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Fructose Metabolism and Diabetes – Where Do We Stand Now?

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutrition and Diabetes".

Deadline for manuscript submissions: closed (30 June 2023) | Viewed by 4555

Special Issue Editor


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Guest Editor
1. The Department of Clinical Nutrition, Fujita Health University, Graduate School of Medicine, 1-98, Dengakugakubo, Kutsukake-cho, Toyoake 470-1192, Aichi, Japan
2. Food and Nutrition Service Department, Fujita Health University Hospital, Toyoake 470-1192, Japan
Interests: sugar intake and obesity; malnutrition; vitamin deficiency; ultraprocessed food; artificial sweeteners; food recording apps
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Special Issue Information

Dear Colleagues,

Fructose is a monosaccharide with a higher protein glycolytic capacity than glucose that metabolizes faster than acetyl CoA due to the absence of rate-limiting enzymes such as glucokinase. It is also considered more toxic than glucose. Excessive sucrose intake is associated with obesity, hyperuricemia, type 2 diabetes, dyslipidemia, NAFLD, frailty, and cancer. Moreover, fructose has been thought to be metabolized in the liver, not in the small intestine. However, recent studies have shown that small amounts of fructose are completely converted to glucose, and its metabolites have been found in the small intestine. Furthermore, it has been shown that unabsorbed fructose is converted to acetic acid by intestinal bacteria, absorbed through the portal vein, and used for lipid synthesis. Therefore, when considering the mechanisms underlying fructose-induced fatty liver development, it is important to consider the role of the small intestine and even the intestinal microbiota in addition to the conventional liver. Furthermore, exogenous as well as endogenous fructose has been reported to cause renal damage.

For this Special Issue, we call for a wide range of original papers and review articles on the relationship between fructose intake and metabolic diseases, focusing on fructose metabolism in the gut, liver, gut microbiota, and kidneys.

Dr. Katsumi Iizuka
Guest Editor

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Keywords

  • fructose
  • gut microbiota
  • fatty liver
  • cancer
  • kidney
  • gut microbiota
  • metabolic syndrome
  • obesity
  • diabetes mellitus
  • dyslipidemia

Published Papers (1 paper)

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Review

15 pages, 948 KiB  
Review
Recent Progress on Fructose Metabolism—Chrebp, Fructolysis, and Polyol Pathway
by Katsumi Iizuka
Nutrients 2023, 15(7), 1778; https://doi.org/10.3390/nu15071778 - 05 Apr 2023
Cited by 4 | Viewed by 4234
Abstract
Excess fructose intake is associated with obesity, fatty liver, tooth decay, cancer, and cardiovascular diseases. Even after the ingestion of fructose, fructose concentration in the portal blood is never high; fructose is further metabolized in the liver, and the blood fructose concentration is [...] Read more.
Excess fructose intake is associated with obesity, fatty liver, tooth decay, cancer, and cardiovascular diseases. Even after the ingestion of fructose, fructose concentration in the portal blood is never high; fructose is further metabolized in the liver, and the blood fructose concentration is 1/100th of the glucose concentration. It was previously thought that fructose was metabolized in the liver and not in the small intestine, but it has been reported that metabolism in the small intestine also plays an important role in fructose metabolism. Glut5 knockout mice exhibit poor fructose absorption. In addition, endogenous fructose production via the polyol pathway has also received attention; gene deletion of aldose reductase (Ar), ketohexokinase (Khk), and triokinase (Tkfc) has been found to prevent the development of fructose-induced liver lipidosis. Carbohydrate response element-binding protein (Chrebp) regulates the expression of Glut5, Khk, aldolase b, and Tkfc. We review fructose metabolism with a focus on the roles of the glucose-activating transcription factor Chrebp, fructolysis, and the polyol pathway. Full article
(This article belongs to the Special Issue Fructose Metabolism and Diabetes – Where Do We Stand Now?)
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