olfactory epithelium

嗅觉上皮
  • 文章类型: Journal Article
    四溴双酚A(TBBPA)是最广泛使用的溴化阻燃剂之一,其在消费品中的使用日益增加,引起了人们对其生态毒性的关注。鉴于TBBPA在水生环境中的普遍存在,这些化学物质不可避免地会通过水流进入鱼的嗅室。然而,TBBPA对水生生物的嗅觉毒性和潜在的毒性机制尚未阐明。因此,我们调查了TBBPA在金鱼中的嗅觉毒性,一种广泛用于感觉生物学的模式生物。结果表明,暴露于TBBPA导致异常的嗅觉介导的行为和减少的电子嗅觉图(EOG)反应,表明嗅觉敏锐度降低。揭示潜在的行动机制,我们检查了嗅觉上皮(OE)的结构完整性,嗅觉G蛋白偶联受体(GPCRs)的表达水平,离子转运蛋白的酶活性,和神经递质的波动。此外,比较转录组学分析用于进一步研究分子机制。我们的研究首次表明,环境相关水平的TBBPA可以通过干扰房水刺激向嗅觉受体的传递而对水生生物的嗅觉敏感性产生不利影响。阻碍气味剂与受体的结合,扰乱嗅觉信号转导途径,并最终影响动作电位的产生。
    Tetrabromobisphenol A (TBBPA) is one of the most extensively used brominated flame retardants and its increasing use in consumer products has raised concerns about its ecotoxicity. Given the ubiquity of TBBPA in aquatic environments, it is inevitable that these chemicals will enter the olfactory chambers of fish via water currents. Nevertheless, the olfactory toxicity of TBBPA to aquatic organisms and the underlying toxic mechanisms have yet to be elucidated. Therefore, we investigated the olfactory toxicity of TBBPA in the goldfish Carassius auratus, a model organism widely used in sensory biology. Results showed that exposure to TBBPA resulted in abnormal olfactory-mediated behaviors and diminished electro-olfactogram (EOG) responses, indicating reduced olfactory acuity. To uncover the underlying mechanisms of action, we examined the structural integrity of the olfactory epithelium (OE), expression levels of olfactory G protein-coupled receptors (GPCRs), enzymatic activities of ion transporters, and fluctuations in neurotransmitters. Additionally, comparative transcriptomic analysis was employed to investigate the molecular mechanisms further. Our study demonstrates for the first time that TBBPA at environmentally relevant levels can adversely affect the olfactory sensitivity of aquatic organisms by interfering with the transmission of aqueous stimuli to olfactory receptors, impeding the binding of odorants to their receptors, disrupting the olfactory signal transduction pathway, and ultimately affecting the generation of action potentials.
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  • 文章类型: Journal Article
    哺乳动物嗅觉上皮具有终生自我更新的能力。衰老是导致嗅觉功能障碍的主要原因之一。这里,我们对年轻和老年小鼠嗅觉上皮(OE)进行了单细胞RNA测序(scRNA-seq)分析,并鉴定了21种细胞类型中与衰老相关的差异表达基因(DEGs).老化导致OE中存在活化的水平基底细胞(HBC),并促进HBC和中性粒细胞之间的细胞相互作用。衰老增强了Egr1和Fos在多能祖细胞的Sustentacular细胞分化中的表达,而Bcl11b在老年OE的感觉神经元稳态期间下调。Egr1和Cebpb是OE中转录网络的预测核心调节因子。Egr1在老年OE类器官中的过表达促进细胞增殖和神经元分化。此外,衰老改变了嗅觉受体的表达水平和频率。这些发现提供了单细胞分辨率下OE老化的细胞和分子框架。
    Mammalian olfactory epithelium has the capacity of self-renewal throughout life. Aging is one of the major causes leading to the olfactory dysfunction. Here, we performed single-cell RNA sequencing (scRNA-seq) analysis on young and aged murine olfactory epithelium (OE) and identified aging-related differentially expressed genes (DEGs) throughout 21 cell types. Aging led to the presence of activated horizontal basal cells (HBCs) in the OE and promoted cellular interaction between HBCs and neutrophils. Aging enhanced the expression of Egr1 and Fos in sustentacular cell differentiation from multipotent progenitors, whereas Bcl11b was downregulated during the sensory neuronal homeostasis in the aged OE. Egr1 and Cebpb were predictive core regulatory factors of the transcriptional network in the OE. Overexpression of Egr1 in aged OE organoids promoted cell proliferation and neuronal differentiation. Moreover, aging altered expression levels and frequencies of olfactory receptors. These findings provide a cellular and molecular framework of OE aging at the single-cell resolution.
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  • 文章类型: Journal Article
    背景:已经报道了抑郁症患者和啮齿动物抑郁症模型中的嗅觉损害。嗅觉上皮(OE)是唯一与大脑相连的具有自我更新潜力的周围神经组织。我们假设抑郁症期间的嗅觉缺陷可能与OE祖细胞的功能障碍有关。因此,本研究的目的是评估从抑郁症大鼠模型获得的培养的OE祖细胞的扩增和神经元分化能力。
    方法:将大鼠暴露于慢性不可预测的轻度应激程序以建立抑郁样状态。然后评估抑郁样行为和嗅觉感知功能,并与对照大鼠进行比较。体外培养原代OE祖细胞。通过5-乙炔基-2'-脱氧尿苷染色和细胞计数试剂盒-8(CCK8)评估OE祖细胞的增殖能力和存活,分别,而细胞凋亡通过流式细胞术测量。通过测量β-3微管蛋白的蛋白质和mRNA水平来评估OE祖细胞的神经元分化能力,神经细胞的标志.通过定量逆转录聚合酶链反应(RT-PCR)检查与神经干性相关的mRNA表达。
    结果:抑郁样大鼠嗅觉功能下降。来自抑郁样大鼠的OE祖细胞显示降低的细胞增殖/存活和神经元分化潜能。此外,抑郁样大鼠的OE祖细胞显示与神经干性相关的mRNA表达降低。
    结论:这些结果表明,OE祖细胞的功能受损可能是抑郁症期间观察到的嗅觉缺陷的原因。因此,OE可能为抑郁症的研究提供了一个窗口。
    BACKGROUND: Olfactory impairment has been reported in patients with depression and in rodent models of depression. Olfactory epithelium (OE) is the only peripheral neural tissue connected to the brain that has the potential for self-renewal. We hypothesized the olfactory deficit during depression may be related to the dysfunction of OE progenitor cells. The aim of the present study was therefore to evaluate the expansion and neuronal differentiation potency of cultured OE progenitor cells obtained from a rat model of depression.
    METHODS: Rats were exposed to chronic unpredictable mild stress procedures to establish a depressive-like state. Depressive-like behavior and olfactory sensing function were then evaluated and compared with control rats. Primary OE progenitor cells were cultured in vitro. The proliferation potency and survival of OE progenitor cells were assessed by 5-Ethynyl-2\'-deoxyuridine staining and Cell Counting Kit-8 (CCK8), respectively, while cellular apoptosis was measured by flow cytometry. The neuronal differentiation potency of OE progenitor cells was evaluated by measurement of the protein and mRNA level of β-3 tubulin, a marker of neural cells. mRNA expression associated with neural stemness was examined by quantitative reverse transcription polymerase chain reaction (RT-PCR).
    RESULTS: Depressive-like rats showed decreased olfactory function. OE progenitor cells from depressive-like rats showed reduced cell proliferation/survival and neuronal differentiation potency. Moreover, OE progenitor cells from depressive-like rats showed decreased expression of mRNA related to neural stemness.
    CONCLUSIONS: These results indicate the impaired function of OE progenitor cells may contribute to the olfactory deficit observed during depression. The OE may therefore provide a window for the study of depression.
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  • 文章类型: Journal Article
    嗅觉功能障碍(OD)是慢性鼻-鼻窦炎(CRS)的典型症状,这会对患者的生活质量产生不利影响,并导致情绪抑郁。研究嗅觉上皮(OE)损伤的研究表明,炎症诱导的OE细胞损伤和功能障碍在OD的发展中起着至关重要的作用。因此,糖皮质激素和生物制剂对CRS患者的OD管理有益。然而,CRS患者OE损害的潜在机制尚未完全阐明.
    本综述主要探讨CRS患者OE中炎症诱导的细胞损伤的机制。此外,本文综述了用于嗅觉检测的方法以及目前可用的和潜在的新型OD临床治疗方法.
    OE中的慢性炎症不仅损害嗅觉感觉神经元,而且损害负责再生和支持神经元的非神经元细胞。目前CRS中OD的治疗主要旨在减轻和预防炎症。使用这些疗法的组合的策略可以在恢复受损的OE中实现更大的功效,并因此更好地管理OD。
    Olfactory dysfunction (OD) is a typical symptom of chronic rhinosinusitis (CRS), which adversely affects the patient\'s quality of life and results in mood depression. Studies investigating the impairment of olfactory epithelium (OE) have indicated that inflammation-induced cell damage and dysfunction in OE plays a vital role in the development of OD. Consequently, glucocorticoids and biologics are beneficial in the management of OD in CRS patients. However, the mechanisms underlying OE impairment in CRS patients have not been fully elucidated.
    This review focuses on mechanisms underlying inflammation-induced cell impairment in OE of CRS patients. Additionally, the methods used for detection of olfaction and both currently available and potentially new clinical treatments for OD are reviewed.
    Chronic inflammation in OE impairs not only olfactory sensory neurons but also non-neuronal cells that are responsible for regeneration and support for neurons. The current treatment for OD in CRS is mainly aimed at attenuating and preventing inflammation. Strategies for use of combinations of these therapies may achieve greater efficacy in restoration of the damaged OE and consequently better management of OD.
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  • 文章类型: Journal Article
    嗅觉上皮在哺乳动物的整个生命中经历持续的神经发生。包括关键信号通路和炎症微环境在内的几个因素调节嗅觉上皮的维持和再生。在这项研究中,我们确定TMEM59(也称为DCF1)是上皮维持和再生的关键调节因子。单细胞RNA-Seq数据显示TMEM59在多个上皮细胞谱系中随着衰老的下调。TMEM59的消融导致转录水平的明显改变,包括与嗅觉转导和炎症/免疫反应相关的基因。这些差异表达的基因是属于几个信号通路的关键成分。如NF-κB,趋化因子,等。TMEM59删除损害嗅觉功能,减弱增殖,导致成熟和未成熟嗅觉感觉神经元的损失,并促进炎症细胞的浸润,巨噬细胞,小胶质细胞和中性粒细胞进入嗅觉上皮和固有层。TMEM59缺失使损伤后嗅觉上皮再生恶化,随着增殖细胞数量的显著减少,不成熟和成熟的感觉神经元,伴随着炎症细胞和巨噬细胞数量的增加。地塞米松的抗炎可恢复TMEM59-KO动物的神经元生成和嗅觉功能,提示TMEM59与炎症在调节上皮维持中的相关性。总的来说,TMEM59调节嗅觉功能,以及通过与炎症相互作用在嗅觉上皮中产生神经元,提示在治疗与炎症老化相关的嗅觉功能障碍中的潜在作用。
    The olfactory epithelium undergoes constant neurogenesis throughout life in mammals. Several factors including key signaling pathways and inflammatory microenvironment regulate the maintenance and regeneration of the olfactory epithelium. In this study, we identify TMEM59 (also known as DCF1) as a critical regulator to the epithelial maintenance and regeneration. Single-cell RNA-Seq data show downregulation of TMEM59 in multiple epithelial cell lineages with aging. Ablation of TMEM59 leads to apparent alteration at the transcriptional level, including genes associated with olfactory transduction and inflammatory/immune response. These differentially expressed genes are key components belonging to several signaling pathways, such as NF-κB, chemokine, etc. TMEM59 deletion impairs olfactory functions, attenuates proliferation, causes loss of both mature and immature olfactory sensory neurons, and promotes infiltration of inflammatory cells, macrophages, microglia cells and neutrophils into the olfactory epithelium and lamina propria. TMEM59 deletion deteriorates regeneration of the olfactory epithelium after injury, with significant reduction in the number of proliferative cells, immature and mature sensory neurons, accompanied by the increasing number of inflammatory cells and macrophages. Anti-inflammation by dexamethasone recovers neuronal generation and olfactory functions in the TMEM59-KO animals, suggesting the correlation between TMEM59 and inflammation in regulating the epithelial maintenance. Collectively, TMEM59 regulates olfactory functions, as well as neuronal generation in the olfactory epithelium via interaction with inflammation, suggesting a potential role in therapy against olfactory dysfunction associated with inflamm-aging.
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  • 文章类型: English Abstract
    嗅觉上皮,检测和传输气味信号,对嗅觉系统的功能至关重要。嗅觉上皮在正常情况下损伤后能自发恢复,但是这种能力在某些疾病或衰老时会减弱,导致嗅觉功能障碍。嗅觉上皮由基底细胞组成,上囊细胞和嗅觉感觉神经元。为了在体外开发含有多种嗅觉细胞类型的嗅觉上皮类器官,采用三维培养模型和小分子筛选。这个类器官系统由水平的基底样细胞组成,球状基底样细胞,软骨样细胞和嗅觉感觉神经元样细胞。通过对克隆直径的统计分析,免疫荧光染色和qPCR检测相关标记基因的表达水平。我们确定了一系列影响增殖的生长因子和小分子化合物,类器官的组成和基因表达。CHIR-99021,Wnt信号通路的激活剂,增加嗅觉上皮类器官的集落形成和增殖率以及嗅觉感觉神经元样细胞标记基因的表达水平。此外,培养系统中的每个因素都增加了类器官中c-Kit阳性球形基底样细胞集落的比例。此外,EGF和维生素C均有利于类器官水平基底样细胞标记基因的表达。建立的嗅觉上皮类器官系统模拟了嗅觉上皮干细胞分化为各种嗅觉上皮细胞类型的过程,从而为研究嗅觉上皮组织再生提供了一个研究模型,嗅觉功能障碍的病理机制及嗅觉功能障碍治疗的药物筛选。
    Olfactory epithelium, which detects and transmits odor signals, is critical for the function of olfactory system. Olfactory epithelium is able to recover spontaneously after injury under normal circumstances, but this ability is dampened in certain diseases or senility, which causes olfactory dysfunction. The olfactory epithelium consists of basal cells, sustentacular cells and olfactory sensory neurons. In order to develop an olfactory epithelial organoid containing multiple olfactory cell types in vitro, we used three-dimensional culture model and small molecules screening. This organoid system consists of horizontal basal-like cells, globose basal-like cells, sustentacular-like cells and olfactory sensory neurons-like cells. Through statistical analysis of clone diameter, immunofluorescence staining and qPCR detection of the expression level of related marker genes. We identified a series of growth factors and small molecule compounds that affected the proliferation, composition and gene expression of the organoids. CHIR-99021, an activator of Wnt signaling pathway, increased the colony formation and proliferation rate of olfactory epithelial organoids and the expression level of marker genes of olfactory sensory neurons-like cells. In addition, each factor in the culture system increased the proportion of c-Kit-positive globose basal-like cell colonies in organoids. Moreover, EGF and vitamin C were both beneficial to the expression of horizontal basal-like cell marker genes in organoids. The established olfactory epithelial organoid system mimicked the process of olfactory epithelial stem cells differentiating into various olfactory epithelial cell types, thus providing a research model for studying olfactory epithelial tissue regeneration, the pathological mechanism of olfactory dysfunction and drug screening for olfactory dysfunction treatment.
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  • 文章类型: Journal Article
    位于嗅觉上皮(OE)中的嗅觉感觉神经元(OSN)检测数千种挥发性环境气味以形成嗅觉。OSN是从基底细胞产生的,显示祖细胞/干细胞的特征。在哺乳动物OE中,持续的神经发生发生在一生中,提供了一个独特的模型来研究干细胞的组织周转和命运决定。方法:免疫组织化学分析和RNAscope原位杂交表明富含亮氨酸重复序列的G蛋白偶联受体5(Lgr5)在完整和损伤的OE中定位。进行谱系追踪以分析Lgr5细胞在OE稳态和再生中的动态作用。我们还使用DTR驱动的Lgr5+细胞的遗传耗竭和慢病毒介导的Lgr5下调来证明Lgr5+细胞在OE再生中的重要作用。结果:我们显示Lgr5标记成人而不是新生儿的OE中的水平基底细胞(HBCs)。我们重新审视Lgr5+细胞在OE稳态和再生中的作用,发现Lgr5+细胞参与从新生儿到一个月大的OE稳态,以及损伤后的OE再生。在OE再生期间,Lgr5在根尖支持细胞中瞬时表达,未成熟的神经元,和成熟的感觉神经元.Lgr5+细胞在再生的OE中变成或产生HBC。DTR驱动的细胞耗竭表明,Lgr5+细胞在成人OE稳态中不是必需的,但需要OE从损伤中恢复。慢病毒感染引起的Lgr5下调也证明了Lgr5表达在OE再生中的重要作用。结论:我们的研究阐明了Lgr5细胞在OE稳态和再生中的作用,可能为针对嗅觉功能障碍的细胞疗法提供候选药物。
    Olfactory sensory neurons (OSNs) located in the olfactory epithelium (OE) detect thousands of volatile environmental odors to form the sense of smell. OSNs are generated from basal cells, which show the characteristics of progenitor/stem cells. In the mammalian OE, persistent neurogenesis occurs during lifetime, providing a unique model to study the tissue turnover and fate determination of stem cells. Methods: Immunohistochemical analysis and RNAscope in situ hybridization indicated the localization of leucine-rich repeat-containing G-protein-coupled receptor 5 (Lgr5) in the intact and injured OE. Lineage tracing was conducted to analyze the dynamic role of Lgr5+ cells in the OE homeostasis and regeneration. We also used DTR-driven genetic depletion of Lgr5+ cells and lentivirus-mediated Lgr5 downregulation to demonstrate the essential role of Lgr5+ cells in the OE regeneration. Results: We show that Lgr5 marks horizontal basal cells (HBCs) in the OE of adults but not newborns. We revisit the role of Lgr5+ cells in the OE homeostasis and regeneration, and find that Lgr5+ cells participate in the OE homeostasis from neonatal to one-month-old age, as well as in the OE regeneration post injury. During the OE regeneration, Lgr5 is transiently expressed in apical supporting cells, immature neurons, and mature sensory neurons. The Lgr5+ cells become or generate HBCs in the regenerated OE. DTR-driven cell depletion shows that Lgr5+ cells are not necessary in the adult OE homeostasis, but required in the recovery of OE from injury. Lgr5 down-regulation by lentiviral infection also demonstrates the essential role of Lgr5 expression in the OE regeneration. Conclusion: Our study elucidates the role of Lgr5+ cells in the OE homeostasis and regeneration, potentially providing a candidate to cell-based therapy against olfactory dysfunction.
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  • 文章类型: Journal Article
    嗅觉上皮(OE)的水平基底细胞(HBC)在OE再生过程中充当干细胞的储库,通过增殖和分化,这对嗅觉功能的恢复很重要。然而,HBC损伤后增殖分化调控的分子机制尚不清楚。这里,我们发现Yes相关蛋白(YAP)在OE损伤后的HBCs中上调和激活。HBC中YAP的缺失导致损伤后OE再生和嗅觉功能恢复受损。机械上,YAP被S1P/S1PR2信令激活,从而促进损伤后HBCs的增殖和OE的再生。最后,YAP信号的激活增强了OE损伤后或阿尔茨海默病模型小鼠中HBCs的增殖并改善了嗅觉的功能恢复。一起来看,这些结果揭示了S1P/S1PR2/YAP途径在OE再生中响应损伤,为OE损伤提供有希望的治疗策略。
    The horizontal basal cells (HBCs) of olfactory epithelium (OE) serve as reservoirs for stem cells during OE regeneration, through proliferation and differentiation, which is important in recovery of olfactory function. However, the molecular mechanism of regulation of HBC proliferation and differentiation after injury remains unclear. Here, we found that yes-associated protein (YAP) was upregulated and activated in HBCs after OE injury. Deletion of YAP in HBCs led to impairment in OE regeneration and functional recovery of olfaction after injury. Mechanically, YAP was activated by S1P/S1PR2 signaling, thereby promoting the proliferation of HBCs and OE regeneration after injury. Finally, activation of YAP signaling enhanced the proliferation of HBCs and improved functional recovery of olfaction after OE injury or in Alzheimer\'s disease model mice. Taken together, these results reveal an S1P/S1PR2/YAP pathway in OE regeneration in response to injury, providing a promising therapeutic strategy for OE injury.
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  • 文章类型: Journal Article
    严重急性呼吸道综合征冠状病毒-2(SARS-CoV-2)引起严重的病毒性肺炎,并伴有高死亡率。感染SARS-CoV-2的患者中有很大一部分患有轻度的嗅觉功能减退,导致嗅觉缺失。然而,SARS-CoV-2上呼吸道感染的嗅觉功能障碍和比较病理学的发病机制尚不清楚。我们描述了组织病理学,免疫组织化学,SARS-CoV-2感染啮齿动物模型的原位杂交结果。K8-hACE2Tg小鼠嗅觉上皮的主要组织病理学发现,hACE2Tg小鼠,和仓鼠不同程度的炎性病变,包括无序的安排,坏死,剥脱,和嗅上皮的巨噬细胞浸润,和炎性渗出。根据这些观察,这些啮齿动物模型的鼻上皮似乎发展为中度,温和,和严重的鼻炎,分别。相应地,SARS-CoV-2病毒RNA和抗原主要在嗅觉上皮和固有层中鉴定。此外,病毒RNA在K18-hACE2Tg小鼠的大脑中丰富,包括嗅球.K8-hACE2Tg小鼠,hACE2Tg小鼠,仓鼠模型可用于研究SARS-CoV-2感染在上呼吸道和中枢神经系统的病理学。这些模型可以帮助更好地了解该病毒的致病过程,并开发有效的药物和预防性治疗。
    Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) causes severe viral pneumonia and is associated with a high fatality rate. A substantial proportion of patients infected by SARS-CoV-2 suffer from mild hyposmia to complete loss of olfactory function, resulting in anosmia. However, the pathogenesis of the olfactory dysfunction and comparative pathology of upper respiratory infections with SARS-CoV-2 are unknown. We describe the histopathological, immunohistochemical, and in situ hybridization findings from rodent models of SARS-CoV-2 infection. The main histopathological findings in the olfactory epithelia of K8-hACE2 Tg mice, hACE2 Tg mice, and hamsters were varying degrees of inflammatory lesions, including disordered arrangement, necrosis, exfoliation, and macrophage infiltration of the olfactory epithelia, and inflammatory exudation. On the basis of these observations, the nasal epithelia of these rodent models appeared to develop moderate, mild, and severe rhinitis, respectively. Correspondingly, SARS-CoV-2 viral RNA and antigen were mainly identified in the olfactory epithelia and lamina propria. Moreover, viral RNA was abundant in the cerebrum of K18-hACE2 Tg mice, including the olfactory bulb. The K8-hACE2 Tg mouse, hACE2 Tg mouse, and hamster models could be used to investigate the pathology of SARS-CoV-2 infection in the upper respiratory tract and central nervous system. These models could help to provide a better understanding of the pathogenic process of this virus and to develop effective medications and prophylactic treatments.
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  • 文章类型: Journal Article
    目标:大流行已影响全球超过1.82亿例2019年冠状病毒病(COVID-19)病例。越来越多的证据表明,嗅觉缺失是COVID-19患病率高的显著特征之一。然而,COVID-19引起的失语症的许多方面仍未得到充分理解。这篇综述的目的是总结COVID-19引起的失语症的最新进展,以提高对这种情况的认识。
    方法:使用PubMed进行了文献检索,Embase,WebofScience,还有Scopus.我们回顾了关于COVID-19引起的失语症的最新文献,包括发病机制,嗅觉测试,作为预测工具,病理检查,影像学发现,影响因素,共存的疾病,治疗,预后,假设理论,和未来的方向。
    结果:COVID-19引起的嗅觉缺失的可能发病机制可能涉及严重急性呼吸综合征冠状病毒2(SARS-CoV-2)对嗅裂的炎症和对嗅觉上皮或嗅觉中枢神经系统的损害。D614G尖峰变体也可能在数量增加的无嗅觉患者中起作用。厌食症也可能是COVID-19传播的重要指标,也是政治决策有效性的早期指标。COVID-19致嗅觉缺失的发生和发展可能受吸烟行为和2型糖尿病等基础疾病的影响,胃食管疾病,和鼻炎。大多数COVID-19引起的嗅觉缺失患者可以在不同的持续时间内完全或部分恢复嗅觉功能。COVID-19诱导的嗅觉缺失可以用多种方法治疗,如糖皮质激素和嗅觉训练。
    结论:厌食症是COVID-19的主要特征之一,患者的基础疾病也可能影响其发生发展。COVID-19引起的失语症的可能发病机制非常复杂,这可能涉及嗅裂的炎症和对嗅觉上皮或嗅觉中枢神经系统的损害。
    OBJECTIVE: The pandemic has affected over 182 million coronavirus disease 2019 (COVID-19) cases worldwide. Accumulated evidence indicates that anosmia is one of the significant characteristics of COVID-19 with a high prevalence. However, many aspects of COVID-19-induced anosmia are still far from being fully understood. The purpose of this review is to summarize recent developments in COVID-19-induced anosmia to increase awareness of the condition.
    METHODS: A literature search was carried out using the PubMed, Embase, Web of Science, and Scopus. We reviewed the latest literature on COVID-19-induced anosmia, including mechanisms of pathogenesis, olfactory testing, anosmia as predictive tool, pathological examinations, imaging findings, affected factors, co-existing diseases, treatments, prognosis, hypothesis theories, and future directions.
    RESULTS: The possible pathogenesis of COVID-19-induced anosmia may involve inflammation of the olfactory clefts and damage to the olfactory epithelium or olfactory central nervous system by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The D614G spike variant may also play a role in the increased number of anosmia patients. Anosmia may also be an essential indicator of COVID-19 spread and an early indicator of the effectiveness of political decisions. The occurrence and development of COVID-19-induced anosmia may be influenced by smoking behaviors and underlying diseases such as type 2 diabetes, gastroesophageal disorders, and rhinitis. Most patients with COVID-19-induced anosmia can fully or partially recover their olfactory function for varying durations. COVID-19-induced anosmia can be treated with various approaches such as glucocorticoids and olfactory training.
    CONCLUSIONS: Anosmia is one of the main features of COVID-19 and the underlying disease of the patient may also influence its occurrence and development. The possible pathogenesis of COVID-19-induced anosmia is very complicated, which may involve inflammation of the olfactory clefts and damage to the olfactory epithelium or olfactory central nervous system.
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