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Xylitol is a chemical compound with the formula , or HO(CH2)(CHOH)3(CH2)OH; specifically, one particular with that structural formula. It is a colorless or white solid. It is classified as a and a , specifically an . Of the common sugar alcohols, only is more soluble in water.

The name derives from , xylon 'wood', with the suffix -itol used to denote it being a sugar alcohol.

Xylitol is used as a and . Its is E967.

Replacing with xylitol in food products may promote better dental health, but evidence is lacking on whether xylitol itself prevents . In the United States, xylitol is used as a common , and is considered to be safe for humans.

Xylitol can be toxic to and .


History
, a German chemist, and his assistant Rudolf Stahel isolated a new compound from wood chips in September 1890 and named it Xylit, after the Greek word for wood. The following year, the French chemist M. G. Bertrand isolated xylitol syrup by processing wheat and oat straw. Sugar rationing during World War II led to an interest in sugar substitutes. Interest in xylitol and other polyols became intense, leading to their characterization and manufacturing methods.


Structure, production, commerce
Xylitol is one of three 5-carbon sugar alcohols. The others are and . These three compounds differ in the stereochemistry of the three secondary alcohol groups.

Xylitol occurs naturally in small amounts in plums, strawberries, cauliflower, and pumpkin; humans and many other animals make trace amounts during of . Unlike most sugar alcohols, xylitol is achiral.

(2025). 9780813826653, John Wiley & Sons. .
Most other of pentane-1,2,3,4,5-pentol are chiral, but xylitol has a plane of symmetry.

Industrial production starts with lignocellulosic biomass from which is extracted; raw biomass materials include , , and agricultural waste from processing maize, wheat, or rice. The mixture is hydrolyzed with acid to give . The xylose is purified by . Purified is catalytically into xylitol using a catalyst.

(2025). 9783527303854
The conversion changes the sugar (xylose, an ) into the , xylitol.

Xylitol can also be obtained by industrial fermentation, but this methodology is not as economical as the acid hydrolysis/chromatography route described above. Fermentation is effected by bacteria, fungi, or yeast, especially Candida tropicalis.

According to the US Department of Energy, xylitol production by from discarded is one of the most valuable renewable chemicals for commerce, forecast to be a US $1.41 billion industry by 2025.


Uses
Xylitol is used as a sugar substitute in such manufactured products as , dietary supplements, , , and , but is not a common household sweetener.

Xylitol has negligible effects on because its assimilation and metabolism are independent of . It is approved as a food additive and sugar substitute in the United States.

Xylitol is also found as an additive to saline solution for and has been reported to be effective in improving symptoms of chronic .

Xylitol can also be incorporated into fabrics to produce a cooling fabric. When moisture, such as sweat, comes into contact with the xylitol embedded in the fabric, it produces a cooling sensation.


Food properties

Nutrition, taste, and cooking
Humans absorb xylitol more slowly than sucrose, and xylitol supplies 40% fewer calories than an equal mass of sucrose.

Xylitol has about the same sweetness as , but is sweeter than similar compounds like and .

Xylitol is stable enough to be used in baking, but because xylitol and other polyols are more heat-stable, they do not as sugars do. When used in foods, they lower the freezing point of the mixture.


Food risks
No serious health risk exists in most humans for normal levels of consumption. The European Food Safety Authority has not set a limit on daily intake of xylitol. Due to the adverse effect that all polyols have on the digestive system in high doses, xylitol is banned from soft drinks in the . Similarly, due to a 1985 report by the E.U. Scientific Committee on Food which states that "ingesting 50 g a day of xylitol can cause ", tabletop sweeteners (as well as other products containing xylitol) are required to display the warning "Excessive consumption may induce laxative effects".


Metabolism
Xylitol has 2.4 kilocalories of per gram of xylitol (10 kilojoules per gram) according to U.S. and food-labeling regulations.

The real value can vary, depending on metabolic factors.

Primarily, the liver metabolizes absorbed xylitol. The main metabolic route in humans occurs in , via nonspecific NAD-dependent dehydrogenase (polyol dehydrogenase), which transforms xylitol to . Specific phosphorylates it to -xylulose-5-phosphate. This then goes to pentose phosphate pathway for further processing.

About 50% of eaten xylitol is absorbed via the intestines. Of the remaining 50% that is not absorbed by the intestines, in humans, 50–75% of the xylitol remaining in the gut is fermented by into short-chain organic acids and gases, which may produce . The remnant unabsorbed xylitol that escapes fermentation is excreted unchanged, mostly in feces; less than 2 g of xylitol out of every 100 g ingested is excreted via urine.

Xylitol ingestion also increases secretion, which may be related to xylitol's ability to cause diarrhea.

The less-digestible but fermentable nature of xylitol also contributes to constipation relieving effects.


Health effects

Dental care
A 2015 of ten studies between 1991 and 2014 suggested a positive effect in reducing of xylitol-containing toothpastes when compared to fluoride-only toothpaste, but there was insufficient evidence to determine whether other xylitol-containing products can prevent tooth decay in infants, children or adults. Subsequent reviews support the belief that xylitol can suppress the growth of pathogenic in the mouth, thereby reducing dental cavities and , although there is concern that swallowed xylitol may cause intestinal dysbiosis. A 2022 review suggested that xylitol-containing decreases plaque, but not xylitol-containing candy.


Earache
In 2011 "concluded that there was not enough evidence to support" the claim that xylitol-sweetened gum could prevent middle-ear infections, also known as acute otitis media (AOM).

A 2016 review indicated that xylitol in chewing gum or a syrup may have a moderate effect in preventing AOM in healthy children.

It may be an alternative to conventional therapies (such as ) to lower risk of earache in healthy children – reducing risk of occurrence by 25%

 – although there is no definitive proof that it could be used as a therapy for earache.


Diabetes
In 2011, EFSA approved a marketing claim that foods or beverages containing xylitol or similar sugar replacers cause lower blood glucose and lower responses compared to sugar-containing foods or drinks.

Xylitol products are used as substitutes for weight control,

as xylitol has 40% fewer calories than sucrose (2.4 kcal/g compared to 4.0 kcal/g for sucrose).

(2025). 9780128094389, Elsevier.
The (GI) of xylitol is only 7% of the GI for .


Adverse effects

Humans
When ingested at high doses, xylitol and other polyols may cause discomfort, including , , and irritable bowel syndrome (see Metabolism above); some people experience the adverse effects at lower doses.

Xylitol has a lower threshold than some but is more easily tolerated than and .

Increased xylitol consumption can increase oxalate, calcium, and phosphate excretion to urine (termed , , and , respectively). These are known risk factors for kidney stone disease, but despite that, xylitol has not been linked to kidney disease in humans.


Dogs and other animals
Xylitol is poisonous to . Ingesting 100 milligrams of xylitol per kilogram of body weight (mg/kg bw) causes dogs to experience a dose-dependent release; depending on the dose it can result in life-threatening . Hypoglycemic symptoms of xylitol toxicity may arise as quickly as 30 to 60 minutes after ingestion. Vomiting is a common first symptom, which can be followed by tiredness and . At doses above 500 mg/kg bw, is likely and may result in like disseminated intravascular coagulation.

It is also poisonous to .

Xylitol is safe for , , and .

A 2018 study suggests that xylitol is safe for in doses of up to 1000 mg/kg; however, this study was performed on only 6 cats and should not be considered definitive.

The American Society for the Prevention of Cruelty to Animals has never issued any warning about xylitol and cats. A 2022 article by the organisation explicitly lists xylitol as non-toxic.


See also


External links
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