— Pathway 01
Primary (Genetic)
Caused by an inherited defect in copper metabolism. The body cannot properly excrete copper through bile, and copper accumulates in the liver over a lifetime.
- — Cause
- Inherited mutation in a copper-metabolism gene. ATP7B in Labrador Retrievers and Doberman Pinschers; COMMD1 in Bedlington Terriers; suspected heritable cause in West Highland White Terriers, Dalmatians, and Skye Terriers.
- — Mechanism
- Lifelong, progressive accumulation of copper in liver cells. Copper that should be packaged into bile and excreted is instead retained.
- — On biopsy
- Copper accumulates in a centrilobular pattern (zone 3 of the liver lobule), typically at concentrations exceeding 1000 ppm.
- — What we test
- This is the pathway the ATP7B variant is associated with — but only in breeds where the gene has been clinically linked to disease. The Chihuahua is not one of those breeds.
