Investigation of the efficacy of mycotoxin-detoxifying additive on health and growth of newly-weaned pigs under deoxynivalenol challenges

Objective This study evaluated the effects of feeding diets naturally contaminated with deoxynivalenol (supplemental 2 mg/kg) on health, growth, and the effects of a mycotoxin-detoxifying additive in newly-weaned pigs. Methods Thirty-six pigs (27 day-old) were housed individually and assigned to 3 treatments for 5 weeks: CON (diet containing minimal deoxynivalenol), MT (diet with supplemental 1.9 mg/kg of deoxynivalenol), and MT+D (MT + mycotoxin-detoxifying additive, 0.2%, MegaFix, ICC, São Paulo, Brazil). The mycotoxin-detoxifying additive included bentonite, algae, enzymes, and yeast. Blood was taken at week 2 and 5. Jejunal tissue were taken at week 5. Data were analyzed using the MIXED procedure of SAS. Results Pigs fed MT+D tended to have decreased (p = 0.056) averaged daily feed intake during week 1 than MT. At week 2, serum aspartate aminotransferase/alanine aminotransferase in MT tended to be lower (p = 0.059) than CON, whereas it was increased (p< 0.05) for MT+D than MT, indicating hepatic damages in MT and recovery in MT+D. Pigs fed MT had lower (p<0.05) blood urea nitrogen/creatinine than CON, supporting hepatic damage. At week 5, pigs fed MT tended to have reduced (p = 0.079) glucose than CON, whereas it was increased (p<0.05) for MT+D than MT, indicating impaired intestinal glucose absorption in MT, which was improved in MT+D. Pigs fed CON tended to have increased (p = 0.057) total glutathione in jejunum than MT, indicating oxidative stress in MT. Pigs fed MT+D had a reduced (p<0.05) proportion of Ki-67-positive cells in jejunum than MT, indicating lower enterocyte proliferation in MT+D. Conclusion Feeding supplemental 1.9 mg/kg of deoxynivalenol reduced growth and debilitated hepatic health of pigs, as seen in leakage of hepatic enzymes, impaired nitrogen metabolism, and increase in oxidative stress. The mycotoxin-detoxifying enhanced hepatic health and glucose levels, and attenuated gut damage in pigs fed deoxynivalenol contaminated diets.


INTRODUCTION
Mycotoxins are secondary metabolic products of fungi with toxigenic effects in other living species. Worldwide, about 88% of animal feed and feedstuffs are contaminated with at least one mycotoxin [1]. Fusarium toxins are the most prevalent, where deoxynivalenol ranks at first with 64% of occurrence, followed by fumonisins and zearalenone [1].
In pigs chronically fed deoxynivalenol contaminated diets, it is observed increased expression of interleukin 8 and glutathione peroxidase [2]. Deoxynivalenol also has shown impairment in the translation of mRNA that may ultimately affect cell proliferation, immune response, development, death, [3][4][5] oxidative stress, and reduction in feed intake and growth of pigs [6,7]. Pigs challenged with naturally contaminated diets with deoxyni-valenol showed impaired gut health by reducing enterocyte proliferation and intestinal surface, resulting in compromised weight gain [8].
The chemical properties of deoxynivalenol make it difficult to be adsorbed or neutralized by mycotoxin-detoxifying additives. Thus, microorganisms, inorganic compounds, aluminosilicates, and yeast-based products are tested aiming to reduce deoxynivalenol toxicity [9][10][11][12] as in the mycotoxin-detoxifying additive tested in the current study. The aluminosilicates, such as the bentonite, have proven ability to adsorb mycotoxins based on the electrical charge of molecules [13,14]. Similarly, autolyzed yeast has demonstrated higher specificity for deoxynivalenol adsorption in comparison to mineral adsorbents [13,15]. At the same time, the extensive use of Saccharomyces cerevisiae (S. cerevisiae) animal species with neutral or beneficial outcomes, and its availability turns its utilization feasible and positive to the livestock feed industry [16]. Of interest, S. cerevisiae was able to reduce inflammation and oxidative stress and to increase cell survivability in deoxynivalenol challenged pigs [17]. In association with those, the tested mycotoxin-detoxifying additive has an enzyme complex composed of esterase, epoxide-reductase, and peptidase can detoxify deoxynivalenol [18], and other Fusarium toxins [19]. The algae powder derived from Lithothamnium calcareum (L. calcareum) has shown in vitro adorability towards zearalenone [20] and both in vitro and in vivo (broilers) toward aflatoxin B1 [21] but no studies have investigated its efficacy towards deoxynivalenol to date. Thus, the use of mycotoxin detoxifiers with multiple components, targeting a synergistic effect, is preferred to boost detoxification effects [12,22].
After analyzing publications on deoxynivalenol challenges in pigs, it was observed that each supplemental mg/kg of the mycotoxin in the feed would result in an 8% decrease in animal growth [23]. It is hypothesized that deoxynivalenol supplemented at 2 mg/kg would impair the health and growth of newly-weaned pigs and that using a mycotoxin-detoxifying additive including adsorbents (aluminosilicates and yeast cell wall -β-glucans), antioxidants, and immune modulators (algae and yeast as probiotic), and components to inactivate mycotoxins (enzymes), would attenuate the negative impacts of deoxynivalenol to newly-weaned pigs. The objective of this study was to evaluate the effects feeding diets naturally contaminated with deoxynivalenol (supplemental 2 mg/ kg) on health and growth and the efficacy of a mycotoxindetoxifying additive in mitigating such effects in newly-weaned pigs.

MATERIALS AND METHODS
The Institutional Animal Care and Use Committee at North Carolina State University (Raleigh, NC, USA) reviewed and approved a protocol for conducting this study at the North Carolina State University Metabolism Educational Unit (Raleigh, NC, USA).

Animals and diets
Upon weaning at 27 d of age (d 0), 36 barrows and gilts (8.21 ±0.54 kg) were individually assigned to 3 dietary treatments based on a randomized complete block design. Blocks were sex (male and female) and initial body weight (light, medium, and heavy). Pigs were individually housed in pens with metal screen floors with individual nipple drinkers and feeders. Each pig was fed one of the 3 dietary treatments for 34 days: i) a control diet with minimal deoxynivalenol contamination (CON), ii) CON with a supplemental 1.9 mg/kg of deoxynivalenol (MT), and iii) MT + mycotoxin-detoxifying additive (MegaFix, ICC, São Paulo, Brazil) at 0.2% (MT+D). Based on the safety of yeast additives in swine diets (over 10 years) [16], and the effect of similar mycotoxin detoxifiers (adsorbent and yeast-based products) have been previously tested [8,24], this study was not to test the effects of mycotoxin-detoxifying additive in a control diet but only in a diet with mycotoxin [12]. The CON diet was formulated with "clean corn dried distillers grains with solubles (DDGS)", minimal mycotoxin contamination, whereas MT was formulated with "deoxynivalenol contaminated corn DDGS" ( Table 1). The nutrient requirements suggested by National Research Council (NRC, 2012) [25] was used to formulat experimental diets ( Table 2). Diets followed a 3-phase feeding program: phase 1, during 1 week; phase 2, from week 2 until week 3; and phase 3, from week 4 until week 5. Phase 3 was shortened in 1 day for better arranging sampling schedule, so week 5 lasted for 6 days.
Growth performance was recorded weekly by measuring body weight of pigs and feed consumption by pigs to obtain averaged daily gain, averaged daily feed intake, and to calculate gain to feed ratio. Fecal score of pigs was recorded on d 5, and at the end of week 1 and week 2 by ranking feces on a scale from 1 to 5 by a single evaluator. Feces considered in level 1 on the proposed scale are considered "normal" and have increasing water content until reaching level 5. In level 2, feces have increased water content but the characteristic By the end of week 5, a penetrating captive bolt was used to desensitize pigs and they were euthanized by immediate vena cava section for the collection of mid-jejunal mucosa and tissue. A mid-jejunal section of 15 cm was scrapped with a clean histological slide to obtain mid-jejunal mucosa [12]. Mucosa samples were stored 1.5 mL microtubes at -80°C until laboratory analyses. A second tissue section of 5 cm from mid-jejunum was fixed in 10% buffered formaldehyde and stored at room temperature.

Assay procedures
Diets from each experimental and within each phase were sampled from 9 different locations, a total of 2 kg per diet. Sub-samples of 200 g of each diet and phase were sent to the North Dakota State University Veterinary Diagnostic Laboratory (Fargo, ND, USA) for mycotoxin analysis, and 300 g of each diet were sent to the North Carolina Department of Agriculture (Raleigh, NC, USA) for proximate analysis. The CON had detectable deoxynivalenol levels because corn DDGS used in CON formulation had deoxynivalenol contamination. Nevertheless, MT had 1.9 mg/kg more deoxynivalenol than CON, close to the planned concentration of 2 mg/kg (Table 3).
Transversal sections of 0.5 cm were transferred to 70% ethanol after 14 days and sent to the North Carolina State University Histopathology Laboratory (College of Veterinary Table 2. Feed ingredients and calculated composition of experimental diets in a 3-phase feeding program fed to newly-weaned pigs for 5 weeks 1)

Item
Phase 1 (wk 1) Medicine, Raleigh, NC, USA), where samples were included in paraffin, microtomed, and stained for Ki-67 antigen by immunohistochemistry before assembling of histological slides [8]. Histological evaluation of gut morphology was performed by one single evaluator recording villus height and width, crypt depth, and for calculating villus height:crypt depth ratio, and the proportion of proliferating cells to the total number of cells in the crypt using the Image JS tool [27] in ten pictures for each experimental unit (pig) according to the measurements described by Holanda and Kim [12]. Measurements of villus height and width were used to calculate the average mid-jejunal surface area for each villus by using the following formula [28]: 6 number of cells in the crypt using the Image JS tool [27] in ten pictures for each experimental unit (pig) according to the measurements described by Holanda and Kim [12]. Measurements of villus height and width were used to calculate the average mid-jejunal surface area for each villus by using the following formula [28]:

Statistical analysis
The statistical analysis was performed using the Mixed procedure of SAS 9.3 software (Cary, USA).
Each pig was considered as one experimental unit. Blocks (sex and initial body weight) were considered as random effects. Analyses of pre-planned contrasts between CON and MT as well as MT and MT+D were performed using the Contrast statement. Results were considered statistically different for p < 0.05 and considered a tendency for 0.05 ≤ p < 0.10. The design was based on the power test using previous studies conducted under similar conditions and objectives (n = 12 was minimum considering a large individual variation).

RESULTS
in the crypt using the Image JS tool [27] in ten pictures for each experimental unit (pig) measurements described by Holanda and Kim [12]. Measurements of villus height and to calculate the average mid-jejunal surface area for each villus by using the following

Statistical analysis
The statistical analysis was performed using the Mixed procedure of SAS 9.3 software (Cary, NC, USA). Each pig was considered as one experimental unit. Blocks (sex and initial body weight) were considered as random effects. Analyses of pre-planned contrasts between CON and MT as well as MT and MT+D were performed using the contrast statement. Results were considered statistically different for p<0.05 and considered a tendency for 0.05≤p<0.10. The design was based on the power test using previous studies conducted under similar conditions and objectives (n = 12 was minimum considering a large individual variation).

RESULTS
The average mycotoxin contamination for the 3 dietary phases in CON samples was 1.2 mg/kg of deoxynivalenol, 0.21 mg/kg of fumonisin B1, and 0.15 mg/kg of zearalenone ( Table 3). The average mycotoxin contamination for the 3 dietary phases in MT samples was 3.1 mg/kg of deoxynivalenol, 0.20 mg/kg of fumonisin B1, and 0.30 mg/kg of zearalenone. There were no differences in pig body weight among pigs from experimental treatments (Table 4). Pigs fed MT+D tended to have increased (p = 0.099) averaged daily gain than pigs fed MT during week 4 ( Figure 1). Pigs fed MT tended to present lower averaged daily gain during week 5 (p = 0.084) than pigs fed CON. Pigs fed MT+D tended to have lower (p = 0.099) averaged daily feed intake than pigs fed MT during week 1. There were no differences for gain to feed ratio or fecal score (Table 5) among pigs from experimental treatments.
By the end of week 2, pigs fed MT tended to have lower (p = 0.059) aspartate aminotransferase/alanine aminotransferase (AST/ALT) and lower (p<0.05) blood urea nitrogen/creatinine than pigs fed CON ( Figure 2). Pigs fed MT+D had increased (p<0.05) AST/ALT than pigs fed MT. By the end of week 5, pigs fed MT tended to have reduced (p = 0.079) glucose in serum than pigs fed CON, whereas pigs fed MT+ D had increased (p<0.05) glucose levels than pigs fed MT. There were no differences in other variables assessed for biochemical profile among pigs from experimental treatments. Pigs fed CON tended to have higher (p = 0.057) concentration of total glutathione in mid-jejunal mucosa than pigs fed MT (Figure 3). There were no differences in tumor necrosis factor-alpha, interleukin 8, protein carbonyl, or malondialdehydes in mid-jejunal mucosa of pigs among experimental treatments. There were no differences in villus surface area, crypt depth, nor villus height to crypt depth ratio of pigs among experimental treatments (Table 6). Pigs fed MT+D had a lower (p<0.05) proportion of proliferating cells measured by Ki-67 staining in histological slides from mid-jejunum than pigs fed MT. Table 3. Concentrations of detected mycotoxins in experimental diets with (MT 1) ) or without mycotoxins (CON) fed to newly-weaned pigs for 5 weeks on a 3-phase feeding program 2) Mycotoxin (mg/kg of feed)  There was no animal mortality during the experimental period. SEM, standard error of the mean.

DISCUSSION
As intended in the current study (supplemental 2 mg/kg), the MT diet had a supplemental 1.9 mg/kg of deoxynivalenol in comparison to CON. The intended concentration in MT aimed to surpass the guidelines proposed for this myco-  toxin, for instance, 1 mg/kg in the United States [29] and 0.9 mg/kg in Europe [30] for growing pigs. Other mycotoxins frequently found as co-contaminants with deoxynivalenol [1] were detected, fumonisin B1 and zearalenone. Fumonisin  Table 6. Histological measurement from mid-jejunal morphology and immunohistochemistry in weaned pigs consuming diets with (MT 1) ) or without mycotoxins (CON) and diet with mycotoxins and feed additives by the end of week 5 B1 concentration did not exceed the guidance for growing pigs in the United States nor Europe [29,30] neither in CON nor MT. Zearalenone concentration in CON (0.15 mg/kg) and MT (0.30 mg/kg) exceeded the guidance levels in Europe of 0.1 mg/kg [30]. The European guidance levels include both young pigs (growing) and gilts (reproduction), but the latter group of animals was not the focus of the current study.
Regarding growing animals, zearalenone effects include improved feed intake and growth [31] equivalent growth performance between challenged and unchallenged animals [32]. However, in naturally contaminated diets (along with other Fusarium toxins) a detrimental effect of zearalenone can be observed on pig growth [33]. Because of the controversial effects of zearalenone on pig growth in scientific publications, the effects of this mycotoxin will not be considered for further discussion. The dietary intake of deoxynivalenol is known to reduce feed intake and gain of pigs [34]. The reduced feed intake may be caused by deoxynivalenol anorexigenic and emetic effects. It was described that deoxynivalenol mediated increase in cholecystokinin and, more significantly, in peptide YY is claimed as the mechanisms to result in reduced feed intake [35]. However, the current study could not demonstrate a consistent impairment in pig growth performance. Besides the reduction in averaged daily gain during week 5 in pigs fed MT in comparison to pigs fed CON, there was no further deoxynivalenol effect observed on growth performance. Pigs show reduced growth performance when fed from 1 to 3 mg/kg of deoxynivalenol [34]. In the current study, the CON diet had 1.2 mg/kg whereas the MT diet had 3.1 mg/kg of deoxynivalenol. Therefore, possibly pigs had some degree of growth impairment when fed the CON diet and only a moderate further decrease in growth performance could be noticed when performing the comparison among pigs fed MT and CON. Even though, despite the reduction in feed intake in pigs fed MT+D in comparison to pigs fed MT during week 1, pigs fed MT+D tended to have increased averaged daily gain than pigs fed MT during week 4. The improvement observed in growth performance in pigs challenged with deoxynivalenol could be due to the multiple component-approach (activated aluminosilicate, autolyzed yeast, probiotic yeast culture, calcarium marine algae powder, and enzyme complex) in the mycotoxin-detoxifying additive, as seen that deoxynivalenol is a mycotoxin that is known to be adsorbed or neutralized with difficulty [14].
The aluminosilicates have proven ability to adsorb mycotoxins, even though the deoxynivalenol adsorption is not as significant as in comparison to other mycotoxins [13,15]. The activated aluminosilicate, known as bentonite, was used in the current study to adsorb deoxynivalenol. As reviewed by Chaytor et al [14], the negative charge of AlO4 is responsible for the adsorbing ability towards mycotoxins, but as depen-dent on electrical interaction the adsorption of deoxynivalenol (non-polar) is not as substantial as for aflatoxins (polar). Therefore, mycotoxin detoxifiers targeting deoxynivalenol often show higher detoxifying capacity if multiple components are present both in vitro and in vivo [12,22].
The autolyzed yeast, used as a source of yeast cell wall, is the second form of adsorbent present in the composition of the mycotoxin-detoxifying additive. It differs from activated aluminosilicates for being organic, whereas activated aluminosilicates are inorganic adsorbents. Yeast-and algae-derived β-glucans can show higher deoxynivalenol adsorbing abilities than mineral adsorbents [15]. The β-glucans from the yeast cell wall may present around 7-times more adsorbing capacity than bentonites, being the highest in comparison to other organic adsorbents, like cellulose or a mixture of plan derivatives, microorganisms, and minerals [13].
The third ingredient in the mycotoxin-detoxifying additive is the probiotic yeast culture of S. cerevisiae at 2×10 7 CFU/kg. The microbiota is able of microbial detoxification towards deoxynivalenol, but pig microbiota seems to have a lower detoxifying ability in comparison to ruminants and chickens, as observed in vitro [36]. Another in vitro study showed that pig microbiota from duodenum and jejunum have minimal detoxifying properties, whereas deoxynivalenol detoxification was observed for the microbiota from the cecum, colon, and rectum [37]. Nevertheless, deoxynivalenol is absorbed almost in its entirety in the stomach and proximal small intestine of the pig [38]. Consistently, during 24 hours after deoxynivalenol administration to pigs, either intravenous or intragastrical, showed that more than 90% of the initial dose was recovered without modifications [38]. Such findings may suggest that pigs are more vulnerable to deoxynivalenol in comparison to other species because of the rapid absorption of deoxynivalenol in the proximal gastrointestinal tract and its limited metabolism of the mycotoxin. The gastrointestinal microbiome of pigs may be modified when feeding deoxynivalenol contaminated diets [39], indicating that the gastrointestinal microbiome can be modulated to avoid deoxynivalenol toxicity. Thus, pig tolerance to deoxynivalenol can be improved by probiotic with deoxynivalenol-detoxifying properties, contained in the mycotoxin-detoxifying additive, to enhance microbial detoxification by promoting beneficial species. The microbial detoxification of deoxynivalenol is described to be mainly performed by anaerobic gram-positive bacteria in the gastrointestinal tract by conversion to the de-epoxide form [40]. Microbes with deoxynivalenol-detoxifying capacity are Eubacteria, Anaerofilum, Collinsella, Bacillus, and Clostridiales [40]. The use of yeast in the livestock feed chain [16], directed scientific efforts for its further use in livestock feed for mycotoxin detoxification. Under deoxynivalenol challenge, S. cerevisiae is able to reduce inflammation and oxidative stress and to increase cell survivability [17,41].
Modulating the gastrointestinal environment may help boost the adsorbing and detoxification properties of the mycotoxin-detoxifying additive in deoxynivalenol challenged pigs.
The calcarium marine algae powder in the mycotoxin-detoxifying additive is derived from L. calcareum. In vitro, L. calcareum has shown adsorption ability of zearalenone both in acidic and neutral pH [20]. In broilers challenged with mycotoxin diet, the addition of L. calcareum could recover animal weight gain [42] and prevent aflatoxicosis [21]. But there is a lack of studies regarding the adsorbability towards deoxynivalenol, especially concerning in vivo studies in pigs.
The enzymes present in the mycotoxin-detoxifying additive associated with the probiotic (S. cerevisiae) claim to have the ability to neutralize mycotoxins. The enzyme complex included in the mycotoxin-detoxifying additive formulation is composed of esterase, epoxide-reductase, and peptidase. The esterase activity has two main targets. First, as a detoxifier of zearalenone and fumonisins, which often are co-contaminants in animal feedstuff and feed due to being originated from Fusarium fungi [1]. As reviewed by Loi et al [19] the esterase has detoxifying activity by cleaving the lactone ring in zearalenone structure or breaking down the diester bonds in fumonisin B1. In addition, the reaction catalyzed by the esterase serves as an initial step for deoxynivalenol de-epoxidation. The deoxynivalenol in its masked naturally occurring forms, 3-acetyl-deoxynivalenol and 15-acetyl-deoxynivalenol, are converted to deoxynivalenol by the esterase activity [43]. The epoxide-reductase is responsible for the deoxynivalenol conversion to de-epoxy-deoxynivalenol, a non-toxic metabolite [18]. Besides, the epoxide-reductase activity relies on energy [36] or protein and amino acid [44] availability to perform the de-epoxidation reaction. Thus, the peptidase in the mycotoxin-detoxifying additive may provide the source of protein and amino acids required to enhance the epoxidereductase activity. The slight improvement in averaged daily gain proportioned by feeding MT+D diet may indicate the detoxifying properties of the mycotoxin-detoxifying additive when included at 0.2% in diets contaminated with 3.1 mg/kg of deoxynivalenol. Comparable results were observed in growing pigs challenged with deoxynivalenol and zearalenone, where inclusion of a similar enzyme blend could enhance the growth performance of pigs [45].
In the current study, pigs fed MT had lower blood urea nitrogen/creatinine and AST/ALT than pigs fed CON, whereas pigs fed MT+D showed a recovery by increased AST/ALT than pigs fed MT. Likewise, pigs challenged with deoxynivalenol showed decreased blood urea nitrogen/creatinine and a mycotoxin detoxifier (composed of a mixture of clay, inactivated S. cerevisiae and its fermentation extracts, antioxidant, and botanicals) also caused an increase in AST/ALT in com-parison to pigs fed diet contaminated with deoxynivalenol [24]. However, mice challenged with deoxynivalenol and zearalenone showed increased blood urea nitrogen due to mycotoxin impairment over kidney function [46]. Such outcomes may suggest that kidney damage was not significant in the current trial to lead to increased blood urea nitrogen. Instead, the deoxynivalenol inhibitory effect over protein synthesis, known as ribotoxic stress [4], could have a role in reducing protein metabolism and, thus, reducing the synthesis of AST and circulating levels of urea nitrogen [47].
The site of intestinal tissue collection was grounded on the fact that deoxynivalenol is mostly absorbed in the proximal gastrointestinal tract [38]. In addition, pigs fed deoxynivalenol presented a similar reduction on feed intake but had a greater reduction in body weight gain in comparison to pigs administered deoxynivalenol intraperitoneally [48], suggesting that deoxynivalenol may have local effects at the gastrointestinal tract that prevents nutrient digestibility and/or absorption. Indeed, the decrease in serum glucose observed in pigs fed MT in comparison to CON may be due to deoxynivalenol inhibition over sodium dependent glucose transporter 1 (SGLT1) in the brush border membrane in the small intestine, which limits glucose absorption. The deoxynivalenolinduced decrease in glucose uptake was demonstrated to be caused by impairing the expression and functions of the SGLT1 [49].
The lower proliferative rate in mid-jejunum observed in pigs fed MT+D in comparison to pigs fed MT in measuring Ki-67 positive cells proportion might suggest that MT+D diet could reduce deoxynivalenol toxicity in enterocytes and eventually reduce enterocyte death. Deoxynivalenol challenge causes increased expression of pro-inflammatory cytokines, such as interleukin-8 (IL-8), triggering cell apoptosis in the pig intestine [17,22]. Using S. cerevisiae as a probiotic source in vitro has shown the ability to reduce the expression of IL-8, tumor necrosis factor-alpha, and programmed cell deathrelated genes [41,50]. In a study with pig intestinal explants, the probiotic use of S. cerevisiae could counteract deoxynivalenol-induced inflammation and oxidative stress [17]. But there was no difference observed in inflammatory or immune markers measured in mid-jejunum in the current study. The only variable altered was total glutathione. The lower total glutathione presented by pigs fed MT in comparison to pigs fed CON may indicate that the concentration of 3.1 mg/kg of deoxynivalenol was surpassing the antioxidative capacity of pig mid-jejunum, depleting glutathione cell supply. Deoxynivalenol has inhibitory action over the vitamin C pathway, resulting in oxidative stress in pig intestine [17]. Vitamin C is important in glutathione regeneration to prevent oxidative stress, which may result in cell death [51,52].
In conclusion, feeding supplemental 1.9 mg/kg of deoxynivalenol reduced the average daily gain and debilitated hepatic and gut health by leakage of hepatic enzymes, impaired nitrogen metabolism, reducing glucose supply to the organism, and increasing oxidative stress in the gut. The mycotoxin-detoxifying additive mainly composed of bentonite (as adsorbent), calcarium algae powder (as adsorbent), enzymes (as mycotoxin inactivators), and S. cerevisiae (as a source of β-glucans-adsorbent and immune modulatorand as probiotic) enhanced hepatic health, glucose levels, and reduced proliferation of enterocytes in the crypt indicating attenuated gut damage in pigs fed diets contaminated with deoxynivalenol. However, the improvements promoted by the mycotoxin-detoxifying additive shown in gut health did not result in improved growth performance.

CONFLICT OF INTEREST
We certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.