The chemical senses of olfaction and gustation are involved in detecting chemicals in the environment and food. Odor and taste receptors generate signals upon binding chemicals and signal the presence of nutrients to seek or toxins to avoid. The olfactory system involves odorant receptors in the nose binding smells and sending signals through the olfactory bulb and tract to areas of the brain involved in perception and behavior. Olfaction provides important functions but can also exhibit abnormalities in conditions affecting the olfactory system.
olfactory system and functioning, pathway of olfaction, neural tract involved in olfaction , endocrine pathway of olfaction, cells and neurons involved in olfaction
olfactory system and functioning, pathway of olfaction, neural tract involved in olfaction , endocrine pathway of olfaction, cells and neurons involved in olfaction
Olfaction is one the major sense. In the following presentation, a brief description of the olfactory system is given. In this following topics are discussed: olfactory membrane, olfactory bulb, odor pathway, anosmia, directional smelling and plasticity. By the end of it, you will be able to describe the olfactory pathway of the nervous system.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. The chemical senses provide a “quality-control”
checkpoint for substances available for ingestion
These are also classified as visceral senses because
of their close association with gastrointestinal function
(flow of digestive juices, effect on appetite)
Dr. Misbah-ul-Qamar
3. Receptors for both smell & taste are chemoreceptors (
generate neural signals on binding with particular chemicals)
Also classified as exteroceptors because stimuli arrive from
an external source
Stimulation of these receptors induces pleasureable or
objectionable sensations & signals the presence of:
Something to seek (nutritionally useful, good tasting food)
Something to avoid (a potentially toxic, bad tasting substance)
Dr. Misbah-ul-Qamar
5. Olfaction
Poorly developed in humans.
Human olfaction is capable of
distinguishing between roughly 10,000
unique odors.
Sense of smell can trigger memory as
the smell analyzing region of brain is
closely connected to amygdala &
hippocampus that handle memory &
emotion.
Dr. Misbah-ul-Qamar
6. Importance of olfaction
It is important for the enjoyment & selection of food
Flavours are a combination of taste & smell (smell
contribution is about 80%)
Gives warning of harmful substances or places
In lower animals, smell also plays a major role in
Finding direction (seeking prey or avoiding predators)
Sexual attraction to a mate
Dr. Misbah-ul-Qamar
7. To be smelled
A substance must be:
1. Sufficiently volatile (easily vaporized) for entry in nose
with inspired air
2. Sufficiently water soluble to be dissolved in mucus
3. atleast slightly lipid soluble . Lipid constituents of
cilium itself are a weak barrier to non lipid soluble
odourants
Dr. Misbah-ul-Qamar
8. OLFACTORY MEMBRANE/
MUCOSA
Location: Located in the upper part of the nasal cavity.
Area: 2.4-3 sq.cm.
Cell population: Inhabited by 3 CELL TYPES
Olfactory receptor cells– replaced every 2 months,decline
with age; approximately 1% of these sensory receptor
cells are not replaced each year
Supporting cells—secrete mucous
Basal cells– precursors for new receptor cells.
Mucous is present on top of membrane.
Dr. Misbah-ul-Qamar
9. Reception for Olfaction
Olfactory receptor cells are bipolar neurons derived from CNS.
About 100 million of 1000 different types in each individual. A given
receptor can respond a particular odor component.
Although there are millions of olfactory sensory neurons, each
expresses only one of 500 olfactory genes
Receptor cells are interspersed by much smaller number of
sustentacular cells
Basal cells along the basement membrane of the olfactory
epithelium regularly divide & yeild differentiated cells that replace
lost neurons.
Dr. Misbah-ul-Qamar
10. Olfactory Receptor Cell
It is a bipolar neuron
Apical surface of receptor cell exhibits a knob that
emits 4-25 olfactory hair or cilia.
Cilia are nonmyelinated with a length of 2μ & a
diameter of 0.1μ.
Cilia contain the receptors which provide binding sites
and project into the mucus.
Axons of olfactory receptor cells collectively form the
olfactory nerve.
Dr. Misbah-ul-Qamar
11. Glands of Bowman
Spaced among the receptor cells.
Secrete mucous onto the epithelial surface of olfactory
membrane.
Mucus contains some proteins which increase the
actions of odoriferous substances on receptor cells
Dr. Misbah-ul-Qamar
12. Olfactory Bulb
It is a neural structure of forebrain involved in olfaction.
It lies over the cribriform plate of the ethmoid bone that
separates the cranial and nasal cavities.
Dr. Misbah-ul-Qamar
14. Olfactory receptor protein
This protein is located in the membrane of each
olfactory cilium
Each receptor protein is a long molecule which threads
its way through the membrane about 7 times, folding
inward & outward
Outside fold binds with odorant
Inside fold is coupled to the G-protein
G-protein itself is combination of 3 subunits: α,βand ϒ
Dr. Misbah-ul-Qamar
15. Stimulation of Olfactory Cells
Odorant molecules diffuse into the mucus
Binding to the receptor protein that is linked to a
cytoplasmic G-protein
Α-subunit of the G-protein separates away
Dr. Misbah-ul-Qamar
16. Stimulation of olfactory cells
Separated unit activates adenyl cyclase
Formation of Cyclic AMP
sodium channels are activated
sodium ions enter the receptor cell & depolarize it
Dr. Misbah-ul-Qamar
18. Upon stimulation of the
olfactory cells
The depolarization of receptor cell leads to production
of action potential in the olfactory sensory fibers.
Membrane potential of un-stimulated olfactory cell is -
55mV with baseline activity of of AP(once every 20 sec
to 2-3 per sec)
Depolarization brings membrane potential to -30mV
with 20-30AP/sec
Dr. Misbah-ul-Qamar
19. Cascading Effect
A pattern to enhance the effect of a weak odorant
molecule.
How is it achieved?
A single dissolved molecule can activate many receptor
proteins
Activated G-protein complex activates multiple molecules of
adenylyl cyclase
Each of these molecules causes formation of many times
more molecules of cAMP
Each cAMP opens still many times more sodium ion
channels
Dr. Misbah-ul-Qamar
20. Importance of cascading effect
This process multiplies the excitatory effect of even the
weakest odorant and greatly enhances the sensitivity of
the system to the slightest stimulus.
Dr. Misbah-ul-Qamar
21. Initial olfactory sensation
The intensity of initial olfactory stimulation is
proportional to the logarithm of the stimulus strength.
Although the determination of differences in intensity of
any given odor is poor in olfactory system
Concentration of an odor must be changed by 30%
before a difference can be detected
Dr. Misbah-ul-Qamar
22. Rapid Adaptation of olfactory
sensations
Olfactory receptors adapt about 50% during the first
second and thereafter adapt very little and very slowly.
Olfactory adaptation is mainly a central mechanism
achieved through
Adaptation of receptors: Olfactory receptors are phasic
receptors
Psychological adaptation: far greater than receptors’
adaptation
Additional adaptation occurs within CNS
Dr. Misbah-ul-Qamar
23. Neuronal mechanism for adaptation: centrifugal fibers
from brain backward to granule cells (inhibitory cells in
olfactory bulb).
This feedback inhibition suppress relay of smell signals
providing adaptation
This is not a physiological process which takes place at
the level of receptors but rather a mechanism altering
perception.
Dr. Misbah-ul-Qamar
24. Primary Olfactory Sensations
As many as 100
Narrowed down to 7 which are:
Camphoraceous
Musky
Floral
Peppermint
Ethereal
Pungent
putrid
Dr. Misbah-ul-Qamar
25. Threshold for smell
Even a minute quantity of stimulating agent in the air
can elicit a smell sensation
Example:
Methylmercaptan can be smelled when one 25 trillionth
of a gram is present in each ml of air
Dr. Misbah-ul-Qamar
26. Threshold for different
olfactory sensation
These are the lowest concentrations of a chemical that
can be detected
Ethyl ether: 5.8mg/L of air
Chloroform: 3.3mg
Peppermint oil: 0.02mg
Butyric acid: 0.009mg
Artificial musk: 0.00004mg
Methyl mercaptan: 0.0000004mg
Dr. Misbah-ul-Qamar
27. Some other examples of substances which may be
detected at very low concentrations include
Hydrogen sulfide: 0.0005 parts per million (ppm)
Acetic acid: 0.016ppm
Kerosene: 0.1ppm
Gasoline: 0.3ppm
Dr. Misbah-ul-Qamar
28. Some toxic substances are odorless i.e., they have
odor detection threshold higher than lethal
concentrations
Example
CO2; detected at 74000ppm but lethal at 50000ppm
Dr. Misbah-ul-Qamar
29. Affective Qualities
Smell sensation either could be pleasant or unpleasant.
Threshold of some odorant molecules is extremely low(
1/25 billionth of a mg)
Range of sensitivity is only 10-50 times.
Dr. Misbah-ul-Qamar
30. Odorant binding proteins
(OBPs)
Olfactory epithelium contains one or more OBPs
These proteins are produced by supporting cells &
released in extracellular space
Functions of OBPs
These proteins may concentrate the odorants & transfer
them to receptors
They may partition hydrophobic ligands from air to an
aqueous phase
They sequester odorants away from site of odor
recognition to allow for odor clearance
Dr. Misbah-ul-Qamar
32. Transmission of Signals into
CNS
The olfactory fibers( axons of receptor cells) collect into
bundles of 20 or more pass through perforations in
the cribriform plate of ethmoid enter the olfactory
bulb.
Olfactory bulb is a complex neural structure containing
several different layers of cells
Each olfactory bulb is lined by small ball like neural
junctions(glomeruli)
Fibres terminate in relation to glomeruli.
Dr. Misbah-ul-Qamar
33. Olfactory Glomerulus–
1st relay station
This is a tangled knot of mitral and tufted cell dendrites
and olfactory nerve fibres.
Each of the glomeruli receives synaptic input from only
one type of olfactory receptor (which in turn responds
to only one discrete component of an odorant)
Glomeruli sort & file various components of odoriferous
molecule before relaying signal to higher levels.
Mitral cells in glomeruli refine the smell signals.
Dr. Misbah-ul-Qamar
34. Other functions of olfactory
glomerulus
1. Olfactory glomeruli demonstrate lateral inhibition which
sharpens & focuses olfactory signals
This mechanism is mediated by
Periglomerular cells
Granule cells
2. Extracellular field potential in each glomerulus
oscillates & helps to focus the signals reaching the cortex
Granule cells regulate the frequency of oscillation
Dr. Misbah-ul-Qamar
35. Olfactory Tract
It is formed by the axons of mitral and tufted cells.
It leaves the olfactory bulb after receiving signals and
enter specialized regions of the cortex.
Both olfactory tract & bulb are an anterior outgrowth of
brain tissue from the base of the brain
Dr. Misbah-ul-Qamar
39. Cortical Areas of Olfaction
Medial olfactory area
Lateral olfactory area
Dr. Misbah-ul-Qamar
40. Medial Olfactory Area
It exerts primitive behavioral aspects of olfactory
signals e.g: licking, salivation & other feeding
responses caused by smell of food or by emotional
drive associated with smell.
It is represented by septal nuclei
Signals from this area project to hypothalamus and
other regions for controlling same aspects of olfaction
Dr. Misbah-ul-Qamar
41. Lateral Olfactory Area
This area is concerned with specific behavioral responses related
to odors i.e: learned control of food intake
Example: aversion to food that have caused nausea & vomiting
The area is composed of following regions:
Prepiriform area
Piriform area
Cortical amygdaloid region
From here, the signals are directed to less primitive limbic
structures e.g: Hippocampus
Dr. Misbah-ul-Qamar
42. Newer Olfactory Pathway
Signals from primary cortical olfactory area are
projected to dorsomedial thalamic nucleus and then to
orbitofrontal cortex.
It is a phylogenetically newer pathway
Involved in conscious perception+ analysis of odor and
also odor discrimination
Dr. Misbah-ul-Qamar
44. Main olfactory destinations
Primary olfactory cortex piriform cortex
Amygdala
Entorhinal cortex
Dr. Misbah-ul-Qamar
45. Odor discrimination
How different odors are discriminated from one another
is exactly not resolved
There is theory that receptors are selectively sensitive
If 2 odors are mixed, the resulting intensity is always
less than the sum & perceived intensity is dominated by
stronger component
The direction from which a smell comes may be
indicated by slight difference in the time of arrival of
odorant molecules in the two nostrils
Dr. Misbah-ul-Qamar
46. Detection of pheromones by
VNO
Pheromones/ vomeropherins
non-volatile, odorless chemical signals passed
subconsciously from one individual to another.
Vomeronasal organ (VNO)
it is an accessory olfactory organ found in many animals
including mammals, located half an inch inside nose next
to the vomer bone.
Dr. Misbah-ul-Qamar
47. Vomeronasal organ (VNO) in
human
In humans VNO was considered as vestigial or
nonfunctional
Recently it is found that this organ is present in the
form of vomeronasal pits on anterior part of nasal
septum
Receptors of the pit detect odorless human
pheromones at a very low concentration in air
This organ is also called Jacobson’s organ as
discovered by Ludvig Jacobson in 1813
Dr. Misbah-ul-Qamar
48. Sixth sense?
Binding of a pheromone to its receptor on surface of
neuron in VNO triggers AP that travels through non-
olfactory pathways to the limbic system, governing
emotional response.
Messages conveyed by VNO bypass cortical
consciousness
This subconscious detection of odorless chemical
messengers in air is considered an extra sense of
humans
Dr. Misbah-ul-Qamar
49. Abnormalities of Olfactory
Sensation
Anosmia total loss for all odors
Temporary permanent
Temporary anosmia is due to obstruction of nose which
occurs during
Common cold
Nasal sinus
Allergic conditions
Permanent anosmia occurs during lesion in olfactory
tract, meningitis & degenerative conditions such as PD
& Alzheimer’s.
Dr. Misbah-ul-Qamar
50. Disadvantages of anosmia
Person is unable to experience enjoyment of pleasant
aromas & a full spectrum of tastes
The individual is at greater risk because they are not
able to detect odor from dangers (gas leak, fire, spoiled
food)
Dr. Misbah-ul-Qamar
51. Hyposmia reduced ability to recognize and to detect
any odor. The odors can be detected only at higher
concentrations. It is the most common disorder of
smell. It may be temporary or permanent. It occurs due
to same causes of anosmia.
Dr. Misbah-ul-Qamar
52. Abnormalities (cont’d)
Hyperosmia exaggerated sensation. Also called
olfactory hyperesthesia. Perceptual disorder. May
occur in brain injury, epilepsy & neurotic conditions.
Phantosmia olfactory hallucination smelling
something that is not there
could be central or peripheral
Dr. Misbah-ul-Qamar
53. Phantosmia
Phantom smells (imaginary odours) are not uncommon
Brief episodes of phantosmia can be triggered by
Temporal lobe seisures
Epilepsy
Head trauma
Onset of a migrain
Dr. Misbah-ul-Qamar
54. Why do we sniff to smell
something better
It increases our ability smell enhancing the detection of
odorous molecules in the air
Sniffing causes a peripheral drive in brain to
synchronize rythmic activity, which is the concurrent
firing of neurons in olfactory bulb with breathing.
Dr. Misbah-ul-Qamar
56. Main function of sensation of
taste???
Taste is a relative crude sense that serves primarily as
gatekeeper to GIT.
Used to separate undesirable foods from the pleasant
ones
To avoid lethal foods
Dr. Misbah-ul-Qamar
57. Taste is cumulative sense
It is mainly a function of taste buds
One’s sense of smell also contributes strongly to taste
perception
The texture of food is detected by tectual senses of
mouth
Presence of substances in food that stimulate pain
endings (pepper) greatly alter taste experience
Dr. Misbah-ul-Qamar
58. Taste bud
The taste buds are ovoid bodies
with a diameter of 50-70μ
In adults about 10,000 taste buds
are present------the number is more
in children
In old age, many taste buds
degenerate & the sensitivity of taste
becomes weak
Insects have taste organs in their
feet, antennae & mouthparts
Dr. Misbah-ul-Qamar
59. Functional unit of taste:
A Taste Bud(3000-10,000 in
number)
Composition of the taste bud
Receptor cells Sustentacular cells
(modified epitelial (supporting cells)
cells) about 50 in number few only
Sensory nerve fibres are intertwined among the cell bodies
Dr. Misbah-ul-Qamar
60. Physiologic structure of taste
bud
Taste bud is a bundle of taste receptor cells
Its supporting cells are embedded in the covering of
papillae
These cells are divided into 4 groups: type I, type II,
type III &type IV(basal cells)
Dr. Misbah-ul-Qamar
61. Cells of taste bud
Type I & IV are supporting cells
Type I, II &III have projections called microvilli
Microvilli project into an opening in the epithelium
covering the tongue
Neck of each cell is attached to the neck of others
There are tight junctions between epithelial cells & the
neck portion of type I, II & III cells so that only the tip of
these cells are exposed to fluid in oral cavity
Dr. Misbah-ul-Qamar
62. Regeneration in taste cells
Cells of taste buds undergo constant cycle of growth ,
apoptosis & regeneration.
Why regeneration required: most receptors are carefully
sheltered from direct exposure to the environment
Taste receptor cells, by virtue of their task, frequently come
into contact with potent chemicals so they have to be
replaced continuously
Epithelial cells surrounding the taste bud differentiate first
into supporting cells & then into receptor cells
Dr. Misbah-ul-Qamar
63. Taste pore
Formed by apical surfaces of taste cells
Taste hair protrude from the pore
Surface for taste molecules provided by taste hair/
microvillus
Dr. Misbah-ul-Qamar
64. Tongue papillae
Taste bud are smaller closer to the tip of tngue & larger
toward the back
found in relation to tongue papillae
Location of papillae
Fungiform : on ant. 2/3 of tongue
Circumvallate: forming a V-shape, on post. 1/3 of tongue
Foliate: along lateral margins of tongue
Filiform: have no taste buds
Dr. Misbah-ul-Qamar
72. Sour taste
Caused by acidic substances
Recepter involved is called epithelial Na channel
(ENaC)
Although the proton which enters the receptor is H+
Another channel involved is nucleotide gated cation
channel
Intensity of this taste is approximately proportional to the
logarithm of hydrogen ion concentration
The more acidic the food the stronger the sour
sensation
Dr. Misbah-ul-Qamar
73. Salty taste
Receptor involved is ENaC
Cations of ionized salts (mainly by Na+ ion
concentration)
Anions also contribute to a lesser extent
Quality of taste varies from one salt to another
Some salts elicit other taste sensations in addition to
saltiness
Dr. Misbah-ul-Qamar
74. Sweet taste
Not caused by any single
class of chemicals
Some of the types of
chemicals that cause this
taste include:
Sugars, glycols, alcohols,
aldehydes, ketones, amides,
esters, some amino acids,
some small proteins, sulfonic
acids, halogenated acids
most of the substances that
cause a sweet taste are
organic chemicals.
The inorganic substances
which produce sweet taste
are lead & beryllium.
Slight changes in chemical
structure (addition of a
simple radical) can often
change the substance from
sweet to bitter
Dr. Misbah-ul-Qamar
75. Umami taste
Designates a pleasant taste sesation
Umami is japanese word meaning ‘delicious’
it is qualitatively different sensation from sour, salty, sweet or bitter
It serves as a marker for a desirable, nutritionally protein rich food
It is triggered by the presence of amino acids especially L-
glutamate(e.g: meat extract, aging cheese)
Receptor for this taste is metabotropic whose activation is intensified
by
Guanosine monophosphate (GMP)
Inosine monophosphate(IMP)
Dr. Misbah-ul-Qamar
76. Bitter taste
Not caused by single type of chemical agent
Substances that give bitter taste are almost entirely organic
substances
Two particular classes of substances cause bitter taste
alkaloids,
long chain nitrogen containing items
Examples: quinine, caffein, strychnine, nicotine
Many plants, fungi, & some animals produce toxins as a
natural defense mechanism.
Dr. Misbah-ul-Qamar
77. Most bitter tastants are detected by GPCRs.
Taste cells that detect bitter possess 50-100 bitter receptors
Each of the receptors respond to a different flavor of bitter
Because each cell has diverse family of receptors, a wide
variety of unrelated chemicals all taste bitter despite their
diverse structures
This mechanism expands the ability of receptor to detect a
wide range of potentially harmful chemicals
Dr. Misbah-ul-Qamar
78. Important examples of bitter
substances
Quinine is bitter tasting toxin with antimalarial
properties extracted from a tree bark. It blocks most
classes of K channels & causes nonspecific memb.
depolarization
There are some substances which initially taste sweet
but have a bitter aftertaste
This characteristic makes the substance objectionable
to some people
Example: saccharine
Dr. Misbah-ul-Qamar
79. Other taste like sensations
Taste of fat constitute a sixth basic taste but the
transduction mechanisms are not fully delineated.
Chemical sensations that mimic hot (e.g: the burning
sensation associated with chilli pepper) & cold (e.g:
menthol) are not tastes but rather are mediated by
somatosensory pathways located in oral cavity or nasal
passage.
Dr. Misbah-ul-Qamar
81. Taste discrimination
The type of receptor protein & its specific action in each
taste villus determines the type of taste that will be
perceived
Example:
For Na & H ions: receptor proteins open specific ion
channels in apical membranes of taste cells
For sweet & bitter taste: portion of receptor protein that
protrude through apical membrane activates 2nd
messenger transmitter substances intracellular
chemical changes eliciting taste signal
Dr. Misbah-ul-Qamar
82. How difference in taste is
appreciated
Each taste bud typically responds to only one of the
five primary taste substances
except
When an item is present in very high
concentration
Dr. Misbah-ul-Qamar
83. Taste discrimination
This discrimination is coded by patterns of activity in
various taste bud receptors
Each receptor cell responds in varying degrees to all
primary tastes but is generally preferentially responsive
to one of the taste modalities
So the discrimination depends on subtle differences in
the stimulation patterns of all taste buds
Dr. Misbah-ul-Qamar
85. Taste transduction
The process in which taste chemoreceptors convert
chemical energy into action potentials in taste nerve
fiber
Dissolved substances act on exposed microvilli (taste
hair/cilia) development of receptor potential
generation of action potential
Dr. Misbah-ul-Qamar
86. Initiation of receptor potential
Like most sensory receptor cells, membrane of taste
cell is negatively charged on inside
Application of taste substance causes partial loss of
negative potential
Decrease in potential is approximately proportional to
the logarithm of concentration of stimulating substance
The change in electrical potential is called receptor
potential
Dr. Misbah-ul-Qamar
87. Receptor potential
application of substance to be tasted
depolarization of receptor cell
(by opening ion-specific channels)
response in associated nerve fibres
Dr. Misbah-ul-Qamar
88. Mechanism of stimulation of
taste sensation
Presence of Free H+ in
acid H+ blocks K+
channel decrease in
passive movement of K+ out
of cell reduction in internal
negativity
Presence of salt entry of
positively charged Na+
through specialized
channels receptor
depolarization
Dr. Misbah-ul-Qamar
89. Mechanism of stimulation of
taste sensation
Presence of glucose
activation of cAMP second
messenger pathway
phosphorylation & blockage
of K+ channels
Bitter tastant activation of
G-protein & phospholipase C
messenger system Ca
release
Dr. Misbah-ul-Qamar
90. Threshold for taste
For sour by HCl: 0.0009M
For salty by NaCl: 0.01M
For sweet by sucrose: 0.01M
For bitter by quinine: 0.000008M
What is taste index: reciprocals of taste thresholds
Dr. Misbah-ul-Qamar
91. How taste nerve is excited
Taste nerve fibers form a branching terminal network
This network is interwoven around the bodies of taste
cells
Some of these fibers invaginate into folds of taste cell
membrane
Many neurotransmitter vesicles form beneath cell
membrane near fibers release of NT substance
excite the nerve fiber endings
Dr. Misbah-ul-Qamar
93. adaptation
A strong immediate signal by taste nerve weaker
continuous signal
On first application of taste stimulus rate of discharge
of nerve fibers rises to a peak in small fraction of a
second
Adaptation occurs within few seconds rate of
discharge of impulses falls back to a lower steady level
Taste adaptation occurs both at receptors & at CNS
level
Dr. Misbah-ul-Qamar
94. Transmission of signals into
CNS
1st order neurons of taste pathway are in the nuclei of 3
different cranial nerves
Dendrites of these neurons are distributed to the taste
buds
Dr. Misbah-ul-Qamar
95. Afferent taste signals
From ant.2/3 of tongue:
signals travel in branches of trigeminal nerve
joins the chorda tympani( branch of facial nerve)
From post.1/3 of tongue:
signals carried by fibres in glossopharyngeal nerve
From epiglottis + other areas
signals carried within branches of vagus
Dr. Misbah-ul-Qamar
97. Transmission of signals into
CNS (cont’d)
Afferent signals through axons of 1st order neurons
enter into the nucleus solitarius located in brain stem(
precisely medulla oblongata) through solitary tract.
Neurons of tractus solitarius are 2nd order neurons.
Axons of these run through medial leminiscus.
Dr. Misbah-ul-Qamar
98. Transmission of signals into
CNS (cont’d)
Next, the third order neurons are in the posteroventral
nucleus of thalamus so axons pass rostrally to
ventromedial nucleus of thalamus.
Then, axons from 3rd order neurons project into parietal
lobe & signals reach the cerebral cortex.
Dr. Misbah-ul-Qamar
99. Final taste perception
In ventral region of postcentral gyrus which curls into
lateral fissure of cerebral cortex.
Taste center: center for taste sensation is in the
opercular insular cortex i.e: in lower part of postcentral
gyrus which receives cutaneous sensations from face.
Dr. Misbah-ul-Qamar
101. Unique feature of gustatory
pathway
Unlike most sensory input, gustatory pathways are
primarily uncrossed
The taste fibers do not have an independent cortical
projection.
Dr. Misbah-ul-Qamar
102. Pathway for taste reflex/
salivation
Fibres course from the solitary tract directly to the
superior and inferior salivatory nuclei.
Dr. Misbah-ul-Qamar
104. Activation of saliva secretion
It is a taste reflex.
Mediated by preganglionic parasympathetic fibres to
sup., inf. salivatory nuclei and then postganglionic
fibres to submandibular, sublingual and parotid glands.
30 ounces of saliva every 24 hours
Sympathetic activation causes dry mouth
Dr. Misbah-ul-Qamar
105. Taste preference
It simply means that an animal will choose certain types
of foods over others
Taste preference often change in accord with body’s
need for certain specific substances
The phenomenon of taste preference & aversion
results from a mechanism located in central nervous
system, not in taste receptors
Dr. Misbah-ul-Qamar
107. Ageusia
Total loss of taste.
It may be permanent or temporary
Lesion in facial nerve, chorda tympani or mandibular
division of trigeminal nerve causes loss of taste in anterior
2/3 of tongue
Lesion in glossopharyngeal nerve leads to loss of taste in
post. 1/3 of tongue
Temporary ageusia occcurs due to certain drugs
Captopril
Penicillamine
Substances containing sulfhydryl group
Dr. Misbah-ul-Qamar
108. Prevalence of ageusia
Ageusia is uncommon except in patients with Sjogren
syndrome.
Sjogren patients suffer from an autoimmune disease that
impairs exocrine gland function, including salivary glands.
Saliva is required to carry tastants in dissolved form
through taste bud pore.
Dr. Misbah-ul-Qamar
109. Taste abnormalities
Hypogeusia: decrease in taste sensation. It is due to
increase in threshold for different taste sensations.
Metallic dysgeusia ( a persistent metallic taste) is a
common side effect of many antibiotics (e.g:
tetracycline & metronidazole) & antifungals.
Taste blindness rare genetic disorder, inability to
recognize substances by taste
Dr. Misbah-ul-Qamar
110. Dysgeusia it is a disturbance in taste sensation
Paroxysmal unpleasant hallucinations of taste & smell
occur
Condition in which dysgeusia present
temporal lobe syndrome specially when anterior region
of temporal lobe is affected
Dr. Misbah-ul-Qamar