Wednesday, May 2, 2018

Revival of our Tastes


Our sense of taste is an expression of ourselves. It lets us experience the world, savor the different cuisines, and live pleasurably. Imagine if you could no longer taste anything. Surely, a great part of our happiness is taken away- the happiness brought to us by tasting and sharing food with loved ones. The scientific term for the loss of taste is called ageusia. This condition is not so much physically serious as it is mentally. The loss of taste causes individuals to be severely depressed, leading to great mental impact. Loss of taste is usually also accompanied with the loss of smell- our pathway for taste and smell are greatly linked. These two senses not only function in merely tasting food and smelling odors, but more seriously, taste and smell are interconnected with memory and learning. Certainly, all of us have specific tastes and smells that cause us to recall memories. Losing these senses, therefore, have far greater impacts than quality of life.
             Ageusia can be attributed to various factors. Serious conditions causing ageusia include oral cancer, brain damage and injuries due to stroke or radiotherapy, or surgery performed in the ENT area that has damaged nerves essential for gustatory senses. Natural aging can cause decrease sense of taste, although usually not complete loss. There are also various forms of taste disorders besides ageusia which include hypogeusia, dysgeusia, and phantogeusia, all of which are caused by the lack of proper function of the gustatory nerves and system. Certain forms of these disorders are hard to cure- especially if the loss of taste is due to an autoimmune disorder or genetic conditions. However, information on gustatory signaling pathway can help us develop a drug that patients which such conditions can take in order to increase innervation of the gustatory nerves.
             Dr. Rochlin’s study, “Ephrin-B/EphB Signaling Is Required for Normal Innervation of Lingual Gustatory Papillae”, makes exciting discoveries on the gustatory pathway which expands our knowledge on key mechanisms, allowing us to apply this information in a clinical setting to develop a solution to disorders such as ageusia. This study discovers that proteins EphB1 and EphB2 are essential for proper and necessary gustatory innervation of the mammalian tongue. It is stated that this study provides the first evidence for the role of ephrins in the lingual gustatory epithelium and the discovery that EphB proteins are expressed in taste axons. It also highlights the requirement of ephrin-B/EphB for normal innervation of papillae. The results of Dr. Rochlin’s study contributes greatly to our knowledge of the gustatory pathway and allows further research to be continued to discover yet greater details of human gustatory senses. Furthermore, these results allow scientists to research into developing drugs that increases Eph-B proteins which are required for proper innervation of the papillae for patients with ageusia. If such a drug were developed, patients that have lost their sense of taste to oral cancers or aging have a chance of recovering their senses via pharmaceuticals.
             In the article by Science Daily titled, “Regenerating lost taste buds: Key steps discovered”, another important protein that plays a great role in developing taste buds was discovered. The beta-catenin protein is part of the Wnt pathway which regulates separate stages of taste cell turnovers which then controls the renewal of taste cells. Activating the Wnt pathway can be a solution to renewing taste buds that are destroyed or altered by chemotherapy for cancer patients. Since chemotherapy destroys precursor cells which turn into the various taste cells, this pathway can help restore proper function in patients receiving chemotherapy for oral cancers, thus reinstating their sense of taste.
Combining the results from this study as well as Dr. Rochlin’s study that emphasizes the role of EphB proteins in the gustatory pathway, the development of a drug that regulates taste dysfunction and restores taste in patients that are aging or have lost the ability to taste due to oral cancers is in the very near future. This is great news and a new-found hope to those who suffer from ageusia since restoration of their sense of taste will not only allow for a better quality of life but a better mental state.



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