Saw just the last of it on an older episode of "House". They thought the man had "threadworms", Strongyloides- and gave him Ivermectin. It wasn't until he had died, and they then thought it must have been from something else instead..that they found he hadn't taken the Ivermectin- they found it under the bed---after his collie dog was also found dead in the hospital room...and "House" figured it out. The autopsy on the dead man showed he had died of strongyloides after all.
I was having a hard time figuring out what the dog eating the Ivermectin would have done to kill it, and especially when "House" mentioned the type of dog he was (collie) in connection to the dog eating the Ivermectin...now I know.
It was on again tonight..and darn if I didn't just get to see the end of it again, but this time I wrote down the gene that causes problems with Collie dogs reacting to Ivermectin and looked it up.
Ivermectin toxicity in Collies
The phenomenon of ivermectin toxicity in Collies was first described in 1983. Ivermectin causes neurologic toxicity in some, but not all Collies, at doses that are 1/200th of the dose required to cause toxicity in other dogs. Neurologic manifestations of ivermectin in susceptible dogs include, hypersalivation, ataxia, blindness, coma, respiratory compromise, and death.
A test is now available for drug sensitivity.
Despite numerous investigations during the 1980’s and 1990’s, the cause of this peculiar breed susceptibility was not elucidated. Recently, a veterinarian at WSU discovered that the cause of ivermectin sensitivity in Collies is a deletion mutation in the MDR1 gene. The MDR1 gene encodes a large transmembrane protein, P-glycoprotein, that is an integral part of the blood-brain barrier. P-glycoprotein functions in a protective capacity to transport a variety of drug substrates, including ivermectin, from brain tissue back into capillaries. Other drugs that are substrates for P-glycoprotein include loperamide (Immodium®), digoxin, ondansetron, many chemotherapeutic drugs including vincristine, vinblastine, and doxorubicin, and other drugs. Collies have been documented to be susceptible to neurotoxicity induced by some of these drugs also.
A test is now available to determine if Collies are homozygous for the deletion mutation (i.e., display the ivermectin-sensitive phenotype), heterozygous for the deletion mutation (carriers) or homozygous for the normal gene sequence.
Ongoing research is directed at determining if other breeds that have been reported to be sensitive to ivermectin (Australian Shepherds, Shelties, Border Collies, and Old English Sheepdogs) have a similar mutation.