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Phenotype: Affected dogs have variable presentation of the disease, with mild to moderate bleeding being observed. Additionally, affected dogs may bruise easily or have extended periods of bleeding following trauma. Frequent nosebleeds and stiffness may also indicate F8 deficiency. While bleeding is occasionally severe enough to result in death, most affected dogs have a normal lifespan.
Mode of Inheritance: X-linked recessive
Alleles:
N = Normal/Unaffected
HEMA-1 = Hemophilia A/Factor VIII Deficiency (Mutation 1, c.98G>A)
HEMA-2 = Hemophilia A/Factor VIII Deficiency (Mutation 2, c.1643G>A)
Breeds appropriate for testing: German Shepherd Dog, Shiloh Shepherd, White Shepherd Dog
Explanation of Results:
- Males only have one X chromosomes where females have two, therefore possible genotypes will differ by sex.
- Female dogs with N/N genoytpe and male dogs with N genotype will not have Hemophilia A/Factor VIII Deficiency, and cannot transmit this variant to their offspring.
- Female dogs with N/HEMA-1 or N/HEMA-2 genotype will not have Hemophilia A/Factor VIII Deficiency, but are carriers. If a carrier female is bred to a normal male, all female puppies will be normal but 50% of them will be carriers. Among male puppies from this type of cross, 50% will be normal and 50% will be affected by Hemophilia A/Factor VIII Deficiency.
- Female dogs with HEMA-1/HEMA-1 or HEMA-2/HEMA-2 genotype and male dogs with HEMA-1 or HEMA-2 genotype will have Hemophilia A/Factor VIII Deficiency. A HEMA-1/HEMA-1 or HEMA-2/HEMA-2 genotype female dog will transmit her variant to all of her offspring, and a HEMA-1 or HEMA-2 genotype male dog will transmit his variant to all of his daughters.
Results of this test can be submitted to the OFA (Orthopedic Foundation for Animals)
German Shepherd Health Panel
$130 per animal
Hemophilia A is an inherited bleeding disorder caused by a deficiency of coagulation factor VIII (F8), an essential protein required for normal blood clotting. Affected dogs have variable presentation of the disease, with mild to moderate bleeding being observed. Additionally, affected dogs may bruise easily or have extended periods of bleeding following trauma. Frequent nosebleeds and stiffness may also indicate F8 deficiency resulting from excessive internal bleeding after damage to muscles and joints. While bleeding is occasionally severe enough to result in death, most affected dogs have a normal lifespan. Variable presentation coupled with a lack of observable incidents with bleeding often results in this condition going undetected until a dog has a surgical procedure or severe trauma.
Two independent mutations in the Factor VIII gene result in German Shepherd Dog F8 deficiency: c.98G>A (reported as HEMA-1) and c.1643G>A (reported as HEMA-2). The disease is inherited in an X-linked recessive fashion. Females with two defective copies will show disease. Clinical signs are absent in females with one normal and one affected gene (carriers). Males have only one X chromosome. If the inherited allele is affected, males will show disease. If the inherited allele is normal, males do not have the disease.
Testing for this hemophilia A/Factor VIII deficiency variant can assist veterinarians with diagnosis of F8 deficiency and help breeders identify carriers among breeding females and affected breeding males to avoid mating pairs that can produce affected dogs. When a carrier female is bred to a normal male, all female puppies will be normal but 50% of them will be carriers. Among male puppies from this type of cross, 50% will be normal and 50% will be affected.