The WHYs behind the Autoimmune Protocol: Nightshades

August 22, 2012 in Categories: , by

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Tomatoes, potatoes, eggplants, sweet and hot peppers (but not black pepper), and chili-based spices (including paprika) all come from plants which are members of the nightshade family. Nightshades can be problematic for many people due to their lectin, saponin and/or capsaicin content. They tend to be even more problematic for those with autoimmune disease and of all the foods restricted in the autoimmune protocol, are probably the least likely to be successfully reintroduced, especially tomatoes and chilies.

There are over 2000 plant species in the nightshade family, the vast majority of which are inedible and many are highly poisonous (like deadly nightshade and jimsomweed). Tobacco is also a nightshade, and is known to cause heart, lung, and circulatory problems as well as cancer and other health problems (clearly some of this has to do with the other toxins in tobacco products derived from the processing). Of the edible species in the nightshade family, poisoning can actually occur with excessive consumption and it is possible that the low-level toxic properties of the nightshade vegetables contribute to a variety of health issues as they progress over time 1. So, let’s talk about two (okay, three) key compounds in nightshades that make them such a common food sensitivity and a problematic food for those with autoimmune disease.

Nightshades contain lectins. Actually, all plants (and even animals) contain some lectins, a class of sugar-binding proteins with many biological roles, including protecting plants (especially the seeds of the plant) against predation.Not all lectins are problematic (I have an entire post in the works explaining why the lectins in wheat can be such an issue but the lectins in blueberries aren’t). The lectins which we avoid in the paleo diet are the ones with the ability to increase intestinal permeability (see this post on how lectins do this). These are lectins which resist digestion (typically due to high proline content), are relatively heat-stable (so there are still sufficient quantities to cause an issue after cooking), and have the ability to strongly interact with proteins in the membrane of the cells that line the intestine (and some can even bind to receptors in those membranes and be transported intact across the intestinal barrier). There is huge variability the effect of different dietary lectins, from proinflammatory and promoting a leaky gut on one end of the spectrum to completely harmless and even potentially therapeutic on the other. Until a systematic analysis is performed of all plant lectins and their physiological effects, the foods advocated and restricted on a paleo diet really only represents our best guess based on what is known so far. So, what do we know about nightshade lectins? Tomato lectin is known to enter the blood stream relatively quickly in humans, which suggests that tomato lectin can contribute to the development of a leaky gut 2This information has led me to recommend that tomatoes should be eaten in moderation for most people. People with autoimmune disease are more likely have a leaky gut and have more challenges to healing a leaky gut once it has developed. For these sensitive individuals, tomato lectin should be avoided.

Nightshades contain saponins. The flowers, fruit, and foliage of the nightshade family contain a type of saponin called glycoalkaloids (e.g.the α-solanine and α-chaconine in potato, α-solanine in eggplant, and the α-tomatine in tomato) and contain steroidal drugs (e.g. the stimulating capsaicin in peppers, the tranquilizing nicotine in tobacco)3I explained in detail how saponins can contribute to a leaky gut in this post (also see reference 4). Very importantly for those with autoimmune conditions, saponins, such as α-tomatine, have adjuvant activity. An adjuvant is a chemical that stimulates and exaggerates an immune response. The glycoalkaloid α-tomatine is such a potent adjuvant that it is used in vaccines to ensure that the recipient develops immunity against the virus they are being inoculated against. This is critical in the discussion of autoimmune disease because dietary saponins are believed to rev up the immune response to proteins leaking out of the gut 5. When antibodies are formed against proteins (like gluten) that have amino acid sequences that look very similar to sequences of other normal proteins (like transglutaminase) in the human body, the chances of developing an antibody against one’s self increases. When this happens, the immune system attacks normal healthy proteins/cells in your own body and this is the development of autoimmunity. Beyond these actions of saponins, glycoalkaloids inhibit a key enzyme, acetyl cholinesterase, which is required for nerve impulse conduction. There is also evidence that diets high in potatoes, in particular, result in increased markers of inflammation (this could also be due to the carbohydrate load that potatoes provide and not an effect of the glycoalkaloids themselves). Glycoalkaloid poisoning can occur with excessive consumption of nightshade vegetables, and many researchers have hypothesized that the low level toxic exposure from more moderate consumption of nightshades can contribute to a variety of health conditions 1Another problematic substance is capsaicin, a steroidal stimulant found in chili peppers (it is one of the substances in peppers that give them heat). While a variety of health benefits have been attributed to capsaicin, it is also a potent irritant to a variety of tissues, including skin, eyes and mucous membranes. Very importantly, there is evidence that capsaicin can increase intestinal permeability 6.

Of all the foods restricted on the paleo diet autoimmune protocol, nightshades are the least likely to be reintroduced successfully. In fact, many people are sensitive to nightshades independent of illness or autoimmune issues.In my own experiences, two meals (on two consecutive days) containing a small amount of tomatoes nearly two months ago resulted in a massive lichen planus flare (it was also timed with some stressful life events, which I’m sure didn’t help). Two meals of tomatoes set me back months in my recovery. I am only in the last week or two starting to see some improvement to the new lesions that formed nearly overnight. While frustrating, I try and focus on the positive: I now know that tomatoes are not good for me. And avoiding them is worth it.

1 Childers N.F., and Margoles M.S. “An Apparent Relation of Nightshades (Solanaceae) to Arthritis” Journal of Neurological and Orthopedic Medical Surgery (1993) 12:227-231

2 Carreno-Gómez B et al. “Studies on the uptake of tomato lectin nanoparticles in everted gut sacs.” Int J Pharm. 1999 Jun 10;183(1):7-11.

3 Gee JM, et al “Effects of saponins and glycoalkaloids on the permeability and viability of mammalian intestinal cells and on the integrity of tissue preparations in vitro.” Toxicol In Vitro. 1996 Apr;10(2):117-28.

4 Francis G et al.“The biological action of saponins in animal systems: a review.” Br J Nutr. 2002 Dec;88(6):587-605.

5http://video.google.com/videoplay?docid=-8901290975296745403

6 Jensen-Jarolim E et al. “Hot spices influence permeability of human intestinal epithelial monolayers.” J Nutr. 1998 Mar;128(3):577-81.

Comments

I have been dealing with inflammation-based pain and stiffness in my neck and shoulders for about a year and a half and have recently been diagnosed with early-stage Hashimoto’s. I did an elimination diet for food sensitivities during the winter and it did wonders to improve the pain/inflammation. I found that I am extremely sensitive to all peppers, among other things, so I had to quit the Garden of Life multivitamin I was taking (contains bell pepper juice). The MegaFood multi was recommended to me, but it contains ashwagandha root, which I recently learned is also a nightshade. I am planning on trying the AIP to see if I can get the autoimmune reaction stopped before it damages my thyroid. Is there a good nightshade-free multivitamin you would recommend?

i am desperately looking for a good, nightshade-free women’s multivitamin as well, so anyone who knows of them, please let us know!

I was just diagnosed with thyroid disease, hashimotos/thyroiditis. Do you suggest having an allergy test done? I consume lentils still and in between meals almonds or pistachios. I had tomatoes in an avacado salad. I honestly don’t know the first thing about immune protocol. I am underweight and cutting all this out makes me feel hungry already! Any recommendations how to deal
With this? Not to mention, although I do have support, many people react badly to a thin girl taking everything out of her diet!

Sarah recommends following the autoimmune protocol for at least 30-90 days before adding foods back in, regardless of whether or not those foods tested positive for allergies/sensitivities (because false positives are fairly common). – Christina, Sarah’s assistant

While IgG allergy tests can be very helpful, and I would recommend getting one (that tests for total IgG – like the one from The Great Plains Laboratory), they will not reveal if you have a lectin-based problem with nightshades, as I do. Nightshades don’t even register on my IgG test, because it’s not an antibody issue with the nightshades, but believe me…I have a serious problem with nightshades.

I have always believed sweet potato, Japanese sweet potato or yams were allowed on the AIP. Sarah commented that a sweet potato was a “cheat.” In this post she only referred to “potato.” I’m confussed. What is okay for an autoimmune patient that is trying follow the complete AIP?

Would you mind pointing me in the direction of a few peer-reviewed journal article references that are more recent? The articles referenced are from 1993 – 2002. Many thanks.

Sweet potatoes are not nightshades. They are in a different botanical family. All other potatoes, like russet, red, yukon etc. are nightshades.

Would drinking tea that contains some seeds/nightshades still be harmful? I love chai tea and the blend I have contains cardamom pods. Thank you!

[…] Back to the WHY: “Nightshades can be problematic for many people due to their lectin, saponin and/or capsaicin content.”  The lectins, saponin and capsaicin can cause increase of intestinal permeability, can contribute to leaky gut and so much more. To read a more in depth detail of how the nightshades can cause harm to our insides, click here. […]

[…] Back to the WHY: “Nightshades can be problematic for many people due to their lectin, saponin and/or capsaicin content.”  The lectins, saponin and capsaicin can cause increase of intestinal permeability, can contribute to leaky gut and so much more. To read a more in depth detail of how the nightshades can cause harm to our insides, click here. […]

I have had chronic heartburn since I was in Kindergarten. I probably have myriad disorders and permanent issues as a result; I keep Tums and Ranitidine nearby daily because my heartburn is unpredictable and insufferable, such that I have to induce burping just to clear bursts of acid burn in my stomach frequently throughout the day.

Over the years, I have learned–though had an impossible time ridding myself of these things–that cereal grains, super high fat foods (though usually in conjunction with other culprits on the list, therefore making the determination if I have a gall bladder issue difficult to assess), tomatoes, sugary foods all aggravate my heartburn.

It’s so bad that I can have intense bile proliferation that regurgitates through my throat just from sipping on water–a condition that is new to me later in life. I always felt these issues after eating tomato-based pasta sauces, salsas, conventional cheeses (read: cheddar/American over Parmesan), chocolate milk, pasta, rice…

I got it bad. But now I am 34, and I suffer ALL THE TIME to the point that I figure I am screwed. I figure I am going to die from the wear-and-tear that my bile mechanics have waged against me over the years (even more unfair because a lot of my childhood and adult indigestion I have linked to stress).

But when I cut high fats, wheats, sugars, tomatoes out of my diet, I suffer less–if at all. What you say makes sense. However… I am an experience-based person. I want the indulgences and none of the penalties. Life is but once, and the least I can do is enjoy a steaming bowl of Chicken Gypsy Style or related to comfort me.

How do you replace tomatoes, grains, and related in your diet when these are the only foods you’ve known and they bring an immediate comfort, even if they also bring the sulfur and brimstone promised in the Bible?

If there is a Hell, I can only hope that my inflamed-bowel existence on earth has served as some sort of penance over the years. God knows I’ve suffered enough.

Your site is amazing and so packed with good info and easy to understand.
I would like to know if you think there is a connection between mercury poisoning from amalgam and the autoimmune leaky gut syndrome. such that the mercury is causing problems in the gut leading to all the rest.
thanks, hope you can reply to my email.

my daughter who is now 22 years old, suffers from asthma and Excema. She has had Excema since she was about 7 months old. She would get rashes all over her tummy, back and in creases of elbows and knees. Sometimes it would get so bad it would bleed. Today it’s not as bad, but she still has break outs and is so itchy for days and nothing seems to work. She has tried to eliminate eggs and milk for two weeks at a time. Do you think night shades could be the culprit? She has been to many doctors and the only thing they recommend are steroids and drugs, so frustrating!

So I have been having issues after eating these foods, but mine are more in the realm of anxiety, and a fuzzy feeling head. Barbecue sauce, and other red sauces just mess up my mind so much I want to hide in the corner for two days. I am actually developing a fear of eating for I just did not know what was causing it. This actually looks like it could be a good explanation, yet I do not see anyone having the issues I have from it.

I was wondering if it was possible to eat white sushi rice in the AIP diet. I have Hashimoto hypothyroidism and I’m a college student. I’m on a budget of “what ever my parents give me” + minimum wage. I used to eat white rice everyday because it is cheap and I have had no problems. However I noticed that since I have started college, every year there would be a period (one warmer month out of the year) that I would suffer adrenal fatigue. Last week my hair started to fall out ALOT and I scrambled the internet and came across the AIP diet. I have read articles that argue for rice and others that argue against it. I would like your advice on this topic. (I also am going to see an Doc too >.< ) Any advice much appreciated!!!

[…] A diabetic may wish to reduce the number of tomatoes as shown in the analysis below which reduces the net carbs to a much more ideal 12g per 500 calorie serving.    With the reduction in tomatoes we get a small drop in the nutrient score from 80 to 73, although the amino acid score increases from 125 to 129.  Tomatoes can also be something to watch out for if you have autoimmune issues. […]

Hi, I have been on the AIP protocol for about 6 weeks now with my 4 year daughter who was diagnosed with Lichen Sclerosus. 6 months ago, she broke out in hives after eating a bag of potato chips. And yesterday someone gave her mashed potatoes! so she had nightshades and milk, maybe even gluten. She has swollen lymph nodes in her neck now. (No other symptoms of illness.) Can this be a nightshade reaction?

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