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Title: Alternative Sweeteners

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178 Kinghorn et al.<br />

iol administered were proportional to about 80 times that of an acceptable intake<br />

of stevioside for humans (7.938 mg/kg body weight per day) (34).<br />

No follow-up has been published on a compound of apparently unknown<br />

structure that was referred to as ‘‘dihydroisosteviol’’ and reported in 1960 to<br />

exhibit a statistically significant antiandrogenic effect in a chick-comb bioassay<br />

at a dose of 3.0 mg/comb (2). ‘‘Dihydroisosteviol’’ was not found to be effective<br />

in inhibiting the action of testosterone at total dose levels of 5 and 20 mg per<br />

animal when injected subcutaneously in 28-day-old Charles River male castrated<br />

rats. The origin of ‘‘dihydroisosteviol’’ was not stipulated in this study, and no<br />

compound with such a structure seems to have been determined subsequently as<br />

a metabolic or degradative product of any of the S. rebaudiana sweet constituents<br />

(2).<br />

D. Effects on Carbohydrate Metabolism<br />

Mention has been made earlier in this chapter of the use of S. rebaudiana extracts<br />

in Paraguay as a remedy for diabetes. Hypoglycemic effects in humans and rats<br />

using S. rebaudiana extracts have been claimed in several scientific publications<br />

from South America, thereby providing some credence for the medicinal use of<br />

this plant as a hypoglycemic agent. However, a number of other investigators<br />

have found no significant effects on blood glucose levels in rats (1, 2).<br />

Stevioside has been found to affect monosaccharide transport in an isolated,<br />

perfused liver preparation (2). Glucose absorption was inhibited in hamsters fed<br />

2.5 g/kg/day stevioside for 12 weeks, which was attributed to both a decrease<br />

in intestinal Na / K -ATPase activity and a decreased absorptive area in the intestines<br />

(35). Stevioside (0.2 mM), when given orally both with fructose (0.2 mM)<br />

and alone to rats fasted for 24 hr, led to increased glycogen deposition in the<br />

liver (36). Steviol (1 mM) inhibited glucose intake and altered the morphology<br />

of intestinal absorptive cells (37).<br />

E. Other Biological Activities<br />

A hypotensive effect in human subjects was noted in a Brazilian study wherein<br />

S. rebaudiana tea was administered daily for 30 days (2). It was mentioned also<br />

in the previous version of this chapter that stevioside resulted in alterations of<br />

mean blood pressure and renal function when tested on normal Wistar rats (2).<br />

In the last decade, there has been increasing evidence that S. rebaudiana extracts<br />

and stevioside have demonstrable vasoactive properties. When aqueous S. rebaudiana<br />

extracts (2 ml of an extract corresponding to 66.7 g S. rebaudiana/100<br />

ml) were administered to normal Wistar rats for 40 and 60 days, such chronic<br />

administration led to hypotension, diuresis, and natiuresis. For the 60-day treated<br />

group, an increase in renal plasma flow was observed (38). In Wistar rats, stevio-

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