the Saskatoon and Calgary Areas of Saskatchewan and Alberta, Canada. Front Vet Sci 2020; 7:160. [PMID: 32373632 PMCID: PMC7186432 DOI: 10.3389/fvets.2020.00160] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Accepted: 03/05/2020] [Indexed: 11/25/2022] Open
Abstract
The purpose of this study was to evaluate blood types of domestic cats in two cities in Western Canada (Saskatoon, Saskatchewan and Calgary, Alberta), as well as to determine the risk of mismatched transfusion and neonatal isoerythrolysis. Several cat studies around the world have shown variability in the prevalence of blood types in domestic and pedigree cats. Canadian data based on feline blood types is based out of Montreal. In this study the cohort of cats revealed a higher than anticipated prevalence; of 5% type B and 0.6% AB blood types. In our study, blood typing was performed in 400 domestic cats; 200 in Saskatoon and 200 in Calgary. Blood typing was performed using the gel tube method and the risk of transfusion mismatch (MT) was estimated by adding the risk of a major transfusion reaction and the risk of a minor transfusion reaction. The risk of neonatal isoerythrolysis (NI) was estimated according to the equation (p2)(q2) + 2pq(q2), with q being the b allele frequency and p = 1 – q. There was an identical frequency for feline blood types in both Saskatoon and Calgary cats, with 96% type A, 4% type B, and 0% AB. Based on these percentages, the risks of MT and NI in domestic cats were 7.6 and 4 % respectively. The frequency of type B cats in the population was similar to that in the previous Canadian study. These results demonstrate regional differences in prevalence of type B blood in domestic shorthairs across the world and serve to reinforce recommendations to blood type prior to transfusion or mating.
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Affiliation(s)
- Fergal M McDermott
- Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK, Canada
| | - Stephanie Maloney
- Department of Veterinary Clinical and Diagnostic Science, Faculty of Veterinary Medicine, University of Calgary, Calgary, AB, Canada
| | - Chantal McMillan
- Department of Veterinary Clinical and Diagnostic Science, Faculty of Veterinary Medicine, University of Calgary, Calgary, AB, Canada
| | - Elisabeth Snead
- Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, SK, Canada
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13
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Humm KR, Chan DL. Prospective evaluation of the utility of cross-matching prior to first transfusion in cats: 101 cases. J Small Anim Pract 2020; 61:285-291. [PMID: 32133646 DOI: 10.1111/jsap.13124] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Revised: 02/03/2020] [Accepted: 02/04/2020] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To: (1) assess the frequency of crossmatch incompatibility in naïve feline blood transfusion recipients using two crossmatching methods, (2) measure the effect of crossmatch incompatibility on change in packed cell volume following transfusion, (3) assess the frequency of acute transfusion reactions and errors in blood transfusions in cats and (4) assess the impact of crossmatch incompatibility on the likelihood of transfusion reactions. MATERIALS AND METHODS Cats being administered a first AB-matched transfusion in a veterinary teaching hospital were prospectively recruited for this observational study. A slide agglutination method and a commercial test were both used for major and minor crossmatching. We measured increase in packed cell volume at 12 hours after transfusion relative to the mass of red blood cells given per recipient bodyweight and recorded transfusion reactions. RESULTS A total of 101 cats was included. Crossmatch incompatibility was common using the slide agglutination method (27% and 10% major and minor incompatibility, respectively), but less common with the commercial test (major and minor incompatibility both 4%). Crossmatch incompatibility with any method was not associated with less effective transfusion in terms of change in packed cell volume. Transfusion reactions occurred in 20 cats, most commonly febrile non-haemolytic transfusion reactions (n = 9) and haemolytic transfusion reactions (n = 7). The commercial test appeared to be most specific for predicting haemolytic transfusion reactions. CLINICAL SIGNIFICANCE Transfusion reactions were fairly common but not associated with increased mortality. Use of crossmatch-compatible blood did not lead to a greater increase in PCV at 12 hours. The commercial test may predict a haemolytic transfusion reaction.
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Affiliation(s)
- K R Humm
- Department of Clinical Science and Services, The Royal Veterinary College, London, AL97TA, UK
| | - D L Chan
- Department of Clinical Science and Services, The Royal Veterinary College, London, AL97TA, UK
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14
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Nectoux A, Guidetti M, Barthélemy A, Pouzot-Nevoret C, Hoareau GL, Goy-Thollot I. Assessment of risks of feline mismatched transfusion and neonatal isoerythrolysis in the Lyon (France) area. JFMS Open Rep 2019; 5:2055116919863175. [PMID: 31384478 PMCID: PMC6651689 DOI: 10.1177/2055116919863175] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objectives The aims of this study were to update the prevalence of different feline blood types in the Lyon (France) area, as well as to determine the risk of mismatched transfusion (MT) and neonatal isoerythrolysis (NI) in kittens with parents of unknown blood type. Methods Blood samples were obtained from blood donor cats and cats admitted to an intensive care unit in Lyon. AB blood typing was performed using an immunochromatographic strip. The risk of MT was estimated by adding the risk of a major transfusion reaction and the risk of a minor transfusion reaction. The risk of NI was estimated according the equation (p²)(q²) + 2pq(q²), with q being the b allele frequency and p = 1 - q. The results were analysed by absolute and relative frequency analysis and multivariate analysis. Results The cohort study population included 320 non-pedigree cats and 37 pedigree cats. The prevalence of blood types A, B and AB was 84.3%, 14.0% and 1.7%, respectively. Considering non-pedigree cats, the prevalence of types A, B and AB was 83.7%, 14.4% and 1.9%, respectively. There were no significant differences of blood type distribution by sex (P = 0.73) or by breed (P = 0.90). Based on these percentages, the risks of MT and NI in non-pedigree cats were 24.3% and 12.3%, respectively. Conclusions and relevance The prevalence of type B cats is high in the Lyon area and associated with high risks of MT and NI. These results confirm the importance of performing blood typing prior to any blood transfusion or mating.
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Affiliation(s)
- Alexandra Nectoux
- Intensive Care Unit (SIAMU), University of Lyon, VetAgro Sup, Marcy l'Etoile, France
| | | | - Anthony Barthélemy
- Intensive Care Unit (SIAMU), University of Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Céline Pouzot-Nevoret
- Intensive Care Unit (SIAMU), University of Lyon, VetAgro Sup, Marcy l'Etoile, France
| | - Guillaume L Hoareau
- Clinical Investigation Facility, David Grant USAF Medical Center, Travis AFB, CA, USA
| | - Isabelle Goy-Thollot
- Intensive Care Unit (SIAMU), University of Lyon, VetAgro Sup, Marcy l'Etoile, France
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15
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Kehl A, Mueller E, Giger U. CMAH genotyping survey for blood types A, B and C (AB) in purpose-bred cats. Anim Genet 2019; 50:303-306. [PMID: 30854707 DOI: 10.1111/age.12778] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2019] [Indexed: 11/28/2022]
Abstract
In domestic cats, the AB blood group system consists of the three types A, B and C (also called AB). Mismatches can cause acute hemolytic transfusion reactions and hemolysis of the newborn (neonatal isoerythrolysis, NI). As blood types B and C are inherited recessively to A, breeders need to know the genotype to predict blood types in offspring and avoid NI. Several CMAH variants have been described as being associated with the b and ac alleles, and different genotyping schemes exist. Here, we genotyped 2145 cats with the original SNV panel, including SNVs c.142G>A and ∆-53, and our new scheme, with SNVs c.179G>T, c.268T>A and c.1322delT, to differentiate types A and B and added the SNV for the common ac (c.364C>T). Based upon the new scheme, all samples were assigned the correct genotype. No discordances appeared for the A allele, and new breed-specific SNVs (c.179G>T, c.1322delT) for the b allele were discovered. Furthermore, the genotypes A/ac (type A), ac /ac (C) and ac /b (C) could be detected. We found the variant c.179G>T in additional breeds: Ragdoll, Siberian, Scottish Fold, Chartreux, Neva Masquerade, British Shorthair and Highlander. Also, the variant c.364C>T was detected in additional breeds: Bengal, British Shorthair, Maine Coon, and Scottish Fold. We conclude that our new SNV panel is superior in genotyping cats than the original SNV panel and assures correct assignments of types A, B and C to assist veterinary clinicians and breeders to recognize, confirm and avoid blood incompatibilities such as acute hemolytic transfusion reactions and NI.
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Affiliation(s)
- A Kehl
- Laboklin, Steubenstraße 4, Bad Kissingen, D-97688, Germany
| | - E Mueller
- Laboklin, Steubenstraße 4, Bad Kissingen, D-97688, Germany
| | - U Giger
- Section of Medical Genetics (PennGen), Section of Medical Genetics (PennGen), School of Veterinary Medicine University of Pennsylvania, 3900 Delancey Street, Philadelphia, PA, 19104-6010, USA
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16
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Zaremba R, Brooks A, Thomovsky E. Transfusion Medicine: An Update on Antigens, Antibodies and Serologic Testing in Dogs and Cats. Top Companion Anim Med 2019; 34:36-46. [DOI: 10.1053/j.tcam.2018.12.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Revised: 12/27/2018] [Accepted: 12/28/2018] [Indexed: 12/23/2022]
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17
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Goy-Thollot I, Nectoux A, Guidetti M, Chaprier B, Bourgeois S, Boisvineau C, Barthélemy A, Pouzot-Nevoret C, Giger U. Detection of naturally occurring alloantibody by an in-clinic antiglobulin-enhanced and standard crossmatch gel column test in non-transfused domestic shorthair cats. J Vet Intern Med 2018; 33:588-595. [PMID: 30557453 PMCID: PMC6430866 DOI: 10.1111/jvim.15381] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 11/13/2018] [Indexed: 02/06/2023] Open
Abstract
Background Blood typing for the A and B antigens is essential and crossmatching testing is generally recommended before transfusing blood to cats. Objective To evaluate 2 crossmatch (XM) tests. Animals Forty‐nine healthy domestic shorthair cats that had not received a blood transfusion. Methods Prospective study. Blood samples were typed for AB using immunochromatographic and flow cytometric techniques. A gel column (GC) and a feline antiglobulin‐enhanced gel column (AGC) XM tests were used for crossmatching. Results The population included 34 type A, 13 B, and 2 AB cats, with concordant results (r = 1, P < .005) by flow cytometry and immunochromatographic strip kit. The plasma from type A cats had either no or weak anti‐B alloantibodies. The plasma of 12 of 13 type B cats contained strong anti‐A alloantibodies. For crossmatching, plasma to RBC pairings were prepared using the GC (n = 446) and AGC (n = 630) tests. Both methods showed compatibilities in 329 and incompatibilities in 102 pairings including all A‐B mismatches. Additionally 15 pairings showed agglutination by the AGC but not GC method. Fourteen incompatibilities outside the expected A‐B mismatches were only revealed by AGC. Conclusions and Clinical Importance AB typing using immunochromatographic strip is as accurate as laboratory flow cytometry. The 2 XM methods had good agreement with additional incompatibilities being recognized by the AGC XM beyond A‐B incompatibilities. In clinic, feline AB typing and sensitive XM test kits are available and recommended before each transfusion, although the clinical implications of incompatible XM test results and clinical benefits of such crossmatching have not been documented.
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Affiliation(s)
| | - Alexandra Nectoux
- SIAMU (ICU), Université de Lyon, VetAgro Sup, APCSe, Marcy l'Etoile, France
| | | | | | | | | | - Anthony Barthélemy
- SIAMU (ICU), Université de Lyon, VetAgro Sup, APCSe, Marcy l'Etoile, France
| | | | - Urs Giger
- Section of Medical Genetics (PennGen), University of Pennsylvania, Philadelphia, Pennsylvania
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18
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McClosky ME, Cimino Brown D, Weinstein NM, Chappini N, Taney MT, Marryott K, Callan MB. Prevalence of naturally occurring non-AB blood type incompatibilities in cats and influence of crossmatch on transfusion outcomes. J Vet Intern Med 2018; 32:1934-1942. [PMID: 30307648 PMCID: PMC6271279 DOI: 10.1111/jvim.15334] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 08/31/2018] [Accepted: 09/05/2018] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Recognition of the feline red blood cell (RBC) antigen Mik and the presence of naturally occurring anti-Mik antibodies resulting in acute hemolytic transfusion reactions prompted the recommendation to perform a crossmatch before a cat's first RBC transfusion, but this guideline has not yet become a standard practice. OBJECTIVE To determine the prevalence of naturally occurring non-AB alloantibodies detectable by tube crossmatch, and to compare transfusion outcomes in cats with and without a crossmatch performed. ANIMALS Three hundred cats that received an RBC transfusion, with or without a major crossmatch performed. METHODS Retrospective study. RESULTS Major crossmatch incompatibilities were documented in 23 of 154 transfusion-naive cats (14.9%) and in 15 of 55 previously transfused cats (27%; P = 0.042). Type-specific packed RBCs (pRBCs) were administered to 167 and 82 cats with and without a crossmatch, respectively. Median volume of pRBCs administered during the first transfusion was 5.3 mL/kg (range, 2.4-18 mL/kg). Median change in PCV scaled to dose of pRBCs was +0.8%/mL/kg; administration of crossmatch-compatible pRBCs was not associated with a greater increase in PCV. Febrile transfusion reactions occurred more often in cats that received non-crossmatched (10.1%) compared to crossmatched (2.5%) pRBCs (P = 0.022). Seventy-six percent of cats that received pRBC transfusions survived to hospital discharge. A crossmatch was not associated with improved survival to discharge or at 30 or 60 days posttransfusion. CONCLUSIONS AND CLINICAL IMPORTANCE The prevalence of naturally occurring non-AB incompatibilities is sufficiently high to justify the recommendation to perform a crossmatch before all (including the first) RBC transfusions in cats.
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Affiliation(s)
- Megan E. McClosky
- Department of Clinical Sciences and Advanced MedicineSchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
| | - Dorothy Cimino Brown
- Department of Clinical Sciences and Advanced MedicineSchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
| | - Nicole M. Weinstein
- Department of PathobiologySchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
| | - Nicole Chappini
- Department of PathobiologySchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
| | - Michael T. Taney
- Department of Clinical Sciences and Advanced MedicineSchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
| | - Kimberly Marryott
- Department of Clinical Sciences and Advanced MedicineSchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
| | - Mary Beth Callan
- Department of Clinical Sciences and Advanced MedicineSchool of Veterinary Medicine, University of PennsylvaniaPhiladelphiaPennsylvania
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Kehl A, Heimberger K, Langbein-Detsch I, Boehmer S, Raj K, Mueller E, Giger U. Molecular characterization of blood type A, B, and C (AB) in domestic cats and a CMAH genotyping scheme. PLoS One 2018; 13:e0204287. [PMID: 30235335 PMCID: PMC6147723 DOI: 10.1371/journal.pone.0204287] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Accepted: 09/04/2018] [Indexed: 11/19/2022] Open
Abstract
In domestic cats, the AB blood group system consists of the three types A, B, and C (usually called AB), which vary in frequency among breeds and geographic regions. Mismatches cause acute hemolytic transfusion reactions and hemolysis of the newborn due to the presence of naturally occurring anti-A alloantibodies. Cytidine monophosphate-N-acetylneuraminic acid hydroxylase (CMAH) converts N-acetylneuraminic acid (type B) to N-glycolylneuraminic acid (type A), and type C erythrocytes express both antigens. We examined the feline CMAH coding regions and genotyped cats to characterize type A, B, and C animals. Of 421 phenotypically typed cats, 60% were A, 35% B and 5% C. Among the 70 cats for which the CMAH coding region was sequenced, 13 new variants were identified in addition to 16 of the previously reported 18 variants. The CMAH variant c.268T>A is seen in type B cats of most breeds, and the variant c.179G>T results in type B in Turkish breeds. The variants c.1322delT and c.933delA cause frameshifts with early stop codons and thereby type B in some Ragdolls and domestic shorthair cats, respectively. Protein modeling with PROVEAN affirmed their deleterious effects. No type A and C cats had more than one allele with one of the above variants. Variant analysis of three SNVs (c.142G>A, c.268T>A and Δ-53) and blood typing of an additional 351 typed cats showed complete phenotype-genotype concordance. In conclusion, the three CMAH variants c.179G>T, c.268T>A and c.1322delT are the main reasons for the defective NeuGc synthesis causing blood type B in domestic purebred and non-pedigreed cats. Together with the variant c.364C>T for type C in Ragdolls they offer a molecular screening scheme for clinical diagnostics to assure blood type compatibility.
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Affiliation(s)
| | | | | | | | - Karthik Raj
- Section of Medical Genetics (PennGen), University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
| | | | - Urs Giger
- Section of Medical Genetics (PennGen), University of Pennsylvania, Philadelphia, Pennsylvania, United States of America
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20
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Priolo V, Masucci M, Spada E, Proverbio D, Pennisi MG. Naturally occurring antibodies in cats against dog erythrocyte antigens and vice versa. J Feline Med Surg 2018; 20:690-695. [PMID: 28840776 PMCID: PMC11104140 DOI: 10.1177/1098612x17727232] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2024]
Abstract
Objectives The aim of this study was to investigate the presence of naturally occurring antibodies against canine erythrocyte antigens in cats and vice versa. The influence of canine and feline blood type on cross-match results was also studied. Methods Blood samples from 34 cats and 42 dogs were used to perform test tube major and minor cross-match tests and blood typing. Blood from each cat was cross-matched with blood from 2-6 dogs, for a total of 111 cross-match tests. Haemolysis, macro- and microagglutination were considered markers of a positive cross-match. Results Eighty-three overall major cross-match tests were positive at 37°C, 86 at room temperature and 90 at 4°C. The minor cross-match tests were positive in all but two cross-matches performed at 37°C, all tests performed at room temperature and all but one test performed at 4°C. No cats tested totally negative at both major and minor cross-matches performed with samples from any single dog. Prevalence of warm natural antibodies against canine erythrocyte antigens was lower in type B cats than in type A cats, regardless of the blood type of donor dogs. Conclusions and relevance This study reveals a high prevalence of naturally occurring antibodies in cats against dog erythrocyte antigens and vice versa, and suggests that transfusion of cats with canine blood is not recommended as a routine procedure owing to the potential high risk of either acute severe or milder transfusion reactions.
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Affiliation(s)
- Vito Priolo
- Department of Veterinary Science, University of Messina, Polo Universitario Annunziata, Messina, Italy
| | - Marisa Masucci
- Department of Veterinary Science, University of Messina, Polo Universitario Annunziata, Messina, Italy
| | - Eva Spada
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine, University of Milan, Milan, Italy
| | - Daniela Proverbio
- Veterinary Transfusion Research Laboratory (REVLab), Department of Veterinary Medicine, University of Milan, Milan, Italy
| | - Maria Grazia Pennisi
- Department of Veterinary Science, University of Messina, Polo Universitario Annunziata, Messina, Italy
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Omi T, Nakazawa S, Udagawa C, Tada N, Ochiai K, Chong YH, Kato Y, Mitsui H, Gin A, Oda H, Azakami D, Tamura K, Sako T, Inagaki T, Sakamoto A, Tsutsui T, Bonkobara M, Tsuchida S, Ikemoto S. Molecular Characterization of the Cytidine Monophosphate-N-Acetylneuraminic Acid Hydroxylase (CMAH) Gene Associated with the Feline AB Blood Group System. PLoS One 2016; 11:e0165000. [PMID: 27755584 PMCID: PMC5068781 DOI: 10.1371/journal.pone.0165000] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 10/04/2016] [Indexed: 11/30/2022] Open
Abstract
Cat’s AB blood group system (blood types A, B, and AB) is of major importance in feline transfusion medicine. Type A and type B antigens are Neu5Gc and Neu5Ac, respectively, and the enzyme CMAH participating in the synthesis of Neu5Gc from Neu5Ac is associated with this cat blood group system. Rare type AB erythrocytes express both Neu5Gc and Neu5Ac. Cat serum contains naturally occurring antibodies against antigens occurring in the other blood types. To understand the molecular genetic basis of this blood group system, we investigated the distribution of AB blood group antigens, CMAH gene structure, mutation, diplotypes, and haplotypes of the cat CMAH genes. Blood-typing revealed that 734 of the cats analyzed type A (95.1%), 38 cats were type B (4.9%), and none were type AB. A family of three Ragdoll cats including two type AB cats and one type A was also used in this study. CMAH sequence analyses showed that the CMAH protein was generated from two mRNA isoforms differing in exon 1. Analyses of the nucleotide sequences of the 16 exons including the coding region of CMAH examined in the 34 type B cats and in the family of type AB cats carried the CMAH variants, and revealed multiple novel diplotypes comprising several polymorphisms. Haplotype inference, which was focused on non-synonymous SNPs revealed that eight haplotypes carried one to four mutations in CMAH, and all cats with type B (n = 34) and AB (n = 2) blood carried two alleles derived from the mutated CMAH gene. These results suggested that double haploids selected from multiple recessive alleles in the cat CMAH loci were highly associated with the expression of the Neu5Ac on erythrocyte membrane in types B and AB of the feline AB blood group system.
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Affiliation(s)
- Toshinori Omi
- Department of Basic Science, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
- * E-mail:
| | - Shota Nakazawa
- Department of Basic Science, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Chihiro Udagawa
- Department of Basic Science, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Naomi Tada
- International Institute of Small Animal Medicine (Bio Plus), AHB Inc., Tokyo, Japan
| | - Kazuhiko Ochiai
- Department of Basic Science, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Yong Hwa Chong
- Department of Basic Science, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Yuiko Kato
- Department of Basic Science, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Hiroko Mitsui
- International Institute of Small Animal Medicine (Bio Plus), AHB Inc., Tokyo, Japan
| | - Azusa Gin
- Department of Veterinary Nursing, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Hitomi Oda
- Department of Veterinary Nursing, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Daigo Azakami
- Department of Veterinary Nursing, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Kyoichi Tamura
- Department of Veterinary Clinical Pathology, School of Veterinary Medicine, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Toshinori Sako
- Department of Veterinary Nursing, School of Veterinary Nursing and Technology, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Takeshi Inagaki
- Department of Legal Medicine, Jichi Medical University, Tochigi, Japan
| | - Atsushi Sakamoto
- Department of Legal Medicine, Jichi Medical University, Tochigi, Japan
| | - Toshihiko Tsutsui
- International Institute of Small Animal Medicine (Bio Plus), AHB Inc., Tokyo, Japan
| | - Makoto Bonkobara
- Department of Veterinary Clinical Pathology, School of Veterinary Medicine, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Shuichi Tsuchida
- Laboratory of Comparative Cellular Biology, School of Veterinary Medicine, School of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo, Japan
| | - Shigenori Ikemoto
- School of Veterinary Medicine, Faculty of Veterinary Science, Nippon Veterinary and Life Science University, Tokyo, Japan
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A Novel Variant in CMAH Is Associated with Blood Type AB in Ragdoll Cats. PLoS One 2016; 11:e0154973. [PMID: 27171395 PMCID: PMC4865243 DOI: 10.1371/journal.pone.0154973] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2016] [Accepted: 04/21/2016] [Indexed: 11/19/2022] Open
Abstract
The enzyme cytidine monophospho-N-acetylneuraminic acid hydroxylase is associated with the production of sialic acids on cat red blood cells. The cat has one major blood group with three serotypes; the most common blood type A being dominant to type B. A third rare blood type is known as AB and has an unclear mode of inheritance. Cat blood type antigens are defined, with N-glycolylneuraminic acid being associated with type A and N-acetylneuraminic acid with type B. Blood type AB is serologically characterized by agglutination using typing reagents directed against both A and B epitopes. While a genetic characterization of blood type B has been achieved, the rare type AB serotype remains genetically uncharacterized. A genome-wide association study in Ragdoll cats (22 cases and 15 controls) detected a significant association between blood type AB and SNPs on cat chromosome B2, with the most highly associated SNP being at position 4,487,432 near the candidate gene cytidine monophospho-N-acetylneuraminic acid hydroxylase. A novel variant, c.364C>T, was identified that is highly associated with blood type AB in Ragdoll cats and, to a lesser degree, with type AB in random bred cats. The newly identified variant is probably linked with blood type AB in Ragdoll cats, and is associated with the expression of both antigens (N-glycolylneuraminic acid and N-acetylneuraminic acid) on the red blood cell membrane. Other variants, not identified by this work, are likely to be associated with blood type AB in other breeds of cat.
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23
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Zimring JC, Spitalnik SL. Pathobiology of Transfusion Reactions. ANNUAL REVIEW OF PATHOLOGY-MECHANISMS OF DISEASE 2015; 10:83-110. [DOI: 10.1146/annurev-pathol-012414-040318] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- James C. Zimring
- Puget Sound Blood Center Research Institute, Seattle, Washington 98102;
- Departments of Laboratory Medicine and Internal Medicine, Division of Hematology, University of Washington, Seattle, Washington 98195
| | - Steven L. Spitalnik
- Department of Pathology and Cell Biology, Columbia University College of Physicians and Surgeons, New York, NY 10032
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