Olfactory Dysfunction in Obesity and Type 2 Diabetes

IF 0.6 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY
E. V. Bigdai, A. A. Zuikova, A. V. Pozdnyakov
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Abstract

The article surveys literature data on a close relationship between energy balance and the sense of smell. Olfaction is one of the main modalities for hedonic food evaluation. Odor is one of the most important sensory signals, which predicts food quality and plays a key role in food selection and consumption. Appetite can be stimulated by a variety of factors, but the leading role belongs to olfactory cues (tasty smells) and hormone levels that signal hunger or satiety. Olfactory perception is subject to hormonal modulation. In this regard, a special focus in the article is on the modulating function of insulin. Insulin, one of the main metabolic hormones, controls food intake and has an anorexigenic effect at the level of not only the hypothalamus but also the olfactory pathway, being particularly strong in the olfactory bulb. It is the olfactory bulb where the rate of insulin transport is two to eight times higher than in other parts of the brain, and that contains highest levels of insulin and insulin receptor kinase. Thus, insulin is not only able to penetrate to the site of olfactory information processing but does it quickly. Insulin and its receptors localize in the olfactory epithelium, in mature olfactory sensory neurons. Therefore, insulin influences the primary stage of odorous molecule perception, odor detection, which occurs at the level of the olfactory epithelium. In obesity and type 2 diabetes, the sense of smell is impaired up to its complete loss, worsening the quality of life in such patients. The article also addresses the effectiveness of intranasal insulin administration for restoring olfactory function in metabolic disorders and other diseases.

Abstract Image

肥胖症和 2 型糖尿病患者的嗅觉功能障碍
摘要 本文调查了有关能量平衡与嗅觉之间密切关系的文献资料。嗅觉是对食物进行享乐评价的主要方式之一。气味是最重要的感官信号之一,可以预测食物的质量,在食物选择和消费中起着关键作用。食欲可由多种因素刺激,但起主导作用的是嗅觉线索(美味气味)和预示饥饿或饱腹感的激素水平。嗅觉感知受激素调节。在这方面,文章特别关注胰岛素的调节功能。胰岛素是主要的代谢荷尔蒙之一,它能控制食物摄入量,不仅在下丘脑水平,而且在嗅觉通路水平都有厌食作用,尤其是在嗅球。在嗅球中,胰岛素的转运率是大脑其他部位的 2 到 8 倍,胰岛素和胰岛素受体激酶的含量也最高。因此,胰岛素不仅能够渗透到嗅觉信息处理的部位,而且渗透速度很快。胰岛素及其受体定位于嗅觉上皮和成熟的嗅觉感觉神经元。因此,胰岛素会影响气味分子感知的初级阶段,即气味检测,这是在嗅上皮细胞水平上发生的。肥胖症和 2 型糖尿病患者的嗅觉会受到损害,甚至完全丧失,从而导致生活质量下降。文章还探讨了鼻内注射胰岛素恢复代谢紊乱和其他疾病患者嗅觉功能的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
33.30%
发文量
110
审稿时长
6-12 weeks
期刊介绍: Journal of Evolutionary Biochemistry and Physiology  publishes original experimental and theoretical and review articles related to evolution of the main forms of metabolism in connection with life origin; comparative and ontogenetic physiology and biochemistry, biochemical evolution of animal world; as well as evolution of functions; morphology, pharmacology, pathophysiology and ecological physiology. The journal welcomes manuscripts from all countries in the English or Russian language.
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