TYPES OF CANINE RENAL DISEASE IDENTIFIED IN THE BULLMASTIFF
Cystinuria
Cystinuria is an inherited disease characterized by an inability to reabsorb the amino acid cystine in the kidney tubules, resulting in an excess of cystine in the urine. Cystine is insoluble in neutral or acidic urine, so the formation of cystine crystals or, possibly, cystine uroliths (stones or calculi) in the kidneys, bladder, or urethra can result.
Because of the physiology of the male, irritation and blockage by calculi is much more common than in the female. ( Oifer's note*... this would imply that females can be affected and have similar symptoms as in the male, although less frequent) Afflicted animals may present with recurrent urinary tract inflammations; they may experience difficulty in urination or pass blood-tinged urine. Males may become completely blocked and can face kidney failure, bladder rupture and death, while cystinuric bitches may remain asymptomatic.
Use of a specific urinary screening method, the nitroprusside spot test, will give a reliable diagnosis; examination of the urine for cystine crystals is not a reliable indicator since these crystals are not always present in the urine. Surgical removal of stones may be indicated. Special diets and medications may be helpful, but their efficacy has not yet been documented. There are two common drugs of choice that bind cystine and prevent crystal formation and, in some cases, they have been found to dissolve small stones, but not all dogs respond well to this treatment.
In Newfoundlands, cystinuria is inherited as an autosomal recessive trait. In simple terms, this means that affected dogs of both sexes have two mutant (diseased) genes. Their parents are either "carriers" (asymptomatic but carrying both a normal and a mutant gene) or are also affected (with two mutant genes). Due to the efforts of Newfoundland fanciers and Dr. Paula Henthorn at the University of Pennsylvania School of Veterinary Medicine, there is now a DNA test available which can determine the genetic status of individual Newfoundlands before breeding.
The disease has also been identified in Mastiffs and Bullmastiffs, though there is not yet confirmation of the autosomal recessives mode of inheritance in these breeds. At present, there exists no specific screening process for Bullmastiffs.