Emil Fischer, a German chemist, and his assistant Rudolf Stahel isolated a new compound from beech wood chips in September 1890 and named it Xylit, after the Greek word for wood. The following year, the French chemist M.G.Bertrand isolated xylitol syrup by processing wheat and oat straw.[9] Sugar rationing during World WarII led to an interest in sugar substitutes. Interest in xylitol and other polyols became intense, leading to their characterization and manufacturing methods.[10][11]
Structure, production, commerce
Xylitol is one of three 5-carbon sugar alcohols. The others are arabitol and ribitol. These three compounds differ in the stereochemistry of the three secondary alcohol groups.
5-carbon sugar alcohols
Arabitol
Ribitol
Xylitol
Xylitol occurs naturally in small amounts in plums, strawberries, cauliflower, and pumpkin; humans and many other animals make trace amounts during metabolism of carbohydrates.[10] Unlike most sugar alcohols, xylitol is achiral.[12] Most other isomers of pentane-1,2,3,4,5-pentol are chiral, but xylitol has a plane of symmetry.
Xylitol can also be obtained by industrial fermentation, but this methodology is not as economical as the acid hydrolysis/chromatography route described above. Fermentation is effected by bacteria, fungi, or yeast, especially Candida tropicalis.[10][13] According to the US Department of Energy, xylitol production by fermentation from discarded biomass is one of the most valuable renewable chemicals for commerce, forecast to be a US $1.41billion industry by 2025.[14]
Uses
Xylitol is used as a sugar substitute in such manufactured products as drugs, dietary supplements, confections, toothpaste, and chewing gum, but is not a common household sweetener.[5][7][15] Xylitol has negligible effects on blood sugar because its assimilation and metabolism are independent of insulin.[15] It is approved as a food additive and sugar substitute in the United States.[7]
Xylitol is also found as an additive to saline solution for nasal irrigation and has been reported to be effective in improving symptoms of chronic sinusitis.[16]
Xylitol can also be incorporated into fabrics to produce a cooling fabric. When moisture, such as sweat, comes into contact with the xylitol embedded in the fabric, it produces a cooling sensation.[17]
Food properties
Nutrition, taste, and cooking
Humans absorb xylitol more slowly than sucrose, and xylitol supplies 40% fewer calories than an equal mass of sucrose.[15]
Xylitol is stable enough to be used in baking,[18] but, because xylitol and other polyols are more heat-stable, they do not caramelise as sugars do. Sugars and polyols lower the freezing point of foods such as ice-cream, but xylitol does so excessively, requiring thickeners to keep the ice-cream from being too soft..[19]
Food risks
Normal levels of consumption by humans have not been shown to pose serious health risks in most humans. The European Food Safety Authority has not set a limit on daily intake of xylitol. Due to the adverse laxative effect that all polyols have on the digestive system in high doses, xylitol is banned from soft drinks in the European Union. Similarly, due to a 1985 report by the E.U. Scientific Committee on Food which states that "ingesting 50g a day of xylitol can cause diarrhea", tabletop sweeteners (as well as other products containing xylitol) are required to display the warning "Excessive consumption may induce laxative effects".[20]
Metabolism
Xylitol has 2.4 kilocalories of food energy per gram (10 kilojoules per gram) according to U.S. and E.U. food-labeling regulations.[21][4] The real value can vary depending on metabolic factors.[22]
The liver primarily metabolizes absorbed xylitol. The main metabolic route in humans occurs in the cytoplasm via nonspecific NAD-dependent dehydrogenase (polyol dehydrogenase), which transforms xylitol to D-xylulose. Specific xylulokinase phosphorylates it to D-xylulose-5-phosphate, which then goes into the pentose phosphate pathway for further processing.[22]
About 50% of ingested xylitol is absorbed via the intestines. In humans, 50–75% of the xylitol not absorbed in the gut is fermented by gut bacteria into short-chain organic acids and gases, potentially leading to flatulence. Any remnant unabsorbed xylitol that escapes fermentation is excreted unchanged, mostly in feces; less than 2g of xylitol out of every 100g ingested is excreted via urine.[22]
Xylitol ingestion also increases motilin secretion, which may be related to the ability of xylitol to cause diarrhea.[23] The less-digestible but fermentable nature of xylitol also contributes to constipation-relieving effects.[24]
Health effects
Dental care
A 2015 Cochrane review of ten studies between 1991 and 2014 suggested a positive effect in reducing tooth decay of xylitol-containing fluoride toothpastes when compared to fluoride-only toothpaste, but there was insufficient evidence to determine whether other xylitol-containing products can prevent tooth decay in infants, children or adults.[25] Subsequent reviews support the belief that xylitol can suppress the growth of pathogenic Streptococcus in the mouth, thereby reducing dental cavities and gingivitis, although there is concern that swallowed xylitol may cause intestinal dysbiosis.[26][27][28] A 2022 review suggested that xylitol-containing chewing gum decreases plaque, but xylitol-containing candy does not.[29]
Earache
In 2011, EFSA "concluded that there was not enough evidence to support" the claim that xylitol-sweetened gum could prevent middle-ear infections (acute otitis media; AOM).[20][30] A 2016 review indicated that xylitol in chewing gum or a syrup may have a moderate effect in preventing AOM in healthy children.[31] It may be an alternative to conventional therapies (such as antibiotics) to lower risk of earache in healthy children– reducing risk of occurrence by 25%[32]– although there is no definitive proof that it could be used as a therapy for earache.[31]
Diabetes
In 2011, EFSA approved a marketing claim that foods or beverages containing xylitol or similar sugar replacers cause lower blood glucose and lower insulin responses compared to sugar-containing foods or drinks.[18][33] Xylitol products are used as sucrose substitutes for weight control,[18][24] as xylitol has 40% fewer calories than sucrose (2.4kcal/g compared to 4.0kcal/g for sucrose).[18][34] The glycemic index (GI) of xylitol is only 7% of the GI for glucose.[35]
Increased xylitol consumption can increase oxalate, calcium, and phosphate excretion to urine (termed oxaluria, calciuria, and phosphaturia, respectively). These are known risk factors for kidney stone disease, but despite that, xylitol has not been linked to kidney disease in humans.[38]
Dogs and other animals
Xylitol is poisonous to dogs.[39] Ingesting 100milligrams of xylitol per kilogram of body weight (mg/kgbw) causes dogs to experience a dose-dependent insulin release; depending on the dose it can result in life-threatening hypoglycemia. Hypoglycemic symptoms of xylitol toxicity may arise as quickly as 30 to 60minutes after ingestion. Vomiting is a common first symptom, which can be followed by tiredness and ataxia. At doses above 500mg/kgbw, liver failure is likely and may result in coagulopathies like disseminated intravascular coagulation.[40] It is also poisonous to ferrets.[41]
A 2018 study suggests that xylitol is safe for cats in doses of up to 1000mg/kg; however, this study was performed on only 6 cats and should not be considered definitive.[42] The American Society for the Prevention of Cruelty to Animals has never issued any warning about xylitol and cats. A 2022 article by the organisation explicitly lists xylitol as non-toxic.[43]
1 2 "Food legislation". polyols-eu.org. European Association of Polyol Producers. 22 March 2017. Archived from the original on 6 February 2023. Retrieved 7 February 2019.
1 2 3 4 5 Ur-Rehman, S.; Mushtaq, Z.; Zahoor, T.; Jamil, A.; Murtaza, M.A. (2015). "Xylitol: A review on bio-production, application, health benefits, and related safety issues". Critical Reviews in Food Science and Nutrition. 55 (11): 1514–1528. doi:10.1080/10408398.2012.702288. PMID24915309. S2CID20359589.
↑ Hicks, Jesse (Spring 2010). "The pursuit of sweet". Science History. Science History Institute. Archived from the original on 5 November 2018. Retrieved 28 October 2018.
↑ Jain, H.; Mulay, S. (March 2014). "A review on different modes and methods for yielding a pentose sugar: Xylitol". International Journal of Food Sciences and Nutrition. 65 (2): 135–143. doi:10.3109/09637486.2013.845651. PMID24160912. S2CID39929588.
↑ Felipe Hernández-Pérez, Andrés; de Arruda, Priscila Vaz; Sene, Luciane; da Silva, Silvio Silvério; Kumar Chandel, Anuj; de Almeida Felipe, Maria das Graças (16 July 2019). "Xylitol bioproduction: State-of-the-art, industrial paradigm shift, and opportunities for integrated biorefineries". Critical Reviews in Biotechnology. 39 (7): 924–943. doi:10.1080/07388551.2019.1640658. ISSN0738-8551. PMID31311338. S2CID197421362.
1 2 3 4 "Xylitol". Drugs.com. 2018. Archived from the original on 18 March 2023. Retrieved 12 October 2018.
↑ Weissman, Joshua D.; Fernandez, Francisca; Hwang, Peter H. (November 2011). "Xylitol nasal irrigation in the management of chronic rhinosinusitis: A pilot study". The Laryngoscope. 121 (11): 2468–2472. doi:10.1002/lary.22176. ISSN1531-4995. PMID21994147. S2CID36572019.
↑ "Chapter 3: Energy Conversion Factors". Calculation of the Energy Content of Foods. Food and Agriculture Organization (Report). The United Nations. Archived from the original on 24 May 2010. Retrieved 30 March 2017.
↑ Wölnerhanssen, B. K.; Meyer-Gerspach, A. C.; Beglinger, C.; Islam, M. S. (June 2019). "Metabolic effects of the natural sweeteners xylitol and erythritol: A comprehensive review". Critical Reviews in Food Science and Nutrition. 60 (12): 1986–1998. doi:10.1080/10408398.2019.1623757. PMID31204494. S2CID189944738.
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