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Low-Dose Aspartame Consumption Differentially Affects Gut Microbiota-Host Metabolic Interactions in the Diet- Induced Obese Rat

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PLOS One
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Aspartame consumption is implicated in the development of obesity and metabolic disease despite the intention of limiting caloric intake. The mechanisms responsible for this association remain unclear, but may involve circulating metabolites and the gut microbiota. Aims were to examine the impact of chronic low-dose aspartame consumption on anthropometric, metabolic and microbial parameters in a diet-induced obese model. Male Sprague-Dawley rats were randomized into a standard chow diet (CH, 12% kcal fat) or high fat (HF, 60% kcal fat) and further into ad libitum water control (W) or low-dose aspartame (A, 5–7 mg/kg/d in drinking water) treatments for 8 week (n = 10–12 animals/treatment). Animals on aspartame consumed fewer calories, gained less weight and had a more favorable body composition when challenged with HF compared to animals consuming water. Despite this, aspartame elevated fasting glucose levels and an insulin tolerance test showed aspartame to impair insulin-stimulated glucose disposal in both CH and HF, independently of body composition. Fecal analysis of gut bacterial composition showed aspartame to increase total bacteria, the abundance of Enterobacteriaceae and Clostridium leptum. An interaction between HF and aspartame was also observed for Roseburia ssp wherein HF-A was higher than HF-W (P,0.05). Within HF, aspartame attenuated the typical HF-induced increase in the Firmicutes:Bacteroidetes ratio. Serum metabolomics analysis revealed aspartame to be rapidly metabolized and to be associated with elevations in the short chain fatty acid propionate, a bacterial end product and highly gluconeogenic substrate, potentially explaining its negative affects on insulin tolerance. How aspartame influences gut microbial composition and the implications of these changes on the development of metabolic disease require further investigation.
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... Multiple studies examining the physiological effects of NNS have identified the gut microbiota as a key mediator, raising questions about the long-term safety and hostmicrobiome dynamics of these compounds [3,[60][61][62][63][64]. With advancements in sequencing technologies and computational tools-alongside decreasing costs associated with microbiome analysis-interest in understanding the gut microbiome's role in human health has expanded significantly [65]. ...
... Palmnäs et al. [63] investigated the impact of chronic low-dose aspartame ingestion on microbiome profile and metabolic parameters in a diet-induced obese rat model. Aspartame was supplied in conjunction with a high-fat (60% kcal fat) diet in this study. ...
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... Non-nutritive sweeteners (NNS) aim to combat obesity and diabetes by providing zero-calorie alternatives to sugar. Several studies have shown that NNS change the composition of the microbiome, and a subset of these studies have demonstrated that NNS may impair glucose tolerance via their induced changes in the gut microbiome (111)(112)(113). However, there are inconsistencies across studies. ...
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The gut microbiome has been linked to everything from human behavior to athletic performance to disease pathogenesis. And yet, few universal truths have emerged regarding how the microbiome exerts its effects or responds to the host environment except for one: gut microbiota are exquisitely sensitive to human diets. What we eat from birth onward shapes our gut microbiome composition and function, and this is likely an evolutionarily conserved interaction that benefits the microbe and often the host. However, modern diets and lifestyles have created discordance between our slowly evolving human genome and rapidly adaptable microbiome, and have been implicated in the rise of chronic diseases over the past 75 years. Diet and microbiome interactions have been reviewed extensively, so here we focus on areas of microbiome research that have most illuminated natural and disruptive dietary forces over time in humans, and where we may have opportunities to restore the natural balance of host with microbes in our modern world.
... Alterations in gut microbiota induced by AS, have been linked to impaired glucose tolerance and insulin resistance [47]. The expression of sodium dependent glucose transporter-1 was reported to be enhanced by certain AS, that elevated fasting blood sugars in rats under study leading to increased risk of Type-2 diabetes [48]. Chronic consumption of AS make cells less responsive to insulin signalling, thereby increasing the risk of metabolic disorders. ...
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Artificial Sweeteners are used world-wide as sugar substitutes, and are found in various food products and pharmaceuticals. However, their increasing occurrence in the aquatic ecosystems has raised concerns about their environmental persistence, possible bioaccumulation and potential toxicity. This review emphasises on the occurrence and toxicity mechanism of AS with special focus to metabolism, gut and neurological health and carcinogenic potential in humans. Additionally, it exhibits the ecotoxicological effects of AS on aquatic and terrestrial systems. This review also identifies and presents critical research gaps by thorough bibliometric analysis. A One Health Approach which integrates human, environmental and wild life health is essential for assessing AS risks and developing sustainable solutions to mitigate AS pollution and its long-lasting consequences.
... Several studies have reported their effects on human health and their interactions with the microbiota. [42][43][44] Moreover, a recently published clinical study suggests that non-nutritive sweeteners may induce glycaemic alterations that are person-specific and dependent on the composition of the microbiome. 45 Our recent findings, along with other studies using in vitro microbiota systems, highlight the potential of MBRA to predict sensitivity to such compounds. ...
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... Estas enfermedades están mediadas por mecanismos específicos, uno de los mecanismos más discutidos es la alteración de la microbiota intestinal, un conjunto de microorganismos que desempeñan un papel crucial en la salud metabólica y el sistema inmunológico. Los edulcorantes como la sucralosa y el aspartamo han demostrado modificar la composición de la microbiota (36,37), promoviendo un estado de disbiosis que puede desencadenar inflamación crónica y alterar el metabolismo de la glucosa. Este desequilibrio en la microbiota podría contribuir al desarrollo de resistencia a la insulina, lo que a su vez aumenta el riesgo de diabetes tipo II (38). ...
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... Although NNS were once considered inert due to containing no or few calories, NNS have metabolic effects in rodents [3][4][5][6][7][8] and humans [9,10], and positive associations between NNS consumption and body weight [11,12], metabolic syndrome [13,14], cardiovascular disease [15,16], and stroke [15,17] are reported in observational studies. In some studies, NNS consumption is also positively associated with cancer risk [18,19], although findings of studies linking NNS to cancer outcomes are mixed [20,21]. ...
... While a considerable number of studies indicate that the ASs can have positive effects, such as preventing caries [60,61], aiding in weight regulation [62], and reducing the risk of cardiovascular and metabolic diseases [24,63], there are also studies that challenge these claims and disprove the benefits. Critics argue that the potential risks of ASs may outweigh their benefits, highlighting concerns that include possible negative impacts on health [24,25,29,30,[64][65][66][67]. ...
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... However, recent research suggests that artificial sweetener intake is associated with obesity (7; 8) , and the World Health Organization now advises against the use of non-nutritive sweeteners (including both artificial sweeteners and natural sweeteners such as steviol glycosides) for weight loss purposes (9) . Some studies have shown impairment in insulin tolerance in aspartame-exposed rats independently of body fat composition (10) and increased glucose intolerance in both mice and humans exposed to artificial sweeteners, partly mediated by changes in the gut microbiome (11; 12) . ...
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The conflict of interest statement was omitted from the version of this article that was published online ahead of the issue. The conflict of interest statement is now included in the article, published in this issue.
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