Sphynx cat
Some folks view Sphynx cats as Hypoallergenic cats.

Did you know that 10-20% of the world’s human population is allergic to cats (1)? Symptoms range from itchy eyes, stuffy nose, and sneezing to skin rashes and hives. More serious reactions may include asthma and difficulty breathing. Over the counter medications can relieve some but not all of the discomfort and these medications are not without side-effects. Are there other ways to manage these allergies?

This post is an update of one published about 1 year ago. I felt it was worthwhile to bring people’s attention to the subject again.

Allergies and the cat-human bond


Allergies can come between you and your cat. You are miserable around your cat when your allergies flare up.

  • You start to avoid your cat.
  • He is outlawed from the bedroom.
  • His needs, particularly consistent human interaction and interactive play, are not being met.
  • Not only are you feeling bad, but your cat can become stressed.
  • Stress can lead to medical problems such as diarrhea, and resurgence of viruses such as herpes.
  • It is not unheard of for people allergic to cats to re-home their beloved pets.

The Culprit


  • A protein called Fel d1 is the primary allergen in cats.
  • Fel d1 causes 95% of the allergy responses in adults allergic to cats. 
  • Fel d1 is produced in the cat’s salivary and sebaceous glands.
  • Your cat spreads Fel d1 through his fur as he grooms.
  • As he sheds fur and skin (dander), Fel d1 is distributed throughout your home. 
  • Breathing in dander or having contact with it can trigger an allergic reaction.

Fel d1 is light, easily airborne and can be found just about everywhere, even in pet-free homes and institutions such as schools. Usually these levels are low and do not impact people in general. Fel d1 may be spread by the clothing of people who keep cats (1).

Managing Cat Allergies


REDUCING FEL D1 IN YOUR HOME


Here are some things you can do:

  • Fur tends to “stick” more to fabrics – vacuum upholstery and carpets frequently.
  • Consider switching out carpet for hardwood or vinyl floors.
  • Use covers that you can launder on sofas and upholstered chairs.
  • HEPA air filters and HEPA vacuum filters can also help.
  • Clean regularly and frequently.

REDUCING FEL D1 ON YOUR CAT


Not all cats shed Fel D-1 at the same rate. Even an individual cat does not always shed the same amount of this protein at any given time – instead it varies throughout the year.

NO HYPOALLERGENIC CATS


Some folks think that certain breeds of cat don’t produce much Fel d1. These cats typically do not shed much. It is thought that the reduction in the amount of hair reduces the amount of Fel d1 in the environment. 

However, Fel d1 is mainly produced in the sebaceous glands in the skin and in the cat’s saliva, not in the hair. So even a “bald” Sphynx will still groom and spread dander that has sebaceous secretions containing Fel d1 (1)

BATHING YOUR CAT


Bathing your cat does reduce the amount of Fel d1 but levels return to pre-bath amounts within 2 days (2).  Of course, many cats do not tolerate being bathed.  There is a mousse shampoo designed to reduce Fel d1 – this may be better accepted by cats than a traditional soap and water bath.

“NEUTRALIZING” FEL D1


Fel d1 like most allergens, has a chemical “key” that locks into receptors on cells in our bodies. What if you “lock up” Fel d1 before it gets to us?

Chickens produce antibodies against environmental antigens that they can transfer into their eggs and give their chicks immunity against these antigens. Researchers at Nestle-Purina developed an “anti-Fel d1” antibody by exposing hens to Fel d1.  This antibody is incorporated into the dry cat food, Purina “Live Clear” .

How it works:

  1. A cat eats food containing eggs from these hens. 
  2. The “anti-Fel d1” antibody “locks up” active Fel d1 in the cat’s saliva.
  3. When the cat grooms himself, he spreads the “locked up” or neutralized Fel d1 on his fur.  He probably also spreads some of the “anti-Fel d1” antibody, which further neutralizes some of the allergen produced by the sebaceous glands of the skin.
  4. Studies show that active Fel d1 is reduced by an average of 47% after 3 weeks of feeding.

Although not a perfect solution, feeding this diet may just help reduce the allergen burden enough to make you, and consequently your cat, more comfortable.

WHAT DOES THE FUTURE HOLD FOR THOSE OF US ALLERGIC TO CATS?


HUMAN-DIRECTED THERAPIES


“Anti–Fel d 1” monoclonal antibodies are being developed that can be given by injection under the skin to humans allergic to cats. Preliminary studies showed a 60% reduction in symptoms in half of the patients. (2)

CAT-DIRECTED THERAPIES


Saiba Animal Health is developing a vaccine that triggers an immune response in the cat’s own body to develop antibodies to Fel d1. “Hypo-Cat” showed a 50% reduction in Fel d 1 levels detected in cat tear extracts, decreasing symptoms in nine allergic patients by about 30%. (2)

Other research is using CRISPR (gene-editing) technology to delete the genes responsible for producing Fel d1, with the aim of producing a truly hypo-allergenic cat. (2)

closing thoughts


The function of Fel d1 is unknown – this protein is only found in the cat family.  Some experts feel it is a pheromone (3)– a chemical used to communicate between members of the same species. 

Sphynx cat doll

 

 

This raises some questions:

What message does Fel d1 carry between cats?

Is it ethical to modify the feline genome to breed cats that don’t produce Fel d1?

How will we be changing our cats when we do this?

 

 

Happy Halloween and Subscribe to The Feline Purrspective!

 

 

Sources

  1. Bonnet, B., Messaoudi, K., Jacomet, F. et al. An update on molecular cat allergens: Fel d 1 and what else? Chapter 1: Fel d 1, the major cat allergen. Allergy Asthma Clin Immunol 14, 14 (2018). https://doi.org/10.1186/s13223-018-0239-8
  2. Nicole F. Brackett, Brian W. Davis, Mazhar Adli, Anna Pomés, and Martin D. Chapman.Evolutionary Biology and Gene Editing of Cat Allergen, Fel d 1.The CRISPR Journal.Apr 2022.213-223.
  3. Bienboire-Frosini, C.; Durairaj, R.; Pelosi, P.; Pageat, P. The Major Cat Allergen Fel d 1 Binds Steroid and Fatty Acid Semiochemicals: A Combined In Silico and In Vitro Study. Int. J. Mol. Sci. 2020, 21, 1365. https://doi.org/10.3390/ijms21041365

Identifying signs of cat dementia is not always straightforward. In the hubbub of daily life, behavior changes can be subtle and go unnoticed until they are more severe.

Changes in behavior can indicate if your cat’s mental state has changed. The acronym VISHDAAL summarizes the behavior changes we need to observe to care for our senior cats.

V = changes or increase in vocalization
I = changes in interaction with us and other pets
S = changes in sleep-wake cycle: restlessness, night time activity
H = housesoiling
D = disorientation and confusion
A = changes in activity
A = anxiety
L = learning and memory

Three cats – three outcomes


rupert, 18 year old neutered male siamese

Cat on sailboat


I had two senior Siamese cats when I had my first child.  A first-time mom, I was frazzled, dealing with the completely new experience of parenting and was not paying as much attention as I should have to my cats.

One day, an acquaintance asked why one of the cats, Rupert, was sitting on the kitchen counter, in a corner, facing the wall. I had been aware that he did that sometimes but when I paid closer attention, I found that he would eat in the morning, use his litter box and then spend the day on the counter, facing the wall. He would come down to eat, drink, and use the litter box but always returned to the counter.

Behavior Changes – signs of cat dementia?

  • I – Rupert was no longer interacting with us.
  • D – He seemed confused and “out of it” – sitting on the counter all day
  • A – His activity had changed – he did not move much from the counter

Diagnosis:

Rupert had lost quite a bit of weight, although he was eating well. My vet diagnosed him with hyperthyroidism, which was a new disease in cats at that time.

Outcome:

Use of radioactive iodine to treat the disease was pioneered about 10 years earlier but it was not commonplace. Surgery was an option but at 18 years of age, Rupert was not a good candidate for surgery and we elected euthanasia due to his declining Quality of Life.

The Takeway:

I suspect that Rupert had moderate to severe cat dementia. The symptoms were most likely apparent earlier and I just did not recognize them. Nowadays, drug therapy for hyperthyroidism is readily available – methimazole is an FDA approved treatment for hyperthyroid cats. Perhaps treatment of the hyperthyroidism would have reduced the symptoms of cat dementia enough for Rupert to have had some more time with us.

Athena, 16 year old spayed female


Athena had been slowing down over the past year, was not eating as well and was spending most of her time sleeping. We had provided her with steps to access window perches and our bed; we also provided her with a heated bed.

Behavior Changes – signs of cat dementia?

  • I – Although still willing to play, Athena was interacting less with us; she had previously been a “nosy, busybody” kind of cat.
  • A – Athena no longer went on her daily walk and was less active in general

Diagnosis:

Diagnostic blood work did not show any significant changes over the past year. Athena did not show other signs of cat dementia and would still learn new tricks when hungry for treats.

X-rays showed moderate to severe arthritis in one of her hips and knees. We decided to treat her arthritis pain with the drug gabapentin.

Outcome:

Treatment for her arthritis pain has been a game changer for her; her activity level has increased, her appetite has increased, and she is back to “being in your face” when she wants something.

The Takeaway:

Regular checkups and treatment of chronic conditions can make you and your cat happier! Some symptoms typical of dementia may be due to treatable, medical conditions.

Marley, 15 year old neutered male

cat with food puzzle
Marley works the Poker Box, a food puzzle.

Marley is a friendly, affectionate cat with good health overall. In the past several months, Marley showed some of the behavior changes that we need to monitor in senior cats.

Behavior Changes – signs of cat dementia?

  • I – Marley had become more clingy than usual and more interactive
  • D – He seemed confused when playing the nightly game of “treat toss” – he seemed to forget that he was chasing a treat!
  • A – He did not want to walk outside with us (which he has been doing for years).
  • A – He seemed anxious and a little fearful. His interactions with the other cats became timid.

Diagnosis

Marley’s senior exam and blood work did not reveal any abnormalities other than a slight decline in kidney function which could be expected at his age.

Marley appears to have some mild cat dementia. Since these changes were mild, we decided to try SAMe, a dietary supplement. SAMe has been shown to be effective at reducing symptoms of dementia in cats in the early stages of cat dementia.

Outcome

About 2 months have gone by with daily supplementation. Marley is taking his daily walk again and is not as clingy with his humans. He is no longer stand-offish with the other cats and is “catching” his treats again when we play the nightly treat toss.

A Final Word…


Cat dementia cannot be cured but it can be managed. With early diagnosis, appropriate environmental modifications, dietary supplements, therapeutic diets, and medication can help can reduce the symptoms of dementia and improve Quality of Life for both you and your cat.

Want to keep up with the world of cats? Subscribe to The Feline Purrspective!

Subscribe

Elevated feeding station for a cat
Athena’s microchip feeder raised up on a platform.

My oldest cat, Athena, is 16 1/2 years old now. She was diagnosed with Chronic Kidney Disease (CKD) and osteoarthritis a few years ago.

Signs of CKD

  • Weight loss
  • Poor appetite
  • Lethargy
  • Increased thirst
  • Increased urination
  • Vomiting

 Kidney disease can result in reduced appetite and weight loss due to underlying nausea. As the kidneys become less efficient, cats drink more and more water to compensate for the reduced filtration, but they just can’t drink enough. One side effect of this draw on the body water by the kidneys can be constipation. And constipation can also result in reduced appetite.

Athena was losing weight, seemed depressed, did not want to eat and was not very active. Her quality of life seemed to be declining.

My vet recommended:

  • a laxative
  • an appetite stimulant

I added the laxative to Athena’s moist cat food. When she ate things were good.

If she did not eat:

she did not get the laxative >>she would become constipated >> she would not eat even with the appetite stimulant.

I felt we were trapped in a downward spiral.

It is important to treat the whole cat when managing an older cat with multiple disorders.

treat the whole cat


medical treatment


In addition to kidney disease, Athena also suffers from arthritis. Having been a fairly active cat who went on daily walks, it was disheartening to see her decline her walk and stay at home. Her gait became stiffer, in spite of a heated bed and daily exercise in the form of play.

So, I wondered, what if the pain due to arthritis was a bigger player than we thought?

What if stiff and painful>>not moving as much>> bowels don’t move as well>> constipation >>drop in appetite?

I asked my vet “What if we treat the arthritis pain?” Athena moved fairly well in the vet clinic but x-rays showed quite a bit of arthritis in one hip and one knee. The vet prescribed gabapentin twice daily for Athena.

dietary changes


To reduce the constipation, Athena needed more fluid and a laxative. I decided to try a hydration supplement, Purina Hydracare, and added the laxative to the Hydracare. Fortunately, she liked the Hydracare so down went the laxative in a little Hydracare!  This way I knew she got the laxative without stressing about her eating her entire meal.

environmental changes


Because her hips are painful, it occurred to me that “maybe crouching down is painful” so I elevated the feeding station. While she eats, she puts weight on her back legs, helping strengthen her back legs, which are most likely weaker from her previous lack of activity.

eureka!


  • Athena has responded well to the gabapentin – it does affect her balance a bit but she has become more active again and we have resumed our daily walks.
  • Increased activity combined with the hydration supplement and laxative seem to have have eliminated the constipation.
  • Athena accepted the elevated feeding station right away – I guess being more comfortable encourages her to eat more.

the takeaway


It is important to “treat the whole cat”. Treating Athena’s arthritis pain seems to have been a game changer. Although reduced appetite and constipation often accompanies kidney disease, reducing the pain of arthritis has balanced this out, increasing mobility and appetite.

She is still an old cat but her quality of life has improved dramatically with these changes.

Want to keep up with the world of cats? Subscribe to The Feline Purrspective!

Subscribe