Common sweeteners can directly interfere with the growth of gut bacteria, especially when combined with certain medications or other everyday substances (Jun 2026, 39) Common xenobiotics modulate gut microbial responses to low‑calorie sweeteners in vitro Other 

Michael Harrop

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https://www.sciencedaily.com/releases/2026/10/261016081103.htm
https://link.springer.com/article/10.1038/s44320-026-00225-6

Abstract​

The gut microbiota is implicated in adverse effects associated with low-calorie sweeteners. Yet, the direct impact of sweeteners on gut bacteria remains largely uncharacterized. Here, we report interactions between 25 phylogenetically diverse gut bacterial strains and 39 commercially used sweeteners. We tested these sweeteners individually and in combination with four commonly co-consumed compounds, viz., advantame, caffeine, vanillin, and duloxetine.

Three-quarters of the tested sweeteners individually impacted the growth of at least one tested bacterial strain. Further, over 100 interactions were found between sweeteners and the four co-consumed compounds. Isosteviol, a commonly used sweetener-component, and duloxetine, an antidepressant, synergistically inhibited Roseburia intestinalis, a bacterium previously linked to glucose homeostasis, and Parabacteroides merdae, a prevalent commensal linked to healthy microbiota.

Proteomic, metabolomic, and genetic analyses indicate altered small molecule transport underpinning this sweetener–drug synergy. The isosteviol-duloxetine combination also modulated metabolism of a synthetic gut bacterial community, leading to increased toxicity to HeLa cells and altered secretion of inflammation-modulatory cytokines IL-6 and IL-8 by Caco-2 cells.

Our data warrant further studies on interactions between low-calorie sweeteners and common xenobiotics.
Low-calorie sweeteners and their combinations with co-consumed xenobiotics were tested in vitro for direct effects on gut bacteria.
  • 30 interactions discovered between sweeteners and gut bacteria.
  • Sweeteners show synergistic and antagonistic interactions with xenobiotics like antidepressant duloxetine.
  • Multi-omics analyses reveal key role of transporters.
  • Altered bacterial secretome impact cytokine response of human cells.
 
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