Hairless horses: Researchers explore genetic cause of unusual syndrome in Central Asia

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A colt affected by Naked Foal Syndrome with its unaffected mother. The affected colt has almost no hair. What little coat he has is cremello, which leads to a very strong dilution of the pigmentation but is unrelated to the syndrome. Bauer et al. https://doi.org/10.1534/g3.117.039511
A colt affected by Naked Foal Syndrome with its unaffected mother. The affected colt has almost no hair. What little coat he has is cremello, which leads to a very strong dilution of the pigmentation but is unrelated to the syndrome. This colt is the first case described below, and was still alive when the research paper was reviewed in January. Photo: Bauer et al. https://doi.org/10.1534/g3.117.039511

Researchers have identified the gene variation that is most likely responsible for an unusual syndrome in the Akhal-Teke horse breed from Turkmenistan, in which foals are born with almost no hair and scaly skin.

In doing so, they have provided what they believe is the first description in the scientific literature of the condition known as Naked Foal Syndrome.

Affected horses die between a few weeks and three years of age. It is not clear whether a specific disease process causes their premature deaths.

The syndrome is inherited as a monogenic autosomal recessive trait.

The first records of hairless Akhal-Teke foals date back to 1938. Since then the number of such foals has increased steadily.

Many horses with the syndrome might have been registered as stillborn or weak born, the authors suggested, or not been reported at all.

The findings of the international team of researchers based their findings on analysis of the genome sequencing of two affected horses, two carriers, and 75 control horses from other breeds.

They successfully mapped the disease-causing genetic variant to two segments on chromosomes 7 and 27 in the equine genome.

They found that a single nonsynonymous genetic variant on the chromosome 7 segment was perfectly associated with the syndrome, affecting the ST14 gene. Horses with the syndrome inherit this nonsense variant, which they named ST14:c.388G>T, from each of their parents.

The study team noted that genetic changes in the ST14 gene in humans were known to be behind inherited skin scaliness.

This youngster with Naked Foal Syndrome was euthanized at 21 days of age after spontaneously suffering a broken leg. A necropsy revealed several major health problems. Photo: Bauer et al. https://doi.org/10.1534/g3.117.039511
This youngster with Naked Foal Syndrome was euthanized at 21 days of age after suffering a spontaneous leg break. A necropsy revealed several major health problems. This foal is the second case described in the report. Photo: Bauer et al. https://doi.org/10.1534/g3.117.039511

The researchers, writing in the journal G3: Genes, Genomics Genetics, said their findings would enable genetic testing to avoid the non-intentional breeding of foals with the condition.

The study team also described two cases.

The first involved a male cremello foal born in March 2014, which was still alive at the time of the paper’s revision in January this year, when it was aged 2 years and 10 months.

Compared to non-affected horses of the same age, and raised at the same stud, it had a growth delay and was small for its age. The horse had only sparse and thin body hairs. The upper portion of all limbs was completely bald, with hair density increasing toward lower extremities. The mane and hairs at the tail were sparse or absent. Whiskers were present but sparse, curly, and abnormally short. Eyelashes were missing.

Its skin was dry and scaly in some areas. A persisting increase in tear flow was reported by the owner.

Clinical findings in a the three-week-old foal with Naked Foal Syndrome (case 2). (A) Its lowers forelimbs showed sparse hairs and multiple abrasive lesions. (B) Dry and scaly skin on the upper forelimb. (C) Scaly bald area on the head and missing eyelashes. (D) Sparse, curly, and abnormally short whiskers on the muzzle. (E) Dry and scaly skin on the flank. (F) Hyperkeratosis (thickening of the outer layer of skin) in the pectoral region. Photo: Bauer et al. https://doi.org/10.1534/g3.117.039511
Clinical findings in the three-week-old foal with Naked Foal Syndrome (case 2). (A) Its lower forelimbs showed sparse hairs and multiple abrasive lesions. (B) Dry and scaly skin on the upper forelimb. (C) Scaly bald area on the head and missing eyelashes. (D) Sparse, curly, and abnormally short whiskers on the muzzle. (E) Dry and scaly skin on the flank. (F) Hyperkeratosis (thickening of the outer layer of skin) in the pectoral region. Photo: Bauer et al. https://doi.org/10.1534/g3.117.039511

Scars and erosive lesions were present, possibly due to the missing physical protection of a normal hair coat.

The researchers did not observe any abnormalities in the teeth or hooves.

The second case was a female born in June 2016. Its skin and hair pattern closely resembled that of the first case. Its hooves and teeth were also normal.

This foal was euthanised at 21 days of age due to a spontaneous leg fracture.

A full necropsy was performed. Gross findings revealed mild internal hydrocephalus (an accumulation of cerebrospinal fluid within the brain), a heart defect, and severely altered lymphoid organs.

Microscopic investigation of the lymphoid organs was consistent with a defect in primary immune organ development, and the specific immune response. Problems were seen in the thymus, the spleen and peripheral lymph nodes.

Discussing their findings, the study team said the ST14 gene had essential roles in skin and hair follicle development, with mutations causing related conditions in humans and mice.

However, affected horses developed more severe baldness than in human patients, with less skin scaliness.

“It is not fully clear why Naked Foal Syndrome-affected foals have such a short life expectancy,” they said.

“While none of the known [affected] foals so far became older than three years, there also was huge variability, with some foals dying at a few weeks of age, and others surviving at least for more than two years.

“Given the variability in life span, we consider the hydrocephalus, as well as the heart and immune system changes, in our case 2 as coincidental findings unrelated to Naked Foal Syndrome, but this should be re-investigated if further affected foals become available for pathologic examination.”

Further research will be necessary to characterize the causes leading to premature death in these horses, they said.

The study team comprised Anina Bauer, Theresa Hiemesch, Vidhya Jagannathan, Markus Neuditschko, Iris Bachmann, Stefan Rieder, Sofia Mikko, Cecilia Penedo, Nadja Tarasova, Martina Vitková, Nicolò Sirtori, Paola Roccabianca, Tosso Leeb and Monika Welle.

They are variously affiliated with the University of Bern in Switzerland; the Swedish University of Agricultural Sciences; the University of California, Davis; the University of Milan in Italy; the Russian Akhal-Teke Association; Russia International Akhal-Teke Association; and several veterinary practices.

Akhal-Teke horses are a national emblem of Turkmenistan, where they enjoy a reputation for speed, endurance, intelligence, and a distinctive metallic sheen to their coat.

A Nonsense Variant in the ST14 Gene in Akhal-Teke Horses with Naked Foal Syndrome
Anina Bauer, Theresa Hiemesch, Vidhya Jagannathan, Markus Neuditschko, Iris Bachmann, Stefan Rieder, Sofia Mikko, M. Cecilia Penedo, Nadja Tarasova, Martina Vitková, Nicolò Sirtori, Paola Roccabianca, Tosso Leeb and Monika M. Welle.
G3: GENES, GENOMES, GENETICS April 1, 2017 vol. 7 no. 4 1315-1321;
https://doi.org/10.1534/g3.117.039511

The study, published under a Creative Commons License, can be read here


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15 thoughts on “Hairless horses: Researchers explore genetic cause of unusual syndrome in Central Asia

  • June 5, 2017 at 5:28 pm
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    Get him/her a sunscreen blanket and visor. SUNBURN!!

    Reply
  • June 6, 2017 at 5:21 am
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    Who would I write to regarding my mares ‘similar, naked foal syndrome.. She has not much mane hair, the skin on her almost airless tail is all scaly and the whole dock is so dry, I have been putting coconut oil oil on her tail….she has lovely eyelashes, and whiskers and a lovely shiney coat plenty of hair everywhere else, so I doubt it is alopecia……….do the researchers who did the trial into naked foal syndrome, have any ideas.what syndrome my horse could have….the horse is palomino…..her feet and teeth ar fine as are her eyes..,.,..thank you..r

    Reply
    • June 7, 2017 at 12:37 am
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      Hi Rhona , Is your mare an Appaloosa or spotted ? The thin mane and tail hair is a charicturistic of the spotted pattern .

      Reply
    • June 20, 2017 at 6:07 pm
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      Hello
      I am just starting to work with horses but I have had much success growing hair on dogs. I work with a veterinarian who is very well versed in skin care. Please reach out to him. Dr.Cliff Favor.
      http://isbusa.com/meet-the-staff/
      Would love to help,
      Cate

      Reply
    • February 15, 2020 at 8:14 am
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      Sounds like your mare has sweet itch.

      Reply
    • February 18, 2020 at 11:04 am
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      Definitely sounds like sweet itch…look it up. I have a horse that has it. It’s an allergy to gnats(we call them no see-ums here) and they rub their mane and tails off due to the excessive itching.

      Reply
  • June 8, 2017 at 12:35 pm
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    I am interested. Breed peterbald hairless cats. Wonder if there are gene relationships with problems we find.. our gene pool is not fully mapped yet

    Reply
  • July 23, 2019 at 1:47 pm
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    Sandy : This condition is irreversible as it is genetic and the naked foal syndrome also occurs in the Indian Marwari. The condition has nothing to do with coat colour or patterns.

    Reply
  • February 15, 2020 at 8:43 pm
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    In the hairless variety of the Chinese Crested dog, the skin has to be kept oiled to prevent dryness. It’s a much bigger surface on a foal but oiling in the same matter may help the immediate problem and make them more comfortable.

    Reply
  • February 16, 2020 at 1:49 pm
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    Fascinating

    Reply
  • March 25, 2020 at 11:33 am
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    I would hate for any of my future foals to get this disease. Although I doubt I would ever get enough money to even DREAM of buying an Akhal-Teke. The ONLY breed of horse that can get Naked Foal Syndrome.

    Reply
    • April 10, 2020 at 9:58 am
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      Akhal-Teke are not the only breed with this mutation anymore.

      Reply
  • April 26, 2021 at 9:46 am
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    I hope that at some point in the near future, they can develop a DNA test for this in the Akhal-Teke breed & the breeders all start using it. Only then can they remove this horrific lethal recessive out of the gene pool though I do believe it has been isolated to certain carrier horses. It’s such a devastating defect to hit the breed.

    Reply

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