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BRIEF NOTE
Fragile Foal Syndrome (PLOD1 c.2032G>A) occurs across diverse
horse populations
Katie Martin*, Samantha Brooks
†
, Micaela Vierra*, W. Tyler Lafayette*, Scott McClure
‡
,
Meredith Carpenter* and Christa Lafayette*
*Etalon Inc., Menlo Park, CA 94025, USA.
†
Department of Animal Science, UF Genetics Institute, University of Florida, Gainesville,
FL 32611, USA.
‡
Scott McClure, Midwest Equine, Boone, IA 50036, USA.
Fragile Foal Syndrome (FFS), originally termed Warmblood
Fragile Foal Syndrome, OMIA 001982-9796, is an autoso-
mal recessive lethal genetic disorder caused by an SNP
(c.2032G>A) in the procollagen-lysine, 2-oxoglutarate 5-
dioxygenase 1 (PLOD1) gene
1
. Homozygous foals, not
aborted or stillborn, exhibit clinical signs including skin
lesions, incomplete closure of the abdominal wall, hyper-
flexion/extension of joints, inability to stand and difficulty
breathing, and usually die or require euthanasia within
72 h of birth.
1
Genetic testing for FFS has been commer-
cially available since 2013.
2
Initially, it was assumed that
FFS was only found in Warmbloods and related breeds,
2
but
recent studies have identified FFS-positive Thoroughbreds.
3
The aim of this work was to make unbiased observations of
the frequency of FFS across horse breeds (Figure 1).
The DNA of 7362 horses submitted for commercial
genetic testing was genotyped for FFS using hair, tissue,
semen or blood samples with owner consent. The QIAGEN
Gentra Puregene Tissue Kit was used to extract DNA from
the samples. The population of horses was thinned of
related horses within one generation, yielding 7343 horses
representing 78 breeds or types of horse (Table S1).
Using this unbiased testing approach, we observed FFS in
a wide group of horse breeds. Among the sampled popu-
lation of 7343 horses of various breeds, the overall FSS
frequency was 0.56%. The FFS frequency in Warmblood
type breeds was 5.32 and 0.45% in other breeds (Table 1
and Table S1).
Metzger and colleagues suggest that FFS originated in the
W/F-line of Hanoverian warmblood horses.
4
In this study,
we observed FFS carriers among diverse populations with
no identifiable common ancestor. These new data suggest
that the founder of this mutation is much older than
proposed by Metzger et al.
In previous studies completed in Germany,
2
Brazil
1
and
the United States,
5
a carrier frequency of around 10%
suggested that more affected foals should be born each year
than are reported, but there are no studies exploring the
frequency of homozygosity of FFS among stillborns and
abortions, nor are breeders accustomed to using genetic
Figure 1 Haflinger Fragile Foal Syndrome
(FFS) carrier ‘Nacho’ (ffs/n) pictured with
owner
Address for correspondence
C. Lafayette, Etalon Inc., Menlo Park, CA 94025, USA.
E-mails: khoefs@etalondx.com, clafayette@etalondx.com
Accepted for publication 12 October 2020
doi: 10.1111/age.13020
1
©2020 Stichting International Foundation for Animal Genetics
testing to explore the reasons for these losses. Thus, the
potential economic impact of this variant on the breeding
industry cannot yet be reliably estimated.
In addition to our population of unrelated horses, we
genotyped a small family consisting of 16 offspring and
sired by an American Paint Horse stallion carrying FFS.
Within this family, we observed 10 (62.5%) FFS carriers,
demonstrating transmission of FFS.
Awareness that FFS is not specific to one breed, and the
utilization of comprehensive unbiased genetic testing
approaches, will aid in the education of breeders and
registries for all breeds. Testing can then be appropriately
employed, allowing breeders to be more informed when
selecting mating pairs and reducing the risk of affected foals
and failed pregnancies. This knowledge will help registries
to refine policies requiring testing prior to breeding, further
ensuring the avoidance of the production of homozygous
FFS offspring, and thus reducing the variant frequency in
populations.
Acknowledgement
The authors would like to thank Regan McClure for
providing a photo of her horse ‘Nacho’ for use in this short
communication.
Availability of data
Six of the authors are affiliated with Etalon Diagnostics,
which offers testing for the FFS variant.
References
Dias N.M. et al. (2019) Vet J 248, 101–2.
Monthoux C. et al. (2015) BMC Vet Res 11, 12.
Bellone R.R. et al. (2019) Equine Vet J 52, 411–4.
Metzger J. et al. (2020) Equine Vet J,1–9.
Winand N.J. et al. (2019) Vet J 248, 101–2.
Supporting information
Additional supporting information may be found online in
the Supporting Information section at the end of the article.
Table S1. Expanded list of observed frequencies of FFS/n
genotype in Warmblood and non-Warmblood horse breed
populations
Table 1 Observed frequencies of FFS/n genotype in Warmblood and
non-Warmblood horse breed populations.
Breed
1
Total FFS/n Frequency of FFS
Arabian 364 0 0.00%
Draft 866 1 0.12%
Iberian 165 0 0.00%
Other 366 2 0.55%
Other stock 513 3 0.58%
Paint horse 3492 17 0.49%
Pony 64 0 0.00%
Quarter horse 1082 3 0.28%
Thoroughbred 149 0 0.00%
Warmblood 282 15 5.32%
Total 7343 41 0.56%
1
See Supplemental Table S1 for full list of breeds.
©2020 Stichting International Foundation for Animal Genetics, doi: 10.1111/age.13020
Martin et al.2