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What does lathyrism occur due to intake of?

2 min read

Hippocrates described a neurological disorder from eating legumes as early as 400 BC, an affliction we now know as lathyrism. The disease, which is still prevalent in regions prone to famine and drought, occurs due to the intake of specific neurotoxic compounds found in certain legumes, particularly the grass pea.

Quick Summary

This article explores the specific toxic compounds and legumes responsible for lathyrism, a paralytic condition affecting the lower limbs. It details the mechanisms of neurotoxicity and outlines essential preparation methods and dietary strategies to prevent the disease.

Key Points

  • ODAP is the Core Cause: Neurolathyrism is caused by the neurotoxin β-ODAP, found primarily in the grass pea (Lathyrus sativus).

  • Linked to Excessive Intake: The disease results from the long-term and heavy consumption of grass peas, often occurring during periods of drought or famine.

  • Neurotoxic Mechanism: β-ODAP acts as an excitotoxin, causing the overstimulation and death of motor neurons in the spinal cord, leading to irreversible paralysis.

  • Prevention is Possible: Soaking, boiling, and discarding cooking water significantly reduces the ODAP content, minimizing the risk of lathyrism.

  • Diversify Your Diet: Mixing grass pea with other cereals or legumes high in sulphur-containing amino acids also helps protect against the neurotoxic effects.

  • Not all Lathyrus are the Same: Other Lathyrus species contain different toxins (like BAPN) that cause different types of lathyrism, affecting bones and blood vessels instead of the nervous system.

In This Article

The Toxic Culprit: ODAP in Grass Pea

Lathyrism, particularly the neurological form known as neurolathyrism, is caused by the overconsumption of legumes from the genus Lathyrus. The primary offender is Lathyrus sativus, commonly called the grass pea or khesari dal. This hardy, drought-resistant crop is often consumed in large quantities during times of food scarcity, leading to a build-up of the toxic compound in the body.

The Role of ODAP

The direct cause of neurolathyrism is the neurotoxin β-N-oxalyl-L-α,β-diaminopropionic acid, or β-ODAP. ODAP acts as an excitotoxin, overstimulating glutamate receptors in nerve cells, leading to neuronal damage and death. This primarily affects upper motor neurons controlling the lower limbs. The toxin also disrupts mitochondria and increases oxidative stress, further damaging neurons.

Why does ODAP become a problem during famine?

During periods of drought and famine, the grass pea is often one of the only crops that survives. Relying on a diet consisting of a third or more of grass pea for several months can lead to toxic ODAP accumulation, unlike standard diverse diets.

Types of Lathyrism and Causative Toxins

While neurolathyrism is the most well-known form, two other types of lathyrism result from different toxins found in other Lathyrus species.

Type of Lathyrism Causative Toxin Primary Source Affected Tissue
Neurolathyrism β-ODAP (BOAA) Lathyrus sativus (Grass Pea) Motor neurons, spinal cord
Osteolathyrism Beta-aminopropionitrile (BAPN) Lathyrus odoratus (Sweet Pea) Connective tissues, bones
Angiolathyrism Beta-aminopropionitrile (BAPN) Lathyrus odoratus (Sweet Pea) Blood vessels

Reducing the Risk of Lathyrism

Effective strategies exist to reduce lathyrism risk, focusing on lowering ODAP concentration in food.

Best Practices for Reducing ODAP Content:

  • Soaking: Soaking peas for 12+ hours and discarding the water significantly reduces ODAP, as the toxin is water-soluble.
  • Boiling and Parboiling: Cooking in boiling water and discarding it before further cooking also lowers toxin levels and denatures protease inhibitors.
  • Mixing with Other Grains: Consuming grass pea as part of a mixed grain diet dilutes ODAP intake. Keeping consumption below 30% of the diet dramatically reduces risk. Sulphur-containing amino acids from other cereals may offer protection.
  • Avoid Immature Seeds: Immature seeds have higher ODAP concentrations.
  • Fermentation: Traditional fermentation can help break down neurotoxic compounds.

Modern Developments and Considerations

Increased awareness and food security have decreased lathyrism cases in some areas, but risk remains in vulnerable regions. Research is ongoing to develop low-toxin grass pea varieties that retain hardiness (Source: John Innes Centre). Individual susceptibility varies based on factors like nutritional status; diets low in sulphur-containing amino acids may enhance ODAP's effects.

Conclusion

Lathyrism occurs due to the long-term, excessive intake of specific toxic compounds from Lathyrus legumes, primarily β-ODAP from the grass pea. This condition, causing spastic leg paralysis, often arises during famine when these resilient crops are a dietary staple. While preventable through preparation methods like soaking, boiling, and diet diversification, it remains a public health concern for food-insecure communities. Developing safer crop varieties and improving nutritional knowledge are vital for global risk mitigation.

Frequently Asked Questions

Lathyrism is primarily caused by the prolonged and excessive consumption of legumes from the Lathyrus genus, especially the grass pea (Lathyrus sativus), which contains a neurotoxin called β-N-oxalyl-L-α,β-diaminopropionic acid (β-ODAP).

No, consuming grass pea does not always lead to lathyrism. The disease typically occurs when the legume constitutes a significant portion (more than 30%) of a person's diet for an extended period, particularly in times of famine.

The toxin in grass peas can be reduced by soaking the seeds in water for several hours and discarding the water. Thorough cooking, especially boiling, is also effective at leaching out and breaking down the harmful compound.

Lathyrism is more common during drought or famine because the grass pea is a resilient crop that survives when other food sources fail. This forces impoverished populations to rely on it heavily as a staple, increasing their exposure to toxic levels of ODAP.

No, there are different types of lathyrism. Neurolathyrism, caused by ODAP, affects motor neurons. Other forms like osteolathyrism and angiolathyrism are caused by a different toxin (BAPN) and affect connective tissues, bones, and blood vessels.

Neurolathyrism causes irreversible spastic paralysis, characterized by muscle stiffness, weakness, and loss of motor function in the legs. Once the damage occurs, it is permanent and cannot be reversed by ceasing consumption of the legume.

Yes, significant research is focused on developing new, low-toxin varieties of grass pea using selective breeding and genetic engineering. These new varieties maintain the crop's hardiness while reducing the risk of lathyrism for consumers.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.