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Can Trehalose Be Digested? A Deep Dive into Trehalase and Your Gut

4 min read

Trehalose is a natural sugar found in many organisms, including mushrooms, yeast, and insects, where it functions as a stabilizing molecule. For most humans, this unique disaccharide is fully digestible, but its digestion process is distinct from other more common sugars, impacting how it affects blood sugar levels and overall digestive health.

Quick Summary

Trehalose is digested in the small intestine by the trehalase enzyme into two glucose molecules, which are then absorbed. Its digestion is slower than sucrose, leading to a more gradual blood sugar increase. Deficiency of this enzyme, while rare, can cause digestive discomfort.

Key Points

  • Normal Digestion: For most people, trehalose is fully digested in the small intestine by the trehalase enzyme.

  • Slow Glycemic Response: Its unique chemical structure leads to a slower breakdown and a more gradual release of glucose, resulting in a lower glycemic index compared to table sugar.

  • Rare Deficiency: A small percentage of the population has a genetic trehalase deficiency, which prevents proper digestion and causes symptoms like diarrhea and bloating after consumption.

  • Gut Microbiome Interactions: Research has shown that trehalose can have prebiotic effects, promoting the growth of certain beneficial gut bacteria.

  • Found in Many Foods: Trehalose occurs naturally in mushrooms, yeast, and seaweed, and is widely used as a food additive in processed goods.

  • No Causal Link to C. difficile: Recent studies have refuted earlier claims linking trehalose consumption to the proliferation of hypervirulent C. difficile strains.

In This Article

The Role of the Trehalase Enzyme in Digestion

Trehalose is a disaccharide, or double sugar, made of two glucose molecules linked by a unique $\alpha,\alpha-1,1$ glycosidic bond. Unlike maltose, which is also a double glucose sugar but has a different bond, trehalose requires a specific enzyme for digestion. This enzyme, known as trehalase, is produced in the human body and is located at the brush border of the small intestine.

When trehalose is consumed, it travels to the small intestine, where trehalase gets to work. The trehalase enzyme cleaves the $\alpha,\alpha-1,1$ bond, breaking the trehalose molecule into two individual glucose molecules. These simpler, single glucose molecules are then readily absorbed by intestinal cells via sodium glucose transporter 1 (SGLT1) for use as energy. This process is efficient for the majority of the population, leading to full digestion of trehalose.

The Slower Digestion Advantage and Glycemic Response

The specific $\alpha,\alpha-1,1$ linkage in trehalose is more resistant to rapid hydrolysis compared to the bonds in other common disaccharides like sucrose or maltose. This slower digestive breakdown means that the release of glucose into the bloodstream is more gradual, resulting in a lower and more prolonged glycemic response.

This prolonged energy release is one of the reasons trehalose is marketed as a healthier sugar alternative. By avoiding the rapid spike and subsequent crash in blood sugar and insulin levels often associated with sucrose, trehalose provides a steadier supply of energy. This property makes it a potentially beneficial option for individuals looking to manage their blood sugar levels more effectively, though it still provides calories and should be consumed in moderation.

Understanding Trehalase Deficiency

While most people digest trehalose without issue, a rare genetic condition known as trehalase deficiency can hinder or prevent its proper breakdown. In affected individuals, there is a lower-than-normal level of functional trehalase enzyme in the small intestine due to a genetic mutation. This leads to trehalose intolerance, with symptoms appearing after consuming foods containing the sugar.

Symptoms of Trehalase Deficiency

When undigested trehalose passes into the large intestine, it is fermented by the gut microbiota. This fermentation process causes various gastrointestinal symptoms, including:

  • Abdominal pain and cramps
  • Osmotic diarrhea
  • Increased rectal flatulence and bloating
  • Vomiting (in some cases)

The condition is most prevalent in certain populations, notably affecting up to 8% of the population in Greenland due to an autosomal dominant inheritance pattern. For individuals diagnosed with trehalase deficiency, management involves avoiding foods that contain trehalose, such as mushrooms, and being mindful of it as an additive in processed foods.

Trehalose vs. Sucrose Digestion: A Comparison

Feature Trehalose (α,α-1,1 glucose) Sucrose (glucose-fructose)
Enzyme for Digestion Trehalase Sucrase (part of sucrase-isomaltase complex)
Digestion Rate Slower due to unique glycosidic bond Faster due to less resistant glycosidic bond
Glycemic Impact Lower and steadier blood sugar response Higher and more rapid blood sugar spike
Component Sugars Two glucose molecules One glucose and one fructose molecule
Final Absorbed Product Glucose only Glucose and Fructose

The Role of Trehalose in the Gut Microbiota

The gut microbiome plays a significant role in digestive health, and recent research has explored the relationship between trehalose and gut bacteria. Studies have found that trehalose can have prebiotic effects, promoting the growth of certain beneficial bacteria, such as specific strains of Lactococcus.

Interestingly, a 2018 study suggested a link between increased trehalose consumption and the virulence of certain strains of the pathogenic bacterium Clostridioides difficile (C. difficile). However, more recent and rigorous research has largely contradicted this initial correlation. For example, a 2021 study using a human gut model found that trehalose supplementation actually prevented simulated C. difficile infection and promoted the growth of nutritionally competitive microbiota. A subsequent meta-analysis also found no conclusive link between trehalose usage and C. difficile outbreaks. This highlights the importance of well-controlled studies to evaluate the effects of dietary changes on the gut microflora.

Where is Trehalose Found?

Trehalose is present in a variety of natural and processed foods:

  • Mushrooms: A common natural source of trehalose.
  • Baker's and Brewer's Yeast: Found in yeast and products containing it, such as bread.
  • Seaweed: Some types of seaweed contain trehalose.
  • Insects: Some insects use trehalose as a primary energy source.
  • Processed Foods: Due to its functional properties as a stabilizer and sweetener, trehalose is used in many food products, including baked goods, confectionery, and frozen desserts. It is also added to dried food to improve its longevity and quality.

Can Trehalose be Digested by People with Celiac Disease?

According to research, trehalase activity may be temporarily affected by intestinal diseases like untreated celiac disease. In individuals with celiac disease, trehalase activity has been shown to be lower during periods of villous atrophy but can recover to normal levels on a gluten-free diet. This suggests that for many celiac patients who adhere to a strict gluten-free diet, trehalose digestion is not a long-term issue. However, individuals with celiac disease who are still experiencing intestinal damage may have reduced trehalase activity and could experience mild symptoms after consuming trehalose.

Conclusion

For the vast majority of healthy individuals, trehalose is fully digestible thanks to the enzyme trehalase in the small intestine. Its slow and steady breakdown into glucose provides a more gradual glycemic response compared to other common sugars, which is often seen as a health advantage. However, for the small percentage of the population with trehalase deficiency, this sugar can cause significant gastrointestinal discomfort. The relationship between trehalose and the gut microbiome is still being explored, with initial concerns about its impact on C. difficile being largely dispelled by more comprehensive studies. Ultimately, while moderation is key with any sugar, understanding how trehalose is metabolized can help inform dietary choices, especially for those with digestive sensitivities.

Dietary Trehalose as a Bioactive Nutrient - PMC

Frequently Asked Questions

Trehalose is digested more slowly than regular sugar (sucrose) because its unique chemical bond requires a specific enzyme, trehalase, which breaks it down gradually in the small intestine.

If a person has trehalase deficiency and cannot digest trehalose, the sugar passes to the large intestine where it is fermented by bacteria, causing gastrointestinal symptoms like pain, diarrhea, and gas.

Trehalose is naturally found in mushrooms, baker's yeast, seaweed, and insects. It is also used as an additive in many processed foods, including baked goods, confectionery, and frozen items.

Because trehalose has a lower and slower impact on blood sugar levels compared to sucrose, it is sometimes considered a suitable alternative for individuals managing diabetes. However, those with concerns should always consult a physician.

Trehalase deficiency is a rare metabolic disorder, although it occurs with higher frequency in specific populations, such as in Greenlanders, where the prevalence is estimated to be higher.

No, trehalose does not cause digestive problems for most people. Intestinal upset only occurs in individuals with trehalase deficiency, and typically only after consuming foods rich in the sugar.

Yes, research shows trehalose can act as a prebiotic, promoting the growth of certain beneficial bacteria in the gut. While early reports linked it to C. difficile, more robust studies found no conclusive link.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.