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HORMONES AND SIGNALING
Royal Adelaide Hospital, 1University of Adelaide, Discipline of Medicine, 2Department of Nuclear Medicine, PET and Bone Densitometry, 3Nerve Gut Laboratory, Hanson Institute; 4Centre of Clinical Research Excellence in Nutritional Physiology, Interventions and Outcomes, University of Adelaide, Adelaide, Australia
Submitted 18 December 2008 ; accepted in final form 6 February 2009
The incretin hormones, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), play an important role in glucose homeostasis in both health and diabetes. In mice, sucralose, an artificial sweetener, stimulates GLP-1 release via sweet taste receptors on enteroendocrine cells. We studied blood glucose, plasma levels of insulin, GLP-1, and GIP, and gastric emptying (by a breath test) in 7 healthy humans after intragastric infusions of 1) 50 g sucrose in water to a total volume of 500 ml (
290 mosmol/l), 2) 80 mg sucralose in 500 ml normal saline (
300 mosmol/l, 0.4 mM sucralose), 3) 800 mg sucralose in 500 ml normal saline (
300 mosmol/l, 4 mM sucralose), and 4) 500 ml normal saline (
300 mosmol/l), all labeled with 150 mg 13C-acetate. Blood glucose increased only in response to sucrose (P < 0.05). GLP-1, GIP, and insulin also increased after sucrose (P = 0.0001) but not after either load of sucralose or saline. Gastric emptying of sucrose was slower than that of saline (t50: 87.4 ± 4.1 min vs. 74.7 ± 3.2 min, P < 0.005), whereas there were no differences in t50 between sucralose 0.4 mM (73.7 ± 3.1 min) or 4 mM (76.7 ± 3.1 min) and saline. We conclude that sucralose, delivered by intragastric infusion, does not stimulate insulin, GLP-1, or GIP release or slow gastric emptying in healthy humans.
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R. J. Brown, M. Walter, and K. I. Rother Ingestion of Diet Soda Before a Glucose Load Augments Glucagon-Like Peptide-1 Secretion Diabetes Care, December 1, 2009; 32(12): 2184 - 2186. [Abstract] [Full Text] [PDF] |
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