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. 2022 Apr 18;14(8):1682. doi: 10.3390/nu14081682

Table 3.

Summary of the analyzed in vitro studies.

Reference Sweeteners/Doses/Duration Methods Bacteria Results/Conclusions
Saccharine and/or Sucralose
Harpaz et al., 2018 [38] Aspartame, sucralose, saccharine, neotame, advantame, and acesulfame potassium-k (ace-k).
ADI (FDA)
Bioluminescent E. coli strains (TV1061, DPD2544 and DPD2794) Toxic effects
Wang et al., 2018 [39] Sucralose, saccharin, acesulfame potassium, and rebaudioside
Liquid assay: equal molarity of sodium chloride/5 h
Agar: 1.25% (w/v) sucralose and 2.5% (w/v) sucralose/24 h
Liquid culture assay.
LB agar plate assay
E. coli HB101 and E. coli K-12 Bacteriostatic effects
Markus V, et al., 2021 [40] Aspartame, sucralose, saccharin
Bioluminescence assay, growth assay: 10 µL non-calorie sweeteners or sports supplements.
Swarming motility assay: aspartame (1.36 mM), sucralose (25.2 mM), or saccharine (2.72 mM)
QS competition assay using Chromobacterium Violaceum CV026/20 h
Biosensor assays, biophysical protein characterization methods, microscale thermophoresis, swarming motility assays, growth assays, and molecular docking E coli K802NR and P. aeruginosa lasRI
P. aeruginosa PAO1
C. violaceum (CV026)
Inhibition of quorum sensing
Gerasimidis C et al., 2020 [41] Aspartame-based sweetener, sucralose, stevia
50% ADI (male, w: 75 kg)
Gas chromatography Total bacteria (feces from healthy individuals) and 5 bacterial groups (Bacteroides/Prevotella, Bifidobacterium, B. coccoides, C. leptum and E. coli) Sucralose: shifted microbiome community structure
↔ bacterial populations
↑ Escherichia/Shigella
Shil A and Chichger, H, 2021 [42] Saccharin, sucralose, and aspartameGrowth curve: 0.1 to 1000 µM/4 d
Biofilm formation assay: 100 µM/48 h
Haemolysis assay, adhesion assay, and invasion assay: 100 M/24 h
Cytotoxicity assay: 100 M/48 h
Models of microbiota and the intestinal epithelium (Caco-2 cells) E. coli NCTC10418 and E. faecalis ATCC19433
S. aureus
Saccharin bacteriostatic effects
Saccharin, sucralose:
↑ biofilm formation
↑ ability of bacteria to adhere to, invade, and kill gut epithelial cells (exception saccharin on E. coli)
Negative effect on intestinal epithelial cell apoptosis and permeability
Vamanu E et al., 2019 [43] Sodium cyclamate, sucralose, sodium saccharin, steviol, white sugar 40 mg active substance (more than 90% purity) Static GIS1 simulator (three segments of the human colon) Total microbial (feces from healthy individuals) Saccharin: ↓ number of microorganisms; ↓ SCFAs
Both: ↓ phylum Firmicutes; ↓ fermentative processes; ↑ colonic pH; ↑ 10% ammonia synthesized; ↓ SCFAs

ADI: acceptable daily intake; SCFA: short-chain fatty acid. ↔: unmodified; ↑: increase; ↓: decrease.