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Is trehalose a healthy sugar? The complete guide

5 min read

According to a 2020 study, daily consumption of just 3.3 grams of trehalose was shown to help improve glucose tolerance in healthy individuals with higher postprandial glucose levels. This has fueled discussion around this natural disaccharide, prompting questions about its place in a healthy diet.

Quick Summary

This article provides a comprehensive look at trehalose, a natural sugar found in mushrooms and honey, discussing its slow digestion, low glycemic index, and potential health benefits. It also explores safety concerns and compares it to other common sugars.

Key Points

  • Slow Digestion: Trehalose is slowly broken down into glucose by the intestinal enzyme trehalase, leading to a gentle rise in blood sugar rather than a sharp spike.

  • Low Glycemic Index: With a glycemic index of 38, trehalose is suitable for those managing blood sugar levels, including people with diabetes or pre-diabetes, under medical supervision.

  • Autophagy Activator: In lab and animal models, trehalose has shown the ability to induce autophagy, the cellular 'self-cleaning' process that helps clear damaged proteins and organelles.

  • Controversial Gut Health Link: Earlier concerns about trehalose promoting hypervirulent C. difficile strains have been largely refuted by later studies, showing no causal link from normal dietary intake.

  • Potential Digestive Side Effects: Individuals with trehalase deficiency or sensitive stomachs may experience gastrointestinal discomfort, bloating, or diarrhea from excessive consumption.

  • Versatile Food Additive: Beyond its sweetening properties, trehalose is a functional ingredient used to stabilize food, prevent staling, and protect proteins from damage during freezing.

In This Article

What is Trehalose?

Trehalose is a naturally occurring disaccharide, or double sugar, composed of two glucose molecules linked by a unique α,α-1,1-glycosidic bond. It is approximately 45% as sweet as table sugar (sucrose) and is found in various plants, fungi, bacteria, and insects. Organisms use trehalose to protect themselves from environmental stresses like extreme temperatures and dehydration. For humans, its commercial production from starches has made it a widely used food additive since the mid-1990s, valued for its stability, mild sweetness, and preservative properties.

The Digestive Difference: Slow Release Glucose

Unlike sucrose, which is quickly broken down into glucose and fructose, trehalose is digested slowly in the small intestine by the enzyme trehalase. This slow digestion results in a gradual release of glucose into the bloodstream, which prevents the rapid spikes in blood sugar and insulin that are characteristic of consuming table sugar.

Benefits of a Lower Glycemic Impact

  • Stable energy: The sustained release of glucose provides steady, long-lasting energy, avoiding the energy crashes often associated with high-glycemic carbohydrates.
  • Diabetes management: The low glycemic index (GI) of 38 makes it a potentially suitable sugar alternative for individuals with diabetes or hypoglycemia, although monitoring is still recommended.
  • Reduced inflammation: Some research suggests that by managing blood glucose levels more effectively, trehalose may help reduce inflammation linked to blood sugar fluctuations.

Is Trehalose a Functional Sugar?

Trehalose is considered a "functional sugar" due to its unique physical and biological properties that benefit food products and potentially human health.

Functional Properties of Trehalose

  • Stabilizer and Preservative: It protects proteins and prevents starch-based products from going stale or drying out, extending the shelf life of foods like ice cream and baked goods.
  • Flavor Enhancer: Its clean taste profile and mild sweetness can enhance natural flavors and mask bitter or off-flavors in foods and beverages.
  • Cryoprotectant: In frozen foods, it inhibits the formation of large ice crystals, preserving the texture during freezing and thawing.

The Autophagy Connection

One of the most intriguing potential health benefits of trehalose is its link to autophagy, the body's natural cellular cleansing process. Trehalose has been shown in some studies to activate this process, which helps clear damaged cells and protein aggregates. Research suggests this could have implications for:

  • Neurodegenerative diseases: Studies in animal models have indicated that trehalose may help mitigate diseases like Alzheimer's and Huntington's by clearing protein aggregates.
  • Cellular Protection: By activating autophagy, trehalose may protect cells from various stressors, including oxidative stress.
  • Spinal Cord Injury Recovery: Recent animal studies demonstrate trehalose can enhance macrophage autophagy to promote the clearance of myelin debris, reducing inflammation and improving functional recovery.

A Closer Look: Trehalose vs. Sucrose

Feature Trehalose Sucrose (Table Sugar)
Sweetness Approximately 45% as sweet 100% (the standard)
Metabolism Slowly digested into two glucose molecules Rapidly digested into glucose and fructose
Glycemic Impact Low Glycemic Index (GI 38), steady energy High Glycemic Index (GI 65), rapid spikes
Dental Health Lower risk of causing cavities due to reduced lactic acid production by oral bacteria Feeds plaque-forming bacteria, increasing cavity risk
Gut Microbiome Can alter microbial composition, potentially feeding certain bacteria Disrupts gut microbiome, potentially increasing harmful bacteria

Potential Downsides and Controversies

Despite its benefits, trehalose is not without potential issues. The main area of controversy relates to its effect on the gut microbiome and a potentially problematic association with Clostridioides difficile (C. diff).

The C. difficile Controversy

In 2018, a study published in Nature hypothesized that increased industrial use of trehalose might have contributed to the rise of hypervirulent C. diff strains by providing them with a readily available food source. These strains reportedly developed mutations allowing them to thrive on low concentrations of trehalose.

However, this theory has since been largely disputed by subsequent research and analysis.

  • Epidemiological data showed that the increase in trehalose imports postdated the emergence of C. diff epidemics.
  • Some human gut model studies found that trehalose supplementation did not cause C. diff infection and, in fact, led to undetectable toxin levels in some cases.
  • Researchers also discovered that trehalose metabolism variants were widespread in C. diff strains long before trehalose became a popular food additive, and these variants were not associated with increased disease severity.

Digestive Discomfort

For some individuals, particularly those with a trehalase deficiency (a rare genetic disorder most prevalent in Greenland), high consumption of trehalose can lead to gastrointestinal issues. This can cause bloating, gas, abdominal pain, and diarrhea. Starting with small amounts is advisable for those with existing digestive sensitivities.

Who Benefits Most from Trehalose?

While not a magic bullet, certain groups may find trehalose particularly useful:

  • Individuals managing blood sugar: Its low glycemic index and slow glucose release can help maintain stable blood sugar levels.
  • People with fructose malabsorption: Since trehalose is composed only of glucose, it does not contain fructose and may be a safer sugar alternative for those with fructose intolerance.
  • Those exploring anti-aging and neuroprotective effects: The potential to activate autophagy and clear protein aggregates offers an area of ongoing research interest.
  • Athletes seeking sustained energy: The slow-release glucose can provide a prolonged energy source for endurance activities.

Foods Containing Trehalose

Trehalose can be found naturally in various foods, although generally in low concentrations. With the advent of industrial production, it is now a common additive in many processed foods.

Natural Sources:

  • Mushrooms (especially shiitake)
  • Honey
  • Some seafood
  • Seaweeds
  • Yeast

Processed Foods with Added Trehalose:

  • Baked goods
  • Confectionery
  • Ice cream and frozen desserts
  • Cereals
  • Fruit juices and preserves

Conclusion: A Balanced Perspective on Trehalose

Is trehalose a healthy sugar? The answer depends heavily on the context and individual health status. As a sugar, it still provides calories and should be consumed in moderation. However, compared to other common sugars like sucrose, its slower digestion and lower glycemic impact offer clear metabolic advantages. The potential to activate cellular cleaning processes through autophagy is an exciting area of research, with implications for everything from neurodegenerative disease to spinal cord injury recovery.

While early controversies regarding its link to C. difficile were cause for concern, extensive follow-up research has largely discredited the idea of a direct causative link for typical dietary intake. Mild digestive issues like bloating are possible for some people, but it is generally considered safe. For individuals with a metabolic condition, diabetes, or gut sensitivities, it is important to monitor consumption and consult a healthcare provider. Ultimately, trehalose offers a healthier, functional alternative to other sweeteners when used responsibly as part of a balanced diet.

Dietary Trehalose as a Bioactive Nutrient - PMC

Further Research and Considerations

While studies continue to unravel the full scope of trehalose's benefits, such as its potential effect on insulin sensitivity and inflammation, the scientific community emphasizes the need for more large-scale human clinical trials. For now, it represents a promising option for improving glucose tolerance and offering functional benefits in food science.

Future research areas:

  • Long-term effects on the gut microbiome
  • Clinical validation of autophagy induction and its therapeutic potential
  • Mechanistic studies to better understand its metabolic pathways

Frequently Asked Questions

No, trehalose does not cause a significant spike in blood sugar. It is digested slowly, which provides a gradual release of glucose into the bloodstream, resulting in a low glycemic response.

Trehalose's low glycemic index makes it a potentially beneficial sugar alternative for people with diabetes, as it causes a milder insulin response than table sugar. However, diabetics should consult their doctor and monitor their blood glucose levels closely.

Yes, some people may experience mild gastrointestinal discomfort, bloating, or gas from trehalose, especially in large amounts. It can also cause diarrhea in individuals with a rare genetic trehalase deficiency.

No, the link is not proven. While initial studies in mice raised concerns, subsequent research and epidemiological analysis in humans have found no evidence linking dietary trehalose consumption to an increased risk or severity of C. difficile infection.

Autophagy is a cellular process that cleans out damaged or unnecessary cell components. Some studies suggest that trehalose can induce or activate autophagy, which is linked to potential benefits in neurodegenerative and metabolic diseases.

Trehalose is about 45% as sweet as sucrose, is digested much more slowly, and has a lower impact on blood sugar. It also offers functional benefits like moisture retention and protein stabilization that sucrose lacks.

Trehalose is naturally present in foods such as mushrooms (especially shiitake), honey, certain seaweeds, and yeast.

References

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Medical Disclaimer

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