The Equine Practice Inc, Travels With Doc T

Gut Inflammation – Decomplexicating Equine Nutrition Part 4 of 12

~ The woods in winter (above) seen along the road in Washington. The branches remind me of the convoluted and expansive brush like gut lining ~
Quick review:

Part 1 - Grazers versus browsers

Discussed the difference between glucose, starch, cellulose and lignin. These are all made of the atoms Carbon, Hydrogen and Oxygen but put together is different ways to form these molecules. Glucose is the main molecule and a chain of glucose molecules joined in a specific way is called starch. Both glucose and starch are directly digested by all animals including the horse. When the chain of glucose is joined in a different way it is called cellulose and cannot be digested by animals but it is digested into short chained fats by the bacteria in the gut. Horses with their very large colons are designed to consume large amounts of fat producing cellulose and NOT sugar producing starches.

Part 2 - The Basics of Sugar, Fat and Proteins

Discussed how not only sugar but fats and proteins are also made of Carbon, Hydrogen and Oxygen but put together in different ways. Proteins add a Nitrogen atom which can be removed so that a protein can become a sugar. Grass provides for the horse both starch (which becomes sugar) and cellulose (which becomes fat). Both sugar and fat are fuels used by cells to make energy. In nature there are seasons when starch (sugar) is abundant to add body fat for winter and then during seasons when starch is not available (winter), the cellulose consumed and the stored body fat provide the fuel for energy. It becomes a natural ebb and flow of fat gain and fat loss caused by the varying forms of seasonal fuel. However the continuous availability of starch (grains) prevents this and causes diseases in the horse (and in humans).

Part 3 - Gut Microbes

There are 8 times more bacteria in the gut, the skin and in the air around animals than there are cells in the body. The horse is really feeding the bacteria and in turn they feed the horse. When the bacteria are fed correctly then they provide the horse with all they need to thrive. When they are fed incorrectly then the bacteria die and are replaced with bacteria that live on the bad food. While surviving, this results in materials that can damage the gut lining and create inflammation. This is today’s blog discussion.

When the Gut Wall Becomes Damaged and Leaks
[dropcap]T[/dropcap]hink of an un-frosted doughnut. Do you see that the skin of the doughnut is the same on the outside of it as well as on the inside of the hole?  The hole is a continuation of the skin on the outside. The digestive system is like a long doughnut hole or tunnel (see my blog "Doughnut Hole"). It starts at the mouth and goes through the horse to the anus. Another way to look at this is to visualize a car tunnel under water or a subway under a city. It is free of the water or dirt that is on the other side of the tunnel and is filled with air from the outside from the holes at each end. In other words, in the digestive tract of your horse, what is inside the stomach and intestines is OUTSIDE of the body.

If you need proof of this just ask anyone who has torn a hole in their guts and let the gut material go into the space where the liver, kidneys or lungs live. But you can’t ask them because they are all dead! What is inside the gut must stay inside the tunnel. But how then does the food the horse eats fuel them to live? We need to start with the lining of the gut wall.

[dropcap]T[/dropcap]he lining of the gut wall is basically the continuation of the skin with the following similarities and one major difference. Both keep the bad things out and the good things in. Both have a way to heal when damaged. Both regenerate their layers. Both are covered with bacteria in identifiable groups. But with the exception of very few things (for example DMSO on the skin) the skin cannot let in specific molecules. The lining of the gut is modified however to allow in specific molecules while keeping out other molecules and invading bacteria such as e.coli. This selective absorption of certain molecules is really a remarkable feature.

The lining of the gut is expansive if stretched out and smoothed. Because of the velvet like undulations of the lining, this huge surface area is condensed to fit inside the horse. Of great importance is the fact that the lining of this tube has only one cell layer that is active with many layers of immature cells underneath ready to replace this delicate membrane as it ages and is sloughed. Between each gut cell is something called a tight junction which is impervious to everything - until it is damaged and then it leaks.

Damage to these tight junctions are caused by several things. The first is inappropriate acid production that can burn and ulcerate the membrane (the cells and the tight junctions) just like a sunburn ulcerates our skin. This acid can come from overproduction of hydrochloric acid (HCl) in an empty stomach exposing the non-glandular portion and causing a gastric ulcer. It can also be caused by the overgrowth of bad bacteria from chronic sugar intake (grain) in the colon creating colonic ulcers (ulcers of the colon).

As the bad bacteria take over, most of the good bacteria die and break apart into little pieces called lipopolysaccharides (LPS's) and these attach to inflammatory fats (such as vegetable oils) and are transported across the gut membrane through the tight junctions into the body. These become inflammatory materials that the horse reacts to resulting in a general feeling of unease to overt unwanted behavior (bucking, kicking).

[dropcap]A[/dropcap]nother cause of damage to tight junctions is by plant proteins that are foreign to the horse. These are called lectins and they physically break down the tight junction and enter the body where they cause inflammation and overtax the immune system, disrupt hormone communication through mimicry and deplete the energy from cells either through exhausting the mitochondria or by starving the cells (more about this in another future blog).

Gluten is a well known lectin that most people know about. Some people sensitive to gluten have severe health issues related to its ingestion. But gluten from wheat is only one of thousands of lectins we know about in human medicine. Most of these damaging plant proteins are found in the skin and seeds of plants and are found in the skins of ALL grains (wheat, rice, corn, barley and others) causing gut inflammation in most horses and humans. Nightshades (tomatoes, cucumbers, eggplant, squash, peppers, and more) also have severe inflammatory lectins but these are usually not fed to horses.

Foods that horses have eaten over their 55 million years of existence have adapted to the horse and the horse has adapted to them. Because of this, horses are OK with many plants they graze on. Occasionally a horse will find something he is not used to throughout most of the year but in the short time it is available (apples in the fall), they eat without much problem. This is because ripe fruit removes their lectins in the skin. As you know, eating unripe fruit is not only distasteful but it can make you very sick (green apples).

A Dr Seuss like apple tree in the Washington winter morning. While this fruit is available, it is out of season and therefore would have lectins in the skin.

[dropcap]T[/dropcap]he foods introduced to the horse’s diet they have not adapted to become the cause of many dysfunctions and diseases. Adaptation to new foods takes tens of thousands of years and certainly a lot more than the 4000 years we have domesticated them. In the 45 years I have been with horses and when talking with other horse owners who have been with them even longer, horses were rarely fed grain on a regular basis. In the past 30 or so years, marketing of grains to horse owners has now made the care givers feel less than worthy if they are not feeding grains year round to their horses. I often hear people respond to my no-grain challenge with this question, “But how will he get his nutrients?”

They have lived 54,999,950 years without grain. Going for 2 weeks without grain will not kill them and will perhaps help you see the positive changes in your horses when fed the way they were made - with food adapted to their good bacteria.

[dropcap]B[/dropcap]ut there is more. It’s not just the whole grains causing the gut damage. Grain byproducts are what is left over when the offending lectin laden skin is removed (wheat germ, wheat middlings, rice bran, oat hulls, sugar beet pulp). Rather than discard this, grain manufacturers have found a new home for them as fillers in horse feed. And of course there is more.

The storage of grain is not usually in climate controlled and dry areas. Because of this, most corn in the United states (and coffee beans for that matter) have mold growing on it. These molds of course are on the outer layers and that is exactly what we are getting when grain byproducts are put into animal feed. The same holds true for whole grains. Mold damaged grains are less expensive and because of this are used in many animal feeds where human consumption of the animal does not occur (the best grains are fed to animals before slaughter). I have yet to see a bag of horse feed that says “Our grains are tested and are mold free.” Forgive me if there is one but it is not a main stream feed.

The continuous feeding of sugars from the starch of grain, the lectins of grains and the molds of grains all contribute to the gut wall being damaged which then leaks inflammatory materials into the body. This leads to the disruption of the power plants of the cells (the mitochondria - in another future blog) which leads to dysfunction of many body systems which leads to most if not all of the diseases we see in horses today.

The problem is that all of this information is between 2 and 10 years old and is mostly found in human studies. It is only starting to get into equine nutrition. But step into my time machine for a moment and lets go back 45 years. Did you know that suspensory injuries now are at epidemic levels but in 1973 were very rare. The dropped hind limb fetlocks that devastate horses and cause their fetlocks to drop to the ground was not even in the text books when I went to Cornell’s vet school in the early 1980’s. Developmental orthopedic disease in foals (OCD, epiphysitis, contracted tendons) became common in the 1990’s and only found on farms where grain was fed. Pituitary dysfunction (PPID) occurred but not to the extent it does now. In humans, dopamine resistance is related to sugar consumption. Pergolide, the drug used in treating PPID or Cushing’s disease, is a dopamine replacement. Hmmm… is there a connection here?

[dropcap]F[/dropcap]inally, the real problem needs to be addressed. There is no money for research to assess the health benefits of not feeding grain. Grain is a multi trillion dollar business and it does not want to hear that grain may be causing disease in horses. Most people new to horses (30 years or less) only know how to feed horses using grain, grain byproducts, vegetable oils, sugar cubes, carrots and apples and trust the dealer to do no harm to their horse. Ask yourself, "Is what you are feeding your horse working?" Is he fit like an athlete or does he have Cushing’s, metabolic syndrome, laminitis, colic, suspensory injuries, cracked or malformed hooves, poor top line, skin conditions, anhydrosis (non-sweating), bad behavior (girthy, bucks, can’t clip, can’t load on a trailer), diarrhea or squirts, insulin resistance or any other issue you can’t seem to resolve?

All of these can be related to gut inflammation and the breakdown of the gut wall and leakage of contents into the horse’s body.

Next up is a discussion of what mitochondria are and how they work. This will be followed by a discussion of carbohydrate dependency because all horses need sugar, just not all the time. These will be fascinating for those of you following these blogs and wanting to learn exactly how their horse works.

Summary

The foods eaten by horses for millions of years do not cause gut inflammation.

New foods introduced in the past few decades cause gut inflammation from the lectins, molds and starch (sugar).

Gut inflammation is very likely to be at the root cause of most problems and diseases of horses seen today.

Removing the inflammatory foods is easier and a more holistic approach to solving problems in horses than adding any supplement, medicine or treatment. However, before you remove any of these, you MUST consult your veterinarian and discuss your individual horse and act accordingly with an agreed plan.

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