----start---- Review Session: review of the things to carry away and not forget; very closely reflecting the exam. not giving us answers but giving us the concepts we need to know. Covering things that should be common sense...what should you know as a vet going into practice about lab animal med, animal welfare, your legal, moral and ethical obligations to animals in society, etc. There's only one law covering lab animals: the Animal Welfare Act. it says all animals, all vertebrates, are covered. But the USDA enforces the law. The USDA says that "animal" is defined under their regulations as a vertebrate that isn't mus musculus or rattus norvegicus (common lab rat and common lab mouse), or isnt a bird or isn't a farm animal on agricultural study. people will ask you why is this? it's probably because 90%+ of the animals used in research are rats and mice and the USDA thought they wouldn't have enough manpower to enforce the law but could cut the workload a lot by eliminating rats, mice. most of these animals are used for toxicology testing at universities where you have to abide by GLP, FDA regulations, etc. FDA: federal body that has jurisdiction, protects us, the people, ensures that drugs are healthful, safe, and can be taken without worry. their regulations end up covering the rats and mice (under the GLPs) to get Federal money, you have to follow PHS guidelines. these are not law, just guidelines. if you break them, you just don't get the money you do not go to jail. many rats/mice get used at institutions that need federal money. so again, USDA probably figured rats and mice didn't need to be covered by AWA. AWA also doesn't cover farm animals used in agriculture research. a cow on surgical study in human research lab is covered. but a cow on a study to increase milk production isn't covered by AWA. USDA says if you use research animals you must be a licensed, registered place - includes zoos, circuses, all places using animals. this is law. can go to jail if you don't follow. PHS oversees all use of animals at places applying for Federal money. this applies to the whole institution if any part of the institution wants to get a federal grant. have to register with USDA (OPRR) and follow PHS guidelines. if you don't, your money is withheld. USDA has inspectors come to facilities no less than once a year, sometimes more. at research facilities the inspectors are all veterinarians. you also file an annual report with USDA spelling out # of animals and what they were used for (four categories of use - not suffering pain or distress, suffering pain or distress while medicated, suffering pain or distress without meds but justifiably, or whatever). with PHS, every institution has to file "animal assurance" describing all the stuff you do with the animals. follows the Guide for the Care and Use of Lab Animals. no law requires you to abide by the Guide, but the laws refer to the Guide so it's the document to use. as a vet, what is your obligation? every institution registered with the USDA or which has an acceptable PHS assurance must have an IACUC made of a specified number of people, to oversee animal use and protect animals. PHS says must be not under 5 people. USDA says not less than 3 people. both say one of the people must be a veterinarian. PHS says the veterinarian must be experienced, and have appropriate training and background in lab animal medicine. close to 50% of this class will be a formal IACUC veterinarian at some point. if you do this you sign papers which say to USDA, PHS, etc that you are overseeing stuff, and that you are satisfied that the place has an acceptable animal care and use program. this is a huge legal and ethical responsibility. dont just sign things blindly, make sure everything is being done appropriately first. where to go for help: -local lab animal vet such as Dr Francine Mallon here at ULAR -ACLAM: board certification organization for lab animal medicine vets -nearby research institutions also have vets on staff who can help -vet schools but have someone you can call to get help. know your responsibility and authority. vet has authority to terminate any research project if animal isn't being treated properly. you can euthanize an animal on study if you feel it is appropriate. if it is being operated on without anesthesia or something, you can euthanize it. you have this authority. you'll have to answer for it later but this is your legal right and moral obligation. don't look the other way if animals are being used inappropriately ASLAP: made of practicing lab animal vets, not board certified necessarily. it's only $20 to join, you get newsletters and stuff so if you are a consulting lab animal vet join! AALAS: all people interested in or working in lab animal science. made of vets, PIs, techs, caretakers, industry people, etc. a good resource. they have a journal which is a useful reference for the lab animal vet. ILAR: institute for lab animal resources - part of NAS in DC. has a lot of publications that are useful - guidelines for various things. most of these places have websites, you can get info that way. Every state has an animal cruelty law. know that law for your state and keep it on your desk. people - local cops - will ask you about it. once police came and asked about a dog being kept in a run in the hot sun with no water. Dr R needed to know if this was *legal* or not. PHS and USDA protect welfare of animals. also know: AALAC - a voluntary accrediting agency available to any institution that uses animals. seal of good housekeeping. any institution can apply for accreditation, and if you get it, then you are abiding by practices well above the minimum standard of care. no agency requires AALAC certification. but 95% of animals used by research fall under the AALAC umbrella - large facilities are usually participating in this program. comply with the law (USDA) get PHS insurance USDA comes and inspects PHS does stuff by reading your assurance statements AALAC accreditation is another assurance it's required by all three of those accrediting and assuring agencies that institutions have IACUCs - that committee has responsibility and authority to oversee the animal use program, and reports to the local institution official (provost) and the PHS and USDA - directly to them. if the institution isn't complying with their assurance statement, the committee has to report it to the PHS, for example - not just to the provost, etc. this is what really happens. that is about it for regulations and guidelines -- mice and rats make up about 90% of animals in research. # of mice and rats are not counted by anyone. USDA doesn't cover them so the # isn't reported. some people think the #of animals being used is going down/ others think it is going up. however it seems to Dr R that they are increasing with transgenic mouse work. # of aniamls as defined by USDA has been decreasing steadily for 10 years. quality of work has been going up - quality meaning animals not suffering disease or distress or being used inappropriately, so data is more valuable and more useful. records show the data and science being gained is increasing as # of animals decreases. that idea was started in 1950s by russel and birch who wrote a monograph saying we should strive to follow the three Rs. Three Rs: refinement, reduction, replacement using fewer animals = reduction using more effectively and efficiently = refinement getting data without using animals = replacement --> pyrogenicity testing required by FDA - requires you to test all drugs to see if they cause fever - previously was mandated that it be done in rabbits - but someone figured out they could do the same thing using lymph from a horseshoe crab. but you only use 1 crab for each 100 rabbits previously used. this is the Limulus lysate test. in immunology research, mAb are produced and usually in mice. this is no fun. you inject mouse abdomen with an irritant, then inject antigen, and mouse will make monoclonal Ab. there are test tube methods being tested to replace this. we're going to be able to do this in test tubes soon, we think. this is going to really reduce the number of mice used. Norm Peterson talked about things like this. understand the three Rs are with us, being encouraged, what they mean. alot of mice are used in research, because they are cheap (by law, it's not permissible to use cost alone as the reason to choose an animal), because they work, have been inbred for many generations - inbred strain has been inbred 20+ generations which reduces genetic variation. you make every trait nearly homozygous. you end up with almost clones. individuals are almost identical. far fewer variants. inbred x inbred = hybrid when you breed inbred animals, many recessive traits which are undesirable come to the surface. the animals are less efficient reproducers. but for the vast number sof toxicology tests, they want animals with hybrid vigor - healthy, robust, thriving, easy to maintain, living long - but identical. so cross two homozygotes - you get identical offspring each time. so if you cross inbred1 x inbred2 you get a hybrid - identical offspring, with hybrid vigor. these animals are thrifty, healthy, do great - used for toxicology tests, mainly. Bedding - animals such as rats and mice are kept in cages with bedding. some cages have wire bottoms which aren't good b/c the animals get sore feet, cut the feet, get irritations. rats/mice on chronic studies invariably get sore feet if housed on wire. it's been suggested and FDA is considering outlawing wire cages for chronic studies in rodents. chronic = more than 6 mos, over a year. lesions are seen somewhere around a year of age. mice have and rats have open rooted incisors, that grow forever. gnawing animals. when they gnaw, they wear the tooth surfaces down. teeth grow forever. when fed commercial food, sometimes teeth grow too long and they need trimming. clip or file them. if you see animals in practice you may have to do this. rabbits have incisors that continue to grow guinea pigs have incisors and molars that continue to grow - float them with a tiny file like you would a horse. rats have no gall bladder - this is going to be on your state boards :) are you aware of the Mosby book - preparation for state and national boards? there are a lot of lab animal questions in there by dr r. :) if you use a solid bottom cage, you need bedding - change it usually about once a week. be careful of soft-wood beddings that give off resins, aromatic hydrocarbons that affect microsomal enzyme function. use care with anesthetics - may be increased sleeping time especially with barbiturates. it's ok to use pine or cedar as long as it isn't a research animal. but know there will be problems with barbiturates and do not use them on animals kept on aromatic wood beddings. pet stores also have hardwood chips. what should temp/humidity be for small rodent? about 70 F +/- 10; the guide says +/-2 degrees, making a big point that the temperature should not fluctuate widely b/c it gets stressed out. so give extra bedding so he can tunnel and stuff if gets cold. also, when you heat air it loses moisture, so humidity goes down. many heating systems have humidifiers so you can add water making humidity b/w 40-60%. if you get below 20% humidity (and manyhomes do), rats and sometimes mice will get chronic URI, ringtail (natures way of conserving something in the rat, constricting the vessels in tail, losing the end of the tail) raise humidity and condition will correct. except, you had a talk about gerbils - gerbils like it dry, they are desert creatures. if humidity > 40%, that gerbil will look sick - will have bad skin, furcoat, but won't really be sick. fix this by lowering the humidity. if you have a gerbil and a mouse, hmmm. use common sense. put a wet thing in mouse cage - pan of water will increase humidity in the cage a lot. chinchillas are animals which require high humidity common diseases in mice and rats: red stuff coming out of nose/eyes - often looks like blood but really is harderian gland secretion - porphyrin pigments - rats respond to stress by having porphyrins secreted by harderian glands, then they groom themselves and get this all over. it's any nonspecific stress that can induce this. many organisms cause URI in mice/rats. good colonies shouldn't have them. but pet animals will pick stuff up. in a stressed animal with wrong humidity, or cat staring at it all the time, you can see the red stuff come out. it's not uncommon for these porphyrin secreting animals to get ulcers of the eye probably due to tear duct blockage. reduce stress and tx with eye ointments and will go away. Gerbils have spontaneous epileptiform seizures. if you see them, do nothing, they go away spontaneously, it's a genetic trait, you can't fix it, it doesn't respond to therapy and it doesn't require tx. just explain to the client. gerbils are monogamous. best to leave male with the female. books say they mate for life. they WILL accept a new mate but do not like to. male will care for young with female. gerbils get Tyzzer's disease, bacterial disease you should know about b/c they are very sensitive and are used as sentinels in some mouse/rat colonies b/c mice/rats do not show clinical signs but can get infected. most bacterial infections in small rodents are tx w/broad spectrum abx in water - chloramphenicol, sulfas, common sense. something you have that will dissolve. it's not very rewarding to inject a mouse or rat with abx, it's much more easy and successful to put stuff in water. albinos - most research rats/mice have no pigment, their retinas are susceptible to light. the light in this room is about 85 foot-candles. if you subject albino rat to 100 foot candles, will go blind in 3-4 weeks. need subdued light. can do fine if blind, and you may not notice if pet goes blind, but it's not a good idea. in a lab, keep light at 30-40 foot candles. typical living room is probalby no more than 40 foot candles. plenty of light. gerbils - tail-slip. don't pick gerbils up by the end of the tail. pick up by the body or the very base of the tail. this CAN happen in rats and mice too, but less often. rats may twirl when you pick up and twist off the skin. pick up by the bodies. gerbils are nice, curious animals. even ones that aren't handled much will come up to you and check you out and don't usually bite very much or run away. hamsters are not nice. they are cute but evil. not good pets for kids. be careful. they will bite you first and think about it later. they also hibernate at 45-48 F which isn't very cool. clients have brought hamsters in that appeared nearly dead b/c they turned the heat down while out on vacation. when they got home, hamster was comatose, breathing slowly, heart rate slow -- hibernating! they come out of it with temperature increase, but it takes some time. if you see hamster like this find out where he's been, then put him in 70 F room for a while. do not heat up TOO fast. hamsters have cheek pouches. this is important why? b/c they do not have lymph drainage - they are immunologically privileged - will not reject foreign tissue - if you need to put in foreign tissue or something this is a good place. in practice, can get impacted. can clean out from the inside. chinchillas need high humidity - 50% is too low. they aren't good housepets, really. they need high humidity. most homes don't have that. they need dust baths with diatomaceous earth or they get skin problems. if clients have chinchi with skin problems, raise humidity to 50% + and give some dust baths. malocclusion of incisors of rats/mice; molar malocclusion more common in g.pigs although incisors can happen too. guinea pigs need high levels of vitamin C - commercial foods don't have enough unless very fresh. supplement their food. you can put it in water or use green leafy veggies, etc. no animal likes fluctuations in temp, but g.pigs in particular get respiratory problems from temperature fluctuations. they can tolerate a wide range but need it to be stable. g.pigs are precocious - born with eyes open, running at full speed and eating solid food at 5 minutes of age. can do fine without mom. do better if they nurse for a few weeks to get started but if mom dies, young should be ok on solid food - though you may have to teach them to eat. female guinea pigs have a pelvic ligament that relaxes from 1 day to 4 hours before birth. 4 hrs before birth, the space is about an inch wide - very relaxed, you can put your finger b/w pelvic bones. this must occur or can't give birth. if guinea pig isn't pregnant by age of 6 mos, the pelvis will fuse. if you have an adult g.pig, do not breed it b/c she won't be able to give birth b/c the ligament won't relax. will need c-section. guinea pigs also unique in that they respond to shrill noise in a certain way - used in auditory research. you know those whistles with the ball in them? that noise will make a g.pig freeze. not stampede, not get excited - but will stop, freeze, and perk up ears. that means they can hear. a number of g.pigs are deaf. this is how you can tell if they hear or not. antibiotics - rats/mice can get just about any broad spectrum antibiotic. guinea pigs, however, can't. gram positive organisms will wipe out their flora and cause toxicity and kill them. much less so but still sensitive are hamsters, chinchillas, even rabbits - be careful (double check notes re: gram +/- stuff) rabbits are not rodents. they are lagomorphs. rodents have four incisors. rabbits have 6. the peg incisors are behind the upper incisors. picking up rabbits - be careful - strong, muscular but weak bones - will kick when nervous (thumping feet when wild rabbits are in danger) and can break their own backs. that's not at all unusual. if you do this, clients and rabbit will be pissed. do not pick rabbits up by the ears. ever. that's not good. what disease would a rabbit have if it were sick? pasteurellosis. can cause almost anything - abscess, diarrhea, upper respiratory disease. if you see sick rabbits, give penicillin. pasteurella very susceptible to this. mucoid enteropathy also occurs in rabbits - sometimes in young adulthood 6-16 weeks of age - stressed rabbit can get violent, fluid diarrhea and die of dehydration. best tx is to cut food back in half. for a few days. tx diarrhea symptomatically. (replace fluids?) rats do not vomit, they have limiting ridge in stomach rabbits do not vomit. why is this important? well, usually you withold food overnight prior to surgery. you should not do this for rabbits - they will develop metabolic problems even from a 12 hr fast, and there is no reason b/c they won't regurgitate anyway. also consider not fasting any rats b/c they don't vomit either. mice ok to fast for a few hours. fasting rabbits causes severe possibly lethal acid/base imbalance. rabbits hold their breath - masking them down is difficult. they hold breath then suck in SO much it can be almost lethal dose. palpebral reflex is different. don't jump into doing rabbit anesthesia - get someoone to show you stuff. very prone to laryngospasm and difficult to intubate rabbits. rabbits have coccidiosis - it's there in almost all rabbits - causes mild diarrhea sometimes. some sulfa drugs are very effective for this. ferrets are more and more popular these days. one disease the ferret might have - influenza. they get human flu. if sneezing and wheezing ferret comes in you could get the flu from it. ferrets are used in flu research a lot. ferrets are induced ovulators like cats, rabbits, meadow voles. (don't need to know meadow vole). seasonal breeders, seasonally polyestrous. sexually active in spring. ferrets prone to hormonal problems, sometimes cause chronic problems and many recommend early neutering. probably that's a good idea. pet ferrets are liekly to have hormonal problems. many vaccines are of ferret origin - MLV vaccines of ferret origin can't be used in ferrets. if you use ferret origin vaccine in ferrets, the ferrets will die. moving on to bigger creatures. primates - new world v old world - differences? old world have cheek pouches, ischeal callosities new world - many have prehensile tiles (old worlds do not) primates need vitamin C and D3. this is important. we used to use a rule of thumb - 2 legged creatures need vitamin D3. chickens need D3. that may not hold true though. primates groom eachother socially, and hsould be housed together if possible, social creatures. the higher on evolutionary scale, and larger, the less likely to have multiple births. marmosets have twins, triplets; macaques rarely have twins; gorilla, almost unheard of sex skin - visible, dramatic esp in baboons, some macaques - looks like it might be abnormal if you'/re not aware. skin is fragile and vulnerable to trauma at this time. can see a huge laceration in sex skin and when the sex skin regresses it is just a tiny nick. TB: all primates get this. TB and malaria are big diseases threatening people and TB is a problem with macaques, especially rhesus monkeys, which are very susceptible to TB. not likely to be carriers but can be, and when they are they shed. many people carry TB. someone wrote that it is more likely to get TB if you are susceptible, walking through the KoP mall than walking through primate rooms, b/c you wear masks in primate rooms to protect the primates from TB and measles (and secondarily to protect yourself). some hemorrhagic fevers and viruses can be carried by primates. Herpes B: herpes viruses have a "active" or "fatal" host, and a "carrier" host. we are the fatal host of Herpes B and rhesus is the carrier host. herpes simplex: we are the carrier host, owl monkey is the fatal host if you see a macaque esp rhesus with any ulcer on any mucous membrane, hope you didn't touch it b/c it could be herpes B. your chances of getting it even if you touch ulcer are under 50% but it is LETHAL and we can't really treat it and you do not want to get it so be careful. if you have an ulcer, avoid new world primate colonies b/c you are the carrier host and the owl monkey esp is lethal host. always wear protection when working with primates: (not that kind of protection) - protect your mucous membranes from being splashed with saliva - eyes, skin, any cuts or abrasions you have, wear gloves, wear face shields, rubber gloves and heavy gloves; decontaminate the area if there is an exposure. use 10% chlorox - effective against most viral agents Freund's adjuvant - is used as an adjuvant, to stimulate immune system, often in conjunction with antigen to cause Ab response. some vaccines use this. this has been used in humans but no more b/c caustic, painful, uncomfortable. be careful when using it. but, how do you test NHPs for TB? always test them. the way you do it is to put mammalian tuberculin intradermally. do NOT use PPD. you will get false negatives. you need to use the mammalian tuberculin injected ID. look for induration, swelling - hard swelling. anywhere on skin ok but commonly done and most easily on the eyelid b/c you can easily go ID there, and you can easily see the eyelid when the monkey stares you down when you come to check the reaction. Freund's is a killed tuberculin, but exposure to this will immunize the individual to TB to some extent. some people are immunized this way - BCG vaccine - in europe. but once exposed to this Ag, you are hypersensitive to it any time you get exposed in the future. so if you get infected you will have immune response; or if you have skin test you will respond as a positive. an animal will do this too. a visiting scholar from China came here. he had to get TB tested to get cleared to go into the primate rooms. his test was of course positive. animals will test positive this way too. if an animal tests positive, make sure prior to euthanasia that it wasn't immunized or ever injected with Freund's adjuvant. now, when someone is vaccinated with BCG and then tests positive, how do you tell if they are really positive? well, humans with TB form calcified granulomas which show up on radiographs. NHPs do not form calcified lesions so you can't even test that way in NHPs. if an animal was vaccinated/injected with Freunds, don't even bother testing b/c it will test positive. Pigs: what to know. people like white skinned, hairless pigs for research purposes. the yucatan is a mini pig with white skin, little hair. drawing blood from pig - ear vein, also pre-cava is easy, common; up in the triangle of the neck. but pig has phrenic nerve on left so do not try to draw blood from left side of pig neck. always go in on the right side. pig restraint - use a pig sling (patapento sling? ) pigs are very social; they *need* social enrichment. they like to interact. if theycan't interact with each other, they must have toys. they can bowl with tremendous accuracy and quite some speed. erisypelas - diamond shaped raised red welt - occurs in pigs and people can get it from them. Goats - unique thing about goats is they have tiny RBCs so automated cell counts are screwed up if you don't set them correctly. so know red cells are smaller so this changes other parameters. they are also higher in number b/c you need more b/c they are smaller. sheep: know husbandry things - if you bring them inside fully wooled, shear them. trim their feet. sheep are used in fetal research. intrauterine surgery was mainly developed in sheep. sheep get contagious ecthyma/orf - lesions on mms - lips, commisures of feet - people get it too; one tech here got it - it was a dramatic lesion. one of the zoonoses to know about. q fever - rickettsial organism - causes little clinical problem in sheep, severe problems in immunocompromised or stressed humans so often serious problems in hospitals, etc. organism is concentrated in placental tissues. the unique thing about q fever is the tests we have are Ab presence tests, there is no good skin test; animals with Ab aren't necessarily shedding; animals w/o Ab aren't necessarily shedding but might be; test is a waste; should buy sheep from a herd that has a history of absence of Ab and should be aware of the problem in general. people using sheep here at Penn want to MRI them, and the MRI machines are in the hospital, so you have to be careful to protect people. what should you know? how much blood can you take from an animal? rule of thumb: 7% of your body weight is blood. calculate blood volume. you can take up to 10% of total blood volume without causing any hematologic problems or any undue stress. you can take up to 20% without being life threatening. over 20% is life threatening. remember those numbers. remember that blood regenerates or is produced over 3 week period. you can take 10-20% of total blood volume over 3 weeks. do not exceed that. if you need normal blood parameters, do not exceed 10%. remember that. that's good in everything from mouse to elephant. gestation periods of common animals - you should know these they fool you. hamster: 14 days mice/rats: 19-21 days rabbits: 31-32 days rhesus: 150 days (5 mos) cow: 9 mos pig: 3 mos, 3 weeks, 3 days (111, 114) horse elephant: ? 24 mos? chimpanzees - why are they used in research? if you use one in research, per federal law, you are financially responsible for housing that animal for the rest of its life and you can't euthanize it b/c you do not need it anymore. but they are very valuable for some research uses - they are used in hepatitis research, as a model in some AIDS research. it would be fair to ask us to draw blood from any common lab animal and you should know where to get the blood from safely from the common animals. guinea pig: clip toenail real short, take a drop - that's one way. if you need more blood, there is an ear vessel you can use. also the saphenous. mice/rats: medial canthus of eye with pipette while under sedation; also lateral tail vein rabbit: lateral ear veins; central ear artery rhesus monkey: femoral triangle, saphenous, jugular these are the obvious things to know for the exam. there will be some "common sense" questions from Norm Peterson. he makes you think a little. it is common sense, though. nothing to memorize. like, know that mice are smaller than elephants, and if you need a lot of generations you want animals with short gestation, etc. which animals come naturally as SCID? SCID mice, SCID dogs (colony here at Penn). ----end----