综述与专题评论

非营养型人工甜味剂对肠道菌群影响的研究进展

  • 缪琦欢 ,
  • 姜英虹 ,
  • 陈伟伟 ,
  • 薛艳凤
展开
  • (昆明学院 医学院,云南 昆明,650214)
第一作者:硕士研究生(薛艳凤讲师为通信作者,E-mail:xueyyff@163.com)

收稿日期: 2024-12-30

  修回日期: 2025-02-20

  网络出版日期: 2025-10-16

基金资助

云南省科技厅地方本科高校基础研究联合专项资金面上项目(202301BA070001-019)

Research progress on influence of non-nutritive artificial sweeteners on gut microbiota

  • MIAO Qihuan ,
  • JIANG Yinghong ,
  • CHEN Weiwei ,
  • XUE Yanfeng
Expand
  • (Medical School, Kunming University, Kunming 650214, China)

Received date: 2024-12-30

  Revised date: 2025-02-20

  Online published: 2025-10-16

摘要

非营养型人工甜味剂广泛添加于食品和饮料中。然而,多项研究表明人工甜味剂与多种疾病风险增加相关,其安全性备受关注和争议。肠道菌群与人体健康密切相关,人工甜味剂可直接或间接作用于肠道菌群,可能带来健康风险。该文主要综述常用非营养型人工甜味剂(三氯蔗糖、糖精、安赛蜜、阿斯巴甜)对肠道菌群的影响,并阐述其与葡萄糖耐量受损、肝脏功能异常、肠道微生态失调等不良效应的关联,为人工甜味剂与人体健康的机制研究提供一定参考。

本文引用格式

缪琦欢 , 姜英虹 , 陈伟伟 , 薛艳凤 . 非营养型人工甜味剂对肠道菌群影响的研究进展[J]. 食品与发酵工业, 2025 , 51(18) : 407 -415 . DOI: 10.13995/j.cnki.11-1802/ts.041990

Abstract

Non-nutritive artificial sweeteners are widely used in foods and beverages.However, their safety causes much concern and controversy because they have been reported to be associated with an increased risk for various diseases.Gut microbiota is closely related to human health.Artificial sweeteners have a direct or indirect effect on gut microbiota, which may pose a health risk.This review summarizes the influence of non-nutritive artificial sweeteners (sucralose, saccharin, acesulfameae, aspartame) on intestinal microbiota and its links to glucose intolerance, liver damage, and intestinal microecological imbalance, etc.This work may be helpful to providing a deeper insight into the mechanism research of artificial sweeteners and human health.

参考文献

[1] GARDNER C, WYLIE-ROSETT J, GIDDING S S, et al.Nonnutritive sweeteners:Current use and health perspectives:A scientific statement from the American Heart Association and the American Diabetes Association[J].Circulation, 2012, 126(4):509-519.
[2] DEBRAS C, CHAZELAS E, SROUR B, et al.Artificial sweeteners and cancer risk:Results from the NutriNet-santé population-based cohort study[J].PLoS Medicine, 2022, 19(3):e1003950.
[3] DEBRAS C, DESCHASAUX-TANGUY M, CHAZELAS E, et al.Artificial sweeteners and risk of type 2 diabetes in the prospective NutriNet-santé cohort[J].Diabetes Care, 2023, 46(9):1681-1690.
[4] FU T, CHEN H, CHEN X J, et al.Sugar-sweetened beverages, artificially sweetened beverages and natural juices and risk of inflammatory bowel disease:A cohort study of 121,490 participants[J].Alimentary Pharmacology & Therapeutics, 2022, 56(6):1018-1029.
[5] JONES S K, MCCARTHY D M, VIED C, et al.Transgenerational transmission of aspartame-induced anxiety and changes in glutamate-GABA signaling and gene expression in the amygdala[J].Proceedings of the National Academy of Sciences of the United States of America, 2022, 119(49):e2213120119.
[6] 王思睿, 仝涛.甜味剂与人体健康的研究进展[J].食品与发酵工业, 2024, 50(17):371-379.
WANG S R, TONG T.Progress of research on sweeteners and human health[J].Food and Fermentation Industries, 2024, 50(17):371-379.
[7] CONZ A, SALMONA M, DIOMEDE L.Effect of non-nutritive sweeteners on the gut microbiota[J].Nutrients, 2023, 15(8):1869.
[8] MAGNUSON B A, CARAKOSTAS M C, MOORE N H, et al.Biological fate of low-calorie sweeteners[J].Nutrition Reviews, 2016, 74(11):670-689.
[9] WHO, JECFA. List of chemicals from the 9th JECFA meeting (June 2024).(2024-06-01).https://apps.who.int/food-additives-contaminants-jecfa-database/.
[10] RENWICK A G, THOMPSON J P, O′SHAUGHNESSY M, et al.The metabolism of cyclamate to cyclohexylamine in humans during long-term administration[J].Toxicology and Applied Pharmacology, 2004, 196(3):367-380.
[11] WHITEHOUSE C R, BOULLATA J, MCCAULEY L A.The potential toxicity of artificial sweeteners[J].AAOHN Journal, 2008, 56(6):251-261.
[12] BLACKBURN G L, KANDERS B S, LAVIN P T, et al.The effect of aspartame as part of a multidisciplinary weight-control program on short- and long-term control of body weight[J].The American Journal of Clinical Nutrition, 1997, 65(2):409-418.
[13] TATE D F, TURNER-MCGRIEVY G, LYONS E, et al.Replacing caloric beverages with water or diet beverages for weight loss in adults:Main results of the Choose Healthy Options Consciously Everyday (CHOICE) randomized clinical trial[J].The American Journal of Clinical Nutrition, 2012, 95(3):555-563.
[14] GOLDSMITH L A.Acute and subchronic toxicity of sucralose[J].Food and Chemical Toxicology, 2000, 38(Suppl 2):S53-S69.
[15] MA J, BELLON M, WISHART J M, et al.Effect of the artificial sweetener, sucralose, on gastric emptying and incretin hormone release in healthy subjects[J].American Journal of Physiology-Gastrointestinal and Liver Physiology, 2009, 296(4):G735-G739.
[16] BUERGE I J, KELLER M, BUSER H R, et al.Saccharin and other artificial sweeteners in soils:Estimated inputs from agriculture and households, degradation, and leaching to groundwater[J].Environmental Science & Technology, 2011, 45(2):615-621.
[17] LI Z Q, GAO J F, GUO Y, et al.Enhancement of antibiotic resistance dissemination by artificial sweetener acesulfame potassium:Insights from cell membrane, enzyme, energy supply and transcriptomics[J].Journal of Hazardous Materials, 2022, 422:126942.
[18] ZANI F, BLAGIH J, GRUBER T, et al.The dietary sweetener sucralose is a negative modulator of T cell-mediated responses[J].Nature, 2023, 615(7953):705-711.
[19] EMAMAT H, GHALANDARI H, TANGESTANI H, et al.Artificial sweeteners are related to non-alcoholic fatty liver disease:Microbiota dysbiosis as a novel potential mechanism[J].EXCLI Journal, 2020, 19:620-626.
[20] LIAUCHONAK I, QORRI B, DAWOUD F, et al.Non-nutritive sweeteners and their implications on the development of metabolic syndrome[J].Nutrients, 2019, 11(3):644.
[21] YANINA PEPINO M.Metabolic effects of non-nutritive sweeteners[J].Physiology & Behavior, 2015, 152:450-455.
[22] AGUAYO-GUERRERO J A, MÉNDEZ-GARCÍA L A, SOLLEIRO-VILLAVICENCIO H, et al.Sucralose:From sweet success to metabolic controversies-Unraveling the global health implications of a pervasive non-caloric artificial sweetener[J].Life, 2024, 14(3):323.
[23] 孙威, 鲁晶晶, 闾盟, 等.人工合成甜味剂对机体健康影响的研究进展[J].职业与健康, 2024, 40(16):2299-2304.
SUN W, LU J, LYU M, et al.Research progress on the effects of artificial sweeteners on human health[J].Occupation and health, 2024, 40(16):2299-2304.
[24] GOMAA E Z.Human gut microbiota/microbiome in health and diseases:A review[J].Antonie Van Leeuwenhoek, 2020, 113(12):2019-2040.
[25] FAN Y, PEDERSEN O.Gut microbiota in human metabolic health and disease[J].Nature Reviews Microbiology, 2021, 19(1):55-71.
[26] CHAKAROUN R M, OLSSON L M, BÄCKHED F.The potential of tailoring the gut microbiome to prevent and treat cardiometabolic disease[J].Nature Reviews Cardiology, 2023, 20(4):217-235.
[27] IATCU C O, STEEN A, COVASA M.Gut microbiota and complications of type-2 diabetes[J].Nutrients, 2022, 14(1):166.
[28] GÓRALCZYK-BIŃKOWSKA A, SZMAJDA-KRYGIER D, KOZŁOWSKA E.The microbiota-gut-brain axis in psychiatric disorders[J].International Journal of Molecular Sciences, 2022, 23(19):11245.
[29] HSU C L, SCHNABL B.The gut-liver axis and gut microbiota in health and liver disease[J].Nature Reviews Microbiology, 2023, 21(11):719-733.
[30] SINGH R K, CHANG H W, YAN D, et al.Influence of diet on the gut microbiome and implications for human health[J].Journal of Translational Medicine, 2017, 15(1):73.
[31] DAVID L A, MAURICE C F, CARMODY R N, et al.Diet rapidly and reproducibly alters the human gut microbiome[J].Nature, 2014, 505(7484):559-563.
[32] GHOSH T S, RAMPELLI S, JEFFERY I B, et al.Mediterranean diet intervention alters the gut microbiome in older people reducing frailty and improving health status:The NU-AGE 1-year dietary intervention across five European countries[J].Gut, 2020, 69(7):1218-1228..
[33] BOURDEAU-JULIEN I, CASTONGUAY-PARADIS S, ROCHEFORT G, et al.The diet rapidly and differentially affects the gut microbiota and host lipid mediators in a healthy population[J].Microbiome, 2023, 11(1):26.
[34] YU Z G, WANG Y, LU J, et al.Nonnutritive sweeteners can promote the dissemination of antibiotic resistance through conjugative gene transfer[J].The ISME Journal, 2021, 15(7):2117-2130.
[35] YU Z G, WANG Y, HENDERSON I R, et al.Artificial sweeteners stimulate horizontal transfer of extracellular antibiotic resistance genes through natural transformation[J].The ISME Journal, 2022, 16(2):543-554.
[36] YU Z G, HENDERSON I R, GUO J H.Non-caloric artificial sweeteners modulate conjugative transfer of multi-drug resistance plasmid in the gut microbiota[J].Gut Microbes, 2023,15(1):2157698.
[37] YU Z G, GUO J H.Non-caloric artificial sweeteners exhibit antimicrobial activity against bacteria and promote bacterial evolution of antibiotic tolerance[J].Journal of Hazardous Materials, 2022, 433:128840.
[38] WANG Q-P, BROWMAN D, HERZOG H, et al.Non-nutritive sweeteners possess a bacteriostatic effect and alter gut microbiota in mice[J].PLoS One, 2018, 13(7):e0199080.
[39] SÜNDERHAUF A, PAGEL R, KÜNSTNER A, et al.Saccharin supplementation inhibits bacterial growth and reduces experimental colitis in mice[J].Nutrients, 2020, 12(4):1122.
[40] DE DIOS R, PROCTOR C R, MASLOVA E, et al.Artificial sweeteners inhibit multidrug-resistant pathogen growth and potentiate antibiotic activity[J].EMBO Molecular Medicine, 2023, 15(1):e16397.
[41] SHIL A, CHICHGER H.Artificial sweeteners negatively regulate pathogenic characteristics of two model gut bacteria, E.coli and E.faecalis[J].International Journal of Molecular Sciences, 2021, 22(10):5228.
[42] MAHMUD R, SHEHREEN S, SHAHRIAR S, et al.Non-caloric artificial sweeteners modulate the expression of key metabolic genes in the omnipresent gut microbe Escherichia coli[J].Microbial Physiology, 2020, 29(1-6):43-56.
[43] MARKUS V, SHARE O, SHAGAN M, et al.Inhibitory effects of artificial sweeteners on bacterial quorum sensing[J].International Journal of Molecular Sciences, 2021,22(18):9863.
[44] SUEZ J, KOREM T, ZEEVI D, et al.Artificial sweeteners induce glucose intolerance by altering the gut microbiota[J].Nature, 2014, 514(7521):181-186.
[45] SERRANO J, SMITH K R, CROUCH A L, et al.High-dose saccharin supplementation does not induce gut microbiota changes or glucose intolerance in healthy humans and mice[J].Microbiome, 2021, 9(1):11.
[46] THOMSON P, SANTIBAÑEZ R, AGUIRRE C, et al.Short-term impact of sucralose consumption on the metabolic response and gut microbiome of healthy adults[J].British Journal of Nutrition, 2019, 122(8):856-862.
[47] SUEZ J, COHEN Y, VALDÉS-MAS R, et al.Personalized microbiome-driven effects of non-nutritive sweeteners on human glucose tolerance[J].Cell, 2022,185(18):3307-3328.
[48] MÉNDEZ-GARCÍA L A, BUENO-HERNÁNDEZ N, CID-SOTO M A, et al.Ten-week sucralose consumption induces gut dysbiosis and altered glucose and insulin levels in healthy young adults[J].Microorganisms, 2022, 10(2):434.
[49] PALMNÄS M S A, COWAN T E, BOMHOF M R, et al.Low-dose aspartame consumption differentially affects gut microbiota-host metabolic interactions in the diet-induced obese rat[J].PLoS One, 2014, 9(10):e109841.
[50] UEBANSO T, OHNISHI A, KITAYAMA R, et al.Effects of low-dose non-caloric sweetener consumption on gut microbiota in mice[J].Nutrients, 2017, 9(6):662.
[51] SHI Z J, LEI H H, CHEN G, et al.Impaired intestinal Akkermansia muciniphila and aryl hydrocarbon receptor ligands contribute to nonalcoholic fatty liver disease in mice[J].mSystems, 2021, 6(1):e00985-20.
[52] BIAN X M, CHI L, GAO B, et al.Gut microbiome response to sucralose and its potential role in inducing liver inflammation in mice[J].Frontiers in Physiology, 2017, 8:487.
[53] CHI L, YANG Y F, BIAN X M, et al.Chronic sucralose consumption inhibits farnesoid X receptor signaling and perturbs lipid and cholesterol homeostasis in the mouse livers, potentially by altering gut microbiota functions[J].Science of the Total Environment, 2024, 919:169603.
[54] LAFOREST-LAPOINTE I, DE SHERBROORE U, et al.Maternal consumption of artificially sweetened beverages during pregnancy is associated with infant gut microbiota and metabolic modifications and increased infant body mass index[J].Gut Microbes, 2021, 13(1):1-15.
[55] NETTLETON J E, CHO N A, KLANCIC T, et al.Maternal low-dose aspartame and Stevia consumption with an obesogenic diet alters metabolism, gut microbiota and mesolimbic reward system in rat dams and their offspring[J].Gut, 2020, 69(10):1807-1817.
[56] RODRIGUEZ-PALACIOS A, HARDING A, MENGHINI P, et al.The artificial sweetener splenda promotes gut proteobacteria, dysbiosis, and myeloperoxidase reactivity in Crohn’s disease-like ileitis[J].Inflammatory Bowel Diseases, 2018, 24(5):1005-1020.
[57] LI X T, LIU Y L, WANG Y, et al.Sucralose promotes colitis-associated colorectal cancer risk in a murine model along with changes in microbiota[J].Frontiers in Oncology, 2020, 10:710.
[58] BISCHOFF S C, BARBARA G, BUURMAN W, et al.Intestinal permeability-a new target for disease prevention and therapy[J].BMC Gastroenterol, 2014, 14(1):189.
[59] SHIL A, LADEIRA FARIA L M, WALKER C A, et al.The artificial sweetener neotame negatively regulates the intestinal epithelium directly through T1R3-signaling and indirectly through pathogenic changes to model gut bacteria[J].Frontiers in Nutrition, 2024, 11:1366409.
[60] BIAN X M, CHI L, GAO B, et al.The artificial sweetener acesulfame potassium affects the gut microbiome and body weight gain in CD-1 mice[J].PLoS One, 2017, 12(6):e0178426.
[61] CHI L, BIAN X M, GAO B, et al.Effects of the artificial sweetener neotame on the gut microbiome and fecal metabolites in mice[J].Molecules, 2018, 23(2):367.
[62] MURALI A, GIRI V, CAMERON H J, et al.Investigating the gut microbiome and metabolome following treatment with artificial sweeteners acesulfame potassium and saccharin in young adult Wistar rats[J].Food and Chemical Toxicology, 2022, 165:113123.
[63] VAMANU E, PELINESCU D, GATEA F, et al.Altered in vitro metabolomic response of the human microbiota to sweeteners[J].Genes, 2019, 10(7):535.
[64] UMU Ö C O, RUDI K, DIEP D B.Modulation of the gut microbiota by prebiotic fibres and bacteriocins[J].Microbial Ecology in Health and Disease, 2017, 28(1):1348886.
[65] FRANKENFELD C L, SIKAROODI M, LAMB E, et al.High-intensity sweetener consumption and gut microbiome content and predicted gene function in a cross-sectional study of adults in the United States[J].Annals of Epidemiology, 2015, 25(10):736-742.e4.
[66] AHMAD S Y, FRIEL J, MACKAY D.The effects of non-nutritive artificial sweeteners, aspartame and sucralose, on the gut microbiome in healthy adults:Secondary outcomes of a randomized double-blinded crossover clinical trial[J].Nutrients, 2020, 12(11):3408.
[67] HARRINGTON V, LAU L, CRITS-CHRISTOPH A, et al.Interactions of non-nutritive artificial sweeteners with the microbiome in metabolic syndrome[J].Immunometabolism, 2022, 4(2):e220012.
文章导航

/