Non-caloric artificial sweeteners and the microbiome: findings and challenges
Open accessAbstract
Non-caloric artificial sweeteners (NAS) are common food supplements consumed by millions worldwide as means of combating weight gain and diabetes, by retaining sweet taste without increasing caloric intake. While they are considered safe, there is increasing controversy regarding their potential ability to promote metabolic derangements in some humans. We recently demonstrated that NAS consumption could induce glucose intolerance in mice and distinct human subsets, by functionally altering the gut microbiome. In this commentary, we discuss these findings in the context of previous and recent works demonstrating the effects of NAS on host health and the microbiome, and the challenges and open questions that need to be addressed in understanding the effects of NAS consumption on human health.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Noncaloric artificial sweeteners such as saccharin, sucralose, and aspartame alter the composition of the gut microbiome.
“Other dietary compounds known to alter the composition of the gut microbiome include noncaloric artificial sweeteners such as saccharin, sucralose, and aspartame (Suez et al., 2015), a feature with functional implications associated with the induction of glucose intolerance in mice (Suez et al., 2014).”
From Gut reactions: Breaking down xenobiotic–microbiome interactions (2019) · cites this paper as Suez et al., 2015
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
An obesity-associated gut microbiome with increased capacity for energy harvest
Turnbaugh, P. J., Ley, R. E., Mahowald, M. A., Magrini, V., Mardis, E. R., & Gordon, J. I. (2006) · Nature · doi:10.1038/nature05414 · Cited by 12,444 · see citing works
Diet rapidly and reproducibly alters the human gut microbiome
David, L. A., Maurice, C. F., Carmody, R. N., Gootenberg, D. B., Button, J. E., Wolfe, B. E., Ling, A. V., Devlin, A. S., Varma, Y., Fischbach, M. A., et al. (2014) · Nature · doi:10.1038/nature12820 · Cited by 10,100 · see citing works
Human gut microbes associated with obesity
Ley, R. E., Turnbaugh, P. J., Klein, S., & Gordon, J. I. (2006) · Nature · doi:10.1038/4441022a · Cited by 8,785 · see citing works
A metagenome-wide association study of gut microbiota in type 2 diabetes
Qin, J., Li, Y., Cai, Z., Li, S., Zhu, J., Zhang, F., Liang, S., Zhang, W., Guan, Y., Shen, D., et al. (2012) · Nature · doi:10.1038/nature11450 · Cited by 6,762 · see citing works
Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis
Koeth, R. A., Wang, Z., Levison, B. S., Buffa, J. A., Org, E., Sheehy, B. T., Britt, E. B., Fu, X., Wu, Y., Li, L., et al. (2013) · Nature Medicine · doi:10.1038/nm.3145 · Cited by 4,386 · see citing works
Gut Microbiota from Twins Discordant for Obesity Modulate Metabolism in Mice
Ridaura, V. K., Faith, J. J., Rey, F. E., Cheng, J., Duncan, A. E., Kau, A. L., Griffin, N. W., Lombard, V., Henrissat, B., Bain, J. R., et al. (2013) · Science · doi:10.1126/science.1241214 · Cited by 3,788 · see citing works
The impact of the gut microbiota on human health: an integrative view
Clemente, J. C., Ursell, L. K., Parfrey, L. W., & Knight, R. (2012) · Cell · doi:10.1016/j.cell.2012.01.035 · Cited by 3,710 · see citing works
Gut microbiota composition correlates with diet and health in the elderly
Claesson, M. J., Jeffery, I. B., Conde, S., Power, S. E., O’Connor, E. M., Cusack, S., Harris, H. M. B., Coakley, M., Lakshminarayanan, B., O’Sullivan, O., et al. (2012) · Nature · doi:10.1038/nature11319 · Cited by 3,314 · see citing works
Gut metagenome in European women with normal, impaired and diabetic glucose control
Karlsson, F. H., Tremaroli, V., Nookaew, I., Bergström, G., Behre, C. J., Fagerberg, B., Nielsen, J., & Bäckhed, F. (2013) · Nature · doi:10.1038/nature12198 · Cited by 3,115 · see citing works
Microbiota and SCFA in lean and overweight healthy subjects
Schwiertz, A., Taras, D., Schäfer, K., Beijer, S., Bos, N. A., Donus, C., & Hardt, P. D. (2010) · Obesity · doi:10.1038/oby.2009.167 · Cited by 2,457 · see citing works
Inflammasome-mediated dysbiosis regulates progression of NAFLD and obesity
Henao-Mejia, J., Elinav, E., Jin, C., Hao, L., Mehal, W. Z., Strowig, T., Thaiss, C. A., Kau, A. L., Eisenbarth, S. C., Jurczak, M. J., et al. (2012) · Nature · doi:10.1038/nature10809 · Cited by 2,435 · see citing works
Self-citationArtificial sweeteners induce glucose intolerance by altering the gut microbiota
Suez, J., Korem, T., Zeevi, D., Zilberman-Schapira, G., Thaiss, C. A., Maza, O., Israeli, D., Zmora, N., Gilad, S., Weinberger, A., et al. (2014) · Nature · doi:10.1038/nature13793 · Cited by 2,067 · cited 2× · see citing works
“This phenotype seemed to be microbiome-related, as 2 different antibiotics regimens, targeting Gram-positive or Gram-negative bacteria, abrogated the NAS-induced glucose intolerance.(53) To further study the possible NAS effects on the microbiome, we focused on saccharin.”
BackgroundDiet Drives Convergence in Gut Microbiome Functions Across Mammalian Phylogeny and Within Humans
Muegge, B. D., Kuczynski, J., Knights, D., Clemente, J. C., González, A., Fontana, L., Henrissat, B., Knight, R., & Gordon, J. I. (2011) · Science · doi:10.1126/science.1198719 · Cited by 1,988 · see citing works
High-Fat Diet Determines the Composition of the Murine Gut Microbiome Independently of Obesity
Hildebrandt, M. A., Hoffmann, C., Sherrill–Mix, S. A., Keilbaugh, S. A., Hamady, M., Chen, Y., Knight, R., Ahima, R. S., Bushman, F., & Wu, G. D. (2009) · Gastroenterology · doi:10.1053/j.gastro.2009.08.042 · Cited by 1,576 · see citing works
Samuel, B. S., Shaito, A., Motoike, T., Rey, F. E., Backhed, F., Manchester, J. K., Hammer, R. E., Williams, S. C., Crowley, J., Yanagisawa, M., et al. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0808567105 · Cited by 1,564 · see citing works
Gut Microbiota and Metabolic Endotoxemia in Young Obese Mexican Subjects
Radilla-Vázquez, R. B., Parra‐Rojas, I., Martínez-Hernández, N. E., Márquez‐Sandoval, F., Illades‐Aguiar, B., & Castro-Alarcón, N. (2016) · Obesity Facts · doi:10.1159/000442479 · Cited by 1,200 · see citing works
A Trial of Sugar-free or Sugar-Sweetened Beverages and Body Weight in Children
de Ruyter, J. C., Olthof, M. R., Seidell, J. C., & Katan, M. B. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1203034 · Cited by 814 · see citing works
Raben, A., Vasilaras, T. H., Møller, A. C., & Astrup, A. (2002) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.4.721 · Cited by 667 · see citing works
Ding, M., Bhupathiraju, S. N., Chen, M., van Dam, R. M., & Hu, F. B. (2014) · Diabetes Care · doi:10.2337/dc13-1203 · Cited by 511 · cited 1× · see citing works
“However, several studies suggested that counterintuitive links may exist between NAS consumption and the same ailments of the metabolic syndrome they are meant to prevent, such as weight gain,(4,5) cardiovascular disease,(6,7) and type II diabetes mellitus.(8,9) Several physiological mechanisms have been suggested for…”
BackgroundFueling the obesity epidemic? Artificially sweetened beverage use and long-term weight gain.
Fowler, S. P., Williams, K., Resendez, R. G., Hunt, K. J., Hazuda, H. P., & Stern, M. P. (2008) · Obesity · doi:10.1038/oby.2008.284 · Cited by 464 · see citing works
Sweet taste receptors in rat small intestine stimulate glucose absorption through apical GLUT2
Mace, O. J., Affleck, J. A., Patel, N., & Kellett, G. L. (2007) · The Journal of Physiology · doi:10.1113/jphysiol.2007.130906 · Cited by 455 · see citing works
Tordoff, M. G., & Alleva, A. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/51.6.963 · Cited by 444 · see citing works
Artificial sweeteners produce the counterintuitive effect of inducing metabolic derangements
Swithers, S. E. (2013) · Trends in Endocrinology and Metabolism · doi:10.1016/j.tem.2013.05.005 · Cited by 418 · see citing works
Tate, D. F., Turner-McGrievy, G., Lyons, E., Stevens, J., Erickson, K., Polzien, K., Diamond, M., Wang, X., & Popkin, B. (2012) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.026278 · Cited by 345 · see citing works
Abou-Donia, M. B., EL-Masry, E. M., Abdel-Rahman, A. A., McLendon, R. E., & Schiffman, S. S. (2008) · Journal of Toxicology and Environmental Health · doi:10.1080/15287390802328630 · Cited by 342 · see citing works
Palmnäs, M. S. A., Cowan, T., Bomhof, M. R., Su, J., Reimer, R. A., Vogel, H. J., Hittel, D. S., & Shearer, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0109841 · Cited by 337 · see citing works
Interaction between colonic acetate and propionate in humans
Wolever, T. M. S., Spadafora, P., & Eshuis, H. (1991) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/53.3.681 · Cited by 333 · see citing works
Miller, P. E., & Perez, V. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.113.082826 · Cited by 313 · see citing works
Nonnutritive Sweeteners: Current Use and Health Perspectives
Gardner, C. D., Wylie‐Rosett, J., Gidding, S. S., Steffen, L. M., Johnson, R. K., Reader, D., & Lichtenstein, A. H. (2012) · Circulation · doi:10.1161/cir.0b013e31825c42ee · Cited by 300 · see citing works
A role for sweet taste: Calorie predictive relations in energy regulation by rats.
Swithers, S. E., & Davidson, T. L. (2008) · Behavioral Neuroscience · doi:10.1037/0735-7044.122.1.161 · Cited by 296 · see citing works
Sucralose metabolism and pharmacokinetics in man
Roberts, A. S., Renwick, A. G. C., Sims, J., & Snodin, D. J. (2000) · Food and Chemical Toxicology · doi:10.1016/s0278-6915(00)00026-0 · Cited by 266 · see citing works
Sucralose affects glycemic and hormonal responses to an oral glucose load
Pepino, M. Y., Tiemann, C. D., Patterson, B. W., Wice, B. M., & Klein, S. (2013) · Diabetes Care · doi:10.2337/dc12-2221 · Cited by 253 · see citing works
Fagherazzi, G., Vilier, A., Sartorelli, D. S., Lajous, M., Balkau, B., & Clavel‐Chapelon, F. (2013) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.050997 · Cited by 251 · see citing works
Nonnutritive Sweeteners: Current Use and Health Perspectives
Gardner, C., Wylie-Rosett, J., Gidding, S. S., Steffen, L. M., Johnson, R. K., Reader, D., Lichtenstein, A. H., & on behalf of the American Heart Association Nutrition Committee of the Council on Nutrition, P. A. A. M. (2012) · Diabetes Care · doi:10.2337/dc12-9002 · Cited by 229 · see citing works
Low-calorie sweetener consumption is increasing in the United States
Sylvetsky, A. C., Welsh, J. A., Brown, R. J., & Vos, M. B. (2012) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.034751 · Cited by 224 · see citing works
High-intensity sweeteners and energy balance.
Swithers, S. E., Martin, A. A., & Davidson, T. L. (2010) · Physiology & Behavior · doi:10.1016/j.physbeh.2009.12.021 · Cited by 206 · see citing works
Blackburn, G. L., Kanders, B. S., Lavin, P. T., Keller, S. M., & Whatley, J. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.2.409 · Cited by 202 · see citing works
Payne, A. N., Chassard, C., & Lacroix, C. (2012) · Obesity Reviews · doi:10.1111/j.1467-789x.2012.01009.x · Cited by 200 · see citing works
Association of Sweetened Beverage Intake with Incident Hypertension
Cohen, L., Curhan, G. C., & Forman, J. P. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2069-6 · Cited by 123 · see citing works
Feijó, F. D. M., Ballard, C. R., Foletto, K. C., Batista, B. A. M., Neves, A. M., Ribeiro, M. F. M., & Bertoluci, M. C. (2012) · Appetite · doi:10.1016/j.appet.2012.10.009 · Cited by 115 · see citing works
Laska, M. N., Murray, D. M., Lytle, L. A., & Harnack, L. (2011) · Obesity · doi:10.1038/oby.2011.179 · Cited by 114 · see citing works
Swithers, S. E., Laboy, A. F., Clark, K., Cooper, S., & Davidson, T. L. (2012) · Behavioural Brain Research · doi:10.1016/j.bbr.2012.04.024 · Cited by 113 · see citing works
Daly, K., Darby, A. C., Hall, N., Nau, A., Bravo, D., & Shirazi‐Beechey, S. P. (2014) · British Journal Of Nutrition · doi:10.1017/s0007114513002274 · Cited by 108 · see citing works
Swithers, S. E., Baker, C. R., & Davidson, T. L. (2009) · Behavioral Neuroscience · doi:10.1037/a0016139 · Cited by 105 · see citing works
The disposition of saccharin in animals and man—A review
RENWICK, A. G. (1985) · Food and Chemical Toxicology · doi:10.1016/0278-6915(85)90136-x · Cited by 93 · see citing works
Saccharin: A toxicological and historical perspective
Arnold, D. L., Krewski, D. R., & Munro, I. C. (1983) · Toxicology · doi:10.1016/0300-483x(83)90021-5 · Cited by 86 · see citing works
The effect of sodium saccharin in the diet on caecal microflora
Anderson, R. L., & Kirkland, J. J. (1980) · Food and Cosmetics Toxicology · doi:10.1016/0015-6264(80)90188-1 · Cited by 77 · see citing works
Mitsutomi, K., Masaki, T., Shimasaki, T., Gotoh, K., Chiba, S., Kakuma, T., & Shibata, H. (2013) · Metabolism · doi:10.1016/j.metabol.2013.09.002 · Cited by 76 · see citing works
The pharmacokinetics and metabolism of sucralose in the dog
Wood, S. G., John, B. A., & Hawkins, D. R. (2000) · Food and Chemical Toxicology · doi:10.1016/s0278-6915(00)00031-4 · Cited by 73 · see citing works
Gender Dimorphism in Aspartame-Induced Impairment of Spatial Cognition and Insulin Sensitivity
Collison, K. S., Makhoul, N. J., Zaidi, M. Z., Saleh, S. M., Andres, B. L., Inglis, A. L., Al‐Rabiah, R. K., & Al-Mohanna, F. A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0031570 · Cited by 65 · see citing works
Aspartame: Physiology and biochemistry
BIRCH, G. G. (1985) · Food Chemistry · doi:10.1016/0308-8146(85)90085-8 · Cited by 65 · see citing works
The pharmacokinetics and metabolism of sucralose in the mouse
John, B. A., Wood, S. G., & Hawkins, D. R. (2000) · Food and Chemical Toxicology · doi:10.1016/s0278-6915(00)00032-6 · Cited by 64 · see citing works
Appleton, K. M., & Blundell, J. E. (2007) · Physiology & Behavior · doi:10.1016/j.physbeh.2007.04.027 · Cited by 52 · see citing works
The metabolism of saccharin in animals
Lethco, E. J., & Wallace, W. C. (1975) · Toxicology · doi:10.1016/0300-483x(75)90030-x · Cited by 45 · see citing works
Pfeffer, M., Ziesenitz, S. C., & Siebert, G. (1985) · Zeitschrift für Ernährungswissenschaft · doi:10.1007/bf02023668 · Cited by 43 · see citing works
The Influence of Sucralose on Bacterial Metabolism
Young, D. A., & Bowen, W. H. (1990) · Journal of Dental Research · doi:10.1177/00220345900690080601 · Cited by 38 · see citing works
Expert Panel report on a study of Splenda in male rats
Brusick, D., Borzelleca, J. F., Gallo, M. A., Williams, G. M., Kille, J. W., Hayes, A. W., Pi-Sunyer, X., Williams, C., & Burks, W. (2009) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2009.06.013 · Cited by 33 · see citing works
Antihyperglycaemic effect of saccharin in diabetic ob/ob mice
Bailey, C. J., Day, C., Knapper, J. M. E., Turner, S. L., & Flatt, P. R. (1997) · British Journal of Pharmacology · doi:10.1038/sj.bjp.0700871 · Cited by 28 · see citing works
Losada, M. E. O., Loughlin, S. M., Rodríguez-Granillo, G. A., Müller, A., Ottaviano, G., Moriondo, M., Cutrìn, J. C., & Milei, J. (2013) · Cardiovascular Diabetology · doi:10.1186/1475-2840-12-57 · Cited by 28 · see citing works
Degradation of Aspartame in Yogurt Related to Microbial Growth
Keller, S. E., NEWBERG, S. S., KRIEGER, T. M., & Shazer, W. H. (1991) · Journal of Food Science · doi:10.1111/j.1365-2621.1991.tb07965.x · Cited by 19 · see citing works
Losada, M. E. O., Cao, G., Loughlin, S. M., Rodríguez-Granillo, G. A., Ottaviano, G., & Milei, J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089838 · Cited by 17 · see citing works
Aspartame as a source of essential phenylalanine for the growth of oral anaerobes
Wyss, C. (1993) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.1993.tb06111.x · Cited by 13 · see citing works
Rettig, S., Tenewitz, J. E., Ahearn, G., & Coughlin, C. (2014) · The FASEB Journal · doi:10.1096/fasebj.28.1_supplement.1118.1 · Cited by 11 · see citing works
Association of soda consumption with subclinical cardiac remodeling in the Framingham heart study
Andersson, C., SULLIVAN, L. M., Benjamin, E. J., Aragam, J. R., Jacques, P. F., Cheng, S. C., & Vasan, R. S. (2014) · Metabolism · doi:10.1016/j.metabol.2014.10.009 · Cited by 10 · see citing works
Cowan, T., Palmnäs, M. S. A., Reimer, R. A., Ardell, K., Yang, J. J., Vogel, H. J., & Shearer, J. (2013) · The FASEB Journal · doi:10.1096/fasebj.27.1_supplement.224.7 · Cited by 8 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Oldacay M, Erdem G. The effect of sodium saccharin on the growth of Escherichia coli, Proteus, Pseudomo- nas aeruginosa, Staphylococcus epidermidis, Staphylo- coccus aureus and Enterococcus faecalis. Turk Mikrobiyol Cem Derg 2000; 30:35-7
Cited by
Sorted by citations
You are what you eat: Diet, health and the gut microbiota
Zmora, N., Suez, J., & Elinav, E. (2019) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-018-0061-2 · Cited by 1,792 · see citing works
Cuevas-Sierra, A., Ramos-Lopez, O., Riezu-Boj, J. I., Milagro, F. I., & Martinez, J. A. (2019) · Advances in Nutrition · doi:10.1093/advances/nmy078 · Cited by 523 · see citing works
Effects of Sweeteners on the Gut Microbiota: A Review of Experimental Studies and Clinical Trials
Ruiz‐Ojeda, F. J., Plaza‐Díaz, J., Sáez‐Lara, M. J., & Gil, Á. (2018) · Advances in Nutrition · doi:10.1093/advances/nmy037 · Cited by 428 · see citing works
Flandroy, L., Poutahidis, T., Berg, G., Clarke, G. A., Dao, M. C., Decaestecker, E., Furman, E., Haahtela, T., Massart, S., Plovier, H., et al. (2018) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2018.01.288 · Cited by 399 · see citing works
The Influence of the Gut Microbiome on Host Metabolism Through the Regulation of Gut Hormone Release
Martin, A. M., Sun, E. W. L., Rogers, G. B., & Keating, D. J. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00428 · Cited by 389 · see citing works
Gut reactions: Breaking down xenobiotic–microbiome interactions
Clarke, G., Sandhu, K. V., Griffin, B. T., Dinan, T. G., Cryan, J. F., & Hyland, N. P. (2019) · Pharmacological Reviews · doi:10.1124/pr.118.015768 · Cited by 319 · see citing works
Debras, C., Chazelas, E., Sellem, L., Porcher, R., Druesne‐Pecollo, N., Esseddik, Y., de Edelenyi, F. S., Agaësse, C., Sa, A. D., Lutchia, R., et al. (2022) · BMJ · doi:10.1136/bmj-2022-071204 · Cited by 260 · see citing works
Rodriguez-Palacios, A., Harding, A., Menghini, P., Himmelman, C., Retuerto, M., Nickerson, K. P., Lam, M., Croniger, C. M., McLean, M. H., Durum, S. K., et al. (2018) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izy060 · Cited by 225 · see citing works
The Association Between Artificial Sweeteners and Obesity
Pearlman, M. Y., Obert, J., & Casey, L. C. (2017) · Current Gastroenterology Reports · doi:10.1007/s11894-017-0602-9 · Cited by 213 · see citing works
Critical review of the current literature on the safety of sucralose
Magnuson, B. A., Roberts, A. S., & Nestmann, E. R. (2017) · Food and Chemical Toxicology · doi:10.1016/j.fct.2017.05.047 · Cited by 168 · see citing works
Health risk behaviours and allostatic load: A systematic review
Suvarna, B., Suvarna, A., Phillips, R., Juster, R., McDERMOTT, B. M., & Sarnyai, Z. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.12.020 · Cited by 165 · see citing works
Higgins, K., & Mattes, R. D. (2018) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqy381 · Cited by 162 · see citing works
Mossavar‐Rahmani, Y., Kamensky, V., Manson, J. E., Silver, B., Rapp, S. R., Haring, B., Beresford, S. A. A., Snetselaar, L. G., & Wassertheil-Smoller, S. W. (2019) · Stroke · doi:10.1161/strokeaha.118.023100 · Cited by 145 · see citing works
Meng, Y., Li, S., Khan, J., Dai, Z., Li, C., Hu, X., Shen, Q., & Xue, Y. (2021) · Nutrients · doi:10.3390/nu13082636 · Cited by 138 · see citing works
Suksatan, W., Moradi, S., Naeini, F., Bagheri, R., Mohammadi, H., Talebi, S., Mehrabani, S., Kermani, M. A. H., & Suzuki, K. (2021) · Nutrients · doi:10.3390/nu14010174 · Cited by 144 · see citing works
Dietary and policy priorities to reduce the global crises of obesity and diabetes
Mozaffarian, D. (2020) · Nature Food · doi:10.1038/s43016-019-0013-1 · Cited by 133 · see citing works
Review: The Consumption of Ultra-Processed Foods and Non-communicable Diseases in Latin America
Matos, R. A. C., Adams, M., & Sabaté, J. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.622714 · Cited by 126 · see citing works
Toxicomicrobiomics: The Human Microbiome vs. Pharmaceutical, Dietary, and Environmental Xenobiotics
Abdelsalam, N. A., Ramadan, A. T., ElRakaiby, M. T., & Aziz, R. K. (2020) · Frontiers in Pharmacology · doi:10.3389/fphar.2020.00390 · Cited by 123 · see citing works
Fowler, S. P. (2016) · Physiology & Behavior · doi:10.1016/j.physbeh.2016.04.047 · Cited by 117 · see citing works
Thomson, P., Santibañez, R., Aguirre, C., Galgani, J. E., & Garrido, D. (2019) · British Journal Of Nutrition · doi:10.1017/s0007114519001570 · Cited by 117 · see citing works
Plaza‐Díaz, J., Pastor‐Villaescusa, B., Rueda‐Robles, A., Abadía‐Molina, F., & Ruiz‐Ojeda, F. J. (2020) · Nutrients · doi:10.3390/nu12041153 · Cited by 110 · see citing works
The complexities of the diet-microbiome relationship: advances and perspectives
Leeming, E. R., Louca, P., Gibson, R., Menni, C., Spector, T. D., & Roy, C. I. L. (2021) · Genome Medicine · doi:10.1186/s13073-020-00813-7 · Cited by 110 · see citing works
Assessing the in vivo data on low/no-calorie sweeteners and the gut microbiota
Lobach, A. R., Roberts, A., & Rowland, I. R. (2019) · Food and Chemical Toxicology · doi:10.1016/j.fct.2018.12.005 · Cited by 104 · see citing works
Diet, Microbiome, and Cancer Immunotherapy—A Comprehensive Review
Szczyrek, M., Bitkowska, P., Chunowski, P., Czuchryta, P., Krawczyk, P. A., & Milanowski, J. (2021) · Nutrients · doi:10.3390/nu13072217 · Cited by 102 · see citing works
Pharmacomicrobiomics: Influence of gut microbiota on drug and xenobiotic metabolism
Dikeocha, I. J., Al‐Kabsi, A. M., Miftahussurur, M., & Alshawsh, M. A. (2022) · The FASEB Journal · doi:10.1096/fj.202101986r · Cited by 102 · see citing works
Capozzi, F., Magkos, F., Fava, F., Milani, G. P., Agostoni, C. V., Astrup, A. V., & Saguy, I. S. (2021) · Nutrients · doi:10.3390/nu13113948 · Cited by 95 · see citing works
Rare mono- and disaccharides as healthy alternative for traditional sugars and sweeteners?
van Laar, A., Grootaert, C., & Camp, J. V. (2020) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2020.1743966 · Cited by 93 · see citing works
The old friends hypothesis: evolution, immunoregulation and essential microbial inputs
Rook, G. A. W. (2023) · Frontiers in Allergy · doi:10.3389/falgy.2023.1220481 · Cited by 93 · see citing works
How non-nutritive sweeteners influence hormones and health
Rother, K. I., Conway, E. M., & Sylvetsky, A. C. (2018) · Trends in Endocrinology & Metabolism · doi:10.1016/j.tem.2018.04.010 · Cited by 85 · see citing works
Lombardi, V. C., Meirleir, K. L. D., Subramanian, K., Nourani, S. M., Dagda, R. K., Delaney, S. L., & Palotás, A. (2018) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2018.04.004 · Cited by 85 · see citing works
Gerwig, G. J., Poele, E. M. T., Dijkhuizen, L., & Kamerling, J. P. (2016) · Advances in carbohydrate chemistry and biochemistry · doi:10.1016/bs.accb.2016.05.001 · Cited by 84 · see citing works
Goran, M. I., Plows, J. F., & Ventura, E. E. (2018) · Proceedings of The Nutrition Society · doi:10.1017/s002966511800263x · Cited by 86 · see citing works
Rother, K. I., Sylvetsky, A. C., Walter, P. J., Garraffo, H. M., & Fields, D. A. (2017) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000001817 · Cited by 83 · see citing works
Food processing, gut microbiota and the globesity problem
Miclotte, L., & de Wiele, T. V. (2019) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2019.1596878 · Cited by 82 · see citing works
Chronic Low-Calorie Sweetener Use and Risk of Abdominal Obesity among Older Adults: A Cohort Study
Chia, C. W., Shardell, M. D., Tanaka, T., Liu, D. D., Gravenstein, K. S., Simonsick, E. M., Egan, J. M., & Ferrucci, L. (2016) · PLoS ONE · doi:10.1371/journal.pone.0167241 · Cited by 81 · see citing works
Effect of Non-Nutritive Sweeteners on the Gut Microbiota
Conz, A., Salmona, M., & Diomede, L. (2023) · Nutrients · doi:10.3390/nu15081869 · Cited by 80 · see citing works
Hirahatake, K. M., Jacobs, D. R., Shikany, J. M., Jiang, L., Wong, N. D., Steffen, L. M., & Odegaard, A. (2019) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqz154 · Cited by 79 · see citing works
Shil, A., & Chichger, H. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22105228 · Cited by 79 · see citing works
Laforest‐Lapointe, I., Becker, A. B., Mandhane, P. J., Turvey, S. E., Moraes, T. J., Sears, M. R., Subbarao, P., Sycuro, L. K., Azad, M. B., & Arrieta, M. (2020) · Gut Microbes · doi:10.1080/19490976.2020.1857513 · Cited by 74 · see citing works
Measuring Artificial Sweeteners Toxicity Using a Bioluminescent Bacterial Panel
Harpaz, D., Yeo, L. P., Cecchini, F., Koon, T. H. P., Kushmaro, A., Tok, A. I. Y., Marks, R. S., & Eltzov, E. (2018) · Molecules · doi:10.3390/molecules23102454 · Cited by 72 · see citing works
Grotz, V. L., Pi-Sunyer, X., Porte, D., Roberts, A., & Richard Trout, J. (2017) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2017.05.011 · Cited by 68 · see citing works
Groh, K. J., Geueke, B., & Muncke, J. (2017) · Food and Chemical Toxicology · doi:10.1016/j.fct.2017.08.023 · Cited by 66 · see citing works
Farup, P. G., & Valeur, J. (2020) · Nutrients · doi:10.3390/nu12030802 · Cited by 62 · see citing works
Zhang, R., Noronha, J. C., Khan, T. A., McGlynn, N. D., Back, S., Grant, S., Kendall, C. W. C., & Sievenpiper, J. L. (2023) · Nutrients · doi:10.3390/nu15041050 · Cited by 57 · see citing works
Amyotrophic lateral sclerosis and intestinal microbiota—toward establishing cause and effect
Gotkine, M., Kviatcovsky, D., & Elinav, E. (2020) · Gut Microbes · doi:10.1080/19490976.2020.1767464 · Cited by 55 · see citing works
Personalized Nutrition Through The Gut Microbiota: Current Insights And Future Perspectives
Vandeputte, D. (2020) · Nutrition Reviews · doi:10.1093/nutrit/nuaa098 · Cited by 58 · see citing works
Ayton, A. K., & Ibrahim, A. (2019) · Nutrition Reviews · doi:10.1093/nutrit/nuz089 · Cited by 52 · see citing works
Gauthier, E., Milagro, F. I., & Navas‐Carretero, S. (2023) · Nutrition · doi:10.1016/j.nut.2023.112237 · Cited by 51 · see citing works
Becker, S., Chiang, E., Plantinga, A., Carey, H. V., Suen, G., & Swoap, S. J. (2020) · FEMS Microbiology Ecology · doi:10.1093/femsec/fiaa079 · Cited by 54 · see citing works
Laing, B. B., Lim, A. G., & Ferguson, L. R. (2019) · Nutrients · doi:10.3390/nu11071532 · Cited by 48 · see citing works
Mak, J. W. Y., Sun, Y., Limsrivilai, J., Abdullah, M., Kaibullayeva, J. A., Balderramo, D. C., Vergara, B. I., Paudel, M. S., Banerjee, R., Hilmi, I. N., et al. (2023) · BMC Medical Research Methodology · doi:10.1186/s12874-023-01944-2 · Cited by 48 · see citing works
Butler, M., Bastiaanssen, T. F. S., Long-Smith, C. M., Berding, K., Mörkl, S., Cusack, A.-M., Strain, C., Busca, K., Porteous-Allen, P., Claesson, M. J., et al. (2020) · Nutrients · doi:10.3390/nu12051468 · Cited by 48 · see citing works
Effects of Daily Exposure to Saccharin and Sucrose on Testicular Biologic Functions in Mice
Gong, T., Qü, W., Mao, D., Nagaoka, K., Watanabe, G., Taya, K., & Shi, F. (2016) · Biology of Reproduction · doi:10.1095/biolreprod.116.140889 · Cited by 44 · see citing works
Hodges, J. K., Zhu, J., Yu, Z., Vodovotz, Y., Brock, G. N., Sasaki, G. Y., Dey, P., & Bruno, R. S. (2019) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2019.100495 · Cited by 43 · see citing works
Artificial Sweeteners: A Double-Edged Sword for Gut Microbiome
Hetta, H. F., Sirag, N., Elfadil, H., Salama, A., Aljadrawi, S. F., Alfaifi, A. J., Alwabisi, A. N., AbuAlhasan, B. M. N., Alanazi, L. S., Aljohani, Y. A., et al. (2025) · Diseases · doi:10.3390/diseases13040115 · Cited by 43 · see citing works
Non-nutritive sweeteners and their impacts on the gut microbiome and host physiology
Richardson, I., & Frese, S. A. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.988144 · Cited by 43 · see citing works
Ruggles, K. V., Wang, J., Volkova, A., Contreras, M., Noya-Alarcón, Ó., Lander, O., Caballero‐Arias, H., & Domínguez-Bello, M. G. (2018) · mSphere · doi:10.1128/msphere.00193-18 · Cited by 41 · see citing works
Muñoz-Labrador, A. M., Hernández‐Hernández, O., & Moreno, F. J. (2023) · Critical Reviews in Biotechnology · doi:10.1080/07388551.2023.2254929 · Cited by 68 · see citing works
Vo, T. D., Lynch, B. S., & Roberts, A. S. (2018) · Comprehensive Reviews in Food Science and Food Safety · doi:10.1111/1541-4337.12410 · Cited by 38 · see citing works
Zhou, X., Singh, S., Baumann, R., Barba, P., Landefeld, J., Casaccia, P., Sand, I. K., Xia, Z., Weiner, H. L., Chitnis, T., et al. (2020) · Multiple Sclerosis Journal · doi:10.1177/1352458520924594 · Cited by 37 · see citing works
Diet-microbiome interactions in cancer
Abdeen, S. K., Mastandrea, I., Stinchcombe, N., Puschhof, J., & Elinav, E. (2025) · Cancer Cell · doi:10.1016/j.ccell.2025.03.013 · Cited by 36 · see citing works
Sylvetsky, A. C., Blau, J. E., & Rother, K. I. (2016) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-016-9344-5 · Cited by 37 · see citing works
Inhibitory Effects of Artificial Sweeteners on Bacterial Quorum Sensing
Markus, V., Share, O., Shagan, M., Halpern, B., Bar, T., Kramarsky‐Winter, E., Teralı, K., Özer, N., Marks, R. S., Kushmaro, A., et al. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22189863 · Cited by 37 · see citing works
Sun, T., Yang, J., Lei, F., Huang, X., Liu, W., Zhang, X., Lin, L., Sun, L., Xie, X., Zhang, X., et al. (2024) · Cardiovascular Diabetology · doi:10.1186/s12933-024-02333-9 · Cited by 36 · see citing works
Metabolic networks of the human gut microbiota
Selber‐Hnatiw, S., Sultana, T., Tse, W., Abdollahi, N., Abdullah, S., Rahbani, J. A., Alazar, D., Alrumhein, N. J., Aprikian, S., Arshad, R., et al. (2019) · Microbiology · doi:10.1099/mic.0.000853 · Cited by 37 · see citing works
Plows, J. F., Morton-Jones, J., Bridge-Comer, P. E., Ponnampalam, A. P., Stanley, J. L., Vickers, M. H., & Reynolds, C. M. (2020) · Journal of Nutrition · doi:10.1093/jn/nxaa106 · Cited by 35 · see citing works
Aguayo-Guerrero, J. A., Méndez-García, L. A., Solleiro-Villavicencio, H., Viurcos-Sanabria, R., & Escobedo, G. (2024) · Life · doi:10.3390/life14030323 · Cited by 34 · see citing works
Green, C. H., & Syn, W. (2019) · European Journal of Nutrition · doi:10.1007/s00394-019-01996-5 · Cited by 34 · see citing works
Wang, R., Chen, Y.-C., Lai, Y.-J., Lu, T., Huang, S.-T., & Lo, Y. (2018) · Food Chemistry · doi:10.1016/j.foodchem.2018.09.163 · Cited by 33 · see citing works
Saccharin Supplementation Inhibits Bacterial Growth and Reduces Experimental Colitis in Mice
Sünderhauf, A., Pagel, R., Künstner, A., Wagner, A. E., Rupp, J., Ibrahim, S. M., Derer, S., & Sina, C. (2020) · Nutrients · doi:10.3390/nu12041122 · Cited by 33 · see citing works
Role of the microbiome in the normal and aberrant glycemic response
Suez, J., Shapiro, H., & Elinav, E. (2016) · Clinical Nutrition Experimental · doi:10.1016/j.yclnex.2016.01.001 · Cited by 31 · see citing works
Wu, Q., Chen, T., El-Nezami, H. S., & Savidge, T. (2020) · Trends in Food Science & Technology · doi:10.1016/j.tifs.2020.04.007 · Cited by 31 · see citing works
Microbiota and cardiovascular disease risk: A scoping review
Scarmozzino, F., Poli, A., & Visioli, F. (2020) · Pharmacological Research · doi:10.1016/j.phrs.2020.104952 · Cited by 32 · see citing works
Tu, P., Gao, B., Chi, L., Lai, Y., Bian, X., Ru, H., & Lü, K. (2019) · Scientific Reports · doi:10.1038/s41598-019-40776-3 · Cited by 32 · see citing works
The Association between Dysbiosis and Neurological Conditions Often Manifesting with Chronic Pain
Garvey, M. (2023) · Biomedicines · doi:10.3390/biomedicines11030748 · Cited by 30 · see citing works
Farup, P. G., Lydersen, S., & Valeur, J. (2019) · Journal of Obesity · doi:10.1155/2019/4608315 · Cited by 29 · see citing works
Liu, H., Huang, Z., Chen, H., Zhang, Y., Yu, P., Hu, P., Zhang, X., Cao, J., & Zhou, T. (2023) · Journal of Nanobiotechnology · doi:10.1186/s12951-023-02149-x · Cited by 29 · see citing works
Jarmakiewicz-Czaja, S., Sokal-Dembowska, A., & Filip, R. (2020) · Nutrients · doi:10.3390/nu12103073 · Cited by 29 · see citing works
Murali, A., Giri, V., Cameron, H. J., Sperber, S., Zickgraf, F. M., Haake, V., Driemert, P., Walk, T. B., Kamp, H., Rietjens, I. M. C. M., et al. (2022) · Food and Chemical Toxicology · doi:10.1016/j.fct.2022.113123 · Cited by 29 · see citing works
Mundula, T., Russo, E., Curini, L., Giudici, F., Piccioni, A., Franceschi, F., & Amedei, A. (2022) · Current Medicinal Chemistry · doi:10.2174/0929867329666220430131018 · Cited by 29 · see citing works
Emamat, H., Ghalandari, H., Tangestani, H., Abdollahi, A., & Hekmatdoost, A. (2020) · EXCLI journal · doi:10.17179/excli2020-1226 · Cited by 27 · see citing works
Long-term metabolic effects of non-nutritive sweeteners
Rathaus, M., Azem, L., Livne, R., Ron, S., Ron, I., Hadar, R., Efroni, G., Amir, A., Braun, T., Haberman, Y., et al. (2024) · Molecular Metabolism · doi:10.1016/j.molmet.2024.101985 · Cited by 26 · see citing works
Alsunni, A. A. (2020) · International Journal of General Medicine · doi:10.2147/ijgm.s274760 · Cited by 26 · see citing works
Halasa, B. C., Sylvetsky, A. C., Conway, E. M., Shouppe, E. L., Walter, M. F., Walter, P. J., Cai, H., Hui, L., & Rother, K. I. (2021) · American Journal of Perinatology · doi:10.1055/s-0041-1735555 · Cited by 25 · see citing works
Barbosa, M. A. G., Capela, R., Rodolfo, J., Fonseca, E. S. S., Montes, R., André, A., Capitão, A., Carvalho, A. P., Quintana, J. B., Castro, L. F. C., et al. (2019) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2019.109406 · Cited by 25 · see citing works
The Effects of Nonnutritive Sweeteners on the Cariogenic Potential of Oral Microbiome
Zhu, J., Liu, J., Li, Z., Xi, R., Li, Y., Peng, X., Xu, X., Zheng, X. M., & Zhou, X. (2021) · BioMed Research International · doi:10.1155/2021/9967035 · Cited by 24 · see citing works
Zhang, X., Gu, J., Zhao, C., Hu, Y., Zhang, B., Wang, J., Lv, H., Ji, X., & Wang, S. (2021) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.1c06788 · Cited by 22 · see citing works
Lü, K., Song, X., Zhang, P., Zhao, W., Zhang, N., Yang, F., Guan, W., Liu, J., Huang, H., Ho, C., et al. (2022) · Food Science and Human Wellness · doi:10.1016/j.fshw.2022.03.009 · Cited by 22 · see citing works
Winther, R., Aasbrenn, M., & Farup, P. G. (2017) · BMC Obesity · doi:10.1186/s40608-017-0177-x · Cited by 21 · see citing works
Dietary Additives and Supplements Revisited: the Fewer, the Safer for Gut and Liver Health
Golonka, R. M., Yeoh, B. S., & Vijay‐Kumar, M. (2019) · Current Pharmacology Reports · doi:10.1007/s40495-019-00187-4 · Cited by 21 · see citing works
Perazza, F., Leoni, L., Selvatici, B., Girolami, F., Bonalumi, A., Beretta, A., Ferri, S., Petroni, M. L., Piscaglia, F., Ravaioli, F., et al. (2025) · Nutrients · doi:10.3390/nu17111906 · Cited by 21 · see citing works
Dai, X., Wang, C., Guo, Z., Li, Y., Liu, T., Jin, G., Wang, S., Wang, B., Jiang, K., & Cao, H. (2021) · Food & Function · doi:10.1039/d1fo02921e · Cited by 20 · see citing works
Mendoza-Martínez, V. M., Zavala-Solares, M. R., Espinosa-Flores, A. J., León-Barrera, K. L., Alcántara-Suárez, R., Carrillo-Ruiz, J. D., Escobedo, G., Roldán-Valadéz, E., Esquivel‐Velázquez, M., Meléndez-Mier, G., et al. (2022) · Nutrients · doi:10.3390/nu14051095 · Cited by 20 · see citing works
Low‐Calorie Sweeteners: Disturbing the Energy Balance Equation in Adolescents?
Sylvetsky, A. C., Jin, Y., Mathieu, K., DiPietro, L., Rother, K. I., & Talegawkar, S. A. (2017) · Obesity · doi:10.1002/oby.22005 · Cited by 20 · see citing works
Shil, A., Faria, L. M. L., Walker, C. A., & Chichger, H. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1366409 · Cited by 19 · see citing works
Low‐calorie sweetener use, weight, and metabolic health among children: A mini‐review
Young, J., Conway, E. M., Rother, K. I., & Sylvetsky, A. C. (2019) · Pediatric Obesity · doi:10.1111/ijpo.12521 · Cited by 19 · see citing works
‘Sweeter’ than its name: anti-inflammatory activities of Stevia rebaudiana
Zou, X., Tan, Q., Goh, B. H., Lee, L., Tan, K.-L., & Ser, H. (2020) · All Life · doi:10.1080/26895293.2020.1771434 · Cited by 19 · see citing works
Evolution, the Immune System, and the Health Consequences of Socioeconomic Inequality
Rook, G. A. W. (2022) · mSystems · doi:10.1128/msystems.01438-21 · Cited by 19 · see citing works
Li, F. N., Peng, X., & Li, W. (2025) · Food & Function · doi:10.1039/d4fo04430d · Cited by 17 · see citing works
Not all ultra-processed foods are created equal: a review
Kahleová, H., Himmelfarb, J., & Barnard, N. D. (2026) · BMJ Nutrition Prevention & Health · doi:10.1136/bmjnph-2025-001358 · Cited by 17 · see citing works
- Authors
- Suez, J., Korem, T., Zilberman-Schapira, G., Segal, E., & Elinav, E.
- Affiliations
- Weizmann Institute of Science (IL)
- Corresponding author
- Segal, Eran
- Elinav, Eran
- Venue
- Gut Microbes
- Publisher
- Informa UK Limited
- Published
- 2015-03-04
- Volume
- 6
- Issue
- 2
- Pages
- 149-155
- ISSN
- 1949-0976 (ISSN-L)
- 1949-0984
- PMC
- PMC4615743
- OpenAlex
- W1499229679
- Cited by
- 217
- References
- 65
- Citations by year
- 2026: 10 · 2025: 20 · 2024: 25 · 2023: 19 · 2022: 19 · 2021: 20 · 2020: 37 · 2019: 23 · 2018: 27 · 2017: 10 · 2016: 7
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gut Microbes (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Biochemical Analysis and Sensing Techniques
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- gut microbiota, impaired glucose tolerance, metabolic disorders, weight gain, diabetes mellitus, host-microbiome interactions, sweetener safety, human health effects
- MeSH terms
- Gastrointestinal Microbiome, Animals, Diet, Humans, Sweetening Agents, Glucose Intolerance, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review