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Erythritol

Drugs and Chemicals · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

A four-carbon sugar that is found in algae, fungi, and lichens.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (954 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A four-carbon sugar that is found in algae, fungi, and lichens. It is twice as sweet as sucrose and can be used as a coronary vasodilator.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Where it fits in the MeSH classification

Broader topics
Sugar Alcohols
Narrower topics
Erythrityl Tetranitrate

Research landscape

PubMed indexes 1,450 records tagged with the MeSH heading “Erythritol” (counts retrieved 2026-10-31). 314 of them (21.7%) were published from 2020 onward, and the busiest period so far is through 1999 with 532 records.

Reviews account for 93 records (6.4%) and meta-analyses for 3. Randomized controlled trials number 54 (3.7%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 532 records; 2000-2009: 266 records; 2010-2019: 338 records; 2020 onward: 314 records532through 19992662000-20093382010-20193142020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999532
2000-2009266
2010-2019338
2020 onward314
Share of records by publication typeReviews: 6.4 percent; Meta-analyses: 0.2 percent; Randomized controlled trials: 3.7 percentReviews6.4% (93)Meta-analyses0.2% (3)Randomized controlled trials3.7% (54)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,450 PubMed records
TypeRecordsShare
Reviews936.4%
Meta-analyses30.2%
Randomized controlled trials543.7%

Method: PubMed query "Erythritol"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in drugs and chemicals

Studies of a chemical or drug can answer very different questions: what it is and how it behaves in cells and animals, how the body handles it, and whether it changes outcomes in people. Laboratory and animal findings often do not carry over to patients, and observational studies of exposures are confounded by who uses a substance and why. Nothing on this page is a recommendation to use, avoid, start or stop any substance or medicine; talk to a qualified clinician or pharmacist about your own situation. Check the dose, the species, the comparison group and whether a patient-relevant outcome was measured.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Production of erythritol and mannitol by Yarrowia lipolytica yeast in media containing glycerol
Tomaszewska L, Rywińska A, Gładkowski W
2012Research article
Design not recorded in structured metadata
110cc by
PMID 22648525 · DOI · PMC3424290
Biosynthesis of β-carotene in engineered E. coli using the MEP and MVA pathways
Yang J, Guo L
2014Research article
Design not recorded in structured metadata
100cc by
PMID 25403509 · DOI · PMC4239400
Metabolite profiling identified methylerythritol cyclodiphosphate efflux as a limiting step in microbial isoprenoid production
Zhou K, Zou R, Stephanopoulos G, Too HP
2012Research article
Design not recorded in structured metadata
77cc by
PMID 23133596 · DOI · PMC3487848
Impact of Erythritol Air-Polishing on Titanium Implant Surface Properties and Bacterial Colonization: An In Vitro Study
Sivolella S, Brunello G, Lotta E, Stocchero M, Meneghello R, Brun P
2026Research article
Design not recorded in structured metadata
2cc by
PMID 41532175 · DOI · PMC12800741

Production of erythritol and mannitol by Yarrowia lipolytica yeast in media containing glycerol [1]

Research article Tomaszewska L, Rywińska A, Gładkowski W · · 2012 · cited 110 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Glycerol is a by-product generated in large amounts during the production of biofuels.
Closing excerpt
The results from this study indicate that NaCl addition to the medium improves erythritol biosynthesis, and simultaneously inhibits mannitol formation.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (195 words)

Glycerol is a by-product generated in large amounts during the production of biofuels. This study presents an alternative means of crude glycerol valorization through the production of erythritol and mannitol. In a shake-flasks experiment in a buffered medium, nine Yarrowia lipolytica strains were examined for polyols production. Three strains (A UV'1, A-15 and Wratislavia K1) were selected as promising producers of erythritol or/and mannitol and used in bioreactor batch cultures and fed-batch mode. Pure and biodiesel-derived crude glycerol media both supplemented (to 2.5 and 3.25 %) and not-supplemented with NaCl were applied. The best results for erythritol biosynthesis were achieved in medium with crude glycerol supplemented with 2.5 % NaCl. Wratislavia K1 strain produced up to 80.0 g l⁻¹ erythritol with 0.49 g g⁻¹ yield and productivity of 1.0 g l⁻¹ h⁻¹. Erythritol biosynthesis by A UV'1 and A-15 strains was accompanied by the simultaneous production of mannitol (up to 27.6 g l⁻¹). Extracellular as well as intracellular erythritol and mannitol ratios depended on the glycerol used and the presence of NaCl in the medium. The results from this study indicate that NaCl addition to the medium improves erythritol biosynthesis, and simultaneously inhibits mannitol formation.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 22648525 · DOI · PMC3424290

Biosynthesis of β-carotene in engineered E. coli using the MEP and MVA pathways [2]

Research article Yang J, Guo L · · 2014 · cited 100 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Backgroundβ-carotene is a carotenoid compound that has been widely used not only in the industrial production of pharmaceuticals but also as nutraceuticals, animal feed additives, functional cosmetics, and food colorants.
Closing excerpt
coli BL21(DE3) with the optimized MEP (methylerythritol 4-phosphate) pathway, the gene for GPPS2 from Abies grandis, the hybrid MVA (mevalonate) pathway and β-carotene synthesis genes from Erwinia herbicola.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (327 words)

Backgroundβ-carotene is a carotenoid compound that has been widely used not only in the industrial production of pharmaceuticals but also as nutraceuticals, animal feed additives, functional cosmetics, and food colorants. Currently, more than 90% of commercial β-carotene is produced by chemical synthesis. Due to the growing public concern over food safety, the use of chemically synthesized β-carotene as food additives or functional cosmetic agents has been severely controlled in recent years. This has reignited the enthusiasm for seeking natural β-carotene in large-scale fermentative production by microorganisms.ResultsTo increase β-carotene production by improving the isopentenyl pyrophosphate (IPP) and geranyl diphospate (GPP) concentration in the cell, the optimized MEP (methylerythritol 4-phosphate) pathway containing 1-deoxy-D-xylulose-5-phosphate synthase (DXS) and isopentenyl pyrophosphate isomerase (FNI) from Bacillus subtilis, geranyl diphosphate synthase (GPPS2) from Abies grandis have been co-expressed in an engineered E. coli strain. To further enhance the production of β-carotene, the hybrid MVA (mevalonate) pathway has been introduced into an engineered E. coli strain, co-expressed with the optimized MEP pathway and GPPS2. The final genetically modified strain, YJM49, can accumulate 122.4±6.2 mg/L β-carotene in flask culture, approximately 113-fold and 1.7 times greater than strain YJM39, which carries the native MEP pathway, and YJM45, which harbors the MVA pathway and the native MEP pathway, respectively. Subsequently, the fermentation process was optimized to enhance β-carotene production with a maximum titer of 256.8±10.4 mg/L. Finally, the fed-batch fermentation of β-carotene was evaluated using the optimized culture conditions. After induction for 56 h, the final engineered strain YJM49 accumulated 3.2 g/L β-carotene with a volumetric productivity of 0.37 mg/(L · h · OD600) in aerobic fed-batch fermentation, and the conversion efficiency of glycerol to β-carotene (gram to gram) reached 2.76%.ConclusionsIn this paper, by using metabolic engineering techniques, the more efficient biosynthetic pathway of β-carotene was successfully assembled in E. coli BL21(DE3) with the optimized MEP (methylerythritol 4-phosphate) pathway, the gene for GPPS2 from Abies grandis, the hybrid MVA (mevalonate) pathway and β-carotene synthesis genes from Erwinia herbicola.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 25403509 · DOI · PMC4239400

Metabolite profiling identified methylerythritol cyclodiphosphate efflux as a limiting step in microbial isoprenoid production [3]

Research article Zhou K, Zou R, Stephanopoulos G, Too HP · · 2012 · cited 77 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Isoprenoids are natural products that are all derived from isopentenyl diphosphate (IPP) and dimethylallyl diphosphate (DMAPP).
Closing excerpt
This study demonstrated the necessity to quantify metabolites enabling the identification of a hitherto unrecognized pathway and provided useful insights into rational design in metabolic engineering.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (198 words)

Isoprenoids are natural products that are all derived from isopentenyl diphosphate (IPP) and dimethylallyl diphosphate (DMAPP). These precursors are synthesized either by the mevalonate (MVA) pathway or the 1-Deoxy-D-Xylulose 5-Phosphate (DXP) pathway. Metabolic engineering of microbes has enabled overproduction of various isoprenoid products from the DXP pathway including lycopene, artemisinic acid, taxadiene and levopimaradiene. To date, there is no method to accurately measure all the DXP metabolic intermediates simultaneously so as to enable the identification of potential flux limiting steps. In this study, a solid phase extraction coupled with ultra performance liquid chromatography mass spectrometry (SPE UPLC-MS) method was developed. This method was used to measure the DXP intermediates in genetically engineered E. coli. Unexpectedly, methylerythritol cyclodiphosphate (MEC) was found to efflux when certain enzymes of the pathway were over-expressed, demonstrating the existence of a novel competing pathway branch in the DXP metabolism. Guided by these findings, ispG was overexpressed and was found to effectively reduce the efflux of MEC inside the cells, resulting in a significant increase in downstream isoprenoid production. This study demonstrated the necessity to quantify metabolites enabling the identification of a hitherto unrecognized pathway and provided useful insights into rational design in metabolic engineering.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 23133596 · DOI · PMC3487848

Impact of Erythritol Air-Polishing on Titanium Implant Surface Properties and Bacterial Colonization: An In Vitro Study [4]

Research article Sivolella S, Brunello G, Lotta E, Stocchero M, Meneghello R, Brun P · · 2026 · cited 2 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
ObjectivesThis study aimed to investigate the effect of erythritol air-polishing on implant surface topography and bacterial colonization, and to determine the antimicrobial activity of erythritol powder.
Closing excerpt
Clinical relevanceErythritol air-polishing could be repeatedly used in supportive peri-implant care programmes.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (234 words)

ObjectivesThis study aimed to investigate the effect of erythritol air-polishing on implant surface topography and bacterial colonization, and to determine the antimicrobial activity of erythritol powder.Materials and methodsTitanium implants, with machined/acid-etched hybrid design, were divided into three groups: erythritol air-polishing for 1 min (E1), 5 min (E5), and untreated control. Surface analysis was performed using a stylus profilometer and scanning electron microscope (SEM). To test the ability to prevent biofilm formation, four bacteria strains (Staphylococcus aureus, Klebsiella pneumoniae, Streptococcus mutans, Streptococcus sanguinis) were separately cultured on five implants per group and colony counting was performed. The intrinsic erythritol antibacterial activity was investigated by means of minimum inhibitory concentration against the same strains.ResultsAt SEM analysis implant surfaces appeared unaltered by air-polishing and presented increasing amount of residues depending on the treatment duration. Machined surfaces exhibited no significant differences in roughness parameters between the groups. On acid-etched surfaces, E5 presented significantly lower Ra (vs. E1 and control) and Rz (vs. control). The count of colonies was significantly lower for all bacterial strains on treated implants as compared to control, with E1 and E5 being equally capable to reduce by 1.5 log bacteria growth. Erythritol antimicrobial activity against all tested bacterial strains was confirmed.ConclusionsThe proposed erythritol air-polishing protocols did not alter implant surfaces and the antimicrobial properties of erythritol are conserved by the titanium implant surfaces.Clinical relevanceErythritol air-polishing could be repeatedly used in supportive peri-implant care programmes.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41532175 · DOI · PMC12800741

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Network analysis of the MVA and MEP pathways for isoprenoid synthesis [5]
    Vranová E, Coman D, Gruissem W · Annu Rev Plant Biol · 2013 · cited 749 times (Europe PMC)
  • Research article Elucidation of the methylerythritol phosphate pathway for isoprenoid biosynthesis in bacteria and plastids. A metabolic milestone achieved through genomics [6]
    Rodríguez-Concepción M, Boronat A · Plant Physiol · 2002 · cited 506 times (Europe PMC)
  • Research article Biosynthesis of isoprenoids via the non-mevalonate pathway [7]
    Eisenreich W, Bacher A, Arigoni D, Rohdich F · Cell Mol Life Sci · 2004 · cited 397 times (Europe PMC)
  • Research article Unravelling the regulatory mechanisms that modulate the MEP pathway in higher plants [8]
    Cordoba E, Salmi M, León P · J Exp Bot · 2009 · cited 217 times (Europe PMC)
  • Research article Methylerythritol phosphate pathway of isoprenoid biosynthesis [9]
    Zhao L, Chang WC, Xiao Y, Liu HW, Liu P · Annu Rev Biochem · 2013 · cited 214 times (Europe PMC)
  • Research article Methylerythritol 4-phosphate (MEP) pathway metabolic regulation [10]
    Banerjee A, Sharkey TD · Nat Prod Rep · 2014 · cited 208 times (Europe PMC)

References

  1. Tomaszewska L, Rywińska A, Gładkowski W. Production of erythritol and mannitol by Yarrowia lipolytica yeast in media containing glycerol. . 2012. PMID 22648525 · DOI · PMC3424290
  2. Yang J, Guo L. Biosynthesis of β-carotene in engineered E. coli using the MEP and MVA pathways. . 2014. PMID 25403509 · DOI · PMC4239400
  3. Zhou K, Zou R, Stephanopoulos G, Too HP. Metabolite profiling identified methylerythritol cyclodiphosphate efflux as a limiting step in microbial isoprenoid production. . 2012. PMID 23133596 · DOI · PMC3487848
  4. Sivolella S, Brunello G, Lotta E, Stocchero M, Meneghello R, Brun P. Impact of Erythritol Air-Polishing on Titanium Implant Surface Properties and Bacterial Colonization: An In Vitro Study. . 2026. PMID 41532175 · DOI · PMC12800741
  5. Vranová E, Coman D, Gruissem W. Network analysis of the MVA and MEP pathways for isoprenoid synthesis. Annu Rev Plant Biol. 2013. PMID 23451776 · DOI
  6. Rodríguez-Concepción M, Boronat A. Elucidation of the methylerythritol phosphate pathway for isoprenoid biosynthesis in bacteria and plastids. A metabolic milestone achieved through genomics. Plant Physiol. 2002. PMID 12427975 · DOI
  7. Eisenreich W, Bacher A, Arigoni D, Rohdich F. Biosynthesis of isoprenoids via the non-mevalonate pathway. Cell Mol Life Sci. 2004. PMID 15197467 · DOI · PMC11138651
  8. Cordoba E, Salmi M, León P. Unravelling the regulatory mechanisms that modulate the MEP pathway in higher plants. J Exp Bot. 2009. PMID 19584121 · DOI
  9. Zhao L, Chang WC, Xiao Y, Liu HW, Liu P. Methylerythritol phosphate pathway of isoprenoid biosynthesis. Annu Rev Biochem. 2013. PMID 23746261 · DOI · PMC5031371
  10. Banerjee A, Sharkey TD. Methylerythritol 4-phosphate (MEP) pathway metabolic regulation. Nat Prod Rep. 2014. PMID 24921065 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

1,450
PubMed records on this heading
22%
published since 2020
93
review articles
54
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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