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Erythritol and xylitol differentially impact brain networks involved in appetite regulation in healthy volunteers

Meyer-Gerspach, Anne Christin; Wingrove, Jed O; Beglinger, Christoph; Rehfeld, Jens F; Le Roux, Carel W; Peterli, Ralph; Dupont, Patrick; ... Wolnerhanssen, Bettina K; + view all (2022) Erythritol and xylitol differentially impact brain networks involved in appetite regulation in healthy volunteers. Nutritional Neuroscience , 25 (11) pp. 2344-2358. 10.1080/1028415X.2021.1965787. Green open access

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Abstract

Background: There is a growing consensus that sugar consumption should be reduced and the naturally occurring, low-calorie sweeteners xylitol and erythritol are gaining popularity as substitutes, but their effect on brain circuitry regulating appetite is unknown. Aim: The study’s objective was to examine the effects of the two sweeteners on cerebral blood flow (rCBF) and resting functional connectivity in brain networks involved in appetite regulation, and test whether these effects are related to gut hormone release. Methods: The study was performed as a randomized, double-blind, placebo-controlled, cross-over trial. Twenty volunteers received intragastric (ig) loads of 50g xylitol, 75g erythritol, 75g glucose dissolved in 300mL tap water or 300mL tap water. Resting perfusion and blood oxygenation level-dependent data were acquired to assess rCBF and functional connectivity. Blood samples were collected for determination of CCK, PYY, insulin and glucose. Results: We found: (i) xylitol, but not erythritol, increased rCBF in the hypothalamus, whereas glucose had the opposite effect; (ii) graph analysis of resting functional connectivity revealed a complex pattern of similarities and differences in brain network properties following xylitol, erythritol, and glucose; (iii) erythritol and xylitol induced a rise in CCK and PYY, (iv) erythritol had no and xylitol only minimal effects on glucose and insulin. Conclusion: Xylitol and erythritol have a unique combination of properties: no calories, virtually no effect on glucose and insulin while promoting the release of gut hormones, and impacting appetite-regulating neurocircuitry consisting of both similarities and differences with glucose.

Type: Article
Title: Erythritol and xylitol differentially impact brain networks involved in appetite regulation in healthy volunteers
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/1028415X.2021.1965787
Publisher version: http://dx.doi.org/10.1080/1028415x.2021.1965787
Language: English
Additional information: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-ncnd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.
Keywords: Xylitol; erythritol; low-calorie sweetener; fMRI; resting cerebral blood flow; restingstate functional connectivity; peptide tyrosine tyrosine; cholecystokinin
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neuroinflammation
URI: https://discovery.ucl.ac.uk/id/eprint/10186431
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