{"id":2204,"date":"2023-01-16T22:48:37","date_gmt":"2023-01-16T22:48:37","guid":{"rendered":"https:\/\/www.adamsranchacds.com\/?page_id=2204"},"modified":"2024-08-10T22:11:34","modified_gmt":"2024-08-10T22:11:34","slug":"multidrug-resistance-1-mdr1-gene-mutation-3","status":"publish","type":"page","link":"https:\/\/www.adamsranchacds.com\/index.php\/health-testing\/multidrug-resistance-1-mdr1-gene-mutation-3\/","title":{"rendered":"Multidrug resistance 1 (MDR1 gene mutation)"},"content":{"rendered":"<h3><strong>What is the MDR1 gene?<\/strong><span id=\"more-713\"><\/span><\/h3>\n<h3>Multi-Drug Resistance 1 (MDR1) is a gene that is meant for helping to protect the brain. This gene specifically codes for P-glycoprotein, which is responsible for transporting certain drugs out of the brain. If this gene is mutated, it will create a defective protein, and consequently, drugs will remain and build up in the brain to toxic levels.<\/h3>\n<h3>This dominant gene is inherited from the parents, whether the parent has two copies of the gene or only one copy. If neither parent has a copy of the mutated MDR1 gene, then nor will the offspring.<\/h3>\n<h3><strong>What is the test for MDR1?<\/strong><\/h3>\n<h3>DNA testing is now available for the MDR1 gene with either a cheek swab or a blood sample. This can be completed either at home by ordering a kit from the lab&#8217;s website, or through your veterinarian.<\/h3>\n<h3>Once you send in the sample to the lab, you will receive the results back.<\/h3>\n<h3><strong>What results are possible?<\/strong><\/h3>\n<h3><strong>\u00a0Clear<\/strong> &#8211; both genes are Normal &#8211; If your dog is Normal\/Normal, then you don\u2019t have to worry about any drugs related to the MDR1 gene.<\/h3>\n<h3><strong>Carrier<\/strong> &#8211; One normal gene and one mutant gene &#8211; Dogs with even one copy of the MDR1 gene should be considered sensitive to the drugs indicated in this article.<\/h3>\n<h3><strong>Affected \/ At Risk<\/strong> -both genes are mutant. Listed below are drugs that should be avoided.\u00a0 They may possibly cause seizures if given to a dog that has two copies of the MDR1 mutated gene.<\/h3>\n<h3><strong>What drugs are not safe?<\/strong><\/h3>\n<h3>There are multiple drugs that will affect dogs with the mutated MDR1 gene. As long as your veterinarian is aware of your dog\u2019s MDR1 status, they are able to consider which drugs are best suited for the current treatment. Those with a Normal\/Mutant gene may be less susceptible to these drugs, though they would likely react to increased doses. Below is a list of drugs that should be generally avoided in dogs with an MDR1 status, or herding breeds or mixed breeds of unknown MDR1 status.<\/h3>\n<ul>\n<li>\n<h3>Ivermectin<\/h3>\n<\/li>\n<li>\n<h3>Selamectin<\/h3>\n<\/li>\n<li>\n<h3>Milbemycin<\/h3>\n<\/li>\n<li>\n<h3>Moxidectin<\/h3>\n<\/li>\n<li>\n<h3>Loperamide<\/h3>\n<\/li>\n<li>\n<h3>Acepromazine<\/h3>\n<\/li>\n<li>\n<h3>Butorphanol<\/h3>\n<\/li>\n<li>\n<h3>Vincristine<\/h3>\n<\/li>\n<li>\n<h3>Vinblastine<\/h3>\n<\/li>\n<li>\n<h3>Doxorubicin<\/h3>\n<\/li>\n<li>\n<h3>Paclitaxel<\/h3>\n<\/li>\n<li>\n<h3>Apomorphine<\/h3>\n<\/li>\n<\/ul>\n<h3>The following list is drugs that are known to be removed from the brain via the MDR1 gene, but appear to be safely tolerated by dogs with the mutation.<\/h3>\n<ul>\n<li>\n<h3>Cyclosporin<\/h3>\n<\/li>\n<li>\n<h3>Digoxin<\/h3>\n<\/li>\n<li>\n<h3>Doxycycline<\/h3>\n<\/li>\n<li>\n<h3>Morphine<\/h3>\n<\/li>\n<li>\n<h3>Buprenorphine<\/h3>\n<\/li>\n<li>\n<h3>Fentanyl<\/h3>\n<\/li>\n<\/ul>\n<h3>Ivermectin was a catalyst for the first testing of MDR1. The majority of farm\u00a0dogs are herding breeds, and veterinarians used to give them high doses of injectable Ivermectin as a dewormer because they were highly susceptible to getting worms by being around livestock. \u00a0Ivermectin is still used as a dewormer in heartworm medication, and those that are sold in veterinary clinics have been tested as safe for dogs with the MDR1 mutated gene if used to the manufacturers\u2019 specifications.<\/h3>\n<h3>There are other options for heartworm medication, so Ivermectin doesn\u2019t necessarily need to be used. If your dog is still living near livestock, ensure they are not eating any feces or any discarded dewormer. When livestock are given dewormer, it is a high dose of Ivermectin, and it can remain in the feces (untested to know for how long) for your dog to accidentally ingest. High doses of Ivermectin are still used for treating mange and should be avoided in any MDR1 status dogs.<\/h3>\n<h3>A common misconception is that MDR1 status dogs are affected by metronidazole, but that is inaccurate because it is not transported by P-glycoprotein. Also, vaccines do not cause any reactions related to the MDR1 gene. Any reactions to a vaccine are due to other reasons, such as allergy or the type of vaccine used.<\/h3>\n<h3><strong>What clinical signs should I watch for?<\/strong><\/h3>\n<h3>When there has been a buildup of toxins in the brain, your dog will start to show neurological symptoms, such as weakness, lethargy, ataxia, disorientation, tremors, seizures, blindness, and death. When any of these\u00a0<a href=\"https:\/\/www.coxwellvet.com\/senior-catsthe-big-three-diseases\/\">symptoms<\/a>\u00a0occur, call your veterinarian immediately. Certain drugs have reversal agents, but others don\u2019t, and only supportive care can be given (IV fluids, nutritional support, and diligent monitoring). Recovery can take a long time due to the nature of the toxins remaining in the brain.<\/h3>\n<h3>Seizures from the MDR1 mutation have no relation to epilepsy. Some herding breeds are prone to epilepsy, which is very different from seizures brought on by a buildup of toxins. It is possible for a dog to have both issues and an MDR1-induced seizure could trigger an epileptic seizure. An MDR1 seizure will always closely follow the administration of one of the drugs listed above.<\/h3>\n<h3><strong>What should I ask my breeder?<\/strong><\/h3>\n<h3>If you are looking to adopt one of the breeds listed above or a mixed breed that appears to have any mixture of the above breeds, see if the breeder has had the puppy or parents tested. A dog only needs to be tested once in its life as its DNA won\u2019t change.<\/h3>\n<h3>Breeders should give preference to breeding dogs with Normal\/Normal MDR1 status, but simply removing all those that are not Normal\/Normal would likely deplete the breeding stock too much. If there were not enough dogs to contribute to the gene pool then new genetic diseases or other health issues would become predominant, instead. Therefore, breeders should consider the mutation a fault like any other and weigh it against the other pros and cons of breeding any particular dog.<\/h3>\n<h3>If your breeder has completed the testing on either the puppy or the parents, please be sure you have a copy of the results to give to your veterinarian so they can be treated appropriately. If the puppy has been purchased for breeding, MDR1 testing should be considered as important as any other test for that breed.<\/h3>\n<h3><strong>Discussing MDR1 with your veterinarian.<\/strong><\/h3>\n<h3>Any\u00a0<a href=\"https:\/\/www.coxwellvet.com\/veterinary-nurses-experience-adopting-pet-shelter\/\">veterinary<\/a>\u00a0clinic that you bring your dog to ensure the veterinarian knows its MDR1 status. Your veterinarian is the one who should know which drugs are safe and which are not so that they can make an appropriate plan whenever your dog needs treatment. Their status can also be taken into account if any neurological signs appear so that the veterinarian can give a correct diagnosis.<\/h3>\n<h3>If you don\u2019t yet know the MDR1 status of your\u00a0<a href=\"https:\/\/www.coxwellvet.com\/dog-stretching-exercises\/\">dog<\/a>, your veterinarian can also help with the testing. If you go through a veterinary clinic to do the testing, the results will always be in their file.<br \/>\nYour veterinarian will be happy to answer any further questions you might have that weren\u2019t answered in this article.<\/h3>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_2204\" class=\"pvc_stats all  \" data-element-id=\"2204\" style=\"\"><i class=\"pvc-stats-icon small\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.0\" viewBox=\"0 0 502 315\" preserveAspectRatio=\"xMidYMid meet\"><g transform=\"translate(0,332) scale(0.1,-0.1)\" fill=\"\" stroke=\"none\"><path d=\"M2394 3279 l-29 -30 -3 -207 c-2 -182 0 -211 15 -242 39 -76 157 -76 196 0 15 31 17 60 15 243 l-3 209 -33 29 c-26 23 -41 29 -80 29 -41 0 -53 -5 -78 -31z\"\/><path d=\"M3085 3251 c-45 -19 -58 -50 -96 -229 -47 -217 -49 -260 -13 -295 52 -53 146 -42 177 20 16 31 87 366 87 410 0 70 -86 122 -155 94z\"\/><path d=\"M1751 3234 c-13 -9 -29 -31 -37 -50 -12 -29 -10 -49 21 -204 19 -94 39 -189 45 -210 14 -50 54 -80 110 -80 34 0 48 6 76 34 21 21 34 44 34 59 0 14 -18 113 -40 219 -37 178 -43 195 -70 221 -36 32 -101 37 -139 11z\"\/><path d=\"M1163 3073 c-36 -7 -73 -59 -73 -102 0 -56 133 -378 171 -413 34 -32 83 -37 129 -13 70 36 67 87 -16 290 -86 209 -89 214 -129 231 -35 14 -42 15 -82 7z\"\/><path d=\"M3689 3066 c-15 -9 -33 -30 -42 -48 -48 -103 -147 -355 -147 -375 0 -98 131 -148 192 -74 13 15 57 108 97 206 80 196 84 226 37 273 -30 30 -99 39 -137 18z\"\/><path d=\"M583 2784 c-38 -19 -67 -74 -58 -113 9 -42 211 -354 242 -373 16 -10 45 -18 66 -18 51 0 107 52 107 100 0 39 -1 41 -124 234 -80 126 -108 162 -133 173 -41 17 -61 16 -100 -3z\"\/><path d=\"M4250 2784 c-14 -9 -74 -91 -133 -183 -95 -150 -107 -173 -107 -213 0 -55 33 -94 87 -104 67 -13 90 8 211 198 130 202 137 225 78 284 -27 27 -42 34 -72 34 -22 0 -50 -8 -64 -16z\"\/><path d=\"M2275 2693 c-553 -48 -1095 -270 -1585 -649 -135 -104 -459 -423 -483 -476 -23 -49 -22 -139 2 -186 73 -142 361 -457 571 -626 285 -228 642 -407 990 -497 242 -63 336 -73 660 -74 310 0 370 5 595 52 535 111 1045 392 1455 803 122 121 250 273 275 326 19 41 19 137 0 174 -41 79 -309 363 -465 492 -447 370 -946 591 -1479 653 -113 14 -422 18 -536 8z m395 -428 c171 -34 330 -124 456 -258 112 -119 167 -219 211 -378 27 -96 24 -300 -5 -401 -72 -255 -236 -447 -474 -557 -132 -62 -201 -76 -368 -76 -167 0 -236 14 -368 76 -213 98 -373 271 -451 485 -162 444 86 934 547 1084 153 49 292 57 452 25z m909 -232 c222 -123 408 -262 593 -441 76 -74 138 -139 138 -144 0 -16 -233 -242 -330 -319 -155 -123 -309 -223 -461 -299 l-81 -41 32 46 c18 26 49 83 70 128 143 306 141 649 -6 957 -25 52 -61 116 -79 142 l-34 47 45 -20 c26 -10 76 -36 113 -56z m-2057 25 c-40 -58 -105 -190 -130 -263 -110 -324 -59 -707 132 -981 25 -35 42 -64 37 -64 -19 0 -241 119 -326 174 -188 122 -406 314 -532 468 l-58 71 108 103 c185 178 428 349 672 473 66 33 121 60 123 61 2 0 -10 -19 -26 -42z\"\/><path d=\"M2375 1950 c-198 -44 -350 -190 -395 -379 -18 -76 -8 -221 19 -290 114 -284 457 -406 731 -260 98 52 188 154 231 260 27 69 37 214 19 290 -38 163 -166 304 -326 360 -67 23 -215 33 -279 19z\"\/><\/g><\/svg><\/i> <img src=\"https:\/\/www.adamsranchacds.com\/wp-content\/plugins\/page-views-count\/ajax-loader.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>What is the MDR1 gene? Multi-Drug Resistance 1 (MDR1) is a gene that is meant for helping to protect the brain. This gene specifically codes for P-glycoprotein, which is responsible for transporting certain drugs out of the brain. If this gene is mutated, it will create a defective protein, and consequently, drugs will remain and [&hellip;]<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_2204\" class=\"pvc_stats all  \" data-element-id=\"2204\" style=\"\"><i class=\"pvc-stats-icon small\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.0\" viewBox=\"0 0 502 315\" preserveAspectRatio=\"xMidYMid meet\"><g transform=\"translate(0,332) scale(0.1,-0.1)\" fill=\"\" stroke=\"none\"><path d=\"M2394 3279 l-29 -30 -3 -207 c-2 -182 0 -211 15 -242 39 -76 157 -76 196 0 15 31 17 60 15 243 l-3 209 -33 29 c-26 23 -41 29 -80 29 -41 0 -53 -5 -78 -31z\"\/><path d=\"M3085 3251 c-45 -19 -58 -50 -96 -229 -47 -217 -49 -260 -13 -295 52 -53 146 -42 177 20 16 31 87 366 87 410 0 70 -86 122 -155 94z\"\/><path d=\"M1751 3234 c-13 -9 -29 -31 -37 -50 -12 -29 -10 -49 21 -204 19 -94 39 -189 45 -210 14 -50 54 -80 110 -80 34 0 48 6 76 34 21 21 34 44 34 59 0 14 -18 113 -40 219 -37 178 -43 195 -70 221 -36 32 -101 37 -139 11z\"\/><path d=\"M1163 3073 c-36 -7 -73 -59 -73 -102 0 -56 133 -378 171 -413 34 -32 83 -37 129 -13 70 36 67 87 -16 290 -86 209 -89 214 -129 231 -35 14 -42 15 -82 7z\"\/><path d=\"M3689 3066 c-15 -9 -33 -30 -42 -48 -48 -103 -147 -355 -147 -375 0 -98 131 -148 192 -74 13 15 57 108 97 206 80 196 84 226 37 273 -30 30 -99 39 -137 18z\"\/><path d=\"M583 2784 c-38 -19 -67 -74 -58 -113 9 -42 211 -354 242 -373 16 -10 45 -18 66 -18 51 0 107 52 107 100 0 39 -1 41 -124 234 -80 126 -108 162 -133 173 -41 17 -61 16 -100 -3z\"\/><path d=\"M4250 2784 c-14 -9 -74 -91 -133 -183 -95 -150 -107 -173 -107 -213 0 -55 33 -94 87 -104 67 -13 90 8 211 198 130 202 137 225 78 284 -27 27 -42 34 -72 34 -22 0 -50 -8 -64 -16z\"\/><path d=\"M2275 2693 c-553 -48 -1095 -270 -1585 -649 -135 -104 -459 -423 -483 -476 -23 -49 -22 -139 2 -186 73 -142 361 -457 571 -626 285 -228 642 -407 990 -497 242 -63 336 -73 660 -74 310 0 370 5 595 52 535 111 1045 392 1455 803 122 121 250 273 275 326 19 41 19 137 0 174 -41 79 -309 363 -465 492 -447 370 -946 591 -1479 653 -113 14 -422 18 -536 8z m395 -428 c171 -34 330 -124 456 -258 112 -119 167 -219 211 -378 27 -96 24 -300 -5 -401 -72 -255 -236 -447 -474 -557 -132 -62 -201 -76 -368 -76 -167 0 -236 14 -368 76 -213 98 -373 271 -451 485 -162 444 86 934 547 1084 153 49 292 57 452 25z m909 -232 c222 -123 408 -262 593 -441 76 -74 138 -139 138 -144 0 -16 -233 -242 -330 -319 -155 -123 -309 -223 -461 -299 l-81 -41 32 46 c18 26 49 83 70 128 143 306 141 649 -6 957 -25 52 -61 116 -79 142 l-34 47 45 -20 c26 -10 76 -36 113 -56z m-2057 25 c-40 -58 -105 -190 -130 -263 -110 -324 -59 -707 132 -981 25 -35 42 -64 37 -64 -19 0 -241 119 -326 174 -188 122 -406 314 -532 468 l-58 71 108 103 c185 178 428 349 672 473 66 33 121 60 123 61 2 0 -10 -19 -26 -42z\"\/><path d=\"M2375 1950 c-198 -44 -350 -190 -395 -379 -18 -76 -8 -221 19 -290 114 -284 457 -406 731 -260 98 52 188 154 231 260 27 69 37 214 19 290 -38 163 -166 304 -326 360 -67 23 -215 33 -279 19z\"\/><\/g><\/svg><\/i> <img src=\"https:\/\/www.adamsranchacds.com\/wp-content\/plugins\/page-views-count\/ajax-loader.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":1,"featured_media":0,"parent":1876,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"ngg_post_thumbnail":0},"_links":{"self":[{"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/pages\/2204"}],"collection":[{"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/comments?post=2204"}],"version-history":[{"count":14,"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/pages\/2204\/revisions"}],"predecessor-version":[{"id":2218,"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/pages\/2204\/revisions\/2218"}],"up":[{"embeddable":true,"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/pages\/1876"}],"wp:attachment":[{"href":"https:\/\/www.adamsranchacds.com\/index.php\/wp-json\/wp\/v2\/media?parent=2204"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}