Dissociable Behavioral, Physiological and Neural Effects of Acute Glucose and Fructose Ingestion: A Pilot Study

PLoS One. 2015 Jun 24;10(6):e0130280. doi: 10.1371/journal.pone.0130280. eCollection 2015.

Abstract

Previous research has revealed that glucose and fructose ingestion differentially modulate release of satiation hormones. Recent studies have begun to elucidate brain-gut interactions with neuroimaging approaches such as magnetic resonance imaging (MRI), but the neural mechanism underlying different behavioral and physiological effects of glucose and fructose are unclear. In this paper, we have used resting state functional MRI to explore whether acute glucose and fructose ingestion also induced dissociable effects in the neural system. Using a cross-over, double-blind, placebo-controlled design, we compared resting state functional connectivity (rsFC) strengths within the basal ganglia/limbic network in 12 healthy lean males. Each subject was administered fructose, glucose and placebo on three separate occasions. Subsequent correlation analysis was used to examine relations between rsFC findings and plasma concentrations of satiation hormones and subjective feelings of appetite. Glucose ingestion induced significantly greater elevations in plasma glucose, insulin, GLP-1 and GIP, while feelings of fullness increased and prospective food consumption decreased relative to fructose. Furthermore, glucose increased rsFC of the left caudatus and putamen, precuneus and lingual gyrus more than fructose, whereas within the basal ganglia/limbic network, fructose increased rsFC of the left amygdala, left hippocampus, right parahippocampus, orbitofrontal cortex and precentral gyrus more than glucose. Moreover, compared to fructose, the increased rsFC after glucose positively correlated with the glucose-induced increase in insulin. Our findings suggest that glucose and fructose induce dissociable effects on rsFC within the basal ganglia/limbic network, which are probably mediated by different insulin levels. A larger study would be recommended in order to confirm these findings.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Behavior / drug effects*
  • Double-Blind Method
  • Fructose / administration & dosage*
  • Glucose / administration & dosage*
  • Humans
  • Nervous System / drug effects*
  • Pilot Projects
  • Placebos

Substances

  • Placebos
  • Fructose
  • Glucose

Grants and funding

BKW was funded by the Swiss National Science Foundation (SNSF: Marie Heim-Voegtlin subsidy PMPDP3-145486/1), SB, CB and RP receive grant support from the SNSF (grant no. 138 157) and AS was supported by FAG Basel. None of the authors has any competing interest to declare and the work was not supported by pharmaceutical industry grants. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.