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Am J Physiol Regul Integr Comp Physiol (June 17, 2009). doi:10.1152/ajpregu.00090.2009
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Submitted on February 10, 2009
Revised on June 8, 2009
Accepted on June 11, 2009

Sweetness and bitterness taste of meals per se does not mediate gastric emptying in humans

Tanya Jane Little1*, Nili Gupta1, R Maynard Case1, David G Thompson, and John T McLaughlin1

1 University of Manchester

* To whom correspondence should be addressed. E-mail: Tanya.Little{at}manchester.ac.uk.

Background: In cell line and animal models sweet and bitter tastants induce secretion of signaling peptides (e.g. GLP-1 and CCK) and slow gastric emptying (GE). Whether human GE and appetite responses are regulated by the sweetness or bitterness per se or ingested food is, however, unknown. Aims: To determine whether intragastric infusion of "equi-sweet" (Study A) or "equi-bitter" (Study B) solutions slow GE to the same extent, and whether a glucose solution made sweeter by the addition of saccharin will slow GE more potently than glucose alone. Methods: Healthy non-obese subjects were studied in a single-blind, randomized fashion. Subjects received 500 ml intragastric infusions of pre-determined "equi-sweet" solutions of glucose (560 mOsmol), fructose (290 mOsmol), aspartame (200 mg), saccharin (50 mg); twice as sweet glucose+saccharin, or water (volumetric control) (Study A), or "equi-bitter" solutions of quinine (0.198 mM), naringin (1 mM), or water (Study B). GE was evaluated using a 13C-acetate breath test, and hunger and fullness scored using visual analogue scales. Results: Study A: Equi-sweet solutions did not empty similarly. Fructose, aspartame and saccharin did not slow GE compared to water, but glucose did (P<0.05). There was no additional effect of the sweeter glucose+saccharin solution (P > 0.05, compared with glucose alone). Study B: Neither bitter tastant slowed GE compared with water. None of the solutions modulated perceptions of hunger or fullness. Conclusions: In man, the presence of sweetness and bitterness taste per se in ingested solutions does not appear to signal to influence GE or appetite perceptions.







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