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Sorbitol (), less commonly known as glucitol (), is a with a which the human body metabolizes slowly. It can be obtained by of , which changes the converted group (−CHO) to a primary alcohol group (−CH2OH). Most sorbitol is made from , but it is also found in nature, for example in apples, pears, peaches, and prunes. It is converted to by sorbitol-6-phosphate 2-dehydrogenase. Sorbitol is an of , another sugar alcohol; the two differ only in the orientation of the group on carbon2.Kearsley, M. W.; Deis, R. C. Sorbitol and Mannitol. In Sweeteners and Sugar Alternatives in Food Technology; Ames: Oxford, 2006; pp 249-249-261. While similar, the two sugar alcohols have very different sources in nature, , and uses.

As an over-the-counter drug, sorbitol is used as a to treat .


Synthesis
Sorbitol may be synthesised via a glucose reduction reaction in which the converted group is converted into a group. The reaction requires and is catalyzed by . Glucose reduction is the first step of the of glucose metabolism, and is implicated in multiple diabetic complications.

The mechanism involves a residue in the active site of aldehyde reductase. The hydrogen atom on NADH is transferred to the electrophilic aldehyde carbon atom; electrons on the aldehyde carbon-oxygen double bond are transferred to the oxygen that abstracts the proton on tyrosine side chain to form the hydroxyl group. The role of aldehyde reductase tyrosine phenol group is to serve as a general acid to provide proton to the reduced aldehyde oxygen on glucose.

Glucose reduction is not the major glucose metabolism pathway in a normal human body, where the is in the normal range. However, in diabetic patients whose blood glucose level is high, up to 1/3 of their glucose could go through the glucose reduction pathway. This will consume NADH and eventually leads to cell damage.


Uses

Sweetener
Sorbitol is a , and when used in food it has the and 420. Sorbitol is about 60% as sweet as sucrose (table sugar).

Sorbitol is referred to as a nutritive sweetener because it provides some dietary energy. It is partly absorbed from the small intestine and metabolized in the body, and partly fermented in the large intestine. The fermentation produces short-chain fatty acids, , , and , which are mostly absorbed and provide energy, but also , , and which do not provide energy. Even though the heat of combustion of sorbitol is higher than that of glucose (having two extra hydrogen atoms), the net energy contribution is between 2.5 and 3.4 per , versus the approximately 4 kilocalories (17 kilojoules) for carbohydrates. It is often used in (including diet drinks and ice cream), mints, , and sugar-free .

(2025). 9781111425647, Brooks/Cole.
Most bacteria cannot use sorbitol for energy, but it can be slowly fermented in the mouth by Streptococcus mutans, a bacterium that causes . In contrast, many other sugar alcohols such as and are considered non-acidogenic.

It also occurs naturally in many and berries from trees of the genus .

(2025). 9780716743392, W. H. Freeman. .


Medical applications

Laxative
As is the case with other , foods containing sorbitol can cause gastrointestinal distress. Sorbitol can be used as a when taken orally or as an . Sorbitol works as a laxative by drawing water into the , stimulating . Sorbitol has been determined safe for use by the elderly, although it is not recommended without the advice of a physician.

Sorbitol is commonly used orally as a one-time dose of 70% solution. It may also be used as a one-time enema.


Other medical applications
Sorbitol is used in bacterial culture media to distinguish the pathogenic from most other strains of , because it is usually unable to ferment sorbitol, unlike 93% of known E. coli strains.

A treatment for (elevated blood ) uses sorbitol and the resin sodium polystyrene sulfonate (tradename Kayexalate). The resin exchanges sodium ions for potassium ions in the bowel, while sorbitol helps to eliminate it. In 2010, the U.S. issued a warning of increased risk for gastrointestinal necrosis with this combination.

Sorbitol is also used in the manufacture of to store single doses of liquid medicines.


Health care, food, and cosmetic uses
Sorbitol often is used in modern as a and . It is also used in and . Some transparent can be made only with sorbitol, because of its high .

Sorbitol is used as a additive (mixed with and sodium poly) in the manufacture of , a processed fish paste. It is also used as a humectant in some .

Beyond its use as a sugar substitute in reduced-sugar foods, sorbitol is also used as a humectant in cookies and low-moisture foods like peanut butter and fruit preserves.

(2025). 9780203495728, CRC Press.
In baking, it is also valuable because it acts as a , and slows down the process.


Miscellaneous uses
A mixture of sorbitol and potassium nitrate has found some success as an solid . It has similar performance to sucrose-based , but is easier to cast, less hygroscopic and does not .

Sorbitol is identified as a potential key chemical intermediate for production of fuels from resources. fractions in biomass such as undergo sequential and in the presence of metal catalysts to produce sorbitol. Complete reduction of sorbitol opens the way to , such as , which can be used as a . Hydrogen required for this reaction can be produced by aqueous phase catalytic reforming of sorbitol.

19 C6H14O6 → 13 C6H14 + 36 CO2 + 42 H2O

The above chemical reaction is exothermic, and 1.5 moles of sorbitol generate approximately 1 mole of . When hydrogen is co-fed, no is produced.

Sorbitol based polyols are used in the production of foam for the construction industry.

It is also added after of yeasts in transformation protocols, allowing the cells to recover by raising the osmolarity of the medium.


Medical importance
is the first enzyme in the responsible for the reduction of glucose to sorbitol, as well as the reduction of to . Too much sorbitol trapped in retinal cells, the cells of the lens, and the that peripheral nerves, is a frequent result of long-term hyperglycemia that accompanies poorly controlled . This can damage these cells, leading to , and peripheral , respectively.

Sorbitol is fermented in the colon and produces short-chain fatty acids, which are beneficial to overall colon health.


Potential adverse effects
Sorbitol may cause allergic reactions in some people. Common side effects from use as a laxative are , vomiting, or rectal bleeding.


Compendial status
  • Food Chemicals Codex
  • European Pharmacopoeia 6.1
  • British Pharmacopoeia 2009
  • Japanese Pharmacopoeia 17


See also


External links
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