1. Introduction
Mycotoxins can be a challenge for swine producers, as it is often found in feed at different concentrations. One of the most common mycotoxins is deoxynivalenol (DON) synthesized by
Fusarium fungi. This secondary metabolite belongs to the trichothecene group and is a chemical agent part of the sesquiterpenoid group [
1]. The Canadian Food Inspection Agency and the US Food and Drug Administration have established a recommendation for maximum level at 1.0 mg/kg of DON in finished wheat products to avoid any health problems in animals [
2,
3]. In pigs, DON-contaminated feed ingredients at higher doses (3.0 mg/kg to 8.0 mg/kg of DON) caused partial anorexia [
4,
5], reduced growth, altered immune function [
6], and induced oxidative stress [
7]. DON has also been reported to result in upregulation of the gene expression related to pro-inflammatory cytokines, chemokines, and apoptosis, an effect that depends on the dose and exposure time [
2]. It was also observed by Lessard et al. (2015) that antioxidant and inflammatory oxidative enzymes including nitric oxide synthase-2 (NOS
2) were upregulated in jejunum of pigs with a DON contamination (3.5 mg/kg) in diets. Thus, this modulated immune and antioxidant responses, along with a reduced resistance toward pathogen-associated molecular patterns like lipopolysaccharides (LPS) [
8]. As part of the outer membrane of Gram-negative bacteria, LPS are commonly found in the environment and intestinal microbiota of pigs [
9,
10]. Also, both DON and LPS have been shown to alter the intestinal barrier function, leading to an increased gut permeability and absorption of nutrients and toxins [
11].
As DON modulates inflammatory response and oxidative stress, additives may be used in animal feed to control these metabolic pathways. Indeed, 25-hydroxyvitamin D
3 (25(OH)D
3), vitamin E, or vitamin C can be included in piglets feed to enhance their immune response and antioxidant status [
12,
13,
14] during an immune challenge, such as DON exposure. Production of 25(OH)D
3 comes from the hydroxylation of the vitamin D
3 in the liver at the C-25 position by the 25-hydroxylase activity that is regulated by the CYP2R1 gene. Then, 25(OH)D
3 reaches the kidney to be cleaved by the 1α-hydroxylase that is controlled by the CYP27B1 gene, at C-1 position, to make 1,25(OH)
2D
3, also called calcitriol. The latter is the active hormonal form of vitamin D, responsible for most of its biological actions [
15,
16]. As CYP27B1 and the vitamin D receptor (VDR) are both expressed in cells involved in immune and antioxidant functions, calcitriol likely plays a role in modulating the inflammatory and antioxidant responses. In fact, calcitriol can downregulate the immune system by inhibiting the production of pro-inflammatory cytokines in humans [
14]. Vitamin D can also minimize the oxidative changes by reducing the production of reactive oxygen species (ROS), such as H
2O
2 and O
2−, in diabetic rats and mice [
17]. Finally, vitamin D, through VDR, has an important role in preserving the integrity of the gut membrane as a barrier and the tight junction complex [
18]. Thus, the 25(OH)D
3 supplementation could prevent many detrimental effects of DON.
Vitamin E, in its α-tocopherol form, is considered a liposoluble antioxidant synthesized by plants and an important constituent of cell membranes [
13,
19]. In the biological membranes, vitamin E protects their components from oxidation by free radicals, and thus oxidative damages [
19]. As a chain-breaking antioxidant, vitamin E has a significant role in preserving the integrity of cell membranes [
13], including that of the intestinal barrier, a target of DON [
20]. In pigs (11.1 kg) receiving 4 mg/kg of DON-contaminated diet, the addition of vitamin E partially prevented oxidative stress-induced DNA fragmentation [
21]. On the other hand, vitamin C, in its major form as ascorbic acid, is a water-soluble vitamin absorbed through passive pathways [
22]. Vitamin C is considered an antioxidant, as it protects biomolecules from oxidative damage by ROS during exposure to toxins or pollutants. It can enhance the epithelial barrier function in part by increasing the expression of tight junction proteins. It also plays a role in the regulation of the immune response, as it influences the functions of neutrophils during inflammation [
12]. Additionally, the tocopheryl radical derived from vitamin E can return to its reduced state as tocopherol by oxidizing vitamin C. Therefore, the interaction of vitamins E and C continuously restores the antioxidant function of vitamin E, maintaining the status of the latter [
23].
The aim of this experiment was to investigate the effect of vitamin 25(OH)D3, E, or C, or a combination of all three, observed on growth performance, blood parameters, antioxidant status, and gene expression related to the inflammatory response and oxidative stress during a DON contamination in diets in weaned piglets. In addition, this study evaluated the effectiveness of the supplementation on these vitamins when a challenge with LPS is also implemented.
3. Discussion
In this study, DON was the only mycotoxin present in significant quantity (DON, 12.48 mg/kg from naturally contaminated wheat; aflatoxins < 1.0 ppb; zearalenone < 0.03 ppm; fumonisin < 0.1 ppm; ochratoxins < 0.003 ppm; T-2 < 0.06). This mycotoxin is constantly present in pigs feed and is very challenging to eliminate, as it withstands high temperatures and low pH levels [
2]. Therefore, the objectives of this study were to investigate the potential of vitamin 25(OH)D
3, E, and C supplements, either individually or in combination, to alleviate the effects of DON contamination of the diet on growth performance, inflammatory response, and antioxidant status of piglets. The current design makes it possible to evaluate the effect of vitamin supplements, but only in the presence of DON contamination. It is worth mentioning that the concentrations of DON in the experimental diets is approximately fivefold higher than the recommended level of 1.0 mg/kg in Canada corresponding to an acute response. Also, as the environment of livestock can be contaminated with various bacteria and intestine lumen is a natural reservoir of commensal Gram-negative bacteria, piglets are likely to be exposed to LPS. The latter can interfere with the immune system and cause inflammatory reaction [
8]. Previous works have shown that acute LPS challenge with DON in feed had synergistic effects on the response of the innate immune system and systemic circulation [
11,
24]. However, this endpoint is not always observed in DON-contaminated diets for pigs with intravenous administration of LPS on inflammation parameters [
8,
25]. Another objective of the current study was to evaluate the effect of these supplements on the inflammatory response and the antioxidant status during acute inflammation induced by LPS.
3.1. Impact of DON Contamination and Vitamin 25(OH)D3, E, and C Supplements on Growth Performance
The DON-contaminated diet reduced the ADFI and ADG by 39% and 36%, respectively, without modifying feed efficiency compared to CON after 21 days. The weight of piglets receiving DON was decreased after this period, but not the weight of the liver and intestinal viscera relative to body weight. This anorexic effect of DON has been described in previous studies [
4,
26,
27], and led to reduced ADG due to a decrease in energy and nutrient intakes. One of the mechanisms that induce anorexia is linked to the neurotoxic effect of DON on serotonin secretion into the plasma, which was found to be increased by DON (0.25 mg/kg BW) in the plasma of minks [
28] and in specific regions of the brain among piglets receiving DON-contaminated feed (2.2 mg/kg BW) [
29]. However, there was no effect of a vitamin 25(OH)D
3, E, or C supplementation on growth performance. Vitamin D is known to improve piglets’ growth and maintenance of functional skeleton, especially at a young age [
30,
31], while vitamin E has not been efficient to improve growth performance in other studies [
21,
32]. In this study, these vitamins alone and their combination did not have an impact on the mechanism associated with control of feed intake (serotonin secretion) in piglets receiving DON-contaminated diet. On the contrary, a combination of vitamins (D
3, E, and C) has proven to be effective to improve growth performance when they were supplemented in a mixture of preservation components, including citric acid, potassium sorbate, sodium metabisulfite, vitamin A acetate, and amino acids, in piglets that were fed 4.0 mg/kg of DON for 14 days [
5].
3.2. Blood Vitamins in Response to DON and Vitamin Supplementation
DON contamination decreased serum 25(OH)D
3 concentrations after 21 days compared to CON in piglets both exposed to LPS or not. This was also reported in our previous study, where piglets receiving either vitamin D
3 (2200 IU per kg) or 25(OH)D
3 (2000 IU in the form of 25(OH)D
3/per kg) supplementation still had a decrease in serum levels of 25(OH)D
3 and calcitriol with DON contamination (4.9 mg/kg) [
27]. On the other hand, the combination of vitamin 25(OH)D
3 with vitamin E-C supplementation along with a DON-contaminated diet without LPS increased serum 25(OH)D
3 concentration in piglets in comparison with DON alone or individually providing these vitamins. This is maybe due to an interaction between vitamins; Sergeev et al. [
33] showed that VitC plays a critical role in vitamin D metabolism by affecting vitamin D endocrine system at both level of 1,25(OH)
2D
3 formation in kidneys and its binding receptor in target tissues in guinea pigs. Also, Bergstrom et al. [
34] have shown that serum 1,25(OH)
2D
3 and 24,25(OH)
2D
3 were numerically greater for pigs fed vitamin C. But neither DON nor vitamin supplements modified calcitriol level. In this study, after a LPS challenge, concentration of 25(OH)D
3 in serum was still decreased in piglets receiving DON-contaminated diets. However, the supplementation of 25(OH)D
3 led to a significant increase in serum 25(OH)D
3 level, suggesting that this intake during immune challenge can enhance vitamin D status to fulfill its immunomodulatory role against pathogenic molecules like LPS [
35].
Vitamin E plays a role in protecting the components of cellular membranes including intestinal membrane [
13]. Tocopherol concentration was increased by vitamin E-C supplementation in piglets both challenged with LPS or not; this can be attributed to the vitamin C’s potential to recycle tocopheryl radical into antioxidant form [
23]. This increase in α tocopherol level after 21 days of vitamin E and C supplementation can indicate that the vitamin E was properly absorbed by piglets even with the lower feed intake with DON [
15]. Additionally, the levels of tocopherol in the blood of piglets challenged or not with LPS were elevated by the combination of all three vitamins, indicating that the antioxidant potency of vitamin C to recycle tocopherol radicals might be facilitated by vitamin 25(OH)D
3 supplements when piglets are exposed to DON.
3.3. Oxidative Stress, Inflammatory, and Vitamin D Response to DON
The DON contamination alone without LPS reduced the total concentration of GSH, an oxygen-derived free radical scavenger [
36], and increased the antioxidant GPx activity in the blood. GPx is responsible for regulating the oxidant status by removing hydroperoxides and by oxidizing GSH [
37]. Therefore, DON appears to have induced systemic oxidative stress in piglets after 21 days of repetitive exposure, as it was previously documented in pigs [
7,
38] and pig intestinal explants [
39]. However, MDA level, a product of lipid peroxidation [
40] in the blood and tissues (liver and jejunal mucosa), was not modified by DON contamination. Previous studies found mixed results; for instance, plasma MDA concentration was unaffected by DON-contaminated diet (4 mg/kg) in pigs after 14 days [
21], while higher plasma H
2O
2 and MDA levels were reported in piglets fed this same diet (4 mg/kg) after 30 days [
38]. The difference in MDA concentrations can be due to the time of exposure of 21 days and the different doses of DON used. Co-contamination with other mycotoxins can also induce lipid peroxidation, which was not the case in this study [
41], as the other mycotoxins evaluated were below the level of detection. These findings were not observed under LPS-challenged conditions, but the antioxidant activity of SOD in the intestine and Nrf2 gene expression in the liver were decreased as a result of DON contamination. The antioxidant enzyme SOD can remove superoxide free radicals [
42], while Nrf2 modulates target genes encoding detoxifying enzymes, like SOD, and antioxidant proteins in response to oxidative stress [
43].
In the mesenteric lymph nodes, TLR4 gene expression, which plays a role in inflammatory signaling to protect against epithelial injury and bacterial invasion [
44], tended to be increased by DON without the LPS stimulation, suggesting that DON exposure triggered inflammation. Piglets exposed to DON under an LPS challenge also had an increased IL-10 expression in mesenteric lymph nodes and an elevated serum TNF-α concentration. This implies that DON induced a markedly increased inflammatory response in piglets exposed to a challenge with LPS. In the kidneys, both CYP27B1 and VDR gene expression were decreased by DON contamination in piglets under LPS stimulation. This modification of expression for CYP27B1 was not associated with changes in calcitriol concentration, but it suggests that DON may alter the response associated with LPS challenge by reducing the conversion of 25(OH)D
3 into 1,25(OH)
2D
3. As for VDR, it is important in the inflammatory response, since it binds to calcitriol to mediate its biological effects in immune cells [
45]. The effect of DON on the vitamin D metabolism has not been the subject of a lot of studies, and these effects are probably indirectly associated with inflammation and immunomodulatory effect of this vitamin [
46].
3.4. Effect of Vitamin E, C, and 25(OH)D3 Supplementation during DON Contamination on Oxidative Stress and Inflammatory Response
The addition of either vitamin E, C, or 25(OH)D
3 in unchallenged piglets decreased GPx activity increased by DON. MDA concentration also tended to decrease in the blood and liver tissues when vitamins E and C were added, outlining the capacity of these two vitamins to reduce oxidative stress. Hepatic CAT activity and intestinal Nrf2 gene expression were decreased as well by the addition of both vitamins under LPS stimulation. CAT catalyzes the decomposition of hydrogen peroxide (H₂O₂), a ROS, into water and oxygen [
47]. Thus, this reduction in CAT in LPS challenged piglets receiving vitamin E and C may be the result of reduced H₂O₂ production. However, H₂O₂ concentration was not evaluated in this study to confirm this theory. This study showed that vitamin E-C supplementation has a potentially protective effect against DON- and LPS-induced oxidative stress. This was observed in male weaner pigs under the stress of experimental
E. coli infection, in part due to vitamin E’s role to prevent cellular oxidative damage [
48]. However, liver MDA concentration and GPx blood levels were increased by DON_Vit25-OHD under a challenge with LPS. This indicates oxidative stress conditions. Vitamin 25-OH-D
3 is known to influence the immune system [
46] and could interfere with the normal immune response during a challenge with DON and LPS. Indeed, DON_Vit25-OHD treatment under a challenge with LPS increased the 25-OH-D
3 status and decreased TNF-α and IL-10 genes expression in lymph nodes. Furthermore, the combination of vitamin 25(OH)D
3 with vitamins E-C was more effective in reducing the hepatic oxidation by MDA, and in upregulating the antioxidant activity of CAT and total GSH in plasma in unchallenged piglets. Thus, combining vitamin 25(OH)D
3 with vitamins E and C may confer protection against oxidative damage in hepatic tissues and improved the antioxidant response in piglets fed a diet contaminated with DON. Le Thanh et al. (2016) previously observed that only a combination of non-enzymatic antioxidants (vitamins A, E, and C; quercetin; organic selenium; and GSH) lowered DON- and ZEN-induced oxidation and systemic oxidative stress among piglets. Indeed, individually providing these antioxidants in the diet did not reduce the oxidative stress caused by DON and ZEN contamination. They also showed that a combination of vitamins A, E, and C reduced the hepatic MDA concentration in piglets [
7]. On the other hand, the level of MDA in jejunum was increased with DON_Vit+. Again, this could be the result of an increased 25-OH-D
3 blood status, which could influence the immune cell function and cytokine production [
46], potentially leading to enhanced ROS production associated with the inflammatory process [
2]. Oxidative stress in the jejunal mucosae can lead to alteration of the epithelial barrier, and thus modification nutrient absorptions, especially ions like calcium and phosphorus [
49,
50].
Indeed, blood CAT activity and pro-inflammatory cytokine TNF-α level were also increased by DON_Vit+. TNF-α hepatic gene regulation was also increased by the combination of vitamins 25(OH)D
3, E, and C with DON-contaminated feed. On the contrary, in the intestinal mucosa under an LPS challenge, expression of TNF-α and IL-10 genes were reduced in piglets fed DON_Vit+, as opposed to their numerical elevation by DON. Expression of TNF-α in the jejunum was also reduced by DON_VitE-C. The combination of vitamins 25(OH)D
3, E, and C could have intestinal anti-inflammatory effect during the immune stimulation with LPS, but not with only DON contamination. Indeed, IL-10 is an anti-inflammatory cytokine [
24] and TNF-α plays an important role in regulating cell survival, proliferation, and death [
51]. Additionally, vitamin E-C supplementation increased the expression of IL-10 in the liver among piglets under LPS stimulation. Both of these vitamins could be efficient for decreasing liver inflammation, which was reported in porcine hepatocyte cells when exposed to LPS (1 μg/mL) and higher DON exposure (500 nM and 2000 nM), where TNF- α and IL-10 mRNA expressions were upregulated [
24]. The supplementation of vitamins E and C also reduced IL-10, TNF-α, and TLR4 gene expression while the combination of all three vitamins reduced IL-10 and TNF-α in mesenteric lymph nodes of piglets exposed to DON and LPS. During inflammatory reaction induced by LPS, these nodes can expand the number of neutrophils, produced in response to various cytokines and TLR ligands that are then recruited to sites of inflammation to elicit an immune response [
52]. Adding vitamin E-C and 25(OH)D
3 supplementation in combination prevented the increase in inflammatory markers with DON contamination and LPS stimulation.
Linked to the vitamin D metabolism, the VDR gene expression in the intestine was lowered in the DON_Vit+ group, possibly indicating reduced biological activity of calcitriol in the intestinal mucosa. On the contrary, among piglets under an LPS challenge, vitamin E-C supplementation and the combination of vitamins 25(OH)D
3, E, and C increased the VDR gene expression in the liver compared to DON alone by at least 2.5-fold. VDR mediates the activity of many immune-related genes, including antimicrobial peptides cathelicidin and β-defensin, and biological action of calcitriol to stimulate the production of these molecules by epithelial cells [
35]. Still in the liver, DON_Vit+ also had the tendency to increase gene expression of CYP2R1, responsible for hydroxylating vitamin D
3 into 25(OH)D
3 in LPS-challenged piglets. In the kidneys, the CYP27B1 gene expression tended to decrease in the DON_Vit25-OHD group compared to DON. Interestingly, vitamin E-C supplementation tended to increase the expression of CYP27B1 in the kidneys of piglets under a challenge with LPS. The vitamins thus have a potential anti-inflammatory role, probably linked to a decrease in ROS production [
53], while increasing the regulation of genes in the kidneys associated with calcitriol during an inflammatory stimulation.
4. Conclusions
In summary, chronic exposure to DON contamination (5.1 mg/kg) over 21 days induced anorexia, leading to the reduced growth of piglets. Vitamin E, C, and 25(OH)D3 supplementation did not improve growth performance, indicating a limited effect on the mechanisms controlling the lower feed intake, including serotonin. DON contamination also induced oxidative stress and immune response in their circulatory and lymphatic systems along with a decrease in the vitamin D status. Supplementation with 25(OH)D3 alone in DON-contaminated feed failed to restore the vitamin D status. In contrast, vitamin E-C supplementation reduced both circulating and hepatic oxidative stress. In piglets under LPS challenge, vitamins E and C supplementation reduced intestinal, hepatic, and lymphatic markers of inflammation and protected against increased oxidative stress induced by both DON and LPS. However, the combination of vitamins 25(OH)D3, E, and C turned out to be the most promising as it demonstrated a potential in modulating antioxidant status and inflammatory responses, suggesting a protective role against oxidative damage and inflammation induced by DON contamination and LPS challenge in piglets.