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Worldwide study of the taste of bitter medicines and their modifiers. 世界范围内对苦药及其改进剂味道的研究。
IF 2.8 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf003
Ha Nguyen, Cailu Lin, Katherine Bell, Amy Huang, Mackenzie Hannum, Vicente Ramirez, Carol Christensen, Nancy E Rawson, Lauren Colquitt, Paul Domanico, Ivona Sasimovich, Riley Herriman, Paule Joseph, Oghogho Braimah, Danielle R Reed

The bitter taste of medicines hinders patient compliance, but not everyone experiences these difficulties because people worldwide differ in their bitterness perception. To better understand how people from diverse ancestries perceive medicines and taste modifiers, 338 adults, European and recent US and Canadian immigrants from Asia, South Asia, and Africa, rated the bitterness intensity of taste solutions on a 100-point generalized visual analog scale and provided a saliva sample for genotyping. The taste solutions were 5 medicines, tenofovir alafenamide (TAF), moxifloxacin, praziquantel, amodiaquine, and propylthiouracil (PROP), and 4 other solutions, TAF mixed with sucralose (sweet, reduces bitterness) or 6-methylflavone (tasteless, reduces bitterness), sucralose alone, and sodium chloride alone. Bitterness ratings differed by ancestry for 2 of the 5 drugs (amodiaquine and PROP) and for TAF mixed with sucralose. Genetic analysis showed that people with variants in 1 bitter receptor variant gene (TAS2R38) reported PROP was more bitter than did those with a different variant (P = 7.6e-19) and that people with either an RIMS2 or a THSD4 genotype found sucralose more bitter than did others (P = 2.6e-8, P = 7.9e-11, respectively). Our findings may help guide the formulation of bad-tasting medicines to meet the needs of those most sensitive to them.

药物的苦味妨碍了患者的依从性,但并非每个人都会遇到这些困难,因为世界各地的人对苦味的感知不同。为了更好地了解不同血统的人如何感知药物和味觉调节剂,338 名来自亚洲、南亚和非洲的欧洲成年人和新近移居美国和加拿大的成年人用 100 分通用视觉模拟量表对味觉溶液的苦味强度进行了评分,并提供了唾液样本用于基因分型。味觉溶液包括五种药物:替诺福韦阿拉菲酰胺(TAF)、莫西沙星、吡喹酮、阿莫地喹和丙基硫氧嘧啶(PROP),以及另外四种溶液:TAF与三氯蔗糖(甜味,可减轻苦味)或6-甲基黄酮(无味,可减轻苦味)混合溶液、三氯蔗糖单独溶液和氯化钠单独溶液。对于五种药物中的两种(阿莫地喹和 PROP)以及与蔗糖素(三氯蔗糖)混合的 TAF,不同血统的人对苦味的评价也不同。遗传分析表明,具有一种苦味受体变异基因(TAS2R38)的人比具有另一种变异基因的人认为 PROP 更苦(p= 7.6e-19),具有 RIMS2 或 THSD4 基因型的人比其他人认为三氯蔗糖更苦(p=2.6e-8,p=7.9e-11)。我们的研究结果可能有助于指导如何配制味道不好的药品,以满足对这些药品最敏感的人群的需求。
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引用次数: 0
Adult Drosophila aversion to caffeine requires a unique TrpA1 isoform and the PLC signaling cascade. 成年果蝇对咖啡因的厌恶需要独特的TrpA1异构体和PLC信号级联。
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf058
Romane Milleville, Jade Gillas, Amanda-Thuy La, Gérard Manière, Martine Berthelot-Grosjean, Yael Grosjean, Julien Royet, Cyril Leopold Kurz

Taste in Drosophila melanogaster is crucial to survival, influencing feeding, mating, and egg-laying behaviors. Taste organs are located on various parts of the body, including the legs, proboscis, wings, and ovipositor. Taste neurons detect chemicals via receptors like gustatory receptors, ionotropic receptors, and transient receptor potentials, with bitter and sweet tastes linked to specific neurons (Gr66a+ and Gr5a+). Bitter substances such as caffeine activate neurons, resulting in rejection behavior. TrpA1 channels, associated with aversive responses, are involved in complex behaviors and could interact with taste receptors. Our results show that caffeine mixed with sucrose reduces proboscis extension in flies compared to sucrose alone, a response that requires only the TrpA1-E isoform out of the 5 possible ones. Furthermore, our data demonstrate that this avoidance requires TrpA1 and signaling via phospholipase C and inositol trisphosphate receptors in adult Gr66a+ neurons.

味觉对果蝇的生存至关重要,它影响着果蝇的觅食、交配和产卵行为。味觉器官分布在身体的各个部位,包括腿、喙、翅膀和产卵器。味觉神经元通过GRs、IRs和trp等受体检测化学物质,苦味和甜味与特定神经元(Gr66a+和Gr5a+)有关。苦味物质如咖啡因会激活神经元,导致排斥行为。TrpA1通道与厌恶反应有关,参与复杂的行为,并可能与味觉受体相互作用。我们的研究结果表明,与单独使用蔗糖相比,咖啡因与蔗糖混合会减少果蝇的长鼻,这种反应只需要五种可能的TrpA1-E异构体中的一种。此外,我们的数据表明,这种避免需要TrpA1和成年Gr66a+神经元中PLC和ip3受体的信号传导。
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引用次数: 0
Odors as cognitive constructs: history of odor classification and attempts to map odor percepts to physical and chemical parameters. 气味作为认知结构:气味分类的历史和尝试将气味感知映射到物理和化学参数。
IF 2.8 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf022
Richard L Doty

Attempts to map odor percepts to physical and chemical parameters have a long and challenging history. In contrast to color vision, where three classes of photoreceptors respond to the same stimulus property (wavelength), ~400 classes of olfactory receptors are available to respond in a non-linear non-additive fashion to ~5000 different chemical parameters. Theoretically, millions of permutations between structural elements of chemicals and their smells are possible, and some chemicals with different structures have the same odor and vice versa. Importantly, the same odor quality can come from multiple environmental objects and most odors depend upon the synthesis of a complex melody of volatile chemicals that individually can have dissimilar smells. At the individual receptor level, both agonists and antagonists within a mixture can impact receptor function. Hence, it is perhaps not surprising that no universal relationship between odor quality and underlying physical or chemical dimensions analogous to spectral wavelength for vision or air pressure waves for hearing has yet been identified. This review provides a historical account of psychological odor categorization, attempts to map odor percepts to physiochemical parameters, and attendant pitfalls. It concludes that perceived odor qualities may be best viewed as cognitive constructs with attendant variability due to individual experiences, linguistic processes, and biologic factors that do not map well to universal physiochemical dimensions.

将气味感知映射到物理和化学参数的尝试具有悠久而具有挑战性的历史。与色觉相比,三种类型的光感受器响应相同的刺激特性(波长),约400种类型的嗅觉感受器可以非线性非加性的方式响应约5000种不同的化学参数。从理论上讲,化学物质的结构元素和气味之间可能有数百万种排列,一些结构不同的化学物质有相同的气味,反之亦然。重要的是,相同的气味质量可以来自多种环境物体,大多数气味依赖于挥发性化学物质的复杂旋律的合成,这些化学物质单独可能具有不同的气味。在单个受体水平上,混合中的激动剂和拮抗剂都可以影响受体的功能。因此,气味质量和潜在的物理或化学维度之间没有普遍的关系,就像光谱波长对视觉或气压波对听觉的影响一样,这也许并不奇怪。这篇综述提供了心理气味分类的历史记录,试图将气味感知映射到物理化学参数,以及随之而来的陷阱。它的结论是,感知到的气味质量可能最好被视为认知结构,由于个人经验,语言过程和生物因素而伴随变化,这些因素不能很好地映射到普遍的物理化学维度。
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引用次数: 0
A new method for automated olfactory threshold testing. 一种自动嗅觉阈值测试的新方法。
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf029
Veikko Surakka, Marko Björkbacka, Jani Lylykangas, Jussi Rantala, Timo Salpavaara, Jarmo Verho, Oleg Spakov, Venla Kamppari, Philipp Müller, Antti Vehkaoja, Pasi Kallio, Divesh Thaploo, Thomas Hummel

We present a new method for fully self-administered olfactory testing. Technical development and testing and 2 user studies were conducted to test the functionality of a prototype device called Automated Olfactory Threshold Test (AutomOT). Technical testing showed repeatable functioning of the developed olfactory display technology in accurately producing 11 predefined odor intensity levels over 10 different days. In User Study 1, we tested the reliability, usability, and subjective workload of the use of the device. Participants (N = 29) with a normal sense of smell performed an automated threshold test 4 times. The results showed that the correlations between the tests were statistically significant, r = 0.44 to 0.78, all P-values ≤0.018. In User Study 2, we demonstrated the functioning of the device with normosmic and hyposmic/anosmic participants (n = 23 and n = 27, respectively) who performed both the current clinical standard, Sniffin' Sticks test, and the AutomOT test. Also, the usability and subjective workload of the use of the device were evaluated. The overall correlation of olfactory thresholds between the Sniffin' Sticks and the AutomOT was r = 0.48, P < 0.001. In both user studies, the results indicated good usability as measured by the System Usability Scale and low workload assessed by NASA Task Load Index. Overall, the results suggest that the newly developed AutomOT test is a reliable, valid, and usable tool for clinical assessment of olfactory thresholds.

我们提出了一种新的方法,完全自我管理的嗅觉测试。进行了技术开发和测试以及两项用户研究,以测试称为自动嗅觉阈值测试(AutomOT)的原型设备的功能。技术测试表明,开发的嗅觉显示技术在10天内准确地产生11种预定义的气味强度水平,具有可重复的功能。在用户研究1中,我们测试了设备使用的可靠性、可用性和主观工作量。嗅觉正常的参与者(N = 29)进行了四次自动阈值测试。结果表明,检验之间的相关性具有统计学意义r = 0.44 -。78,所有p值≤0.018。在用户研究2中,我们展示了正常嗅觉和低嗅觉的参与者(n = 23和n = 27)的设备功能,他们分别进行了当前的临床标准,嗅探棒测试和AutomOT测试。此外,还评估了设备使用的可用性和主观工作量。嗅探棒与AutomOT嗅觉阈值的总体相关性为r = 0.48, p < 0.001。在两项用户研究中,结果表明系统可用性量表(System usability Scale)测量的可用性良好,NASA任务负载指数(Task Load Index)评估的工作量较低。总的来说,结果表明新开发的AutomOT测试是一种可靠、有效和可用的嗅觉阈值临床评估工具。
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引用次数: 0
Innate liking and disgust reactions elicited by intraoral capsaicin in male mice. 雄性小鼠口服辣椒素引起的先天喜爱和厌恶反应。
IF 2.8 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf006
Yibin Han, Daisuke H Tanaka, Naofumi Uesaka

Liking and disgust are the primary positive and negative emotions, respectively, and are crucial for nutrient intake and toxin avoidance. These emotions are induced by multimodal stimuli, such as taste, olfactory, and somatosensory inputs, and their dysregulation is evident in various psychiatric disorders. To understand the biological basis of liking and disgust, it is crucial to establish an animal model that allows for quantitative estimation of liking and disgust in response to multimodal stimuli. The only readout shared by many species, including humans, for liking and disgust, has been taste reactivity. However, readouts of non-taste stimuli-induced emotions remain unestablished. Here, we show that intraoral administration of capsaicin, a chemosomatosensory stimulus, elicits orofacial and bodily reactions in male mice similar to those observed in taste reactivity. Capsaicin-induced liking reactions at low concentrations and disgust reactions at high concentrations. Capsaicin-induced disgust reactions consisted of various reactions, including gape and forelimb flail, with the proportion of each reaction among the disgust reactions being similar to that induced by bitter and sour stimuli. These findings indicate that orofacial and bodily reactions, defined as taste reactivity, are elicited not only by taste stimuli but also by intraoral chemosomatosensory stimuli. Understanding the biological basis of capsaicin-induced orofacial and bodily reactions will advance our understanding of the fundamental mechanisms underlying liking and disgust across sensory modalities.

喜欢和厌恶分别是主要的积极和消极情绪,对营养摄入和毒素避免至关重要。这些情绪是由味觉、嗅觉和体感输入等多模态刺激引起的,它们的失调在各种精神疾病中都很明显。为了理解喜欢和厌恶的生物学基础,建立一个动物模型是至关重要的,该模型允许对多模态刺激下的喜欢和厌恶进行定量估计。包括人类在内的许多物种对喜欢和厌恶的唯一共同解读是味觉反应。然而,非味觉刺激引起的情绪的读数仍未确定。在这里,我们表明,口服辣椒素,一种化学体感刺激,在雄性小鼠中引起类似于在味觉反应中观察到的口腔面部和身体反应。辣椒素在低浓度下引起喜欢反应,在高浓度下引起厌恶反应。辣椒素诱导的厌恶反应包括张大嘴巴和前肢连枷等多种反应,每种反应在厌恶反应中所占的比例与苦刺激和酸刺激所占的比例相似。这些发现表明,被定义为味觉反应的口腔面部和身体反应不仅由味觉刺激引起,而且还由口内化学体感刺激引起。了解辣椒素诱导的口腔面部和身体反应的生物学基础,将促进我们对跨感官模式的喜欢和厌恶的基本机制的理解。
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引用次数: 0
Sensory responses of olfactory and vomeronasal neurons in does are influenced by buck odors and their reproductive status. 雄鹿气味及其生殖状态影响雄鹿嗅觉神经元和犁鼻神经元的感觉反应。
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf012
Maxime A Meunier, Elliott Trives, Emma Gerardin, Chantal Porte, Adrien Acquistapace, Philippe Chemineau, Pablo Chamero, Hélène Vacher, Matthieu Keller

In mammals, olfactory communication between conspecifics is crucial in modulating reproductive function. In anestrous does (i.e. female goats), exposure to hair from sexually active bucks (SAB, i.e. male goats) triggers a luteinizing hormone response that may induce ovulation, the "male effect." However, the chemicals in buck hair responsible for this effect and the sensory pathways used by the females to detect this information remain insufficiently understood. In this study, we investigated whether sensory cells from the main olfactory epithelium (MOE) and the vomeronasal organ (VNO) of does respond differently to olfactory stimuli from SAB versus wethers (CAS, i.e. castrated bucks) and how this response is influenced by the female reproductive status (breeding season, anestrous, or ovariectomized (OVX)). To explore this possibility, we stimulated freshly dissociated cells of MOE and VNO cells with chloroform/methanol and aqueous extractions from buck hair, and we assessed cell activation using calcium imaging. Regardless of the extraction method, we observed more cells activated by SAB hair compounds than by those from CAS males. More MOE cells from anestrous were activated by both chloroform and aqueous extracts from SAB than MOE cells from breeding season, or OVX does. Most of these responses originated from non-mature olfactory neurons. These findings suggest that females can discriminate buck sexual activity through sensory detection by the MOE and VNO. The increased response in the MOE to SAB hair compounds during the anestrous period suggests that the MOE may play a more significant role in the "male effect" during this period.

在哺乳动物中,同种动物之间的嗅觉交流对调节生殖功能至关重要。在不发情的公山羊(即母山羊)中,接触性活跃雄鹿(即公山羊)的毛发会触发黄体生成素反应,可能会诱导排卵,即“雄性效应”。然而,在雄鹿毛发中产生这种效果的化学物质,以及雌鹿用来探测这种信息的感官途径,仍然没有得到充分的了解。在这项研究中,我们研究了雄鹿的主嗅觉上皮(MOE)和粪鼻器官(VNO)的感觉细胞对来自SAB和天气(CAS,即阉割雄鹿)的嗅觉刺激是否有不同的反应,以及这种反应如何受到雌性生殖状态(繁殖季节、无情期或卵巢切除(OVX))的影响。为了探索这种可能性,我们用氯仿/甲醇和雄鹿毛的水萃取物刺激新鲜解离的MOE细胞和VNO细胞,并使用钙成像评估细胞活化情况。无论提取方法如何,我们观察到SAB毛发化合物比CAS雄性毛发化合物活化的细胞更多。氯仿和SAB水提液对育期MOE细胞的激活作用均高于育期MOE细胞和OVX细胞。这些反应大多来源于未成熟的嗅觉神经元。这些发现表明雌性可以通过MOE和VNO的感觉检测来区分雄鹿的性活动。在发情期,MOE对SAB毛发化合物的反应增加,表明MOE在这一时期的“男性效应”中可能起着更重要的作用。
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引用次数: 0
Aging decreases preferences for salts, but not for sucrose, and alters morphology of fungiform taste pores in mice. 衰老降低了对盐的偏好,但没有对蔗糖的偏好,并改变了小鼠蕈状味觉孔的形态。
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf040
Kolbe M Sussman, Thomas G Mast, Joseph M Breza

Mice are commonly used for laboratory research, due in large part to the widespread advancement in the genetic toolbox, such as reporters, knock-in, and knockout mice. The effects of aging on the taste system in mice have been largely unstudied. The aim of this study was to examine whether taste preferences to sucrose, NaCl, and NH4Cl were associated with aging and changes in ultrastructural characteristics of fungiform taste pores using scanning electron microscopy. Thirty-minute 2-bottle preference tests in wild-type mice indicated that preferences for NaCl and NH4Cl, but not sucrose, were significantly different in aged mice (16 to 17 months old) relative to young mice (5 months old). In the same animals, we found that the percentage of fungiform papilla with taste pores present was significantly reduced in the aged group. These findings are consistent with our recent study in rats, where aging had a significant impact on chorda tympani nerve responses to salt and ultrastructural characteristics of fungiform taste pores. Collectively, these data suggest that aging significantly affects fungiform taste pore morphology and has a significant impact on taste processing. Future studies investigating the factors that form and maintain taste pores are of critical importance as the pore is necessary for taste stimuli access to taste bud cells.

小鼠通常用于实验室研究,这在很大程度上是由于基因工具箱的广泛进步,例如报告鼠、敲入鼠和敲除鼠。衰老对小鼠味觉系统的影响在很大程度上尚未得到研究。本研究的目的是利用扫描电镜研究对蔗糖、NaCl和NH4Cl的味觉偏好是否与真菌状味觉孔的老化和超微结构特征变化有关。野生型小鼠的30分钟两瓶偏好试验表明,老龄小鼠(16-17月龄)与幼龄小鼠(5月龄)对NaCl和NH4Cl的偏好有显著差异,而对蔗糖的偏好无显著差异。在同样的动物中,我们发现,在老年组中,带有味觉孔的真菌状乳头的百分比显着减少。这些发现与我们最近在大鼠身上的研究一致,衰老对鼓室索神经对盐的反应和真菌状味觉孔的超微结构特征有显著影响。综上所述,这些数据表明,衰老显著影响真菌状味觉孔形态,并对味觉加工产生显著影响。由于味觉毛孔是味觉刺激进入味蕾细胞所必需的,因此未来研究味觉毛孔形成和维持的因素至关重要。
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引用次数: 0
Determinants of odorant receptor transcription and gene choice. 气味受体转录和基因选择的决定因素。
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjaf042
Joshua S Danoff, Kaitao Zhao, Kevin Monahan

The mammalian olfactory system enables the detection of a wide variety of chemical compounds via the expression of a repertoire of olfactory receptors comprising the largest gene family in the mammalian genome. Olfactory sensory neurons (OSNs) each express only 1 odorant receptor (OR) gene. In mice, this requires activation of 1 OR gene and repression of over 1,400 other OR genes. In this review, we describe the mechanisms that support the transcription of OR genes and how these mechanisms impact which OR is expressed in each neuron. First, we discuss what is currently known about the role of transcription in OR choice. We then describe the role of specific features of OR genes and enhancers in the regulation of OR transcription. Finally, we discuss characteristics of OSNs which specify transcription of some OR genes while restricting the transcription of others.

哺乳动物的嗅觉系统通过一系列嗅觉受体的表达,包括哺乳动物基因组中最大的基因家族,使检测各种各样的化合物成为可能。每个嗅觉感觉神经元只表达一个气味受体(OR)基因。在小鼠中,这需要激活一个OR基因并抑制1400多个其他OR基因。在这篇综述中,我们描述了支持OR基因转录的机制,以及这些机制如何影响OR在每个神经元中的表达。首先,我们讨论了目前已知的转录在OR选择中的作用。然后,我们描述了OR基因和增强子的特定特征在OR转录调控中的作用。最后,我们讨论了嗅觉感觉神经元的特点,即指定某些OR基因的转录而限制其他OR基因的转录。
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引用次数: 0
Clinical features of taste disorders in Cronkhite-Canada syndrome: a report of 10 cases. cronkite - canada综合征味觉障碍的临床特征(附10例报告)
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjae044
Tomomi Nin, Koji Kamikozuru, Tetsuya Takagawa, Shinichiro Shinzaki, Kenzo Tsuzuki

Cronkhite-Canada syndrome (CCS) is a very rare gastrointestinal disorder with ectodermal abnormalities. Taste abnormalities appear in more than 80% of cases. Our objective was to investigate the characteristics of CCS. Ten patients with taste abnormalities who were diagnosed with CCS were included. A medical interview, examination of the tongue findings, and blood tests were performed, and taste functions were assessed using an electrogustometry (EGM) and a filter paper disc (FPD) before and after treatment. There was nail atrophy in all cases, weight loss in 8 cases, hair loss in 6 cases, skin hyperpigmentation in 5 cases, gastrointestinal symptoms in 4 cases, and atrophy of the lingual papillae in at least 8 cases. Zinc therapy for taste disorders by the previous physicians was ineffective in all cases. The results of the FPD at the first examination showed a severe decrease in taste function of the anterior tongue, whereas taste function tended to be preserved in the posterior tongue (P < 0.01, Wilcoxon). In all cases, subjective symptoms improved within 3 mo after treatment of CCS. Taste function improved significantly after treatment (FPD in anterior tongue, P < 0.05, EGM in posterior tongue, P < 0.01, Wilcoxon). Taste disorder in CCS tended to be severe in the anterior tongue with findings of tongue papillary atrophy, which appears to be an ectodermal abnormality. Their taste function improved along with symptoms after treatment. The taste tests were useful for determining the effect of treatment for CCS.

克朗凯特-加拿大综合征(CCS)是一种非常罕见的伴有外胚层异常的胃肠道疾病。超过80%的病例出现味觉异常。我们的目的是研究CCS的特征。本研究纳入了10例被诊断为CCS的味觉异常患者。在治疗前后进行了医学访谈、舌部检查和血液检查,并使用味觉电测(EGM)和滤纸盘(FPD)评估味觉功能。所有病例均出现指甲萎缩,体重减轻8例,脱发6例,皮肤色素沉着5例,胃肠道症状4例,舌乳头萎缩至少8例。以前的医生对味觉障碍的锌疗法在所有病例中都是无效的。第一次检查时的FPD结果显示,舌头前部的味觉功能严重下降,而舌头后部的味觉功能则倾向于保留
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引用次数: 0
Gustatory dysfunction in multiple sclerosis: a systematic review and meta-analysis. 多发性硬化症的味觉功能障碍:系统回顾和荟萃分析。
IF 1.9 4区 心理学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-01-22 DOI: 10.1093/chemse/bjae046
Shahryar Rajai Firouzabadi, Ida Mohammadi, Mohammadreza Alinejadfard, Mohammad Yazdan Panah, Saeed Vaheb, Vahid Shaygannejad, Omid Mirmosayyeb

Gustatory dysfunction is an often overlooked symptom in people with multiple sclerosis (PwMS), potentially leading to poor appetite, malnutrition, weight loss, and decreased quality of life. This systematic review and meta-analysis aimed to assess the pooled prevalence of gustatory dysfunction in PwMS and compare their gustatory test scores with healthy controls. An online database search of PubMed, Embase, Scopus, and Web of Science was conducted on 2024 June 29. Observational studies reporting gustatory dysfunction or gustatory test scores in PwMS were included. Pooled prevalence rates were calculated using a random-effects model, with subgroup analyses based on the type of gustatory test used. Standardized mean differences (SMD) were calculated for comparisons between PwMS and healthy controls. A total of 9 studies encompassing 1385 PwMS were included. The pooled prevalence of gustatory dysfunction among PwMS was 16.4% (95% confidence intervals [95% CI]: 8.7% to 24.1%, I² = 90%, P < 0.01). Subgroup analysis showed a prevalence of 18.8% (95% CI: 10.5% to 27.2%, I² = 0%) in 4 studies using the Taste Strip Test (TST), while 3 non-TST studies using liquid tastants or self-reports reported a prevalence of 20.2% (95% CI: 7.2% to 33.3%, I² = 86%). PwMS had significantly lower gustatory test scores compared to healthy controls (SMD: -0.93, 95% CI: -1.20 to -0.65, I² = 0%, P = 0.48). Gustatory dysfunction affects a notable proportion of PwMS, with prevalence rates varying by assessment method. Future studies should assess the possible causes of gustatory dysfunction in PwMS using validated gustatory assessment scales.

味觉功能障碍是多发性硬化症(PwMS)患者经常被忽视的症状,可能导致食欲不振、营养不良、体重减轻和生活质量下降。本系统综述和荟萃分析旨在评估PwMS患者味觉功能障碍的总体患病率,并将其味觉测试分数与健康对照进行比较。我们于2024年6月29日对PubMed、Embase、Scopus和Web of Science进行了在线数据库检索。观察性研究报告了PwMS患者的味觉功能障碍或味觉测试分数。使用随机效应模型计算合并患病率,并根据所使用的味觉测试类型进行亚组分析。计算PwMS与健康对照之间的标准化平均差异(SMD)。共有9项研究纳入了1385例PwMS。PwMS患者中味觉功能障碍的总患病率为16.4% (95% CI: 8.7% ~ 24.1%, I²= 90%,p < 0.01)。亚组分析显示,使用味觉条测试(TST)的四项研究的患病率为18.8% (95% CI: 10.5%至27.2%,I²= 0%),而使用液体品尝剂或自我报告的三项非TST研究报告的患病率为20.2% (95% CI: 7.2%至33.3%,I²= 86%)。与健康对照组相比,PwMS患者的味觉测试分数显著降低(SMD: -0.93, 95% CI: -1.20 ~ -0.65, I²= 0%,p = 0.48)。味觉功能障碍影响着显著比例的PwMS,其患病率因评估方法而异。未来的研究应该使用经过验证的味觉评估量表来评估PwMS中味觉功能障碍的可能原因。
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引用次数: 0
期刊
Chemical Senses
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