Xylitol
is a widely used natural sweetener for the reduction of
excessive sugar consumption. However, concerns of xylitol consumption
existed as it is a highly permeable substance in the colon that could
cause diarrhea and other adverse symptoms. To assess the relationship
between xylitol dosage and diarrhea, especially the influences of
diarrhea on physiological characteristics, the immune system, and
gut microbiota in rats, the control, low-dose (L), medium-dose (M),
and high-dose (H) groups were fed with 0, 1, 3, and 10% of xylitol,
respectively, correspondingly for 15 days, followed by a 7-day recovery.
Only medium- and high-dose xylitol would cause diarrhea in rats. Quantitative
imaging of colonic tissue and the expression levels of proinflammatory
factors revealed a higher degree of immune responses in the rats from
H groups but statistically stable in M groups, despite that light
diarrhea was observed. A shift of the gut microbiota composition was
observed in the rats from H groups, including significant decreases
of genera Ruminococcaceae and Prevotella and a notable increase and colonization
of Bacteroides, accompanied with changes
of short-chain fatty acid production. Tolerance and adaptation to
xylitol consumption were observed in a dose-dependent manner. Our
findings demonstrate that diarrhea caused by the high dosage of xylitol
can exert distinctive changes on gut microbiota and lay the foundation
to explore the mechanism underlying the shift in gut microbiota composition.