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Updated: Mar 21, 2026

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Published on: December 29, 2023
Low calorie sweeteners: Evidence remains lacking for effects on human gut function
Charlotte Bryant1, John Mclaughlin1
1Gastrointestinal Centre, Institute of Inflammation and Repair, Faculty of Medical and Human Sciences, University of Manchester and Manchester Academic Health Sciences Centre, Manchester, UK.
Nutrient-induced gut-brain signals regulate food intake. However, low-calorie sweeteners in the gut do not replicate the effects of sugars on gut hormones or appetite in humans.
Area of Science:
- Neuroscience
- Gastroenterology
- Nutrition Science
Background:
- Nutrient-induced gut-brain signaling is crucial for regulating human food intake.
- Dietary sugars contribute significantly to caloric excess, yet mechanisms of sweet tastants in the gut remain unclear.
- The comparative effects of natural sugars versus low-calorie sweeteners are poorly understood.
Purpose of the Study:
- To investigate the role of sweet taste receptors in the human gut.
- To compare the physiological and appetitive effects of natural sugars and low-calorie sweeteners in the gut-brain axis.
- To elucidate the mechanisms of sweet taste signaling in the human gut.
Main Methods:
- Human studies investigating gut endocrine cell responses.
- Analysis of gastric motility, gut hormone release, and appetitive responses.
- Comparison of effects between caloric sugars and low-calorie sweeteners.
Main Results:
- Human studies consistently show that activating gut sweet taste receptors with low-calorie sweeteners does not replicate sugar-induced effects.
- No significant effects on gastric motility, gut hormones, or appetitive responses were observed with low-calorie sweeteners.
- Caloric sugars elicit distinct physiological and appetitive responses compared to low-calorie sweeteners.
Conclusions:
- Sweet taste receptors in the human gut may not function identically to oral taste receptors.
- Low-calorie sweeteners do not appear to activate the same gut-brain signaling pathways as caloric sugars.
- Further research is needed to understand the nuances of sweet taste perception and its impact on food intake regulation.
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