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Surge in obesity and diabetes could be linked to food additives

By Michael Le Page

9 February 2016

Food additives are obesity suspects

Additive alert

Marie Genel/picturetank

Ice cream lovers, look away now. Studies on a simulated human gut聽have added further evidence that emulsifiers, found in most processed foods, might be linked to obesity, diabetes and inflammatory bowel disorders.

Emulsifiers are used to improve a food鈥檚 texture and to prevent mixtures from separating, particularly in ice cream. Last year, Benoit Chassaing of Georgia State University showed that mice that drank water containing one of two emulsifiers underwent changes in gut bacteria and inflammation of the gut聽– changes that led to obesity and diabetes in these animals.

However, mice that didn鈥檛 have聽any gut bacteria because they had been raised in a sterile environment didn鈥檛 become ill when given the same additives, suggesting that it is the emulsifiers鈥 effect on the microbiome that is to blame. When the ill mice stopped consuming emulsifiers, their gut聽bacteria gradually returned to聽normal.

The question is whether the same might be true for humans. The growing use of emulsifiers has coincided with a rise in obesity and diabetes, says Chassaing, while these conditions aren鈥檛 as common in countries where less processed food is consumed.

Now Chassaing has supported his findings in mice using a simulation of the human gut. Working with a team in Belgium, he looked at two emulsifiers: carboxymethylcellulose (E566 on EU labels) and polysorbate-80 (E433). When added to a series of flasks that mimic the conditions of the human digestive tract, each caused an increase in the levels of a bacterial protein called flagellin, known to cause inflammation at high concentrations. Chassaing presented the results at a at the Royal Society in聽London.

鈥淭he growing use of emulsifiers has coincided with a rise in obesity and diabetes鈥

The simulator results are more convincing than the mouse studies, since lab animals and humans have vastly different gut microbiomes, says of the University of Reading in the UK, who studies gut disorders. 鈥淭he definitive test, however, is聽obviously a human trial.鈥

Chassaing is now enrolling volunteers for the first human trial to look at the effects of emulsifiers on gut and metabolic health. Carrying out this study won鈥檛 be easy, he says, as the participants鈥 diets will have to聽be聽strictly controlled.

In his earlier work, the mice were given up to 1 per cent of an emulsifier in their water, which Chassaing thinks reflects the levels some people may be consuming. But of聽the Louvain Drug Research Institute in Belgium thinks people who eat a balanced diet are unlikely to be exposed to the levels given to the mice.

Nevertheless, Cani says, we should be concerned. Whatever the results of the human trial, regulators need to rethink the way聽they test the safety of food, he聽says, as existing tests were developed before we understood the importance of our gut microbiota and how they can be affected by what we consume.

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