Ferrero Group, Soremartec Italia Srl, 12051 Alba, CN, Italy.
National Institute on Deafness and Other Communication Disorders, NIH, Bethesda, MD 20892, USA.
Nutrients. 2020 Oct 27;12(11):3284. doi: 10.3390/nu12113284.
Our sense of taste arises from the sensory information generated after compounds in the oral cavity and oropharynx activate taste receptor cells situated on taste buds. This produces the perception of sweet, bitter, salty, sour, or umami stimuli, depending on the chemical nature of the tastant. Taste impairments (dysgeusia) are alterations of this normal gustatory functioning that may result in complete taste losses (ageusia), partial reductions (hypogeusia), or over-acuteness of the sense of taste (hypergeusia). Taste impairments are not life-threatening conditions, but they can cause sufficient discomfort and lead to appetite loss and changes in eating habits, with possible effects on health. Determinants of such alterations are multiple and consist of both genetic and environmental factors, including aging, exposure to chemicals, drugs, trauma, high alcohol consumption, cigarette smoking, poor oral health, malnutrition, and viral upper respiratory infections including influenza. Disturbances or loss of smell, taste, and chemesthesis have also emerged as predominant neurological symptoms of infection by the recent Coronavirus disease 2019 (COVID-19), caused by Severe Acute Respiratory Syndrome Coronavirus strain 2 (SARS-CoV-2), as well as by previous both endemic and pandemic coronaviruses such as Middle East Respiratory Syndrome Coronavirus (MERS-CoV) and SARS-CoV. This review is focused on the main causes of alteration, reduction, and loss of taste and their potential repercussion on dietary habits and health, with a special focus on the recently developed hypotheses regarding the mechanisms through which SARS-CoV-2 might alter taste perception.
我们的味觉是由口腔和咽腔中的化合物激活位于味蕾上的味觉受体细胞后产生的感官信息引起的。这会产生对甜、苦、咸、酸或鲜味刺激的感知,具体取决于味觉剂的化学性质。味觉障碍(味觉障碍)是正常味觉功能的改变,可能导致完全丧失味觉(味觉丧失)、部分减少(味觉减退)或味觉过度敏感(味觉过敏)。味觉障碍不是危及生命的疾病,但它们会引起足够的不适,并导致食欲下降和饮食习惯改变,可能对健康产生影响。这种改变的决定因素是多方面的,包括遗传和环境因素,包括衰老、接触化学物质、药物、创伤、大量饮酒、吸烟、口腔健康不良、营养不良以及包括流感在内的病毒性上呼吸道感染。嗅觉、味觉和化学感觉的障碍或丧失也已成为由严重急性呼吸系统综合征冠状病毒 2 型(SARS-CoV-2)引起的新型冠状病毒病 2019(COVID-19)以及以前的地方性和大流行冠状病毒(如中东呼吸综合征冠状病毒(MERS-CoV)和 SARS-CoV)感染的主要神经症状。这篇综述重点介绍了味觉改变、减少和丧失的主要原因及其对饮食习惯和健康的潜在影响,特别关注了关于 SARS-CoV-2 可能改变味觉感知机制的新假设。