Endophyte toxicity represents a significant cause of neurological disease in grazing camelids and cervids.
Overview and Clinical Importance
Endophyte toxicity represents a significant cause of neurological disease in grazing camelids and cervids. Endophytic fungi live symbiotically within certain pasture grasses, primarily tall fescue (Festuca arundinacea) and perennial ryegrass (Lolium perenne), producing mycotoxins that are beneficial to the plant but toxic to livestock. These toxicoses manifest as distinct clinical syndromes affecting the nervous system, thermoregulation, and peripheral circulation.
Camelids (llamas and alpacas) appear to be more susceptible to certain endophyte toxicoses than cattle or sheep, making recognition and prevention particularly important in camelid practice. Understanding endophyte toxicity is essential for NAVLE preparation as it encompasses toxicology, neurology, and herd health management principles.
| Endophyte Species |
Host Grass |
Primary Toxins |
Clinical Syndrome |
| Epichloe coenophiala (formerly Neotyphodium coenophialum) |
Tall fescue (Festuca arundinacea) |
Ergovaline (primary), ergot alkaloids |
Fescue toxicosis (summer slump, fescue foot, fat necrosis) |
| Epichloe festucae var. lolii (formerly Neotyphodium lolii) |
Perennial ryegrass (Lolium perenne) |
Lolitrem B (primary), epoxy-janthitrems, ergovaline |
Ryegrass staggers |
Etiology and Pathophysiology
The Endophyte-Grass Relationship
Endophytes are fungi that live entirely within plant tissues without causing visible disease to the host plant. The relationship is mutualistic: the fungus receives nutrients and shelter, while the plant gains enhanced drought tolerance, insect resistance, and competitive advantage. Unfortunately, many alkaloids produced by these fungi are toxic to grazing mammals.
Key Endophyte Species and Host Grasses
High-YieldThe key distinction for NAVLE: Lolitrem B causes NEUROLOGICAL signs (tremors, staggers) while Ergovaline causes VASCULAR signs (vasoconstriction, hyperthermia, gangrene). Both can be present in ryegrass, but lolitrem B predominates.
Mechanisms of Toxicity
Lolitrem B (Ryegrass Staggers)
Lolitrem B is an indole-diterpene alkaloid that acts as a potent BK channel blocker (large-conductance calcium-activated potassium channels). These channels are critical for regulating neuronal excitability and neurotransmitter release. Blockade results in:
- Increased neuronal excitability leading to tremors
- Disrupted motor coordination causing ataxia
- Effects are reversible once toxin exposure ceases
- Lolitrem B is lipophilic and stored in fat, causing slow onset and prolonged effects
Ergovaline (Fescue Toxicosis)
Ergovaline is an ergopeptine alkaloid that acts as a dopamine D2 receptor agonist and causes peripheral vasoconstriction. Key effects include:
- Inhibition of prolactin release (causes agalactia)
- Peripheral vasoconstriction (causes gangrene of extremities in cold weather)
- Impaired thermoregulation (heat intolerance in summer)
- Reproductive dysfunction (prolonged gestation, thickened placentas)
NAVLE TipRemember 'D2 = Dopamine = Dry' - Ergovaline's D2 agonism inhibits prolactin, causing DRY mammary glands (agalactia). This is particularly devastating in pregnant mares on fescue.
Toxin Threshold Concentrations
| Toxin |
Threshold (ppb) |
Clinical Significance |
| Ergovaline |
Greater than 200 ppb |
Threshold for fescue toxicosis in cattle; horses may be affected at lower levels |
| Lolitrem B |
1,800-2,000 ppb |
Threshold for ryegrass staggers in cattle and sheep |
Clinical Syndromes
Ryegrass Staggers
Ryegrass staggers is most commonly reported in Australia and New Zealand, but sporadic cases occur in Europe and the Americas. Camelids appear to be highly susceptible, with alpacas under 2 years of age most commonly affected. The disease typically occurs in mid to late summer and autumn or after drought when new grass growth emerges.
Clinical Signs in Camelids
- Head and neck tremors - most characteristic sign in alpacas
- Fine muscle tremors that worsen with excitement or exercise
- Ataxia with stiff, stilted gait (sawhorse stance)
- Hypermetria (exaggerated movements)
- Collapse when startled or forced to move quickly
- Normal mentation between episodes
- Signs appear at rest but dramatically worsen with activity
Fescue Toxicosis
Fescue toxicosis encompasses several clinical syndromes caused by ergot alkaloids, primarily ergovaline, from endophyte-infected tall fescue. Tall fescue covers over 40 million acres in the United States, predominantly in the transition zone. The syndrome manifests differently depending on season and duration of exposure.
Fescue Toxicosis Clinical Syndromes
High-YieldFor NAVLE: Fescue foot presents with COLD extremities and dry gangrene - distinguish from other causes of lameness by checking temperature of the distal limbs. The gangrenous form primarily affects cattle in WINTER, while summer slump occurs in HOT weather.
Species Susceptibility
| Syndrome |
Season and Mechanism |
Clinical Signs |
| Summer Slump (Summer Syndrome) |
Warm season (greater than 24-27 degrees C); impaired thermoregulation due to vasoconstriction and reduced blood flow to skin |
Hyperthermia, reduced feed intake, poor weight gains, rough coat, excessive salivation, seeking shade/water |
| Fescue Foot |
Late fall/winter; peripheral vasoconstriction combined with cold temperatures causes ischemia of extremities |
Lameness (hindlimbs first), cold extremities, dry gangrene of tail, ears, hooves; line of demarcation |
| Fat Necrosis |
Chronic exposure; associated with high nitrogen fertilization; hard fat masses form in abdomen |
Digestive disturbances, dystocia, weight loss, intestinal obstruction; diagnosed by rectal palpation or necropsy |
| Reproductive Syndrome |
Any season; D2 agonism inhibits prolactin release; particularly severe in horses |
Agalactia, prolonged gestation, thickened placentas, weak/stillborn offspring, reduced conception rates |
Diagnosis
Diagnosis of endophyte toxicity is primarily clinical and circumstantial, based on history, clinical signs, pasture evaluation, and response to removal from toxic pasture.
Diagnostic Approach
History and Physical Examination
- Access to perennial ryegrass or tall fescue pastures
- Season (late summer/autumn for staggers; any season for fescue)
- Multiple animals affected in a herd/flock
- Neurological examination: tremors worsen with stimulation (staggers)
- Peripheral examination: cold extremities, line of demarcation (fescue foot)
Laboratory and Forage Testing
Differential Diagnosis
Neurological signs in camelids and cervids have multiple potential causes. Key differentials for endophyte toxicity include:
NAVLE TipKey distinction: Ryegrass staggers signs are SYMMETRIC and REVERSIBLE when animal is at rest or removed from pasture. PEM shows PROGRESSIVE signs with cortical blindness. Meningeal worm causes ASYMMETRIC deficits. Always administer thiamine to any neurological camelid - it never hurts and may be lifesaving for PEM.
| Species |
Susceptibility Notes |
Primary Concerns |
| Camelids (Alpacas, Llamas) |
Highly susceptible to ryegrass staggers; young animals (less than 2 years) most affected; genetic predisposition suspected |
Ryegrass staggers causing tremors and ataxia; also susceptible to polioencephalomalacia from dietary changes |
| Cervids (Deer, Elk) |
Susceptible to both fescue toxicosis and ryegrass staggers; polioencephalomalacia also reported |
Summer heat stress, poor antler growth, reduced reproduction in farmed deer operations |
| Horses |
MOST susceptible to fescue toxicosis, especially reproductive syndrome; less affected by ryegrass staggers |
Pregnant mares: agalactia, dystocia, thickened placentas, weak foals |
| Cattle |
Moderately susceptible; most cases of fescue foot reported in cattle |
Summer slump (reduced gains), fescue foot (winter), fat necrosis |
| Sheep |
Least susceptible; may be due to grazing behavior (consume more leaf blade vs. lower plant) |
Ryegrass staggers (tremors), poor wool production |
Treatment
There is no specific antidote for endophyte toxicity. Treatment is primarily supportive and involves removal from toxic pasture.
Treatment Protocol
High-YieldMemory tip for camelid neurological emergencies: 'TNT' = Thiamine, Nutrition (access to good forage), Time (removal from toxic source). Thiamine should be in EVERY camelid first aid kit and given empirically to any animal with neurological signs.
| Test |
Application and Interpretation |
| Forage Ergovaline Analysis (HPLC) |
Gold standard for fescue toxicosis; greater than 200 ppb considered toxic; sample should include lower plant portions |
| Forage Lolitrem B Analysis (HPLC) |
For ryegrass staggers; greater than 1,800-2,000 ppb threshold for clinical disease |
| Endophyte Detection (Immunoblot/Staining) |
Determines percentage of infected plants in pasture; does not quantify toxin levels |
| Serum Prolactin |
Decreased in fescue toxicosis due to D2 agonism; most consistent finding but requires species-specific assay |
| Fat Tissue Lolitrem B (Postmortem) |
Lolitrem B stored in perirenal fat; useful for confirming diagnosis postmortem |
Prevention and Management
Pasture Management Strategies
- Test pastures for endophyte infection - identify percentage of infected plants
- Dilute infected fescue with legumes - clover, alfalfa reduce overall toxin intake
- Avoid grazing during high-risk periods - late summer/autumn for staggers; seed head formation for fescue
- Maintain grazing height - toxins concentrated in lower plant/crowns; avoid overgrazing
- Clip seed heads - highest toxin concentration in seed heads
- Reseed with novel endophyte or endophyte-free varieties - long-term solution but expensive
- Avoid high nitrogen fertilization - increases ergovaline production
- Stockpiled fescue in late fall/winter is safer - toxin levels decline with frost
Novel Endophyte Varieties
Plant breeders have developed grass varieties infected with novel or friendly endophytes that provide pest resistance without producing harmful alkaloids. These include:
- AR1 - produces peramine (insect deterrent) but no lolitrem B or ergovaline
- AR37 - produces small amounts of janthitrems; excellent pest resistance
- MaxQ (tall fescue) - novel endophyte fescue with no ergovaline production
| Condition |
Key Differentiating Features |
Diagnostic Test |
| Polioencephalomalacia (PEM) |
Cortical blindness, head pressing, stargazing, seizures; progressive without treatment; alpacas VERY susceptible |
Response to thiamine therapy; brain fluorescence under UV light (postmortem) |
| Meningeal Worm (P. tenuis) |
Asymmetric ataxia, hindlimb weakness progressing to paralysis; common in eastern North America |
CSF eosinophilia (85% with spinal migration); response to antiparasitic therapy |
| Listeriosis |
Unilateral cranial nerve deficits (facial paralysis, head tilt), circling; associated with silage feeding |
CSF analysis; culture from brainstem (postmortem) |
| West Nile Virus |
Asymmetric ataxia, sudden blindness, head tremors; mosquito-borne; summer/fall |
Serology (4-fold rise in titers); PCR from brain tissue |
| Cervical Trauma/Luxation |
Acute onset, history of trauma; more common in camelids than other species |
Radiography; CT/MRI for subtle lesions |
Prognosis
| Intervention |
Application |
Notes |
| Remove from Toxic Pasture |
ESSENTIAL - move to dry lot or non-toxic pasture; provide alternative forage |
Staggers signs resolve within days to weeks; ergovaline clears within 48 hours |
| Thiamine (Vitamin B1) |
10 mg/kg IV initially, then IM/SQ q6h for 2-5 days |
Rule out/treat concurrent PEM; safe to give empirically to any neurologic camelid |
| Supportive Care |
Quiet environment (reduce stimulation), good bedding, hand feeding/watering if needed |
Stress worsens signs in staggers; recumbent animals need frequent repositioning |
| Heat Stress Management |
Shade, cooling, access to water for fescue toxicosis summer slump |
Critical in warm weather; vasoconstriction impairs heat dissipation |
| Wound Care (Fescue Foot) |
Antibiotics if secondary infection; pain management; warm bedding |
Severe gangrene may require euthanasia; moderate cases can recover over weeks |
| Domperidone (Horses) |
1.1 mg/kg PO q24h starting 10-15 days before expected foaling |
D2 antagonist; prevents agalactia in mares on fescue; NOT validated in camelids |
| Condition |
Prognosis |
| Ryegrass Staggers |
GOOD if removed from pasture; signs typically resolve completely within days to weeks; some animals may have mild permanent incoordination especially under stress; previously affected animals may be at higher risk of recurrence |
| Fescue Summer Slump |
GOOD with removal from fescue and supportive care; animals recover appetite and condition |
| Fescue Foot (Moderate) |
FAIR - animals with moderate lameness and minimal tissue separation can recover over 3-6 weeks |
| Fescue Foot (Severe) |
POOR - severe gangrene with sloughing of multiple extremities warrants euthanasia |
| Fat Necrosis |
POOR - irreversible; may cause chronic digestive issues or dystocia |