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Lectins 101

Lectins have become a buzzword in nutrition circles over the past few years. In some camps, lectins are seen as the enemy. The theory is that they trigger inflammation and intestinal permeability, contributing to chronic disease.  

Those who follow this doctrine avoid legumes and grains, two categories of foods with high levels of lectins. However, it’s worthwhile to consider that many traditional cultures consumed diets based on grains and legumes yet did not suffer from the chronic conditions in the numbers we see today. So, are lectins really as bad as their tainted reputation makes them out to be? Let’s look at what the literature has to say. 

What Are Lectins? 

Lectins are a category of proteins that reversibly bind to carbohydrates. These properties lead to their involvement in many activities, such as cell recognition, inflammation, host defense, cell development, and tumor metastasis. Although lectins are often discussed in conversations about the potential health benefits or problems of grains and legumes, you can actually find lectins in a number of species, including humans, animals, plants, and microorganisms.  

Plant lectins are commonly found in fruits, vegetables, nuts, and as I mentioned, grains and legumes. In plants, lectins often act as part of the defense system. Certain lectins are known to be toxic to animals and humans, such as ricin (a lectin toxin from castor beans used as a poison), and hemagglutinin in red kidney beans 

What Makes Lectins Problematic? 

Many in the nutrition and wellness field have placed lectins into a category known as “anti-nutrients.” As the name suggests, this description means they actively take away from health and nutrition. There are a few reasons why lectins make the list:  

– Inflammation
– Intestinal permeability 
– Increased risk of food allergy and intolerance 

Additionally, plant lectins have been found to be more resistant to heat than animal proteins. 

Are Lectins Really Inflammatory? 

There have been some studies demonstrating that lectins trigger inflammation, which give rise to the theories discussed above. For example, one mouse and cell study found plant lectins produced inflammation by activating the NLRP3 inflammasome in both mouse models and human cells. Studies on wheat germ agglutinin, the lectin found in wheat, point to the potential to cause inflammation through binding to the gut lining, inducing an inflammatory response, and possibly cause intestinal permeability.  

However, many of these studies do not create a real-world scenario. These studies tend to do one or more of the following:  

– Involve animals 
– Employ cell cultures
– Look at isolated lectins
– Use raw, non-cooked lectin-containing food 

Most people do not consume raw legumes, so a study in which mice consume raw legumes does not accurately portray what happens in the real world. It is beneficial to consider this aspect when reviewing the literature yourself. 

How Can You Reduce the Potential Downsides of Lectins? 

Some people may complain of gastrointestinal effects of lectins, such as indigestion, bloating, and gas, although it’s difficult to know for sure if they are responding specifically to the lectins in isolation. It could also be that their gut function is impaired and they are not able to process fiber, or that they have a food intolerance. It’s difficult to say without investigating one’s health with a trained health professional to look at the underlying root cause of symptoms. But, to be proactive, the traditional ways in which people prepare these foods greatly diminish the lectin content to reduce many of the problems. The best ways to reduce the potential downsides of lectins include: 

– Soaking
– Sprouting
– Heating
– 
Cooking
– Autoclaving (or steaming with high pressure) 

In one study, the levels of PHA (phytohemagglutinin), a toxic lectin found in red kidney beans and other legumes, was completely gone in common beans that underwent soaking and cooking or autoclaving.  

 

Are There Health Benefits to Consuming Lectin-Containing Foods?  

There are many beneficial nutrients, including essential vitamins, minerals, antioxidants, phytochemicals, and fiber found in whole grains, legumes, and other lectin-containing foods. Studies have found that consuming whole grains and legumes, or following a prudent-style or Mediterranean-style diet, which includes grains and legumes, can be healthy and even reverse or control chronic conditions such as diabetes.   

One study found benefits to insulin and triglyceride responses when consuming whole grains compared to processed grains in those with metabolic syndrome, while a systematic review found an inverse association between whole-grain intake and all-cause mortality. Another study found substituting red meat with legumes improved glycemic control and lipid profiles in diabetics, and legumes have been found to actually reduce inflammation in diabetics 

On the other side of the discussion, there have been studies that demonstrate the health benefits of a Paleolithic-style diet, which removes many lectin-containing foods such as legumes and whole grains. There have even been studies in which the Paleo diet performed slightly better when compared to a Mediterranean diet and other healthy eating patterns, although many studies demonstrate similar benefits.

This discrepancy of published research demonstrates the complexity of food and nutrition, and how one potentially problematic, singular component of the food does not always make the whole food unhealthy. 

Conclusion  

What’s the takeaway? When some lectin-containing foods are not prepared properly, they can be toxic and lead to food poisoning and death in certain individuals. In general, though, there is no strong evidence (i.e., human trials with whole foods) directly pointing to the problems that have given lectins a bad reputation, such as inflammation and intestinal permeability. That doesn’t mean lectins might not still be worth avoiding for some people, especially those who are sensitive.

Finally, my premise as a nutrition clinical researcher is that different foods may present us with challenges at some time in our lives. That may be because of the food, or it may be because of our physiology, or both together. It’s essential to be aware of our symptoms and ongoing bodily reactions. As I always say, best to work with a trained health professional to help you figure out the underlying root cause and guide you on your healing path!  

 

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9 Comments

  1. Rick Mayfield

    Thank you for the excellent, balanced lectin review. Your grasp of the literature is unmatched.

    The increased attention given to the adverse effects of lectins in recent online summits, blogs and a specific book have fueled the idea that we should move towards the polarized view of just eating meats and non-starchy vegetables. I have been an advocate of the high lectin foods going on 40 years with my patients who have experienced a much higher level of wellness. While we have a small subset of individuals who need to avoid whole grains, legumes, nuts and many vegetables that contain lectins, the majority of people benefit from their rich phytonutrient content.

    As you noted with whole grains and reduced mortality, legumes, fruits and vegetables have similar benefits demonstrating that their intake was inversely associated with non-cardiovascular death and total mortality in 18 countries.
    (www.ncbi.nlm.nih.gov/pubmed/28864331)

    Reply
    • dminich

      Thank you, Dr. Mayfield!

      Reply
  2. cheryl

    Wow Deanna….

    Finally someone with common sense……..

    We fell for the scare tactics of an MD who of course sells a product to replace the much needed nutrients lost from not eating the “bad” lectin containing foods.
    Only to find that the product he was selling contained high high histamine compounds as well as “natural flavors.

    My true belief today is that most humans have so messed up their guts that w look to natural foods as poisons..
    We want instant healing with a pill…a bottle…a special diet or some magic wand.

    You appear to be the only “sane ” functional healing voice around today.

    I am a seasoned functional
    nutritionist who has become dismayed by all of the so called functional MD’s, DO’s, ND’s DC’s who no longer see patients but just write books, do speeches, do summits, have blogs and sell products and supplements.

    We are all unique, insulin resistance is off the charts.
    One size does not “fit” all and well researched articles like yours go a long ways towards “common sense” eating and healing.

    I believe in organic whole foods.
    People need to listen to their bodies, but most of all they need to learn how to write good menus and cook.

    Thank you so much..when I saw the title…almost did not open to read it as I was fearful it was more garbage on good foods.

    Amazed how well you covered this much needed discussion..

    Reply
    • dminich

      Hi Cheryl, yes, I like to approach these emotional topics without emotion and just look at the basics!

      Reply
  3. Vanessa

    Great article, Dr. Minich! Thank you for shedding some light on a currently hot and controversial topic!

    Reply
    • dminich

      Hi Vanessa! Thanks for your comment. Yes, it’s very controversial at the moment. Always good to look at all sides of an issue.

      Reply
  4. Aarti Batavia

    Excellent review!

    In India we have been consuming beans for centuries and have thrived. Its only recently that we see a rise in chronic illnesses due to westernization, pollution and poor agricultural practices.

    I have always seen my mother soaking beans and lentils overnight, sprouting , pressure cooking and fermenting- all the methods that you discuss in your article. As you have mentioned before, nutrition plans have to be individualized based on culture, beliefs, genetics, environment , availability and more. Its important to follow the “middle-path” for most patients, maintaining sanity and balance rather than extremes. I do agree that at times we need to take the extreme path eg-modified/ ketogenic in epilepsy and neurological conditions ( depending on case-by -case basis not for all cases).

    More importantly, start where the patient is willing to embark . Rather than creating more food-related anxiety and stress, help them respect and honor food that provides nourishment and health.

    Deanna, enjoyed reading your Keto article too!
    Thanks for all what you do for the Functional Medicine as well as Food and Spirit Community.

    Love and Metta.

    Reply
  5. Eric Grasser

    Hi Deanna,
    Thanks for this. I’m sharing it with patients who ask about a certain low anti-nutrient-element diet.
    As you know, such a diet would not be consistent with the wisdom of Ayurveda.
    Eric

    Reply
    • dminich

      Fantastic, thanks Eric!

      Reply

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