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1.
Food Chem ; 426: 136492, 2023 Nov 15.
Article in English | MEDLINE | ID: mdl-37295052

ABSTRACT

4-Methylphenol is a food-related odor-active volatile with a high recognition factor, due to its horse stable-like, fecal odor quality. Its ambivalent hedonic impact as key aroma compound, malodor, and semiochemical has spurred the search for its cognate, chemosensory odorant receptors across species. A human odorant receptor for the highly characteristic 4-methylphenol has been elusive. Here, we identified and characterized human receptor OR9Q2 to be tuned to purified 4-methylphenol, but not to its contaminant isomer 3-methylphenol. This highly selective function of OR9Q2 complements an exclusive phenol detection gap in the ancient, most broadly tuned human odorant receptor OR2W1. Moreover, a 4-methylphenol function is evolutionary conserved in phylogenetically related OR9Q2 orthologs from chimpanzee, mouse, and cow. Notably, the cow receptor outperformed human OR9Q2 10-fold in signal strength, consonant with previous reports of 4-methylphenol as a bovine pheromone. Our results suggest OR9Q2 as best sensor for the key food odorant, malodor, and semiochemical 4-methylphenol.


Subject(s)
Odorants , Receptors, Odorant , Female , Animals , Cattle , Humans , Mice , Horses , Odorants/analysis , Receptors, Odorant/genetics , Phenols , Pheromones
2.
Eur J Neurosci ; 47(3): 201-210, 2018 02.
Article in English | MEDLINE | ID: mdl-29247491

ABSTRACT

Spices in food and beverages and compounds in tobacco smoke interact with sensory irritant receptors of the transient receptor potential (TRP) cation channel family. TRPV1 (vanilloid type 1), TRPA1 (ankyrin 1) and TRPM8 (melastatin 8) not only elicit action potential signaling through trigeminal nerves, eventually evoking pungent or cooling sensations, but by their calcium conductance they also stimulate the release of calcitonin gene-related peptide (CGRP). This is measured as an index of neuronal activation to elucidate the chemo- and thermosensory transduction in the isolated mouse buccal mucosa of wild types and pertinent knockouts. We found that the lipophilic capsaicin, mustard oil and menthol effectively get access to the nerve endings below the multilayered squamous epithelium, while cigarette smoke and its gaseous phase were weakly effective releasing CGRP. The hydrophilic nicotine was ineffective unless applied unprotonated in alkaline (pH9) solution, activating TRPA1 and TRPV1. Also, mustard oil activated both these irritant receptors in millimolar but only TRPA1 in micromolar concentrations; in combination (1 mm) with heat (45 °C), it showed supraadditive, that is heat sensitizing, effects in TRPV1 and TRPA1 knockouts, suggesting action on an unknown heat-activated channel and mustard oil receptor. Menthol caused little CGRP release by itself, but in subliminal concentration (2 mm), it enabled a robust cold response that was absent in TRPM8-/- but retained in TRPA1-/- and strongly reduced by TRPM8 inhibitors. In conclusion, all three relevant irritant receptors are functionally expressed in the oral mucosa and play their specific roles in inducing neurogenic inflammation and sensitization to heat and cold.


Subject(s)
Capsaicin/pharmacology , Mouth Mucosa/drug effects , TRPA1 Cation Channel/drug effects , TRPM Cation Channels/drug effects , TRPV Cation Channels/drug effects , Animals , Calcitonin Gene-Related Peptide/metabolism , Mice , Sensory Receptor Cells/metabolism , Transient Receptor Potential Channels/drug effects
3.
Am J Physiol Lung Cell Mol Physiol ; 309(8): L812-20, 2015 Oct 15.
Article in English | MEDLINE | ID: mdl-26472811

ABSTRACT

Cigarette smoke (CS) exposes chemosensory nerves in the airways to a multitude of chemicals, some acting through the irritant receptors TRPV1 and TRPA1 but potentially also through nicotinic acetylcholine receptors (nAChR). Our aim was to characterize the differences in sensory neuronal effects of CS, gas phase, and particulate matter as well as of typical constituents, such as nicotine and reactive carbonyls. Isolated mouse trachea and larynx were employed to measure release of calcitonin gene-related peptide (CGRP) as an index of sensory neuron activation evoked by CS, by filtered CS gas phase essentially free of nicotine, and by dilute total particulate matter (TPM) containing defined nicotine concentrations. With CS stimulation of the superfused trachea, TRPV1 null mutants showed about the same large responses as wild-type mice, whereas both TRPA1(-/-) and double knockouts exhibited 80% reduction; the retained 20% response was abolished by mecamylamine (10 µM), indicating a distinct contribution of nAChRs. These phenotypes were accentuated by using TPM to stimulate the immersed trachea; 50% of response was retained in TRPA1(-/-) and abolished by mecamylamine. In contrast, the gas phase acted like a sheer TRPA1 agonist, consistent with its composition, among other compounds, of volatile reactive carbonyls like formaldehyde and acrolein. In the trachea, the gas phase and CS were equally effective in releasing CGRP, whereas the larynx showed much larger CS than gas phase responses. Thus nicotinic receptors contribute to the sensory effects of cigarette smoke on the trachea, which are dominated by TRPA1. How this translates to human perception affords future research.


Subject(s)
Larynx/metabolism , Receptors, Nicotinic/metabolism , Smoking/adverse effects , Smoking/metabolism , TRPV Cation Channels/metabolism , Trachea/metabolism , Transient Receptor Potential Channels/metabolism , Animals , Calcitonin Gene-Related Peptide/metabolism , Female , Humans , In Vitro Techniques , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Sensory Receptor Cells/metabolism , Smoke/adverse effects , Smoke/analysis , TRPA1 Cation Channel , TRPV Cation Channels/deficiency , TRPV Cation Channels/genetics , Transient Receptor Potential Channels/deficiency , Transient Receptor Potential Channels/genetics
4.
Nicotine Tob Res ; 16(7): 948-60, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24638852

ABSTRACT

INTRODUCTION: Few clinical studies involving cigarettes have provided a comprehensive picture of smoke exposure, test article characterization, and insights into sensory properties combined. The purpose of these pilot studies was to determine whether cigarettes with different levels of nicotine but similar tar levels would affect sensory experience or smoking behavior so as to significantly alter levels of selected biomarkers of exposure (BOE). METHODS: In 2 confined, double-blind studies, 120 adult smokers switched from Marlboro Gold cigarettes at baseline to either 1 of 2 lower nicotine cigarettes or 1 of 2 higher nicotine cigarettes and then to the other cigarette after 5 days. Urinary excretion of exposure biomarkers (nicotine equivalents [NE], total and free 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol [NNAL], 1-hydroxypyrene, and 3-hydroxypropyl mercapturic acid) as well as carboxyhemoglobin and plasma cotinine were measured at baseline, Day 5, and Day 10. Daily cigarette consumption was monitored and sensory characteristics were rated for each cigarette. RESULTS: With higher nicotine yield, urine NE, urine total NNAL, and plasma cotinine increased while nonnicotine BOE decreased without changes in cigarette consumption. In contrast, with lower nicotine yield, urine NE, urine total NNAL, and plasma cotinine dropped while nonnicotine BOE and cigarettes per day increased. Higher nicotine cigarettes were rated harsher and stronger than at baseline while lower nicotine cigarettes were less strong. All 4 test cigarettes were highly disliked. CONCLUSIONS: These studies demonstrate that abrupt increases or decreases in nicotine and the resulting sensory changes impact BOE through changes in intensity or frequency of smoking.


Subject(s)
Biomarkers/urine , Nicotine/analysis , Perception/drug effects , Smoking/urine , Tobacco Products/analysis , Adult , Carboxyhemoglobin/metabolism , Cotinine/blood , Cross-Over Studies , Double-Blind Method , Female , Humans , Male , Middle Aged , Nicotine/urine , Nitrosamines/urine , Pilot Projects , Pyrenes/urine , Pyridines/urine , Smoking/blood , Tars/analysis , Young Adult
5.
Somatosens Mot Res ; 31(2): 100-10, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24568199

ABSTRACT

UNLABELLED: Abstract Background: Chemo-somatosensory evoked potentials (CSSEPs) elicited by chemical stimulation (CO2 gas) of the nasal mucosa have been shown to be sensitive enough to pick up even weak analgesic effects. With the present study we wanted to investigate whether CSSEPs are also a sensitive tool to capture endogenous pain inhibitory mechanisms elicited by conditioned pain modulation (CPM; where a first conditioning stimulus reduces the sensitivity for a second test stimulus) with a conditioning stimulus of rather low noxious load. METHODS: Seventeen healthy participants were tested for CPM effects (conditioning stimulus: tonic heat pain with intensities around the pain threshold induced via a thermode; test stimulus: chemonasal stimulation (73% and 78% CO2)) on CSSEPs and on self-report ratings. RESULTS: We found significant CPM effects in the CSSEPS, with reduced amplitudes and prolonged latencies at several electroencephalogram (EEG) recording positions when using the lower CO2 concentration (73% CO2). In contrast to the visible inhibitory effects on the CSSEPs, subjective ratings of the test stimulus did not reflect CPM action. DISCUSSION: The experimental pain model using CO2 stimuli to elicit CSSEPs proved to be sensitive enough to capture weak CPM effects elicited by a conditioning stimulus of rather low noxious load. The usage of such mild noxious conditioning stimuli-in contrast to stimuli of higher noxious load (e.g., cold pressor test)-has the advantage that the activation of other types of pain inhibitory mechanisms in parallel (like attentional distraction, stress-induced analgesia) can be avoided.


Subject(s)
Conditioning, Psychological , Evoked Potentials, Somatosensory/physiology , Pain Threshold/physiology , Pain/physiopathology , Adult , Carbon Dioxide/adverse effects , Electroencephalography , Female , Humans , Male , Pain/etiology , Pain Measurement , Psychophysics , Young Adult
6.
Inflamm Res ; 62(12): 1045-51, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24037371

ABSTRACT

OBJECTIVE AND DESIGN: To develop a model of the inflammatory component of non-infectious sore throat using tonic stimulation and quantification of inflammatory mediators in pharyngeal lavage fluid. MATERIAL OR SUBJECTS: Forty-five healthy volunteers. TREATMENT: Cold dry air. METHOD: Tonic stimulation of the pharynx was achieved using a constant stream of cold dry air to the back of the throat. Following optimization of stimulation conditions (phase 1), pharyngeal pain, irritation, and swallowing discomfort were assessed using visual analog scales, and the concentration of inflammatory markers were measured in pharyngeal lavage fluid (phase 2). RESULTS: Optimum conditions for tonic pharyngeal stimulation were cold dry air at 12 °C, relative humidity 20 %, at a flow rate of 12 L/min for 15 min. Analysis of pharyngeal lavage fluid collected 5 min after stimulation showed significant increases in prostaglandin E2 (P = 0.018), thromboxane B2 (P < 0.001), and substance P (P < 0.001), but no increase in peptidoleukotriene. When the stimulus was removed, the level of inflammatory markers in pharyngeal lavage fluid returned to baseline by 30 min post-stimulation. These objective measures mirrored subjective pain ratings. CONCLUSIONS: Tonic stimulation of the pharyngeal mucosa with cold dry air causes pain and an increase of inflammatory mediators which are reversible.


Subject(s)
Inflammation Mediators/immunology , Mucous Membrane/immunology , Pain/immunology , Pharyngitis/immunology , Adult , Air , Cold Temperature , Female , Humans , Male , Therapeutic Irrigation , Young Adult
7.
J Pharmacol Exp Ther ; 347(2): 529-39, 2013 Nov.
Article in English | MEDLINE | ID: mdl-23926288

ABSTRACT

High concentrations of nicotine, as in the saliva of oral tobacco consumers or in smoking cessation aids, have been shown to sensitize/activate recombinant transient receptor potential vanilloid type 1 (rTRPV1) and mouse TRPA1 (mTRPA1) channels. By measuring stimulated calcitonin gene-related peptide (CGRP) release from the isolated mouse trachea, we established a bimodal concentration-response relationship with a threshold below 10 µM (-)-nicotine, a maximum at 100 µM, an apparent nadir between 0.5 and 10 mM, and a renewed increase at 20 mM. The first peak was unchanged in TRPV1/A1 double-null mutants as compared with wild-types and was abolished by specific nicotinic acetylcholine receptor (nAChR) inhibitors and by camphor, discovered to act as nicotinic antagonist. The nicotine response at 20 mM was strongly pHe-dependent, - five times greater at pH 9.0 than 7.4, indicating that intracellular permeation of the (uncharged) alkaloid was required to reach the TRPV1/A1 binding sites. The response was strongly reduced in both null mutants, and more so in double-null mutants. Upon measuring calcium transients in nodose/jugular and dorsal root ganglion neurons in response to 100 µM nicotine, 48% of the vagal (but only 14% of the somatic) sensory neurons were activated, the latter very weakly. However, nicotine 20 mM at pH 9.0 repeatedly activated almost every single cultured neuron, partly by releasing intracellular calcium and independent of TRPV1/A1 and nAChRs. In conclusion, in mouse tracheal sensory nerves nAChRs are 200-fold more sensitive to nicotine than TRPV1/A1; they are widely coexpressed with the capsaicin receptor among vagal sensory neurons and twice as abundant as TRPA1. Nicotine is the major stimulant in tobacco, and its sensory impact through nAChRs should not be disregarded.


Subject(s)
Ganglia, Sensory/drug effects , Nicotine/pharmacology , Receptors, Nicotinic/metabolism , Sensory Receptor Cells/drug effects , TRPV Cation Channels/metabolism , Trachea/drug effects , Transient Receptor Potential Channels/metabolism , Animals , Calcitonin Gene-Related Peptide/metabolism , Cell Culture Techniques , Cells, Cultured , Dose-Response Relationship, Drug , Female , Ganglia, Sensory/metabolism , Hydrogen-Ion Concentration , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Nicotine/administration & dosage , Receptors, Nicotinic/genetics , Sensory Receptor Cells/metabolism , TRPA1 Cation Channel , TRPV Cation Channels/genetics , Trachea/metabolism , Transient Receptor Potential Channels/genetics
8.
Nicotine Tob Res ; 14(5): 586-95, 2012 May.
Article in English | MEDLINE | ID: mdl-22140146

ABSTRACT

INTRODUCTION: The nicotine bolus theory states that the dependence-producing potential of cigarettes relates to a rapid increase in nicotine at brain receptor sites. It has been suggested that ammonia, a compound typically found in tobacco products, further increases the amount of nicotine absorbed and its absorption rate. The aim of this study was to determine whether different ammonia yields in cigarettes affected the rate or amount of nicotine absorption from the lungs to arterial circulation. METHODS: 34 adult smokers received 3 separate puffs from each of 2 test cigarettes with different ammonia yields (ammonia in smoke: 10.1 µg per cigarette vs. 18.9 µg per cigarette), followed by rapid radial arterial blood sampling (maximum one sample per second) with 30 min between puffs. Arterial blood samples were assayed for nicotine by liquid chromatography tandem mass spectrometry. Pharmacokinetic modeling was performed and the two test cigarettes were assessed for bioequivalence. RESULTS: No significant differences were found in area under the curve, C(max), or T((max)) and the 2 test cigarettes were found to be bioequivalent based on 2 one-sided tests at a significance level of 5%. In addition, the zero-order rate constant (k(0)) obtained from the initial slope of the curves and the model-dependent first-order rate constant (k(a)) were not significantly different. CONCLUSIONS: This study provides strong evidence that the different ammonia yields of the test cigarettes had no impact on nicotine pharmacokinetics; thus, the ammonia did not increase the rate or amount of nicotine absorption from a puff of cigarette smoke.


Subject(s)
Ammonia/pharmacology , Arteries/metabolism , Nicotine/pharmacokinetics , Adult , Double-Blind Method , Humans , Smoking , Nicotiana
9.
Am J Rhinol Allergy ; 25(4): e145-8, 2011.
Article in English | MEDLINE | ID: mdl-21819750

ABSTRACT

BACKGROUND: The "Candy Smell Test" (CST) has been introduced as a new testing method for the evaluation of the human sense of smell. In contrast to other established orthonasal smell tests, the CST addresses the retronasal application of odors, typical for food aroma effects during mastication and swallowing. The aim of this study was to evaluate the CST in a clinical setting in patients with olfactory dysfunction and normal controls against the Sniffin' Sticks test. Furthermore, cutoff points for normal and pathological results in the CST should be determined. METHODS: The olfactory performance of 96 patients presenting with olfactory disorders and 71 healthy controls was evaluated with the CST-comprised of 23 different aromatized smell candies and the extended Sniffin' Sticks test (threshold, discrimination, and identification). The control group was gender matched but included also younger persons. RESULTS: The tested subjects could easily understand the procedures and were motivated to participate. The CST correlated well with the Sniffin' Sticks for all tested subjects and for patients (n = 96) and controls (n = 71). The proposed cutoff value to differentiate normosmia from hyposmia in the CST was a score of <16 (i.e., 16 correctly identified odors) of 23. A score below 13 in the CST was the cutoff value for anosmia. CONCLUSION: The CST is an easy-to-handle reliable tool to investigate retronasal olfaction suited for clinical determination of normosmia, hyposmia, and ansomia. In addition, it can be used for investigation where self-application is necessary such as in large survey studies.


Subject(s)
Candy/analysis , Olfaction Disorders/diagnosis , Smell , Adolescent , Adult , Aged , Child , Diagnostic Tests, Routine/methods , Disease Progression , Feasibility Studies , Female , Humans , Male , Middle Aged , Olfaction Disorders/pathology , Olfaction Disorders/physiopathology , Paranasal Sinuses/pathology , Reference Values
10.
Nicotine Tob Res ; 12(4): 319-25, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20142418

ABSTRACT

INTRODUCTION: We developed an automated sampling system to allow multiple, discrete blood samples from a human participant to be collected rapidly and immediately following cigarette smoke exposure. We reported the details of the sampling system along with the results of a pilot study for evaluation of the system. METHODS: Components of the system include silastic tubing, solenoid pinch valves, a peristaltic pump, and a fraction collector. This system incorporates a smoking machine that allows precise delivery of cigarette smoke through a mouthpiece and intricate timing to correlate blood samples with smoke inhalation. All components are controlled via integration from a user interface and are fully customizable. We performed several tests to evaluate the equipment, including tubing dead volume, leakage tests, and sample reproducibility. We also performed a pilot study with 6 adult smokers, who received 6 controlled puffs of a research test cigarette. Each inhalation was followed by radial arterial blood collection (1 sample per second tapered to 1 sample every 4 s) for 1 min. Samples were evaluated for nicotine via liquid chromatography-tandem mass spectrometric methods. RESULTS: Sampling times and volumes were sufficient for nicotine analysis. No adverse effects were seen in the pilot study, and a 30-min washout period was deemed appropriate between puffs. A significant rise in plasma nicotine levels above baseline after inhalation of smoke was consistently detected in all participants. DISCUSSION: The unique advantage of this system is to allow rapid blood sampling after a puff of cigarette smoke, with the benefits of reproducibility, reduction in labor intensity, and high temporal resolution.


Subject(s)
Nicotine/blood , Nicotine/pharmacokinetics , Smoking/blood , Administration, Inhalation , Adult , Aged , Female , Humans , Male , Middle Aged , Nicotine/administration & dosage , Young Adult
11.
Laryngoscope ; 119(3): 487-95, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19235738

ABSTRACT

OBJECTIVES: To develop and validate an olfactory test kit suitable for children and adults based on retronasal smelling of aromas combined with a sweet taste. Moreover, to explore the age limit at which olfactory testing is feasible and to extend the normative database for the validated "Sniffin' Sticks" test regarding children of younger ages. STUDY DESIGN: Randomized three-way crossover study in healthy children and adults. METHODS: : The newly developed Candy Smell Test (CST, 23 aromatized sorbitol candies) was presented using a four-alternative, forced-choice procedure. First, 353 healthy subjects (230 children and 123 adults) were investigated in three separate sessions with the CST and the validated "Sniffin' Sticks" (composed of odor threshold, discrimination, and identification tasks). Both tests were then compared in 124 patients with olfactory disorders. RESULTS: Test-retest reliability showed good reproducibility of the data obtained with the CST on 2 days (r(287) = 0.75, P < .001). Test results correlated significantly with the "Sniffin' Sticks" score (r(366) = 0.84, P < .001), although the CST proves to be much easier. The age limit for obtaining valid data was 7 years for both tests. The cutoff limit for the CST scores to separate normosmics from dysosmics was a score of 16 or less out of 23. Anosmia (cutoff score

Subject(s)
Candy , Nose/physiology , Odorants , Olfactory Perception/physiology , Smell/physiology , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Child , Child, Preschool , Cross-Over Studies , Female , Follow-Up Studies , Humans , Male , Middle Aged , Olfaction Disorders/diagnosis , Predictive Value of Tests , Young Adult
12.
Hum Brain Mapp ; 30(3): 699-710, 2009 Mar.
Article in English | MEDLINE | ID: mdl-18381635

ABSTRACT

Applied to the nasal mucosa in low concentrations, nicotine vapor evokes odorous sensations (mediated by the olfactory system) whereas at higher concentrations nicotine vapor additionally produces burning and stinging sensations in the nose (mediated by the trigeminal system). The objective of this study was to determine whether intranasal stimulation with suprathreshold concentrations of S(-)-nicotine vapor causes brain activation in olfactory cortical areas or if trigeminal cortical areas are also activated. Individual olfactory detection thresholds for S(-)-nicotine were determined in 19 healthy occasional smokers using a computer-controlled air-dilution olfactometer. Functional magnetic resonance images were acquired using a 1.5T MR scanner with applications of nicotine in concentrations at or just above the individual's olfactory detection threshold. Subjects reliably perceived the stimuli as being odorous. Accordingly, activation of brain areas known to be involved in processing of olfactory stimuli was identified. Although most of the subjects never or only rarely observed a burning or painful sensation in the nose, brain areas associated with the processing of painful stimuli were activated in all subjects. This indicates that the olfactory and trigeminal systems are activated during perception of nicotine and it is not possible to completely separate olfactory from trigeminal effects by lowering the concentration of the applied nicotine. In conclusion, even at low concentrations that do not consistently lead to painful sensations, intranasally applied nicotine activates both the olfactory and the trigeminal system.


Subject(s)
Nasal Mucosa/drug effects , Nicotine/pharmacology , Nicotinic Agonists/pharmacology , Olfactory Bulb/drug effects , Olfactory Perception/physiology , Trigeminal Caudal Nucleus/drug effects , Adult , Brain Mapping , Cerebral Cortex/drug effects , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Smoking
13.
Clin J Pain ; 23(8): 663-8, 2007 Oct.
Article in English | MEDLINE | ID: mdl-17885344

ABSTRACT

OBJECTIVES: Muscular pain is usually associated with increased muscle tension resulting in a vicious tension-pain-cycle, leading to increased alertness and stress. However, this has not been broadly evaluated using objective methods, for example, looking at neurophysiologic changes. The focus of this study was, therefore, to combine objective [spontaneous electroencephalogram (EEG) as a surrogate of alertness and stress] with subjective parameters (self-assessed pain affected variables) to investigate the effect of continuous low-level heat therapy in low back pain (LBP)-patients. METHODS: This investigation was a randomized, active controlled, parallel-designed study. Thirty patients were randomly assigned to one of 2 groups: the control group, in which patients were provided with oral analgesics (nonsteroidal anti-inflammatory drug) and instructed to use it if needed, and the treatment group, in which patients in addition to oral analgesics as rescue medication were provided with a heatwrap therapy. The objective parameters were assessed by measuring the power of frequency bands in the spontaneous EEG. The subjective parameters (sleep pattern, well-being, pain intensity, etc.) were assessed by a Pain, Sleep, and Stress Questionnaire. RESULTS: In the EEG-recordings, the heatwrap therapy group showed decreased power in Beta-1 and Beta-2 frequency bands compared with the control group, indicating a reduction in arousal. Also, in comparison to the control group, the heatwrap therapy group reported significantly reduced LBP, everyday situations being less stressful, a better night's sleep, and a decreased number of daytime naps. DISCUSSION: In addition to classic psychophysical assessment of pain-related parameters and sleep quality, performance in daily life, we were able to obtain objective measures (EEG) that suggest an acute therapeutic relaxation on the basis of the central nervous system effects accompanying the reported significant pain relief. We believe that this was due to a reduced nociceptive information load in LBP-patients after the use of the heatwrap therapy.


Subject(s)
Hot Temperature/therapeutic use , Low Back Pain/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Arousal/physiology , Beta Rhythm , Data Interpretation, Statistical , Electroencephalography/drug effects , Female , Humans , Low Back Pain/psychology , Male , Middle Aged , Muscle Relaxation/physiology , Muscle Tonus/physiology , Pain Measurement , Sleep/physiology , Stress, Psychological/psychology , Surveys and Questionnaires
14.
J Neurophysiol ; 98(3): 1662-74, 2007 Sep.
Article in English | MEDLINE | ID: mdl-17615133

ABSTRACT

The effect of nicotine on the benzamil (Bz)-insensitive (transient receptor potential vanilloid-1 variant cation channel, TRPV1t) and the Bz-sensitive (epithelial Na(+) channel, ENaC) salt taste receptors and sour taste was investigated by monitoring intracellular Na(+) and H(+) activity (pH(i)) in polarized fungiform taste receptor cells (TRCs) and the chorda tympani (CT) nerve responses to NaCl, KCl, and HCl. CT responses in Sprague-Dawley rats and both wildtype and TRPV1 knockout (KO) mice were recorded in the presence and absence of agonists [resiniferatoxin (RTX) and elevated temperature] and an antagonist (SB-366791) of TRPV1t, the ENaC blocker (Bz), and varying apical pH (pH(o)). At concentrations <0.015 M, nicotine enhanced and at >0.015 M, it inhibited CT responses to KCl and NaCl. Nicotine produced maximum enhancement in the Bz-insensitive NaCl CT response at pH(o) between 6 and 7. RTX and elevated temperature increased the sensitivity of the CT response to nicotine in salt-containing media, and SB-366791 inhibited these effects. TRPV1 KO mice demonstrated no Bz-insensitive CT response to NaCl and no sensitivity to nicotine, RTX, and elevated temperature. We conclude that nicotine modulates salt responses by direct interaction with TRPV1t. At pH(o) >8, the apical membrane permeability of nicotine was increased significantly, resulting in increase in TRC pH(i) and volume, activation of ENaC, and enhancement of the Bz-sensitive NaCl CT response. At pH(o) >8, nicotine also inhibited the phasic component of the HCl CT response. We conclude that the effects of nicotine on ENaC and the phasic HCl CT response arise from increases in TRC pH(i) and volume.


Subject(s)
Chorda Tympani Nerve/physiology , Nicotine/pharmacology , Taste/physiology , Animals , Chorda Tympani Nerve/drug effects , Epithelial Sodium Channels/drug effects , Epithelial Sodium Channels/physiology , Fluoresceins , Hydrogen-Ion Concentration , Potassium Chloride/pharmacology , Rats , Sodium Chloride , TRPV Cation Channels/drug effects , TRPV Cation Channels/physiology , Taste/drug effects
15.
J Clin Pharmacol ; 47(6): 715-26, 2007 Jun.
Article in English | MEDLINE | ID: mdl-17442681

ABSTRACT

The aim of this study was to determine the analgesic effect of acetaminophen compared to a combination of both caffeine and acetaminophen or caffeine alone using tonic and phasic pain stimulation. Twenty-four subjects were treated orally with 1000 mg acetaminophen, 130 mg caffeine, and a combination of both in a 4-way crossover, double-blind, placebo-controlled study. Pharmacokinetics and analgesic effects were assessed by means of an experimental pain model based on pain-related cortical potentials after phasic stimulation of the nasal mucosa with CO(2) and based on pain ratings after tonic stimulation with dry air. Analgesic effects of acetaminophen and acetaminophen plus caffeine but not caffeine alone caused a significant reduction of pain-related cortical potentials beginning 30 minutes after medication. The combination demonstrated an enhanced effect throughout the observation time up to 3 hours. Caffeine accelerated acetaminophen absorption, indicated by enhanced early AUCs. Significant analgesic effects of the combination on tonic pain ratings were found throughout the observation time as compared to acetaminophen and placebo. In this study, caffeine enhanced and prolonged the analgesic activity of acetaminophen.


Subject(s)
Acetaminophen/pharmacokinetics , Acetaminophen/therapeutic use , Analgesics, Non-Narcotic/pharmacokinetics , Analgesics, Non-Narcotic/therapeutic use , Caffeine/pharmacology , Central Nervous System Stimulants/pharmacology , Pain/drug therapy , Adolescent , Adult , Area Under Curve , Cross-Over Studies , Double-Blind Method , Drug Synergism , Female , Humans , Intestinal Absorption , Male , Middle Aged , Solubility
16.
Eur Arch Otorhinolaryngol ; 264(3): 285-9, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17004086

ABSTRACT

Physiological anorexia, decreased dietary variation, and weight loss associated with poor health are common conditions in the elderly population, with changes in chemosensory perception as important contributing causes. The present study of age-related taste loss aimed to investigate the question whether this loss is generalised and unspecific, or whether it exhibits differences in relation to certain tastants and/or differences in the topographical distribution of age-related loss. Impregnated "taste strips" with four concentrations of each of the tastants sucrose, NaCl, quinine-hydrochloride, and citric acid were applied on the tip, midlateral and posteromedial tongue regions to be identified as either sweet, salty, bitter, or sour by 30 young and 26 elderly adults. The results showed more pronounced age-related loss in identification for citric acid and quinine-hydrochloride than for sucrose and NaCl at both the tip and midlateral regions, but not at the posteromedial region where both age groups performed close to chance level. These findings may have implications for food preferences, and thus, the diets of elderly people.


Subject(s)
Ageusia/diagnosis , Ageusia/physiopathology , Aging/physiology , Taste/physiology , Tongue/physiopathology , Aged , Chemoreceptor Cells/physiology , Female , Humans , Male , Middle Aged , Severity of Illness Index
17.
Chem Senses ; 31(6): 595-8, 2006 Jul.
Article in English | MEDLINE | ID: mdl-16754696

ABSTRACT

Assessment of smell function in clinical routine is often limited due to a lack of time and/or costs of the personnel administering the test. The aim of the present study was to validate a procedure allowing for self-administered olfactory testing in a clinical setting. Seventy-four healthy subjects (13 male, 61 female) from 18 to 30 years of age (mean 20.3 years) were tested on 2 days (interval 7-21 days, mean 8.7 days) with 16 odors of the "Sniffin' Sticks" identification test kit. On one occasion, the test was administered by an examiner. On another occasion, subjects administered the test to themselves, with the odors being identified after they had been "painted" on a sheet of paper. No significant differences were obtained between the results from both test procedures. With a maximum score of 16, assisted testing yielded a mean score of 13.7 [standard deviation (SD) 1.3] while the self-administered procedure yielded an average score of 13.8 (SD = 1.5) (P = 0.72). The mean difference between the assisted and the self-administered smell test procedures was 0.05 (SD = 1.28). The 95% confidence interval of differences ranged from -2.51 to 2.61. These results suggest that odor identification with the Sniffin' Sticks can also be administered by the subjects themselves.


Subject(s)
Odorants/analysis , Smell/drug effects , Smell/physiology , Adolescent , Adult , Female , Humans , Male , Paper , Self Administration
18.
Neurosci Lett ; 397(3): 224-8, 2006 Apr 24.
Article in English | MEDLINE | ID: mdl-16423464

ABSTRACT

After chemical stimulation of the human olfactory epithelium it is possible to record a negative response (electro-olfactogram, EOG) which is interpreted as the summated generator potential of olfactory neurons. The aim of the present investigation was to test whether the EOG is present when olfactory stimuli have not been perceived. Stimulation was performed with vanillin and eugenol at supraliminal and subliminal levels. Twelve healthy volunteers participated in the experiments. Stimuli were applied at an interstimulus interval of approximately 60s. Although recordings were successful in 4 of the 12 subjects, for both stimulants EOG could be obtained even when the stimuli had not been perceived by the subjects. EOG recordings in response to supra- and subliminal stimuli exhibited no major differences, except for the onset of the EOG in response to subliminal eugenol-stimuli which were prolonged compared to supraliminal stimulation. All in all, the present data provide a physiological basis for the subliminal influence of odorous stimuli on human behavior.


Subject(s)
Olfactory Mucosa/physiology , Smell/physiology , Subliminal Stimulation , Adult , Benzaldehydes/pharmacology , Electrophysiology , Eugenol/pharmacology , Female , Humans , Male , Olfactory Mucosa/innervation
20.
Clin Neurophysiol ; 115(6): 1384-91, 2004 Jun.
Article in English | MEDLINE | ID: mdl-15134706

ABSTRACT

OBJECTIVE: Olfactory and trigeminal systems interact and contribute to the perception of odorants. This study was aimed at investigating the effect of local anesthesia on olfaction. METHODS: One percent of tetracaine on a cotton swab was applied intranasally at three different locations in 20 volunteers and 4% of lidocaine was applied to the olfactory cleft in a head-down position. Before and after anesthesia, self-assessment, psychometric testing and olfactory event-related potentials [OERPs, using H(2)S and phenyl ethyl alcohol (PEA)], and chemosomatosensory event-related potentials (CSSERPs, using CO(2)) were examined. RESULTS: Anesthesia at all four locations significantly lowered the perceived self-assessment of olfaction, while using the cotton swab only anesthesia in the middle meatus elevated threshold (P = 0.020), lowered discrimination (P = 0.015), and prolonged OERP (PEA, P = 0.008; H(2)S, P = 0.016), as well as CSSERPs latencies (CO(2), P = 0.020). However, complete temporary anosmia was only achieved after applying 4% lidocaine into the olfactory cleft. CONCLUSIONS: Intranasal anesthesia applied with a swab reduced self-assessment of olfaction but was unable to produce anosmia. Psychometric test results were concordant with changes in chemosensory event-related potentials. SIGNIFICANCE: Temporary anosmia is technically difficult to achieve but could be demonstrated for the first time using local anesthesia. Even though anesthesia influences self-assessment, measurable olfactory function can remain unchanged.


Subject(s)
Anesthetics, Local/administration & dosage , Evoked Potentials/drug effects , Lidocaine/administration & dosage , Smell/drug effects , Tetracaine/administration & dosage , Administration, Intranasal , Adult , Female , Humans , Male
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