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Am J Physiol Gastrointest Liver Physiol (February 12, 2009). doi:10.1152/ajpgi.90708.2008
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Submitted on December 19, 2008
Revised on February 4, 2009
Accepted on February 6, 2009

Effect of the artificial sweetener, sucralose, on gastric emptying and incretin hormone release in healthy subjects

Jing Ma, Max Bellon, Judith M. Wishart, Richard L Young1, L Ashley Blackshaw, Karen L. Jones2, Michael Horowitz2, and Christopher K Rayner3*

1 Nerve-Gut Research Laboratory, Hanson Institute
2 University of Adelaide
3 Royal Adelaide Hospital

* To whom correspondence should be addressed. E-mail: chris.rayner{at}adelaide.edu.au.

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 (i) 50 g sucrose in water to a total volume of 500 ml (~ 290 mosmol/L), (ii) 80 mg sucralose in 500 ml normal saline (~ 300 mosmol/L, 0.4 mM sucralose), (iii) 800 mg sucralose in 500 ml normal saline (~ 300 mosmol/L, 4 mM sucralose), (iv) 500 ml normal saline (~ 300 mosmol/L), all labelled 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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