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CVM Threatens Holstein Herds
Veterinarians are urged to report, submit
abnormal Holstein calves to research centers.


Reprinted with permission from Veterinary Practice News. August 2001, page 36.

By David Steffen, DVM, Ph.D., Dipl. ACVP

Complex Vertebral Malformation (CVM) was first described by Danish veterinarians in an agricultural research bulletin released in October 2000. The bulletin and press release described a typical case, but data supporting the mode of inheritance has not been released. Following the press release, information was distributed to veterinarians with the American Association of Bovine Practitioners and the American Association of Veterinary Laboratory Diagnosticians. Within one week, several cases were confirmed in the United States.

CVM in the Herd
Reported calves with CVM in Denmark and those observed in the United States are delivered from 250 to 283 days gestation. Most are one to three weeks premature and nonviable. The appearance of a short neck may identify a calf as a CVM suspect, but this feature can be subtle. Careful palpation of the vertebral column may demonstrate kyphosis or scoliosis in the cervical and/or thoracic region. Arthrogryposis affects all four limbs, which are flexed at the fetlock by rigidity in the tendonous structures and digits are medially rotated (Figure 1). Alert your clients to this condition and instruct them to carefully examine each aborted or stillborn calf.

Figure 1: Stillborn Calf Affected by CVM
Figure 1: Calf With CVM


When a Suspect Calf Is Found
All abnormal Holstein claves, particularly CVM suspects, should be reported to Holstein USA (Irma Robertson, executive director of quality assurance; 802-254-4551) and the Nebraska bovine congenital disease investigation program (David Steffen, DVM, dsteffen1@unl.edu; (402) 472-1434).

Contact should be made prior to necropsy whenever possible. Affected calves can be frozen while necropsy is being arranged. The National Association of Animal Breeders has provided funding to the University of Nebraska for necropsy to characterize this disorder, and research is underway to study the genotype of affected calves and their parents. The bull stud providing semen may also be of assistance. Holstein USA will assist in arranging parentage verification and sampling for genotype studies. Calves should be submitted to the Nebraska Diagnostic Center whenever possible so research regarding this disease can continue.

Distinguishing Features Seen at Necropsy
Careful necropsy in the field or at State and regional diagnostic labs can be arranged but should be coordinated by Holstein USA. Thorough recording of vertebral involvement and cardiac structure anatomy is needed to continue research and to differentiate CVM-affected calves from calves with Arthrogryposis or vertebral anomalies caused by environmental factors. The most consistent necropsy finding is severe malformation of multiple vertebrae near the cervical thoracic junction. Lumbar and coccygeal vertebrae are also affected in a few calves. Vertebral body fusion, hemivertebrae, wedge vertebrae and fused or missing ribs are common; fusion of dorsal spinous processes and vertebral arches are also seen. Approximately half of the affected calves exhibit cardiac abnormalities including, high ventricular septal defect dextroposition of the aorta and right ventricular hypertrophy. Vertebral changes can be seen without cardiac changes; it’s unknown whether the reverse is possible.

CVM Genetics
Danish scientists believe CVM is a recessive trait based on proprietary findings. Data released has identified U.S. sire 7H543 Carlin-M Ivanhoe Bell as a common ancestor maternally and paternally in the pedigree of all affected calves.

The Carlin-M Ivanhoe Bell sire line is widely used in the United States. Despite this fact, very few affected calves have been identified to date, which raises concern that inheritance may be complex rather than a simple recessive. Danish segregation studies have found lower-than-expected numbers of affected calves in sire-daughter matings by retrospective analysis of field data. To date, no published peer-reviewed reports of this disorder exist and no data regarding the genotypic studies have been released.

When CVM Is Diagnosed
The U.S. breeding industry continues to monitor CVM very closely. With no data publicly available to verify the Danish conclusions regarding the inheritance of this disorder, it is impossible to make informed decisions regarding disease control. I recommend removing sires and dams that have produced affected calves from breeding programs. Productive cows that produce an affected calf could be used in milk production, but should be bred to bulls not associated with the disease. Fifty percent of offspring might be carriers if the Danish hypothesis is proven.

Testing Sires, Dams for Carrier Status
The Danish research group markets a marker test within their lab (DnaLab@AgrSci.DK) that has been licensed to a lab in Holland. Data that might validate the accuracy of this test or the inheritance of this trait has not been made available for peer review. Results of preliminary screening of a modest group of U.S. Holsteins suggests that putative carrier status of many animals cannot be established by the test currently marketed. The test appears to be inefficient, indicating that if valid markers exist, the ones currently selected must be distant from the putative CVM locus. It will take at least one year before data characterizing disease inheritance is available and the validity of the testing procedure is determined.

Participation in the research, by reporting all suspect cases to Holstein USA and following up by submitting requested samples, is the best way to assist the dairy industry. The National Association of Animal Breeders and Holstein USA are aggressively collecting data on this condition and are currently arranging research aimed at studying the inheritance and genotypic markers in affected calves and their parents.



Dr. Steffen is a pathologist and director of the Veterinary Diagnostic Center at the university of Nebraska in Lincoln. His research is associated with providing bovine congenital abnormality diagnostic support to breed associations and organizations nationally.



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