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Title: Alternative Sweeteners

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Tagatose 117<br />

The intestines of both pigs and humans harbor bacteria that produce butyrate<br />

as the fermentation end-product. d-Tagatose is a rather rare sugar for intestinal<br />

bacteria and is only fermented by a limited genera of bacteria, enterococci,<br />

lactobacilli, and, obviously, some butyrate-producing intestinal bacteria. Other<br />

fibers or undigested carbohydrates are either not a substrate for butyrate-producing<br />

bacteria or are competing for the delivered substrate favoring growth of other<br />

bacteria. A reasonable explanation for the butyrate-inducing effect of d-tagatose<br />

is that butyrate-producing bacteria are favored over most other bacteria when<br />

tagatose is supplied. The adaptation seen with ingestion of d-tagatose in both<br />

pigs and human volunteers is probably due to selection of butyrate-producing<br />

bacteria in the colon. The in vivo absorption study in pigs showed that the adaptation<br />

or selection of bacteria takes place within 12 hr. Similarly, the in vitro study<br />

with human feces indicates selection of bacteria within 48 hr of incubation.<br />

Many studies have documented an important role of butyrate in the colon<br />

because it is the major and preferred fuel for the colonic epithelium (25) and<br />

plays an important role in the control of proliferation and differentiation of colonic<br />

epithelial cells (20). In contrast to the preceding effects on the normal epithelium,<br />

butyrate arrests growth of neoplastic colonocytes (26) and also inhibits<br />

the preneoplastic hyperproliferation induced by tumor promoters in vitro (21).<br />

The lactobacilli and lactic acid bacteria are important inhabitants of the intestinal<br />

tract of man and animals with functional benefits like maintenance of the<br />

normal microflora, pathogen interference, exclusion and antagonism, immunostimulation<br />

and immunomodulation, anticarcinogenic and antimutagenic activities,<br />

deconjugation of bile acids, and lactase presentation in vivo (27). A number<br />

of studies on probiotic bacteria have shown that it is difficult for these bacteria<br />

to colonize the human colon; that is, after stopping the supply of probiotic bacteria<br />

in the diet, they disappear. This makes it more obvious to selectively feed the<br />

Lactobacillus already present in the colon.<br />

On the basis of the preceding documented butyrate stimulation and selection<br />

of bacteria in the colon, d-tagatose is a promising prebiotic food bulk sweetener.<br />

E. Human Tolerance<br />

Extensive human clinical testing has been conducted on d-tagatose to ensure<br />

safety and tolerance (18, 28–34). Testing included a 14-day trial with 30 g given<br />

in a single daily dose, an 8-wk trial with a 75-g daily dosage given as three 25g<br />

doses, and a 12-month trial with a 45-g daily dosage given as three 15-g doses.<br />

Because d-tagatose is malabsorbed, gastrointestinal effects similar to those of<br />

other undigested sugars would be expected. Unabsorbed molecules in the large<br />

intestine retain colonic fluid and increase water content in the feces, contributing

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