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Therapy Dogs for Children with Batten Disease
Batten Disease, a rare illness, has brought two communities together in a most unusual partnership.
Annie Allio with Tibetan Terrier therapy dogs.

Lorena Ann Johnston was born on Groundhog Day in 1971. Her father remembers that her hair grew in as his was falling out. Her first five years were uncomplicated; sadly, they’d be the only easy years of her short life, which ended in 1993 when she was 22.

Lance Johnston’s daughter had Batten Disease, an inherited genetic defect that leads to a breakdown of the entire nervous system. Lorena’s symptoms began when she was six with vision problems; progressed to trouble concentrating in school; later, seizures; and finally, dementia. Because the disease was so rare and its symptoms easily mistaken for other problems, it took eight long and lonely years for Lorena’s illness to be diagnosed.

Though a diagnosis today may come more quickly, it remains just as tragic. Lorena’s dad, now executive director of the Batten Disease Support and Research Association, is determined that no one will have to go it alone. “I made a commitment to her. I’m not smart enough to go into laboratory and find a cure, so I promised her that I’d do the next best thing and try to help others. And that’s been my focus ever since.”

This dedication led Lance to a family of dogs.

Meet the Family
Tibetan Terriers’ ancestry dates back two centuries, to remote regions in the Himalayas. Imagine an English Sheep Dog shrunk to knee-high size and you’ll have an idea of what a Tibetan looks like. Dozens of these shimmering, healthy, hairy beasts went through their paces at a recent Tibetan Terrier dogfest just outside San Francisco. Lance Johnston was among the more unlikely folks at this regional conference. His connection to these critters goes back three years, to a memorable summer day when he received a call from the Tibetan Terrier Club of America. The man on the other end of the line wanted to talk about a rare but worrying illness in the breed: Batten Disease.

The caller was Stuart Eckmann, who had a hunch that something powerful might happen if the two communities talked. He invited Lance Johnston and a few parents of children with the disease to the 2003 Tibetan Terrier World Congress. Stuart Eckmann’s hunch paid off.
 
“We were describing an unusual head tilt in the Tibetan Terrier, and one of the parents said, ‘I know what that is, that’s a mini-seizure.’ That’s the way her son reacted when he was first affected,” Eckmann recalled.

“All of a sudden, people are thinking, ‘Wow, here’s two very similar things going on and we’re learning from each other.’ It was like two families coming together,” said Johnston. The two communities have been exchanging information ever since, and have even teamed up to fund some of the same research, hoping that by pooling resources, they can accelerate a cure.

At a subsequent Tibetan Terrier conference, sponsored by the Canine Health Foundation, participants gathered to hear scientists discuss the latest inroads into Batten Disease, among them, stem-cell research. Outside the conference hall, parents of both species mingled, as did their children and their dogs. 

Catey Allio is a soft-spoken teenager with Batten Disease; she is wheelchair-bound and blind; six-year-old Daniel Kerner is also in a wheelchair, his limbs and language erratic. Daniel’s father, Marcus Kerner, and Catey’s mother, Cathy Allio, are meeting here for the first time, in a difficult but ritualized exchange. With increasing emotion as he tells his son’s story, Marcus Kerner leans into Cathy Allio’s embrace.

Two of Cathy Allio’s six children have Batten Disease, including her youngest, 7-year-old Annie. She admits she was initially conflicted about collaborating with dog owners, feeling there was nothing comparable about a sick child and a sick dog. “But it wasn’t about a dog or a child and which was more important. It was about fighting a disease.”

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Researching Batten Disease Down Under
Research into Batten Disease—both canine and human—is going on around the world. About 20 years ago, the disease was discovered in Australia’s much-loved Border Collies; unlike affected Tibetan Terriers, who usually experience late onset of Batten, Australia’s Batten Disease-afflicted Border Collies rarely survive beyond 26 months.

Breeders became concerned that, as fewer lines were used, other genetic mutations would appear. In response, they took several proactive steps, among them, setting up a detailed database of pedigrees dating back to the 1950s and, in 1993, allying themselves with University of New South Wales genetics researcher Dr. Alan Wilton. Dr. Wilton and Scott Melville—a PhD student working on the project—ultimately identified the relevant gene sequence, and a DNA test was developed; it is thought that this test will help breeders eradicate the disorder within a decade.

The research was funded by an impressive coalition of interested parties, including the Australian Research Council, the Border Collie Club of New South Wales and other Australian Border Collie clubs, the Batten Disease Support and Research Association, the Canine Research Foundation, and a bequest from Alice McDonald. More work is needed to extend the benefits of the research to humans. Notes Mr. Melville, “In humans, the story is more complex, with more than 150 mutations in six different genes capable of causing the disease. We hope that in the future, this new information may be able to help in developing treatments for children.”

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This article first appeared in The Bark, Issue 38, Sep/Oct 2006

Ketzel Levine is NPR Senior Correspondent for "Morning Edition" and has reported on everything from the restored prairie at the Bush ranch to the 100th anniversary of Madam Butterfly. She has an academic background in music, a working relationship with sports, and a passion for plants and animals; her family includes Zoe Mae, a 63-pound wavy-haired mutt, and Lullah, a long-haired tabby cat.

Photograph by Kersti Malvre

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