Skip to main content


Front. Nutr., 28 December 2021
Sec. Nutrition and Microbes

Low Doses of Sucralose Alter Fecal Microbiota in High-Fat Diet-Induced Obese Rats

Minchun Zhang, Jie Chen, Minglan Yang, Cheng Qian, Yu Liu, Yicheng Qi, Rilu Feng, Mei Yang, Wei Liu and Jing Ma*
  • Department of Endocrinology and Metabolism, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China

Artificial sweeteners (AS) have been widely used as sugar substitutes to reduce calorie intake. However, it was reported that high doses of AS induced glucose intolerance via modulating gut microbiota. The objective of this study was to investigate the effects of lower doses of sucralose on fecal microbiota in obesity. Eight weeks after high-fat diet (HFD), the male Sprague Dawley rats were randomly divided into four groups (6 in each group) and administrated by a daily gavage of 2 ml normal saline (CON), 0.54 mM sucralose (N054), 0.78 mM sucralose (N078), and 324 mM sucrose (S324), respectively. After 4 weeks, fecal samples were obtained and analyzed by 16S ribosomal RNA gene sequencing. The richness and diversity of fecal microbiota were not changed by sucralose or sucrose. Both 0.54 mM (0.43 mg) and 0.78 mM (0.62 mg) sucralose tended to reduce the beneficial bacteria, Lactobacillaceae and Akkermansiaceae. The relative abundance of family Acidaminoccaceae and its genus Phascolarctobacteriam were increased after 0.54 mM sucralose. In functional prediction, 0.54 mM sucralose increased profiles of carbohydrate metabolism, whereas 0.78 mM sucralose enhanced those of amino acid metabolism. The lower doses of sucralose might alter the compositions of fecal microbiota. The effects of sucralose in different dosages should be considered in the future study.


Obesity has emerged as a major public health challenge affecting over 650 million adults worldwide. It increases the risks of type 2 diabetes, cardiovascular diseases, and even certain cancers (1). Table sugars contribute to the weight gain and thereby risks for metabolic disorders (2, 3). Therefore, artificial sweeteners (AS) are widely used as sugar substitutes to provide intensive sweet taste without extra calorie.

The US Food and Drug Administration (FDA) provided the acceptable daily intake (ADI) levels of 6 kinds of AS including saccharin, aspartame, acesulfame potassium (Ace-K), sucralose, neotame, and advantame (4). However, the effects of AS on glucose homeostasis remain controversial. Some studies demonstrated the benefits of AS exposure (5), whereas others showed that AS were associated with the incidence of obesity and type 2 diabetes (68).

The plausible mechanisms underlying the metabolic effects of AS are not fully understood. Given that most AS pass through the gastrointestinal tract without being absorbed or digested, they may directly alter the gut microbiota which plays crucial roles in the pathogenesis of metabolic diseases (9, 10). Suez et al. reported that saccharin in ADI dose (5 mg/kg body weight) induced glucose intolerance by modulating gut microbiota in mice and healthy subjects (11). The transplantation of saccharin-exposed feces induced glucose intolerance in germ-free mice (11). Another, it was indicated that administration of sucralose at dosages of 1.1–11 mg/kg reduced beneficial fecal bacteria and elevated fecal pH, intestinal p-glycoprotein, and cytochrome p-450 in rats (12). It should be noticed that the doses of AS in most studies were far beyond levels of daily consumption.

Sucralose is derived from sucrose with replacement of three hydrogen–oxygen groups by three chlorine atoms. In this process, the sweetness of sucralose is dramatically intensified to about 600 times of sucrose (13). About 85% of sucralose is excreted without being absorbed or digested in the gastrointestinal tract (13). Previous studies showed that a single dose of sucralose had no effects on blood glucose in health subjects (14) and patients with type 2 diabetes (15). However, it has been reported that sucralose exerted strong bacteriostatic effects in vitro and altered the structures of microbial communities in normal rodents (16). It remains unclear whether sucralose particularly in low doses can modulate the gut microbiota compared with natural sugars. We therefore aimed to evaluate the potential effects of different concentrations of sucralose and sucrose on fecal microbiota in high-fat diet (HFD)-induced obese rats.

Materials and Methods


Male Sprague Dawley (SD) rats (4 weeks old) were fed with sterile food and water under specific pathogen-free (SPF) conditions with 12-h dark–light cycle, controlled temperature (20–23°C), and settled humidity (40–60%) (Laboratory Animal Resources, Chinese Academy of Sciences). After adapting to the environment for 1 week, the rats were fed with an ad libitum HFD (45% fat) or normal chow diet (NCD, 10% fat) correspondingly for 8 weeks. Rats on HFD weighed 20% more than those on the NCD group were considered as obesity. The protocol of this study was approved by the Institutional Animal Care and Use Committee of Shanghai Laboratory Animal Center, Chinese Academy of Sciences on January 8, 2018.


The 24 obese rats were randomly divided into 4 groups (6 in each group): normal saline (control group, CON), 0.54 mM sucralose (N054, Sigma-Aldrich, MO, USA), 0.78 mM sucralose (N078), and 324 mM sucrose (S324, Sigma-Aldrich, MO, USA). Rats were intragastric administrated with 2 ml certain solution at a fixed time every day for 4 weeks (17). The doses translated to human were 0.11 mg/kg (N054), 0.16 mg/kg (N078), and 56.20 mg/kg (S324) according to the body surface area (18).

Fecal Sample Collection

At the end of treatment, fecal samples were collected after 12-h fasting. Each rat was hold in hands and received abdominal massage until fresh pellets were collected in a 1.5-ml sterile freezing tube. The tubes were placed immediately in liquid nitrogen and moved to −80°C refrigerator.

DNA Extraction, PCR Amplification, and 16S rRNA Gene Sequencing

DNA extraction, PCR amplification, and 16S rRNA sequencing were performed as described in previous study (19). In short, total genomic DNAs of stool samples were extracted using the EZNA soil DNA Kit (Omega Bio-Tek, Norcross, GA, USA). Genes of the 16S rRNA V3–V4 regions were amplified by specific 338F and 806R primers with thermocycler polymerase chain reaction (PCR) system (GeneAmp 9700, ABI, USA). The extracted and purified amplicons were sequenced using Illumina MiSeq platform (Illumina, San Diego, USA).

Statistical Analyses

All data were included in the analysis. Bioinformatic analyses were performed by the Majorbio I-Sanger Cloud Platform ( and SPSS Statistics v.23 software (IBM). Alpha diversity indices were applied to analyze the richness and diversity of samples, including Sobs, ACE, Chao1, Shannon, and Simpson. Unsupervised principal coordinates analysis (PCoA) and supervised partial least squares-discriminant analysis (PLS-DA) were performed to explore the similarities or dissimilarities of each sample. Permutational multivariate ANOVA (PERMANOVA) was calculated on the base of Bray–Curtis.

Differences in the relative abundance of taxa among groups were analyzed using the Kruskal–Wallis rank sum test with Tukey–Kramer post-hoc analysis. Correlation network according to Spearman's correlation analysis was used to determine the interactions of bacterial community. The linear discriminant analysis (LDA) effect size (LEfSe) algorithm differentiated microbial features for biomarker discovery. Only taxa with absolute LDA (log10) scores >2.0 and a p value of 0.05 were presented in this study. Metabolic functions were predicted using Phylogenetic Investigation of Communities by Reconstruction of Unobserved States (PICRUSt).


Characteristics of Bacterial Diversity and Clustering

In the analysis of alpha diversity, neither sucralose nor sucrose altered the community richness (Sobs, ACE, Chao1 index) or diversity (Shannon, Simpson index) of fecal microbiota (Supplementary Table S1). The PCoA plot revealed that most samples treated by 0.78 mM sucralose clustered in a distinct group compared with CON, N054, and S324 groups (PERMANOVA, p = 0.001 and p adjust = 0.001). It was also confirmed by the supervised PLS-DA on OTU level. Each of the four groups showed a specific cluster (COMP1 9.04% and COMP2 6.09%), suggesting that they had different bacterial structures (Figure 1). The results of weighted unifrac and unweighted unifrac were similar to PCoA based on Bray–Curtis (Supplementary Figures S1A,S1B).


Figure 1. Beta diversity analysis in four groups with unsupervised and classification methods. (A) Principal coordinates analysis (PCoA). Bray–Curtis distances and permutational multivariate analysis of variance (PERMANOVA) were performed. p = 0.001 and p adjust = 0.001. (B) Partial least squares discriminant analysis (PLS-DA). Each sample was represented by a dot (n = 6). CON, control group; N054, 0.54 mM sucralose; N078, 0.78 mM sucralose; S324, 324 mM sucrose.

Alterations of Core Microbial Composition Induced by Sucralose and Sucrose

On phylum level, 0.54 mM sucralose increased the relative abundance of Firmicutes but decreased that of Bacteroidetes. 0.78 mM sucralose decreased the relative abundance of Firmicutes but increased that of Bacteroidetes (Figures 2A,B). The ratio of Firmicutes to Bacteroidetes in N054 was higher than that in N078 (Supplementary Figure S2). No differences were detected in the ratio of Bacteroidetes to Proteobacteria. Notably, both 0.54 and 0.78 mM sucralose reduced the relative abundance of Verrucomicrobia.


Figure 2. Main bacterial communities of different taxonomies. (A) Community bar plot of the domain phyla. (B) Relative abundant of the domain phyla of four groups. (C) Circos plot showing the relationship between microbial families and samples. (D) Relative abundance of core bacterial families. Kruskal–Wallis rank sum test with Tukey–Kramer post-hoc analysis was performed (n = 6). Mean ± standard error. *p < 0.05, **p ≤ 0.01, ***p ≤ 0.001.

To describe the alterations of bacterial communities, the relative abundance of families was detected (Figures 2C,D). The beneficial bacteria, Lactobacillaceae and Akkermansiaceae, tended to be lower in both 0.54 and 0.78 mM sucralose, compared with control and sucrose groups (Figure 2D). These concentrations of sucralose increased the relative abundance of Barnesiellaceae, whereas they decreased that of Streptococcaceae. Sucralose and sucrose consistently upregulated Christensenellaceae and downregulated Micrococcaceae and Eubacteriaceae. 0.54 mM sucralose significantly reduced the relative abundance of Muribaculaceae but increased that of Acidaminococcaceae. LEfSe analysis showed that genus Phascolarctobacterium, belonged to the family Acidaminococcaceae, was enriched in N054 group. Family Muribaculaceae (S24-7) was enriched in N078 group (Figure 3) and it was negatively correlated with the change of body weight (Supplementary Figure S3). The family Akkermansiaceae and genus Akkermansia of Verrucomicrobia phylum were significantly enriched in S324 group (Figure 3).


Figure 3. LDA effect size (LEfSe) analysis based on genus level among four groups. (A) LEfSe bar plot demonstrating the significant bacterial differences. (B) Cladogram indicating the phylogenetic distribution of fecal microbiota with phyla in the outermost and genera in the innermost ring. Multiple comparison strategy was all-against-all (n = 6). Only LDA score >2.0 is shown.

In the network graph of interacting families in N054 group (Supplementary Figure S4), Akkermansiaceae was positively correlated with Christensenellaceae, Barnesiellaceae, Veillonellaceae, and norank Gastranaerophilales and it had a negative correlation with Acidaminococcaceae. The most abundant family Muribaculaceae had a positive interaction with Bifidobacteriaceae and negative interactions with Deferribacteraceae and Burkholderiaceae.

Effects of Predicted Metabolic Functions of Fecal Microbiota

PICRUSt and LEfSe were used to determine the changes in predicted functional composition (Figure 4). At KEGG level 3, ATP-binding cassette (ABC) transporters and the carbohydrate metabolism were enhanced by N054 group. The exposure of 0.78 mM sucralose increased the functional profiles related to metabolism including amino acid-related enzymes, energy metabolism, alanine, aspartate and glutamate metabolism, pantothenate and CoA biosynthesis, and vitamin B6 metabolism. The biosynthesis of fatty acid was related to the 324 mM sucrose intervention.


Figure 4. LEfSe analysis on predictive functions of KEGG level 3 identified via PICRUSt. A Log LDA >2.0 was considered as significant difference. KEGG, Kyoto Encyclopedia of Genes and Genomes; PICRUSt, Phylogenetic Investigation of Communities by Reconstruction of Unobserved States.


In this study, we demonstrated 4-week low doses of sucralose (0.54 and 0.78 mM) altered the compositions and metabolic functions of fecal microbiota in obese rats. The richness and diversity of fecal microbiota were not changed by the sucralose and sucrose. Previous in vitro studies found that sucralose exerted bacteriostatic effects in a dose-dependent manner via inhibiting the invertase and sucrose permease of bacteria (16). However, sucralose did not reduce the overall richness and diversity of intestinal bacteria in vivo which was consistent with our results (16). It was probably due to the wide variety of microorganisms and their complex interactions with each other (20).

Beta diversity was used to explore the differences and similarities of microbial compositions among samples. Few studies investigated the impacts of AS on beta diversity. There was a study found that neotame changed the beta diversity after 4-week intervention on CD-1 mice (21). We presented that 0.54 mM (~0.43 mg) and 0.78 mM (~0.62 mg) sucralose groups had different clusters. It indicates that even the low doses of sucralose significantly altered the structures of fecal microbiota.

Firmicutes and Bacteroidetes were the two most abundant phyla, accounting for over 90% of the gut microbiota (22). We observed that 0.54 mM sucralose increased the relative abundance of Firmicutes and decreased that of Bacteroidetes, whereas 0.78 mM sucralose exerted the opposite effects. Notably, it was reported that sucralose did not alter the levels of Firmicutes nor Bacteroidetes in human (780 mg/d, 7 days) (23) nor mice studies (1.5 and 15 mg/kg body weight, 8 weeks) (24). Nevertheless, when sucralose was consumed with HFD simultaneously, there were obvious changes in Firmicutes and Bacteroidetes. A recent study also highlighted the intake of sucralose with carbohydrate impaired insulin sensitivity and glucose metabolism (25). Given the widely use of AS in obese patients, the interaction between AS and HFD warrants further study.

We presented that sucralose had no effects on phylum Proteobacteria level in HFD rats, which was consistent with the previous study (16). It was reported that Proteobacteria was elevated after the commercial sucralose (Splenda) dosage in a Crohn's disease model (SAMP mice) and the related control (AKR/J mice) (26). In fact, the higher level of Proteobacteria was closely related to inflammation, and it increased in the models of immune system dysfunction (27). Therefore, the effect of sucralose on Proteobacteria needs to be further clarified.

Our results highlighted that both 0.54 and 0.78 mM sucralose tended to reduce the relative abundance of beneficial bacteria Lactobacillaceae and Akkermansiaceae, which could improve metabolic symptoms via various mechanisms. Notably, Lactobacillus were reduced by 39.1% after a 12-week intervention of Splenda in healthy rats (12). The reduction of Lactobacillus was also confirmed in acesulfame potassium-treated mice (28). Akkermansia Muciniphila, a mucin-degrading bacterium, was lower in human or animal models with obesity and type 2 diabetes (29). Bian et al. observed that the abundance of Akkermansia was not changed during 3-month supplementation of sucralose but it was increased after further 3-month consumption in healthy mice (30). In our study, a 4-week administration with sucralose reduced Akkermansiaceae of obese rats. The underlying mechanisms are poorly understood. It is noteworthy that the osmolarities of solutions were different, which could mediate gastrointestinal motility directly and further affect community composition of intestinal flora (31). Akkermansia was decreased in anorexia nervosa after refeeding, the latter being accompanied by normal bowel movements (32). Although in our previous study, sucralose (0.4 mM nor 4 mM) had no effect on gastric emptying rate in healthy humans (14), its potential effects on gut microbiota are still unclear. Gastrointestinal tract transit times need to be investigated in future research.

In this study, sucralose at the dose of 0.78 mM increased family Muribaculaceae (S24-7), which was enriched in obesity-resistant mice (33). Sucralose and sucrose consistently upregulated Christensenellaceae, and the latter was inversely related to host body mass index (BMI) in several studies (34). Bian et al. showed the similar change after 6-month supplementation with sucralose into the drinking water (30). Another, Eubacteriaceae, Barnesiellaceae, Streptococcaceae, and Micrococcaceae were not closely correlated with metabolic disorder at present.

We demonstrated that the family Acidaminoccaceae was negatively associated with Akkermansiaceae in the network analysis. The genus Phascolarctobacteriam, belonging to family Acidaminoccaceae, was strongly correlated with metabolic dysfunction including weight gain and glucose intolerance (35). We found that Phascolarctobacteriam was enriched in the 0.54 mM sucralose group. Phascolarctobacterium could ferment carbohydrate and produced short-chain fatty acids such as acetate and propionate (36). It was consistent with our functional prediction that carbohydrate metabolism was enhanced in 0.54 mM sucralose dosage.

In accordance with the changes in bacterial compositions, we provided evidence that sucralose in doses of 0.54 and 0.78 mM changed functional profiles of fecal microbiota related to the metabolism of carbohydrates and amino acids. Gut microbial metabolite from daily diet was linking to the development of obesity and insulin resistance (37). Sucralose was previously showed to alter the metabolism of some amino acids and their derivatives (30). Additionally, Suez et al. (11) reported that the consumption of saccharin in ADI dosage increased the pathway genes related to glycosaminoglycan and other glycan. We presented that the dose of sucralose was an important factor to gut microbiota. Particularly, 0.54 mM sucralose (~2.2% of FDA ADI dosage) enhanced the ABC transporters and carbohydrate metabolism, whereas the exposure of 0.78 mM sucralose (~3.2% of ADI dosage) was more related to the amino acid metabolism. We previously indicated that 0.78 mM instead of 0.54 mM sucralose lowered the blood glucose level of HFD-induced obese rats (17). It should be noticed that the different effects of these sucralose dosages on gut microbiota might be partly responsible for the distinct energy metabolism. Thus, AS might have complex effects on fecal microbiota, taste receptors, and gut hormone secretion.

There are some limitations that should be considered. First, this study focused on the obesity condition, and the fecal microbiota of the rats with NCD were not detected. Second, the use of 16S rRNA gene sequencing rather than metagenomic sequencing limited the detection of bacterial taxonomy and functions. Nonetheless, we preliminary observed the changes in compositions and predicted functions caused by sucralose and sucrose. The different strains and the potential mechanisms should be further explored in vitro and in vivo. Finally, given glucose homeostasis was maintained by multiple organs, the weak connection of biochemical variables and fecal microbiota is also a limitation of this study.

In conclusion, our study demonstrated that 4-week dosages of sucralose (0.54 and 0.78 mM) changed the compositions of fecal microbiota in HFD-induced obese rats. Lower doses of sucralose (0.54 and 0.78 mM) tended to reduce the beneficial bacteria, Lactobacillaceae and Akkermansiaceae. Furthermore, 0.54 mM sucralose increased the predictive functions of carbohydrates and the consumption of 0.78 mM sucralose was related to amino acid metabolism. The effects of sucralose on energy metabolism might vary with dosages and intervention period. The metabolic effects of sucralose in different dosages should be considered in the future study.

Data Availability Statement

The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: NCBI [accession: PRJNA773931].

Ethics Statement

The animal study was reviewed and approved by Ethics Committee of Renji Hospital Affiliated to Shanghai Jiaotong University.

Author Contributions

MZ did the data analysis and prepared the manuscript. JC wrote the manuscript. MiY collected the samples and did the fecal DNA extraction. CQ, YL, YQ, and RF performed the animal experiments. MeY checked the data analysis. WL contributed to the study design. JM was the guarantor of this study to ensure the accuracy and integrity of the data. All authors contributed to the article and approved the submitted version.


This study was supported by the Shanghai Pujiang Program (2019PJD027), Shanghai Medicine and Health Development Foundation (SHMHDF, DMRFP_I_06), Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support (20181807), 2019 management and construction project of hospital (CHDI-2019-A-01), and the National Natural Science Foundation of China (81800747).

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher's Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Supplementary Material

The Supplementary Material for this article can be found online at:

Supplementary Figure S1. PCoA. (A) Weighted unifrac. (B) Weighted unifrac. Each sample was represented by a dot (n = 6). CON, control group; N054, 0.54 mM sucralose; N078, 0.78 mM sucralose; S324, 324 mM sucrose.

Supplementary Figure S2. Ratio of the domain phyla and body weight of rats. (A) Ratio of Firmicutes to Bacteroidetes. (B) Ratio of Bacteroidetes to Proteobacteria. Kruskal–Wallis rank sum test (n = 6). (C) Body weight before and after diet-induced obesity. NCD, normal chow diet; HFD, high-fat diet. (D) Body weight of rats during treatment period. Mean ± standard error of mean.

Supplementary Figure S3. Correlation heatmap of fecal microbiota with biochemical variables. Spearman correlation analysis between the top 30 most abundant bacterial families and biochemical variables related to glucose homeostasis. GLP-1, glucagon-like peptide-1; GIP, gastric inhibitory peptide; AUC, area under curve during intragastric glucose tolerance test; HOMA-IR, homeostatic model assessment for insulin resistance (HOMA-IR). *p < 0.05.

Supplementary Figure S4. Network analysis of the top 50 abundant families in 0.54 mM sucralose group. Spearman's correlation analysis was used and a connection between two nodes stands for significant (p ≥ 0.5 and p < 0.5). The red color means positive correlation and green means negative correlation.

Supplementary Table S1. Alpha diversity of fecal microbiota in four groups.


ABC, ATP-binding cassette; Ace-K, Acesulfame potassium; ADI, Acceptable daily intake; ANOVA, Analysis of variance; AS, Artificial sweeteners; ATP, Adenosinetriphosphate; COMP, Component; CON, Control; DNA, Deoxyribonucleic acid; FDA, Food and Drug Administration; HFD, High-fat diet; KEGG, Kyoto Encyclopedia of Genes and Genomes; LDA, Linear discriminant analysis; LEfSe, Linear discriminant analysis effect size; OTU, Operational taxonomic units; PCoA, Principal coordinates analysis; PCR, Polymerase chain reaction; PERMANOVA, Permutational multivariate ANOVA; PICRUSt, Phylogenetic Investigation of Communities by Reconstruction of Unobserved States; PLS-DA, Partial least squares-discriminant analysis; RNA, Ribonucleic acid; SCFAs, Short-chain fatty acids; SD, Sprague Dawley; SPF, Specific pathogen-free.


1. Calle EE, Kaaks R. Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms. Nat Rev Cancer. (2004) 4:579–91. doi: 10.1038/nrc1408

PubMed Abstract | CrossRef Full Text | Google Scholar

2. Malik VS, Popkin BM, Bray GA, Despres JP, Hu FB. Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation. (2010) 121:1356–64. doi: 10.1161/CIRCULATIONAHA.109.876185

PubMed Abstract | CrossRef Full Text | Google Scholar

3. Vos MB, Kaar JL, Welsh JA, Van Horn LV, Feig DI, Anderson CAM, et al. Added sugars and cardiovascular disease risk in children: a scientific statement from the American Heart Association. Circulation. (2017) 135:e1017–34. doi: 10.1161/CIR.0000000000000439

PubMed Abstract | CrossRef Full Text | Google Scholar

4. Rother KI, Conway EM, Sylvetsky AC. How non-nutritive sweeteners influence hormones and health. Trends Endocrinol Metab. (2018) 29:455–67. doi: 10.1016/j.tem.2018.04.010

PubMed Abstract | CrossRef Full Text | Google Scholar

5. Johnson RK, Lichtenstein AH, Anderson CAM, Carson JA, Després JP, Hu FB, et al. Low-calorie sweetened beverages and cardiometabolic health: a science advisory from the American Heart Association. Circulation. (2018) 138:e126–40. doi: 10.1161/CIR.0000000000000569

PubMed Abstract | CrossRef Full Text | Google Scholar

6. Imamura F, O'Connor L, Ye Z, Mursu J, Hayashino Y, Bhupathiraju SN, et al. Consumption of sugar sweetened beverages, artificially sweetened beverages, and fruit juice and incidence of type 2 diabetes: systematic review, meta-analysis, and estimation of population attributable fraction. BMJ. (2015) 351:h3576. doi: 10.1136/bmj.h3576

PubMed Abstract | CrossRef Full Text | Google Scholar

7. Swithers SE. Artificial sweeteners produce the counterintuitive effect of inducing metabolic derangements. Trends Endocrinol Metab. (2013) 24:431–41. doi: 10.1016/j.tem.2013.05.005

PubMed Abstract | CrossRef Full Text | Google Scholar

8. Gardener H, Elkind MSV. Artificial sweeteners, real risks. Stroke. (2019) 50:549–51. doi: 10.1161/STROKEAHA.119.024456

PubMed Abstract | CrossRef Full Text | Google Scholar

9. Greenhill C. Gut microbiota: not so sweet–artificial sweeteners can cause glucose intolerance by affecting the gut microbiota. Nat Rev Endocrinol. (2014) 10:637. doi: 10.1038/nrendo.2014.167

PubMed Abstract | CrossRef Full Text | Google Scholar

10. Valdes AM, Walter J, Segal E, Spector TD. Role of the gut microbiota in nutrition and health. BMJ. (2018) 361:k2179. doi: 10.1136/bmj.k2179

PubMed Abstract | CrossRef Full Text | Google Scholar

11. Suez J, Korem T, Zeevi D, Zilberman-Schapira G, Thaiss CA, Maza O, et al. Artificial sweeteners induce glucose intolerance by altering the gut microbiota. Nature. (2014) 514:181–6. doi: 10.1038/nature13793

PubMed Abstract | CrossRef Full Text | Google Scholar

12. Abou-Donia MB, El-Masry EM, Abdel-Rahman AA, McLendon RE, Schiffman SS. Splenda alters gut microflora and increases intestinal p-glycoprotein and cytochrome p-450 in male rats. J Toxicol Environ Health Part A. (2008) 71:1415–29. doi: 10.1080/15287390802328630

PubMed Abstract | CrossRef Full Text | Google Scholar

13. AlDeeb OA, Mahgoub H, Foda NH. Sucralose. Profiles Drug Subst Excip Relat Methodol. (2013) 38:423–62. doi: 10.1016/B978-0-12-407691-4.00010-1

PubMed Abstract | CrossRef Full Text | Google Scholar

14. Ma J, Bellon M, Wishart JM, Young R, Blackshaw LA, Jones KL, et al. Effect of the artificial sweetener, sucralose, on gastric emptying and incretin hormone release in healthy subjects. Am J Physiol Gastrointest Liver Physiol. (2009) 296:G735–9. doi: 10.1152/ajpgi.90708.2008

PubMed Abstract | CrossRef Full Text | Google Scholar

15. Mezitis NH, Maggio CA, Koch P, Quddoos A, Allison DB, Pi-Sunyer FX. Glycemic effect of a single high oral dose of the novel sweetener sucralose in patients with diabetes. Diab Care. (1996) 19:1004–5. doi: 10.2337/diacare.19.9.1004

PubMed Abstract | CrossRef Full Text | Google Scholar

16. Wang QP, Browman D, Herzog H, Neely GG. Non-nutritive sweeteners possess a bacteriostatic effect and alter gut microbiota in mice. PLoS ONE. (2018) 13:e0199080. doi: 10.1371/journal.pone.0199080

PubMed Abstract | CrossRef Full Text | Google Scholar

17. Qian C, Qi Y, Feng R, Yang M, Zhang M, Liu W, et al. Sucralose can improve glucose tolerance and upregulate expression of sweet taste receptors and glucose transporters in an obese rat model. Eur J Nutr. (2020) 60:1809–17. doi: 10.1007/s00394-020-02375-1

PubMed Abstract | CrossRef Full Text | Google Scholar

18. Reagan-Shaw S, Nihal M, Ahmad N. Dose translation from animal to human studies revisited. FASEB J. (2008) 22:659–61. doi: 10.1096/fj.07-9574LSF

PubMed Abstract | CrossRef Full Text

19. Zhang M, Feng R, Yang M, Qian C, Wang Z, Liu W, et al. Effects of metformin, acarbose, and sitagliptin monotherapy on gut microbiota in Zucker diabetic fatty rats. BMJ Open Diab Res Care. (2019) 7:e000717. doi: 10.1136/bmjdrc-2019-000717

PubMed Abstract | CrossRef Full Text | Google Scholar

20. Tremaroli V, Bäckhed F. Functional interactions between the gut microbiota and host metabolism. Nature. (2012) 489:242–9. doi: 10.1038/nature11552

PubMed Abstract | CrossRef Full Text | Google Scholar

21. Chi L, Bian X, Gao B, Tu P, Lai Y, Ru H, et al. Effects of the artificial sweetener neotame on the gut microbiome and fecal metabolites in mice. Molecules. (2018) 23:367. doi: 10.3390/molecules23020367

PubMed Abstract | CrossRef Full Text | Google Scholar

22. Qin J, Li R, Raes J, Arumugam M, Burgdorf KS, Manichanh C, et al. A human gut microbial gene catalogue established by metagenomic sequencing. Nature. (2010) 464:59–65. doi: 10.1038/nature08821

PubMed Abstract | CrossRef Full Text | Google Scholar

23. Thomson P, Santibanez R, Aguirre C, Galgani JE, Garrido D. Short-term impact of sucralose consumption on the metabolic response and gut microbiome of healthy adults. Br J Nutr. (2019) 122:856–62. doi: 10.1017/S0007114519001570

PubMed Abstract | CrossRef Full Text | Google Scholar

24. Uebanso T, Ohnishi A, Kitayama R, Yoshimoto A, Nakahashi M, Shimohata T, et al. Effects of low-dose non-caloric sweetener consumption on gut microbiota in mice. Nutrients. (2017) 9:560. doi: 10.3390/nu9060560

PubMed Abstract | CrossRef Full Text | Google Scholar

25. Dalenberg JR, Patel BP, Denis R, Veldhuizen MG, Nakamura Y, Vinke PC, et al. Short-term consumption of sucralose with, but not without, carbohydrate impairs neural and metabolic sensitivity to sugar in humans. Cell Metab. (2020) 31:493–502.e7. doi: 10.1016/j.cmet.2020.01.014

PubMed Abstract | CrossRef Full Text | Google Scholar

26. Rodriguez-Palacios A, Harding A, Menghini P, Himmelman C, Retuerto M, Nickerson KP, et al. The artificial sweetener splenda promotes gut proteobacteria, dysbiosis, and myeloperoxidase reactivity in Crohn's disease-like ileitis. Inflamm Bowel Dis. (2018) 24:1005–20. doi: 10.1093/ibd/izy060

PubMed Abstract | CrossRef Full Text | Google Scholar

27. Rizzatti G, Lopetuso LR, Gibiino G, Binda C, Gasbarrini A. Proteobacteria: a common factor in human diseases. Biomed Res Int. (2017) 2017:9351507. doi: 10.1155/2017/9351507

PubMed Abstract | CrossRef Full Text | Google Scholar

28. Bian X, Chi L, Gao B, Tu P, Ru H, Lu K. The artificial sweetener acesulfame potassium affects the gut microbiome and body weight gain in CD-1 mice. PLoS ONE. (2017) 12:e0178426. doi: 10.1371/journal.pone.0178426

PubMed Abstract | CrossRef Full Text | Google Scholar

29. Depommier C, Everard A, Druart C, Plovier H, Van Hul M, Vieira-Silva S, et al. Supplementation with Akkermansia muciniphila in overweight and obese human volunteers: a proof-of-concept exploratory study. Nat Med. (2019) 25:1096–103. doi: 10.1038/s41591-019-0495-2

PubMed Abstract | CrossRef Full Text | Google Scholar

30. Bian X, Chi L, Gao B, Tu P, Ru H, Lu K. Gut Microbiome response to sucralose and its potential role in inducing liver inflammation in mice. Front Physiol. (2017) 8:487. doi: 10.3389/fphys.2017.00487

PubMed Abstract | CrossRef Full Text | Google Scholar

31. Vandeputte D, Falony G, Vieira-Silva S, Tito RY, Joossens M, Raes J. Stool consistency is strongly associated with gut microbiota richness and composition, enterotypes and bacterial growth rates. Gut. (2016) 65:57–62. doi: 10.1136/gutjnl-2015-309618

PubMed Abstract | CrossRef Full Text | Google Scholar

32. Mack I, Cuntz U, Grämer C, Niedermaier S, Pohl C, Schwiertz A, et al. Weight gain in anorexia nervosa does not ameliorate the faecal microbiota, branched chain fatty acid profiles, and gastrointestinal complaints. Sci Rep. (2016) 6:26752. doi: 10.1038/srep26752

PubMed Abstract | CrossRef Full Text | Google Scholar

33. Cao W, Chin Y, Chen X, Mi Y, Xue C, Wang Y, et al. The role of gut microbiota in the resistance to obesity in mice fed a high fat diet. Int J Food Sci Nutr. (2020) 71:453–63. doi: 10.1080/09637486.2019.1686608

PubMed Abstract | CrossRef Full Text | Google Scholar

34. Waters JL, Ley RE. The human gut bacteria Christensenellaceae are widespread, heritable, and associated with health. BMC Biol. (2019) 17:83. doi: 10.1186/s12915-019-0699-4

PubMed Abstract | CrossRef Full Text | Google Scholar

35. Lecomte V, Kaakoush NO, Maloney CA, Raipuria M, Huinao KD, Mitchell HM, et al. Changes in gut microbiota in rats fed a high fat diet correlate with obesity-associated metabolic parameters. PLoS ONE. (2015) 10:e0126931. doi: 10.1371/journal.pone.0126931

PubMed Abstract | CrossRef Full Text | Google Scholar

36. Wu F, Guo X, Zhang J, Zhang M, Ou Z, Peng Y. Phascolarctobacterium faecium abundant colonization in human gastrointestinal tract. Exp Ther Med. (2017) 14:3122–6. doi: 10.3892/etm.2017.4878

PubMed Abstract | CrossRef Full Text | Google Scholar

37. Canfora EE, Meex RCR, Venema K, Blaak EE. Gut microbial metabolites in obesity, NAFLD and T2DM. Nat Rev Endocrinol. (2019) 15:261–73. doi: 10.1038/s41574-019-0156-z

PubMed Abstract | CrossRef Full Text | Google Scholar

Keywords: artificial sweeteners, sucralose, fecal microbiota, obesity, 16S ribosomal RNA gene analysis

Citation: Zhang M, Chen J, Yang M, Qian C, Liu Y, Qi Y, Feng R, Yang M, Liu W and Ma J (2021) Low Doses of Sucralose Alter Fecal Microbiota in High-Fat Diet-Induced Obese Rats. Front. Nutr. 8:787055. doi: 10.3389/fnut.2021.787055

Received: 30 September 2021; Accepted: 01 December 2021;
Published: 28 December 2021.

Edited by:

Fengjiao Xin, Institute of Food Science and Technology, Chinese Academy of Agricultural Science (CAAS), China

Reviewed by:

Isabelle Mack, University of Tübingen, Germany
Jose Luiz de Brito Alves, Federal University of Paraíba, Brazil

Copyright © 2021 Zhang, Chen, Yang, Qian, Liu, Qi, Feng, Yang, Liu and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Jing Ma,

These authors have contributed equally to this work