长期新冠中的味觉功能障碍。

Taste dysfunction in Long COVID.

作者信息

Morad Hanna, Vanhala Tytti, Kisiel Marta A, Andreason Agnes, Li Mei, Andersson Göran, Laurell Göran, Finger Thomas E, Hellekant Göran

机构信息

Clinic of Ear, Nose and Throat diseases (ENT), Uppsala University Hospital, Uppsala, Sweden.

Department of Animal Biosciences, Swedish University of Agricultural Sciences, Uppsala, Sweden.

出版信息

bioRxiv. 2025 Jul 17:2025.07.17.661973. doi: 10.1101/2025.07.17.661973.

Abstract

Persistent taste dysfunction may occur both as acute and long-term symptoms of SARS-CoV-2 infection (Long COVID), yet the underlying mechanisms are unknown at the histological, cellular, and molecular levels. This study investigates the underlying pathology in 28 non-hospitalized subjects who reported persistent taste disturbances for over 12 months after testing positive for SARS-CoV-2. To assess taste function, subjects completed the Waterless Empirical Taste Test (WETT), which quantifies the subject's ability to taste each of the five human taste qualities: sweet, umami, bitter, sour, and salty. Biopsies of fungiform papillae were collected from 20 participants and analyzed histologically for overall taste bud structure and innervation and by quantitative PCR (qPCR) for expression of markers for different taste receptor cells (TRCs). Although all subjects reported subjective taste dysfunction, only five scored below the 20th percentile on overall taste sensitivity. However, 12 subjects exhibited total loss of one or more taste qualities and another 13 subjects tested below the 95% confidence interval for at least one taste modality. Notably, loss of sweet, umami, or bitter tastes -- qualities mediated by a PLCβ2-transduction cascade -- was significantly more common than loss of sour and salty, and this loss correlated with reduced expression of PLCβ2 mRNA. Histological analysis revealed generally preserved taste bud structure and innervation in all cases, with occasional disorganization resulting in isolated PLCβ2-immunoreactive cells. Our findings suggest long-term taste dysfunction after COVID-19 disproportionately impacts PLCβ2-dependent taste qualities and is not due to widespread structural damage of the taste periphery.

摘要

持续性味觉功能障碍可能作为新冠病毒感染(长期新冠)的急性和长期症状出现,但其在组织学、细胞和分子水平上的潜在机制尚不清楚。本研究调查了28名非住院患者的潜在病理情况,这些患者在新冠病毒检测呈阳性后报告有持续12个月以上的味觉障碍。为了评估味觉功能,受试者完成了无水经验味觉测试(WETT),该测试量化了受试者对五种人类味觉(甜、鲜味、苦、酸和咸)的味觉能力。从20名参与者身上采集了菌状乳头活检组织,进行组织学分析以观察整体味蕾结构和神经支配情况,并通过定量聚合酶链反应(qPCR)分析不同味觉受体细胞(TRC)标志物的表达。尽管所有受试者都报告有主观味觉功能障碍,但只有5人的总体味觉敏感性得分低于第20百分位。然而,12名受试者表现出一种或多种味觉完全丧失,另外13名受试者在至少一种味觉模式下的测试结果低于95%置信区间。值得注意的是,由磷脂酶Cβ2转导级联介导的甜、鲜或苦味丧失比酸和咸味丧失更为常见,且这种丧失与磷脂酶Cβ2 mRNA表达降低相关。组织学分析显示,所有病例中味蕾结构和神经支配总体上保持完好,偶尔会出现紊乱,导致孤立的磷脂酶Cβ2免疫反应性细胞。我们的研究结果表明,新冠病毒感染后的长期味觉功能障碍对依赖磷脂酶Cβ2的味觉影响尤为严重,并非由于味觉外周广泛的结构损伤所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae90/12338685/a9fedc3673a3/nihpp-2025.07.17.661973v1-f0001.jpg

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