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Effects of drugs on olfaction and taste.

The fact that so many varied medications reportedly affect taste and smell is a testament to the complexity of the gustatory and olfactory systems. The reception, transduction, propagation, and perception of a chemical tastant or odorant requires the effective operation of numerous mechanisms--all of which may be susceptible in one way or another to a prescribed medication. Just as a diuretic may block the apical ion channels on a taste bud, or an antifungal can inhibit cytochrome p450-dependent enzymes at the level of the receptors, a chemotherapeutic agent can destroy mitosis in a replicating receptor cell and a steroid can lead to candidal overgrowth on the tongue surface. Medications not only have a perceivable taste themselves at times, but they can alter the mechanisms responsible for the ultimate perception of tastes and smells--either by direct or secondary means. It should be emphasized, as noted earlier in this article, that while many medications are to blame for the impairment or distortion of the gustatory or olfactory systems, it is not uncommon that the underlying medical problem for which they are prescribed is actually the culprit. Examples include epilepsy, migraines, hypothyroidism, schizophrenia, infections, and cancer. In fact, simple partial seizures emanating from regions of the brain such as the amygdala, hippocampus, parietal operculum, and rolandic operculum can lead to the chemosensory sensations that are most commonly considered unpleasant, such as "rotten apples," "cigarette," "peculiar," or "vomitus". While removing or changing an offending medication can reverse the effects on smell or taste perception, it is important to remember that lasting impairment may occur. This is vital for a physician to recognize prior to prescribing a medication. It is also necessary to report this to patients who may be devastated by chemosensory alterations after starting a new medication (eg, pastry chef, perfumist, wine specialist, plumber). Among the "risks" in a risks/benefits discussion with a patient regarding the use of a new medication, alterations in olfaction and taste appear to play an increasingly recognized role.

Drug-Related Side Effects and Adverse Reactions↗

Effects of head injury on olfaction and taste.

Traumatic events such as motor vehicle accidents, falls, or assaults can lead to dysfunction in olfaction or gustation. Mechanisms of posttraumatic olfactory dysfunction include direct injury to the sinonasal tract or olfactory epithelium, shearing effect on olfactory fibers at the cribriform plate, or brain contusion or intraparenchymal hemorrhage. Posttraumatic gustatory dysfunction is rare, but may occur as a result of direct injury to the tongue, injury to cranial nerves VII or IX, or brain contusion or hemorrhage. Evaluation of head-injured patients presenting with olfactory or gustatory complaints should include a thorough history, including assessment for pre-and posttraumatic chemosensory dysfunction and potential mechanisms of injury, complete head and neck examination including nasal endoscopy and cranial nerve testing, and focused radiographic imaging, usually CT of the sinuses and skull base. Formal olfactory and gustatory testing may be performed using various techniques, although in cases potentially involving litigation, methodologies able to detect malingering should be used. Treatable causes of chemosensory disturbance, most notably conductive olfactory losses caused by chronic rhinosinusitis or nasal obstruction, should be ruled out. In the event of neurosensory deficits, recovery may occur up to 12 to 18 months after the traumatic event. All patients should be counseled regarding the risks of their chemosensory deficits, and given suggestions for appropriate compensatory strategies.

Brain↗

The influence of olfaction on potentiation and inhibition of ultrasonic vocalization of rat pups.

Twelve-day-old isolated rat pups reduce their rates of ultrasonic vocalization (USV) when an anesthetized adult is placed into the test cage, whether the adult is their dam or an unfamiliar male. USV rates remain very low even after removal of the male (inhibition). However, after removal of the dam, pups greatly increase their rates of USV over their first isolation period (potentiation). USV potentiation can be induced by either an awake, normally behaving dam or by one that is anesthetized. To test the role of olfaction in inhibition and potentiation, PND12 pups were rendered anosmic via intranasal infusion of 5% zinc sulphate (ZnSO4). Control pups were infused with normal saline. After overnight separation from the dam, the USV and other behaviors of pups were recorded during a 6-min test. Each pup was tested during an initial isolation period and a final isolation period. In the first experiment, an anesthetized adult (dam or unfamiliar male) or no companion was placed in contact with the pup during the middle minute. Anosmia prevented both potentiation and inhibition of USV by passive adult contact. Thus, it seems likely that pups use olfactory discrimination as the basis for these two highly differentiated vocal responses to social stimuli. Results from two additional experiments demonstrate that anosmia does not prevent potentiation when the adult dam is active and interacting with the pup on either postnatal day 12 or 8.

Animals↗

Olfaction in persons with Alzheimer's disease.

The need for low cost, noninvasive procedures for aiding in the diagnosis and understanding of Alzheimer's Disease (AD) has led to theories and procedures examining the role of olfactory disorders because of the finding that the brains of AD patients invariably exhibit neuropathology in the hippocampus and entorhinal cortex. This loss correlates with the increase in the number of plaques and tangles and with the severity of dementia. Considered together, these findings suggest that brain structures closely related to the olfactory system demonstrate significant histopathology in AD. A comprehensive review of the literature pertaining to olfaction in persons with AD revealed that the olfactory identification ability of patients with memory disorders is impaired relative to controls. Consistency is lacking, however, when olfactory detection thresholds are investigated. Also, there is inconsistency in regards to severity of illness and olfactory function. In addition to differentiating AD patients from normals, the olfactory paradigm has shown some limited usefulness in differentiating AD patients from some other demented patients.

Aged↗

Clinical testing of olfaction reassessed.

Odours in current use for testing olfaction (e.g., peppermint, camphor) cause considerable trigeminal nerve stimulation; this would render them relatively inefficacious in the detection of lesions of the main olfactory pathway. Musks and floral odours are considered to be relatively 'pure' olfactory stimulants, acting virtually exclusively via the first cranial nerve. These odours have been compared with standard odours in a group of patients whose olfactory pathways had been damaged by frontal tumours, surgical operation, head injury, multiple sclerosis and miscellaneous causes. Hyposmia or anosmia was detected more frequently and more reliably by musks and floral odours in all groups of patients; a number of patients had gross deficits of odour description without hyposmia or anosmia. Two-thirds of an unselected group of patients with multiple sclerosis had olfactory abnormalities. A substantial improvement in the rate of detection of organic lesions affecting the olfactory pathway can be achieved by substituting odours such as musk ketone, exaltolide, linalyl acetate and coumarin for those in current use.

Humans↗

Olfaction and its alteration by nasal obstruction, rhinitis, and rhinosinusitis.

The sense of smell has been largely ignored by otorhinolaryngologists, even though 1) its medical stewardship falls within their specialty's purview, 2) olfactory dysfunction is not uncommon in the general population, and 3) disorders of olfaction have significant quality of life, nutritional, and safety consequences. This report provides a succinct overview of the major intranasal neural systems present in humans (namely, cranial nerves O, I, and V, and the nonfunctional accessory [vomeronasal] organ system), along with a summary of notable findings resulting from the application of modern olfactory tests to patient populations, emphasizing diseases of the nose. Such tests have led to the discovery of significant influences of age, gender, smoking, toxic exposure, and genetics on the ability to smell. Within the field of otorhinolaryngology, they have revealed that 1) surgical and medical interventions in patients with rhinosinusitis do not, on average, lead to complete recovery of olfactory function, despite common beliefs to the contrary, and 2) associations are generally lacking between measures of airway patency and olfactory function in such cases. These findings have thrown into question the dogma that olfactory loss in rhinosinusitis is attributable primarily to blockage of airflow to the receptors and have led to histopathological studies demonstrating significant olfactory epithelial compromise in sinonasal syndromes.

Cranial Nerves↗

The widespread influence of olfaction.

The full importance of olfaction has received minimal attention until recently renewed interest reveals that it becomes necessary not only for protection but also for digestion, memory, emotions, motor skills, and sexual performance. By reviewing the interrelationship of olfactory anatomical structures with the brain, examining precipitating factors contributing to olfactory disorders and recognizing the resulting pathophysiological conditions, nursing can contribute to future research by documenting systemic assessments which pay particular attention to the history of olfactory dysfunction.

Animals↗

[Olfaction dysfunction].

OBJECTIVE: To report of results obtained with the systematized boarding (physiopathology, diagnosis and treatment) to dysfunction of the smell that can affect the patient's life in significant form. MATERIAL AND METHOD: 58 patients were evaluated that went to the clinic with alterations in the olfaction or the pleasure, or both. The protocol includes a guided questionnaire, tests of identification of scent and threshold olfactory, rhinomanometry, nasal histogram, I simple study radiological of the roads breathing superiors and paranasals sinus, besides computer axial tomography and endoscopy. RESULTS: The most frequent cause in the olfactory dysfunction was the due mechanical obstruction to inflammatory processes, as chronic sinusitis and nasal polyposis, which obstruct the olfactory niche like complication; of the 58 patients, 48% belonged to this group. This inflammatory illness was divided, in turn, in allergy pure 25%, infectious 21% and pattern mixed 54%. The olfactory tests showed hyponia severe. In the general analysis the rest of the olfactory dysfunction was classified as postviral in 20%, posttraumatic in 12.1%, a group miscellaneous 8.6%, caused by toxins 6-9%, being a group of idiopathic cause in 3.4%.

Female↗

[Olfaction in laryngectomized patients: effect of the phonatory prosthesis].

We have studied olfaction in 20 laryngectomies, only 10 of which were supplied with phonatory prosthesis. We conclude that patients without prosthesis show a higher threshold for perception of pure olfactory stimulants, whereas in those provided with the prosthesis the pure olfactory threshold remains within normal values.

Adult↗

Oscillations and gaseous oxides in invertebrate olfaction.

Olfactory systems combine an extraordinary molecular sensitivity with robust synaptic plasticity. Central neuronal circuits that perform pattern recognition in olfaction typically discriminate between hundreds of molecular species and form associations between odor onsets and behavioral contingencies that can last a lifetime. Two design features in the olfactory system of the terrestrial mollusk Limax maximus may be common elements of olfactory systems that display the twin features of broad molecular sensitivity and rapid odor learning: spatially coherent oscillations in the second-order circuitry that receives sensory input; and involvement of the interneuronal messengers nitric oxide (NO) and carbon monoxide (CO) in sensory responses and circuit dynamics of the oscillating olfactory network. The principal odor processing center in Limax, the procerebrum (PC) of the cerebral ganglion, contains on the order of 10(5) local interneurons and receives both direct and processed input from olfactory receptors. Field potential recordings in the PC show an oscillation at approximately 0.7 Hz that is altered by odor input. Optical recordings of voltage changes in local regions of the PC show waves of depolarization that originate at the distal pole and propagate to the base of the PC. Weak odor stimulation transiently switches PC activity from a propagating mode to a spatially uniform mode. The field potential oscillation in the PC lobe depends on intercellular communication via NO, based on opposing effects of reagents that decrease or increase NO levels in the PC. Inhibition of NO synthase slows the field potential oscillation, while application of exogenous NO increases the oscillation frequency. A role for CO in PC dynamics is suggested by experiments in which CO liberation increases the PC oscillation frequency. These design features of the Limax PC lobe odor processing circuitry may relate to synaptic plasticity that subserves both connection of new receptors throughout the life of the slug and its highly developed odor learning ability.

Animals↗

The role of mosquito olfaction in oviposition site location and in the avoidance of unsuitable hosts.

Developments in the exploitation of mosquito olfaction are traced, in collaborative studies with various groups, from the first identification of a mosquito pheromone through to a discussion of non-host avoidance. The characterization of the oviposition pheromone for mosquitoes in the genus Culex, e.g. Culex quinquefasciatus, as a novel chiral lactone ester provided the impetus for a number of sophisticated asymmetric syntheses and economical large-scale routes to racemic products. The latter have provided material for successful field trials in three continents. During the course of this field work, we obtained evidence that semiochemicals originating directly from the oviposition site are essential for activity of the oviposition pheromone. Recent studies are elucidating the nature of these agents and their geographical variability. Initially, we used synthetic oviposition pheromone to attract mosquitoes to sites treated with a biorational larvicide. However, recyclable biological control agents offer better prospects for resource-poor regions. A biotechnological approach to pheromone production has been devised involving the generation of inexpensive starting materials by the cultivation of a higher plant. New studies on dipterous pests feeding on farm animals indicate a semiochemically based mechanism by which unsuitable individuals within the host species are avoided. There appears to be an analogous process in which mosquitoes avoid certain potential human hosts, thereby raising prospects for the development of novel, rationally identified repellents once the semiochemical/olfactory interactions have been fully elucidated.

Animals↗

Diademed sifakas (Propithecus diadema) use olfaction to forage for the inflorescences of subterranean parasitic plants (Balanophoraceae: Langsdorffia sp., and Cytinaceae: Cytinus sp.).

Primates usually locate food resources using visual cues and memory, yet the potential for olfactory-guided (or olfactory-assisted) food location remains relatively unexplored. Here we report observations of wild Propithecus diadema that strongly suggest that olfaction is used to locate the inflorescences of two subterranean parasitic plant species (Langsdorffia sp. and Cytinus sp.). These valued but seasonal food resources are found obscured in leaf litter, and sifakas spend considerable time on the ground engaged in what appears to be olfactory exploration before they locate the inflorescences. Because they are visually obscured and occur within a substrate that is rarely used by sifakas, accidental discovery of these resources seems unlikely. Individuals may learn to exploit them by watching conspecifics.

Animals↗

Involvement of specific placental antigen X-P2 in rat olfaction: an immunohistochemical study in the olfactory bulb.

Human placental antigen X-P2 (hPAX-P2), an antigen complex associated with cytochrome P-450 of aromatase within estrogen synthesizing tissues, has been reported to be present in a distinct group of rat primary olfactory receptors involved in suckling behavior. In this study, most of the mitral and tufted cells in the rat olfactory bulb were found to possess hPAX-P2 immunoreactivity. This suggests that the activity of these cells can be hormonally modulated and that hPAX-P2 is involved in rat olfaction not only at the receptor level but also at integrative brain levels via the secondary projecting neurons of the olfactory pathway.

Animals↗

Ultrastructural studies on membrane, cytoskeletal, mucous, and protective compartments in olfaction.

There is a great variety in the morphological appearance of olfactory structures across the metazoan animal kingdom. Despite this variety the receptive structures themselves have a strikingly similar architecture, namely some type of elongated cellular extension that is spanned by a membrane and surrounded by mucus. These cellular extensions can either be modified primary or secondary cilia, or microvilli. There are more similarities between membranes of these extensions than between the cytoskeletal elements immediately underneath the membranes. One might infer that the cytoskeletal elements of the cellular extensions merely serve as a scaffold for the membranes, whereas the similarity in membrane ultrastructure provides morphological evidence supporting the concept that these membranes are responsible for the initial olfactory transduction process. The transduced message is transported to the brain, where it is decoded to initiate the cascade of events resulting in the organisms' appropriate behavioral response to the initial odorous stimulus. The varying appearance of olfactory structures across the animal kingdom is probably produced by evolutionary pressure to adapt the olfactory system to the animal's environment. This review deals with the ultrastructural aspects of these facets of olfaction.

Animals↗

Influence of PROP-sensitivity on taste perceptions and hedonics in French women. A study performed without retronasal olfaction.

Detection threshold for the taste of PROP (6-n-propyl thiouracil) in aqueous solution was determined in 173 French Caucasian women deprived of retronasal olfaction by blowing an air stream into the nostrils. As expected, the detection thresholds were bimodally distributed, although as many as 73% of the subjects had thresholds above the antimode concentration and therefore qualified as non-tasters. Detection threshold, difference threshold, intensity perceptions and preference ratings were then determined for NaCl, sucrose, caffeine, Na saccharin and naringin in 20 tasters and 20 non-tasters. No differences were found between tasters and non-tasters for detection or difference thresholds of the various tastants. Intensity and preference ratings for solutions of NaCl, saccharin or caffeine were not influenced by taster status. Although ratings of sweetness intensity for sucrose solutions did not differ between tasters and non-tasters, concentrated sucrose solutions were more disliked by non-tasters than by tasters. Non-tasters rated naringin solutions as more bitter than tasters, but naringin preference ratings were independent of taster status. Some of these findings were unexpected and further studies are required to find out whether they stem from the odour-preventing procedure or are of biological or cultural origin.

Adult↗

The use of olfaction in the foraging behaviour of the golden-mantled flying fox, Pteropus pumilus, and the greater musky fruit bat, Ptenochirus jagori (Megachiroptera: Pteropodidae).

Double-choice experiments with three adult males of the little golden-mantled flying fox, Pteropus pumilus, and ten adult greater musky fruit bats, Ptenochirus jagori (both Megachiroptera: Pteropodidae), demonstrate that they are able to discriminate accurately between an empty dish and a dish containing fruits of one of several species by odour alone. Tests were run using fruits of six fruit species for Pteropus pumilus and five fruit species for Ptenochirus jagori. The fruit species used are known to be consumed in the wild by Ptenochirus jagori and are, with two exceptions, species of the natural rain-forest habitat. This is the first study to show that fruit bats are also able to assess the ripeness of a fruit exclusively by its odour. The bats preferred ripe over unripe fruits of the same species. Thus, both Pteropus pumilus and Ptenochirus jagori can not only locate fruits by their odour but can also discriminate between ripe and unripe fruits of the same species by olfaction. The results confirm and expand earlier findings on the role of olfactory cues in the orientation of foraging pteropodids.

Animals↗

Molecular biology of insect olfaction: recent progress and conceptual models.

Insects have an enormous impact on global public health as disease vectors and as agricultural enablers as well as pests and olfaction is an important sensory input to their behavior. As such it is of great value to understand the interplay of the molecular components of the olfactory system which, in addition to fostering a better understanding of insect neurobiology, may ultimately aid in devising novel intervention strategies to reduce disease transmission or crop damage. Since the first discovery of odorant receptors in vertebrates over a decade ago, much of our view on how the insect olfactory system might work has been derived from observations made in vertebrates and other invertebrates, such as lobsters or nematodes. Together with the advantages of a wide range of genetic tools, the identification of the first insect odorant receptors in Drosophila melanogaster in 1999 paved the way for rapid progress in unraveling the question of how olfactory signal transduction and processing occurs in the fruitfly. This review intends to summarize much of this progress and to point out some areas where advances can be expected in the near future.

Animals↗