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Reply To: Grain Free Diets and Heart Disease

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Patricia A
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Joanne I believe it’s so much more complicated then peas/legumes causing lack of absorption of taurine. Way over my head with scientific explanations but I get the gist that not ALL grain free is causing DCM. Below is sited from JOURNAL OF ANIMAL SCIENCE OXFORD:

Other recent publications highlight the need for careful nutrient formulation.

Several recent papers, both original research and reviews, likewise highlight the unknowns surrounding grain-free diets (typically legume or pulse-based, but sometimes also with “exotic” ingredients such as kangaroo, bison, or wild boar) and DCM. For example, Adin et al. (2019) examined 48 dogs of many breeds with diagnosed DCM and having a known diet history. Among grain-free diets being consumed in this study, 1 dog was particularly associated with DCM, possibly underscoring the importance of specific diet formulation. Furthermore, 2 dogs switched from that diet to other grain-free diets showed improvement in their DCM; it is unclear if those dogs were taurine deficient or if they also received taurine and/or carnitine supplementation. This suggests that grain-free composition per se may not be the root cause of DCM. Another recently published case series of 24 Golden Retrievers with DCM and known diet histories were evaluated, and an association between grain-free diets and DCM was suggested (Kaplan et al., 2018). Most dogs (15 of 24) were fed a single diet which was significantly associated with low blood taurine concentrations, again suggesting that specific diet formulation may play an important role. However, as in the previous study, soluble vs. insoluble fiber concentrations were not available for the diets, nor were taurine, methionine, or cysteine concentrations, meaning that the true nutrient profiles of the diets could not be assessed and reinforcing the point that diet formulation for nutrients—not ingredients—is essential. It also suggests that nutrient requirements may vary widely based on breed, diet, and other phenotypic data. Indeed, most of the dogs with DCM in the previously described study were consuming less energy compared with their predicted requirements (Kaplan et al., 2018). It also bears pointing out that the numbers in both studies were very low (representing less than 100 DCM-affected dogs between them), which surely represents a fraction of the dogs consuming grain-free, pulse-based diets. A recent thoughtful review supports these conclusions by reiterating the crucial need for plant-based diets for dogs to be formulated with sufficient quantities of bioavailable methionine and cysteine to support adequate taurine synthesis (Dodd et al., 2018). This can be achieved with the addition of purified AAs and other sources that are readily available (Gloaguen et al., 2014). Finally, a recent commentary carefully concludes that a true cause-and-effect relationship between grain-free diets and DCM has not been proven, and other factors may ultimately be more important (Freeman et al., 2018). Taken together, these recent publications may point to faulty nutrient formulation in some, but not all, grain-free diets.

Effect of Dietary Fiber on Taurine Status and RISK of Canine DCM
Dietary fiber has been shown to affect the taurine status in dogs. For example, commercial diets formulated with lamb meal and rice bran were shown to cause taurine deficiency in part because of low bioavailable cysteine from lamb meal and possibly more importantly due to the effects of rice bran fiber on gastrointestinal metabolism of taurine (Johnson et al., 1998; Tôrres et al., 2003). It has been hypothesized that high-fiber diets can increase susceptibility to taurine deficiency by 2 mechanisms of action linked to obligatory bile acid conjugation with taurine in dogs (O’Mádille et al., 1965) and reliance on enterohepatic circulation for the reabsorption of bile acids and taurine. First, high-fiber diets may increase fecal output and losses of taurine-conjugated bile. This would require higher synthesis rates of bile in the liver, and consequently, higher utilization of taurine (Story, 1978). Second, high consumption of fermentable fibers may increase the abundance of microbial populations that degrade taurine in the intestinal lumen (Kim et al., 1996a, 1996b). Either alone or together, increased excretion or degradation of taurine from high-fiber diets may decrease enterohepatic circulation and recycling of taurine. Given that taurine is the only AA used for bile acid conjugation in dogs, over time, high-fiber diets could increase the risk of taurine insufficiency in dogs and lead to DCM.

  • This reply was modified 5 years, 11 months ago by Patricia A.