Laudisi · Nutrients 2019 · narrative review · n=?

Impact of Food Additives on Gut Homeostasis.

Cited 126 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing mechanistic and preclinical animal studies with no new human data

PubMed 31581570 · doi:10.3390/nu11102334 · record verified 2026-08-27

What was done

The authors reviewed literature examining the mechanisms by which dietary food additives—specifically emulsifiers such as carboxymethylcellulose and polysorbate 80, as well as bulking agents like maltodextrin—affect gut microbiota, mucosal barrier integrity, and intestinal inflammation.

What was found

The abstract reports qualitative mechanistic findings from mouse models and provides no quantitative data. In mice, carboxymethylcellulose and polysorbate 80 induced dysbiosis with overgrowth of mucus-degrading bacteria, triggering colitis in interleukin-10-deficient or Toll-like receptor 5-deficient animals. Maltodextrin induced endoplasmic reticulum stress in intestinal goblet cells, impaired mucus release, and increased susceptibility to colitis.

Why it matters

This review synthesizes biological mechanisms by which common dietary additives could compromise gut mucosal defenses and potentially contribute to chronic inflammatory bowel disorders.

Limits

The described findings are drawn from preclinical and genetically modified rodent models, limiting direct applicability to human clinical outcomes. No human trials, quantitative effect sizes, or study sample sizes are reported in the abstract.

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