Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa

Background and Aim The artificial sweetener acesulfame potassium (ACK) is officially approved as safe for intake and has been used in processed foods. However, ACKs have been reported to induce metabolic syndrome, along with alteration of the gut microbiota in mice. In recent years, studies have sug...

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Veröffentlicht in:Journal of gastroenterology and hepatology 2021-11, Vol.36 (11), p.3140-3148
Hauptverfasser: Hanawa, Yoshinori, Higashiyama, Masaaki, Kurihara, Chie, Tanemoto, Rina, Ito, Suguru, Mizoguchi, Akinori, Nishii, Shin, Wada, Akinori, Inaba, Kenichi, Sugihara, Nao, Horiuchi, Kazuki, Okada, Yoshikiyo, Narimatsu, Kazuyuki, Komoto, Shunsuke, Tomita, Kengo, Hokari, Ryota
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container_issue 11
container_start_page 3140
container_title Journal of gastroenterology and hepatology
container_volume 36
creator Hanawa, Yoshinori
Higashiyama, Masaaki
Kurihara, Chie
Tanemoto, Rina
Ito, Suguru
Mizoguchi, Akinori
Nishii, Shin
Wada, Akinori
Inaba, Kenichi
Sugihara, Nao
Horiuchi, Kazuki
Okada, Yoshikiyo
Narimatsu, Kazuyuki
Komoto, Shunsuke
Tomita, Kengo
Hokari, Ryota
description Background and Aim The artificial sweetener acesulfame potassium (ACK) is officially approved as safe for intake and has been used in processed foods. However, ACKs have been reported to induce metabolic syndrome, along with alteration of the gut microbiota in mice. In recent years, studies have suggested that this artificial sweetener promotes myeloperoxidase reactivity in Crohn's disease‐like ileitis. We aimed to investigate the effect of ACK on the intestinal mucosa and gut microbiota of normal mice. Methods Acesulfame potassium was administered to C57BL/6J mice (8 weeks old) via free drinking. Intestinal damage was evaluated histologically, and messenger RNA (mRNA) levels of TNF‐α, IFN‐γ, IL1‐β, MAdCAM‐1, GLP1R, and GLP2R were determined with quantitative reverse transcription polymerase chain reaction (qRT‐PCR). Immunohistochemistry was performed to examine the expression of MAdCAM‐1 in the small intestine. The composition of gut microbiota was assessed using high‐throughput sequencing. We performed intravital microscopic observation to examine if ACK altered lymphocyte migration to the intestinal microvessels. Results Acesulfame potassium increased the expression of proinflammatory cytokines, decreased the expression of GLP‐1R and GLP‐2R, and induced small intestinal injury with an increase in intestinal permeability, and ACK treatment induced microbial changes, but the transfer of feces alone from ACK mice did not reproduce intestinal damage in recipient mice. ACK treatment significantly increased the migration of lymphocytes to intestinal microvessels. Conclusion Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa. Massive use of non‐caloric artificial sweeteners may not be as safe as we think.
doi_str_mv 10.1111/jgh.15654
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However, ACKs have been reported to induce metabolic syndrome, along with alteration of the gut microbiota in mice. In recent years, studies have suggested that this artificial sweetener promotes myeloperoxidase reactivity in Crohn's disease‐like ileitis. We aimed to investigate the effect of ACK on the intestinal mucosa and gut microbiota of normal mice. Methods Acesulfame potassium was administered to C57BL/6J mice (8 weeks old) via free drinking. Intestinal damage was evaluated histologically, and messenger RNA (mRNA) levels of TNF‐α, IFN‐γ, IL1‐β, MAdCAM‐1, GLP1R, and GLP2R were determined with quantitative reverse transcription polymerase chain reaction (qRT‐PCR). Immunohistochemistry was performed to examine the expression of MAdCAM‐1 in the small intestine. The composition of gut microbiota was assessed using high‐throughput sequencing. We performed intravital microscopic observation to examine if ACK altered lymphocyte migration to the intestinal microvessels. Results Acesulfame potassium increased the expression of proinflammatory cytokines, decreased the expression of GLP‐1R and GLP‐2R, and induced small intestinal injury with an increase in intestinal permeability, and ACK treatment induced microbial changes, but the transfer of feces alone from ACK mice did not reproduce intestinal damage in recipient mice. ACK treatment significantly increased the migration of lymphocytes to intestinal microvessels. Conclusion Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa. Massive use of non‐caloric artificial sweeteners may not be as safe as we think.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/jgh.15654</identifier><identifier>PMID: 34368996</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>acesulfame potassium ; Animals ; artificial sweetener ; Artificial sweeteners ; Cell Movement ; Crohn's disease ; Digestive system ; Dysbacteriosis ; dysbiosis ; Dysbiosis - chemically induced ; Food processing ; Gastrointestinal tract ; Ileitis ; Immunohistochemistry ; Inflammation ; Interferon ; Interleukin 1 ; intestinal inflammation ; Intestinal microflora ; Intestinal Mucosa ; Intestines - injuries ; Leukocyte migration ; Lymphocytes ; Metabolic syndrome ; Mice ; Mice, Inbred C57BL ; Microbiota ; migration ; Mucosa ; Permeability ; Peroxidase ; Polymerase chain reaction ; Potassium ; Reverse transcription ; Small intestine ; Sweeteners ; Sweetening Agents - toxicity ; Thiazines - toxicity ; Tumor necrosis factor</subject><ispartof>Journal of gastroenterology and hepatology, 2021-11, Vol.36 (11), p.3140-3148</ispartof><rights>2021 Journal of Gastroenterology and Hepatology Foundation and John Wiley &amp; Sons Australia, Ltd</rights><rights>2021 Journal of Gastroenterology and Hepatology Foundation and John Wiley &amp; Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-d41addde9df25d4c471e9acfccf5945703c7143bae6cf6dd7da09dc73ce736863</citedby><cites>FETCH-LOGICAL-c3534-d41addde9df25d4c471e9acfccf5945703c7143bae6cf6dd7da09dc73ce736863</cites><orcidid>0000-0002-8511-2540 ; 0000-0001-7576-7538</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgh.15654$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgh.15654$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34368996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hanawa, Yoshinori</creatorcontrib><creatorcontrib>Higashiyama, Masaaki</creatorcontrib><creatorcontrib>Kurihara, Chie</creatorcontrib><creatorcontrib>Tanemoto, Rina</creatorcontrib><creatorcontrib>Ito, Suguru</creatorcontrib><creatorcontrib>Mizoguchi, Akinori</creatorcontrib><creatorcontrib>Nishii, Shin</creatorcontrib><creatorcontrib>Wada, Akinori</creatorcontrib><creatorcontrib>Inaba, Kenichi</creatorcontrib><creatorcontrib>Sugihara, Nao</creatorcontrib><creatorcontrib>Horiuchi, Kazuki</creatorcontrib><creatorcontrib>Okada, Yoshikiyo</creatorcontrib><creatorcontrib>Narimatsu, Kazuyuki</creatorcontrib><creatorcontrib>Komoto, Shunsuke</creatorcontrib><creatorcontrib>Tomita, Kengo</creatorcontrib><creatorcontrib>Hokari, Ryota</creatorcontrib><title>Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim The artificial sweetener acesulfame potassium (ACK) is officially approved as safe for intake and has been used in processed foods. However, ACKs have been reported to induce metabolic syndrome, along with alteration of the gut microbiota in mice. In recent years, studies have suggested that this artificial sweetener promotes myeloperoxidase reactivity in Crohn's disease‐like ileitis. We aimed to investigate the effect of ACK on the intestinal mucosa and gut microbiota of normal mice. Methods Acesulfame potassium was administered to C57BL/6J mice (8 weeks old) via free drinking. Intestinal damage was evaluated histologically, and messenger RNA (mRNA) levels of TNF‐α, IFN‐γ, IL1‐β, MAdCAM‐1, GLP1R, and GLP2R were determined with quantitative reverse transcription polymerase chain reaction (qRT‐PCR). Immunohistochemistry was performed to examine the expression of MAdCAM‐1 in the small intestine. The composition of gut microbiota was assessed using high‐throughput sequencing. We performed intravital microscopic observation to examine if ACK altered lymphocyte migration to the intestinal microvessels. Results Acesulfame potassium increased the expression of proinflammatory cytokines, decreased the expression of GLP‐1R and GLP‐2R, and induced small intestinal injury with an increase in intestinal permeability, and ACK treatment induced microbial changes, but the transfer of feces alone from ACK mice did not reproduce intestinal damage in recipient mice. ACK treatment significantly increased the migration of lymphocytes to intestinal microvessels. Conclusion Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa. Massive use of non‐caloric artificial sweeteners may not be as safe as we think.</description><subject>acesulfame potassium</subject><subject>Animals</subject><subject>artificial sweetener</subject><subject>Artificial sweeteners</subject><subject>Cell Movement</subject><subject>Crohn's disease</subject><subject>Digestive system</subject><subject>Dysbacteriosis</subject><subject>dysbiosis</subject><subject>Dysbiosis - chemically induced</subject><subject>Food processing</subject><subject>Gastrointestinal tract</subject><subject>Ileitis</subject><subject>Immunohistochemistry</subject><subject>Inflammation</subject><subject>Interferon</subject><subject>Interleukin 1</subject><subject>intestinal inflammation</subject><subject>Intestinal microflora</subject><subject>Intestinal Mucosa</subject><subject>Intestines - injuries</subject><subject>Leukocyte migration</subject><subject>Lymphocytes</subject><subject>Metabolic syndrome</subject><subject>Mice</subject><subject>Mice, Inbred C57BL</subject><subject>Microbiota</subject><subject>migration</subject><subject>Mucosa</subject><subject>Permeability</subject><subject>Peroxidase</subject><subject>Polymerase chain reaction</subject><subject>Potassium</subject><subject>Reverse transcription</subject><subject>Small intestine</subject><subject>Sweeteners</subject><subject>Sweetening Agents - toxicity</subject><subject>Thiazines - toxicity</subject><subject>Tumor necrosis factor</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LAzEQhoMoWqsH_4AEvOhhbbL5ao5StFUKXvS8pEm2Tdnd1M2Gsv_e1FYRwbnMMDzzMjMvAFcY3eMUo_VydY8ZZ_QIDDClKMOC8mMwQGPMMkmwPAPnIawRQhQJdgrOCCV8LCUfgO5B2xCrUtUWbnynQnCxhq4xMfWh6cPC-eACVI1J3c6GzjWqSuU6tj3cum4FbbNSjbYGVn29WXnddxbWbtmqzvkGdv73XB21D-oCnJSqCvbykIfg_enxbTLL5q_T58nDPNOEEZoZipUxxkpT5sxQTQW2UulS65JJygQiWmBKFspyXXJjhFFIGi2ItiLdx8kQ3O51N63_iGmHonZB26pSjfUxFDljknOKZZ7Qmz_o2sc2rbyjJJUyF_k4UXd7Src-hNaWxaZ1tWr7AqNiZ0WRrCi-rEjs9UExLmprfsjv3ydgtAe2rrL9_0rFy3S2l_wEwqOWNA</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Hanawa, Yoshinori</creator><creator>Higashiyama, Masaaki</creator><creator>Kurihara, Chie</creator><creator>Tanemoto, Rina</creator><creator>Ito, Suguru</creator><creator>Mizoguchi, Akinori</creator><creator>Nishii, Shin</creator><creator>Wada, Akinori</creator><creator>Inaba, Kenichi</creator><creator>Sugihara, Nao</creator><creator>Horiuchi, Kazuki</creator><creator>Okada, Yoshikiyo</creator><creator>Narimatsu, Kazuyuki</creator><creator>Komoto, Shunsuke</creator><creator>Tomita, Kengo</creator><creator>Hokari, Ryota</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8511-2540</orcidid><orcidid>https://orcid.org/0000-0001-7576-7538</orcidid></search><sort><creationdate>202111</creationdate><title>Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa</title><author>Hanawa, Yoshinori ; Higashiyama, Masaaki ; Kurihara, Chie ; Tanemoto, Rina ; Ito, Suguru ; Mizoguchi, Akinori ; Nishii, Shin ; Wada, Akinori ; Inaba, Kenichi ; Sugihara, Nao ; Horiuchi, Kazuki ; Okada, Yoshikiyo ; Narimatsu, Kazuyuki ; Komoto, Shunsuke ; Tomita, Kengo ; Hokari, Ryota</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-d41addde9df25d4c471e9acfccf5945703c7143bae6cf6dd7da09dc73ce736863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>acesulfame potassium</topic><topic>Animals</topic><topic>artificial sweetener</topic><topic>Artificial sweeteners</topic><topic>Cell Movement</topic><topic>Crohn's disease</topic><topic>Digestive system</topic><topic>Dysbacteriosis</topic><topic>dysbiosis</topic><topic>Dysbiosis - chemically induced</topic><topic>Food processing</topic><topic>Gastrointestinal tract</topic><topic>Ileitis</topic><topic>Immunohistochemistry</topic><topic>Inflammation</topic><topic>Interferon</topic><topic>Interleukin 1</topic><topic>intestinal inflammation</topic><topic>Intestinal microflora</topic><topic>Intestinal Mucosa</topic><topic>Intestines - injuries</topic><topic>Leukocyte migration</topic><topic>Lymphocytes</topic><topic>Metabolic syndrome</topic><topic>Mice</topic><topic>Mice, Inbred C57BL</topic><topic>Microbiota</topic><topic>migration</topic><topic>Mucosa</topic><topic>Permeability</topic><topic>Peroxidase</topic><topic>Polymerase chain reaction</topic><topic>Potassium</topic><topic>Reverse transcription</topic><topic>Small intestine</topic><topic>Sweeteners</topic><topic>Sweetening Agents - toxicity</topic><topic>Thiazines - toxicity</topic><topic>Tumor necrosis factor</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hanawa, Yoshinori</creatorcontrib><creatorcontrib>Higashiyama, Masaaki</creatorcontrib><creatorcontrib>Kurihara, Chie</creatorcontrib><creatorcontrib>Tanemoto, Rina</creatorcontrib><creatorcontrib>Ito, Suguru</creatorcontrib><creatorcontrib>Mizoguchi, Akinori</creatorcontrib><creatorcontrib>Nishii, Shin</creatorcontrib><creatorcontrib>Wada, Akinori</creatorcontrib><creatorcontrib>Inaba, Kenichi</creatorcontrib><creatorcontrib>Sugihara, Nao</creatorcontrib><creatorcontrib>Horiuchi, Kazuki</creatorcontrib><creatorcontrib>Okada, Yoshikiyo</creatorcontrib><creatorcontrib>Narimatsu, Kazuyuki</creatorcontrib><creatorcontrib>Komoto, Shunsuke</creatorcontrib><creatorcontrib>Tomita, Kengo</creatorcontrib><creatorcontrib>Hokari, Ryota</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hanawa, Yoshinori</au><au>Higashiyama, Masaaki</au><au>Kurihara, Chie</au><au>Tanemoto, Rina</au><au>Ito, Suguru</au><au>Mizoguchi, Akinori</au><au>Nishii, Shin</au><au>Wada, Akinori</au><au>Inaba, Kenichi</au><au>Sugihara, Nao</au><au>Horiuchi, Kazuki</au><au>Okada, Yoshikiyo</au><au>Narimatsu, Kazuyuki</au><au>Komoto, Shunsuke</au><au>Tomita, Kengo</au><au>Hokari, Ryota</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2021-11</date><risdate>2021</risdate><volume>36</volume><issue>11</issue><spage>3140</spage><epage>3148</epage><pages>3140-3148</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim The artificial sweetener acesulfame potassium (ACK) is officially approved as safe for intake and has been used in processed foods. However, ACKs have been reported to induce metabolic syndrome, along with alteration of the gut microbiota in mice. In recent years, studies have suggested that this artificial sweetener promotes myeloperoxidase reactivity in Crohn's disease‐like ileitis. We aimed to investigate the effect of ACK on the intestinal mucosa and gut microbiota of normal mice. Methods Acesulfame potassium was administered to C57BL/6J mice (8 weeks old) via free drinking. Intestinal damage was evaluated histologically, and messenger RNA (mRNA) levels of TNF‐α, IFN‐γ, IL1‐β, MAdCAM‐1, GLP1R, and GLP2R were determined with quantitative reverse transcription polymerase chain reaction (qRT‐PCR). Immunohistochemistry was performed to examine the expression of MAdCAM‐1 in the small intestine. The composition of gut microbiota was assessed using high‐throughput sequencing. We performed intravital microscopic observation to examine if ACK altered lymphocyte migration to the intestinal microvessels. Results Acesulfame potassium increased the expression of proinflammatory cytokines, decreased the expression of GLP‐1R and GLP‐2R, and induced small intestinal injury with an increase in intestinal permeability, and ACK treatment induced microbial changes, but the transfer of feces alone from ACK mice did not reproduce intestinal damage in recipient mice. ACK treatment significantly increased the migration of lymphocytes to intestinal microvessels. Conclusion Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa. Massive use of non‐caloric artificial sweeteners may not be as safe as we think.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34368996</pmid><doi>10.1111/jgh.15654</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8511-2540</orcidid><orcidid>https://orcid.org/0000-0001-7576-7538</orcidid></addata></record>
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subjects acesulfame potassium
Animals
artificial sweetener
Artificial sweeteners
Cell Movement
Crohn's disease
Digestive system
Dysbacteriosis
dysbiosis
Dysbiosis - chemically induced
Food processing
Gastrointestinal tract
Ileitis
Immunohistochemistry
Inflammation
Interferon
Interleukin 1
intestinal inflammation
Intestinal microflora
Intestinal Mucosa
Intestines - injuries
Leukocyte migration
Lymphocytes
Metabolic syndrome
Mice
Mice, Inbred C57BL
Microbiota
migration
Mucosa
Permeability
Peroxidase
Polymerase chain reaction
Potassium
Reverse transcription
Small intestine
Sweeteners
Sweetening Agents - toxicity
Thiazines - toxicity
Tumor necrosis factor
title Acesulfame potassium induces dysbiosis and intestinal injury with enhanced lymphocyte migration to intestinal mucosa
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