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TASTE PATHWAY
CONTENTS
• INTRODUCTION
• PRIMARY TASTE SENSATION
• TASTE BUDS
• PAPILLAE OF TONGUE
• TASTE PATHWAYS
• APPLIED ASPECTS
• CLINICAL CONSIDERATIONS
• CONCLUSION
• REFERENCES
INTRODUCTION
• Sense of taste-allow us to separate undesirable
or even lethal foods from those that are pleasant
to eat.
• Function of taste buds
• Taste stimulate secretion of saliva and gastric
juices.
• Allows to select food
Primary sensations of taste
2 Sodium Receptor
2 Potassium Receptor
1 Chloride Receptor
1 Adenosine Receptor
1 Inosine Receptor
2 Sweet Receptors
2 Bitter Receptors
1 Gluatamate Receptor
1 Hydrogen Ion Receptor
SOUR
SWEET
BITTERSALTY
UMAMI
SOUR TASTE
Concentration of H+ ions
Intensity α log of H+ ion
More acidic α more sour
SALTY TASTE
Elicited by ionized salts
Sodium ion concentration
SWEET TASTE
• Sugars
• Glycols
• Alcohols
• Aldehydes
• Ketones
• Inorganic salts of lead & beryllium
•Amides
•Esters
• Aminoacids
•Small proteins
•Sulfonated acids
BITTER TASTE
Long chain organic substances –
nitrogen
Alkaloids – drugs-quinine,caffeine
Deadly toxins found in poisonous plants
Rejection of food
UMAMI TASTE
Japanese word- ‘pleasant sevory taste’
Glutamate receptor
Kikunae Ikeda in 1908
Fish, mushrooms,aging cheese,
spinach, ripe tomatoes,meat extracts.
THRESHOLD FOR TASTE
• Sour taste
• HCl
0.0009N
• Salty taste
• NaCl
0.01M
• Sweet
taste
• sucrose
0.01M
• Bitter
taste
• quinine
0.000008
M
TASTE BUD
• Goblet shaped
• Diameter : 1/30 mm
• Length : 1/16mm
• 50 modified epithelial cells
Supporting cells Gustatory cells
• Appears early – 7 to 8 weeks of IUL
• Matures later after gestation
• Increase in number after birth
• Adults- 3000-10,000
• Children
• >45yrs
• Ability to Regenerate – gustatory nerve
Degenerate ---taste sensation
TASTE CELLS
• Mitotic division
• Mature cells- lie toward centre of the bud-break
up & dissolve
• Life span- 10 days
HISTOLOGY OF TASTE BUD
• Type 1 – long and narrow ,dark
cells,irregular nucleus
• Type II – long, light cells, round oval nuclei
• Type III – similar to type II , dense cored
vesicle in basal portion
• Type IV - contacts basement
membrane,doesnot extend to the taste pore
- basal cell
LOCATION OF TASTE BUDS
FILIFORM PAPILLAE
FUNGIFORM PAPILLAE
CIRCUMVALATE PAPILLAE
FOLIATE PAPILLAE
MECHANISM OF TASTE SENSATION
Taste cell membrane
- - - - - -
+ + + + + +
Taste substance
Depolarization
Receptor potential
• Generation of nerve impulses – strong
immediate signal
Weaker continuous signal
Exposed to stimulus
CENTRAL TASTE PATHWAY
Central Termination – Afferent Fibers
• Facial (VII) nerve- chorda tympani – entirely
gustatory
• Glossopharyngeal ( IX ) – gustatory & somato
sensory fibres
• Vagus (X ) – superior laryngeal nerve –gustatory
& chemosensory fibres
NTS
ROSTARL
ZONE –
gustatory
information
CAUDAL –
swallowing,
respiartion,
gastric motility
MEDIAL
LATERAL
• Three main types of neurons
• ELONGATE: fusiform cell body, 2 primary
dendrites
• MULTIPOLAR: stellate , pyramidal soma ,3-4
primary dendrites
• OVOID : small soma, 3 or more primary
dendrites
PONTINE TASTE RELAY
• Ascending axons bypasses –
ventroposteromedial nucleus of thalamus.
• Organised along dorsoventral axis
• Response characteristics - NTS
THALAMUS AND CORTEX
• Thalamic gustatory relay nucleus
ventro medial tip
ventro postero medial thalamic nucleus
part of ventro basal complex
• Projections further ascend – agranular insular
cortex
• Gustatory stimulation – cortical gustatory projection
ROLE OF SALIVA
• Essential for normal taste function
• Dry mouth- difficult to taste
• Acts as a solvent
• Fungiform – saliva from all salivary glands
• Remaining papillae – von Ebner’s
• Taste buds –palate,larynx,pharynx- minor salivary
glands
• Feeding/drinking
Muscles move food around mouth
Facilitates access of solubilzed taste stimuli entirely
• Significant – clefts of vallate & foliate papilla
Effect of reduced salivation
• Head and Neck radiation – taste disturbances
• Affect turn over of taste buds
• Damage nerve terminals
• xerostomia- altered taste perception
Salivary gland removal
Electronmicroscopy of taste buds
macrophages, large number of bacteria
altered taste perception
• Sjogren syndrome- reduced taste sensitivity for
all 4 taste qualities
CLINICAL CONSIDERATIONS
• Complete loss – aguesia
• Partial loss – hypoguesia
• Distortions of taste – dysguesia
• Abberant taste - Abnormal stimulation – Phantom –
chemosensory disorders
• Vitamin A deficiency - keratinization
• Gustatory hallucinations -epilepsy
• Familial dysautonomia – smooth tongue +
papillae taste buds
• Malignancy – anorexia
• Burning mouth syndrome
• Taste blindness- genetic - recognize taste
• Poor oral hygiene
Incidence of taste disturbance with common
medications
Medication Incidence , %
• Acetazolamide 12-100
• Captopril 2-7
• Lithium 5
• Procainamide 3-4
• Amiodarone 1-3
Rebecca Douglass et al, Drug-related taste disturbance A contributing factor in
geriatric syndromes; Can Fam Physician 2010;56:1142-7
INVESTIGATION
Possible causes
• Detailed history and examination - local causes.
• Haematological and biochemical investigations -
nutritional and endocrine causes
• Computed tomography - neurological causes
• Ageing process
J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006;
82:239–241.
MANAGEMENT
• Counselling and reassurance
• Relatives or neighbours need closer involvement
to check for spoiled food that if eaten could lead
to food poisoning.
• Flavour enhancement - salt
J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006;
82:239–241
CONCLUSION
• Taste sensation allow us to separate lethal foods
• 5 principal taste
• Mainly in taste buds
• Lack-anorexia, weight loss.
REFERENCES
• Bradley RM: Essentials of Oral Physiology,
USA,1998, Mosby
• Antonio Nanci. Salivary Glands. Tencate’s Oral
Histology 7th ed.Mosby .India. 2008
• G S Kumar.Salivary glands .Orban’s Oral
Histology and Embryology.12th ed.Elsevier
India;2007
• Arthur Guyton.The Chemical senses. Textbook
of medical physiology.10th ed WB Saunders;2001
• J M Boyce, G R Shone, Effects of ageing on smell
and taste; Postgrad Med J 2006;82:239–241.
• Rebecca Douglass et al, Drug-related taste
disturbance A contributing factor in geriatric
syndromes; Can Fam Physician 2010;56:1142-7

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Taste pathway

  • 2. CONTENTS • INTRODUCTION • PRIMARY TASTE SENSATION • TASTE BUDS • PAPILLAE OF TONGUE • TASTE PATHWAYS • APPLIED ASPECTS • CLINICAL CONSIDERATIONS • CONCLUSION • REFERENCES
  • 3. INTRODUCTION • Sense of taste-allow us to separate undesirable or even lethal foods from those that are pleasant to eat. • Function of taste buds • Taste stimulate secretion of saliva and gastric juices. • Allows to select food
  • 4. Primary sensations of taste 2 Sodium Receptor 2 Potassium Receptor 1 Chloride Receptor 1 Adenosine Receptor 1 Inosine Receptor 2 Sweet Receptors 2 Bitter Receptors 1 Gluatamate Receptor 1 Hydrogen Ion Receptor
  • 6. SOUR TASTE Concentration of H+ ions Intensity α log of H+ ion More acidic α more sour
  • 7. SALTY TASTE Elicited by ionized salts Sodium ion concentration
  • 8. SWEET TASTE • Sugars • Glycols • Alcohols • Aldehydes • Ketones • Inorganic salts of lead & beryllium •Amides •Esters • Aminoacids •Small proteins •Sulfonated acids
  • 9. BITTER TASTE Long chain organic substances – nitrogen Alkaloids – drugs-quinine,caffeine Deadly toxins found in poisonous plants Rejection of food
  • 10. UMAMI TASTE Japanese word- ‘pleasant sevory taste’ Glutamate receptor Kikunae Ikeda in 1908 Fish, mushrooms,aging cheese, spinach, ripe tomatoes,meat extracts.
  • 11.
  • 12. THRESHOLD FOR TASTE • Sour taste • HCl 0.0009N • Salty taste • NaCl 0.01M • Sweet taste • sucrose 0.01M • Bitter taste • quinine 0.000008 M
  • 13. TASTE BUD • Goblet shaped • Diameter : 1/30 mm • Length : 1/16mm • 50 modified epithelial cells Supporting cells Gustatory cells
  • 14.
  • 15. • Appears early – 7 to 8 weeks of IUL • Matures later after gestation • Increase in number after birth • Adults- 3000-10,000 • Children • >45yrs • Ability to Regenerate – gustatory nerve Degenerate ---taste sensation
  • 16. TASTE CELLS • Mitotic division • Mature cells- lie toward centre of the bud-break up & dissolve • Life span- 10 days
  • 17. HISTOLOGY OF TASTE BUD • Type 1 – long and narrow ,dark cells,irregular nucleus • Type II – long, light cells, round oval nuclei • Type III – similar to type II , dense cored vesicle in basal portion • Type IV - contacts basement membrane,doesnot extend to the taste pore - basal cell
  • 23. MECHANISM OF TASTE SENSATION Taste cell membrane - - - - - - + + + + + + Taste substance Depolarization Receptor potential
  • 24.
  • 25. • Generation of nerve impulses – strong immediate signal Weaker continuous signal Exposed to stimulus
  • 27. Central Termination – Afferent Fibers • Facial (VII) nerve- chorda tympani – entirely gustatory • Glossopharyngeal ( IX ) – gustatory & somato sensory fibres • Vagus (X ) – superior laryngeal nerve –gustatory & chemosensory fibres
  • 29. • Three main types of neurons • ELONGATE: fusiform cell body, 2 primary dendrites • MULTIPOLAR: stellate , pyramidal soma ,3-4 primary dendrites • OVOID : small soma, 3 or more primary dendrites
  • 30. PONTINE TASTE RELAY • Ascending axons bypasses – ventroposteromedial nucleus of thalamus. • Organised along dorsoventral axis • Response characteristics - NTS
  • 31. THALAMUS AND CORTEX • Thalamic gustatory relay nucleus ventro medial tip ventro postero medial thalamic nucleus part of ventro basal complex • Projections further ascend – agranular insular cortex • Gustatory stimulation – cortical gustatory projection
  • 32.
  • 33. ROLE OF SALIVA • Essential for normal taste function • Dry mouth- difficult to taste • Acts as a solvent • Fungiform – saliva from all salivary glands • Remaining papillae – von Ebner’s • Taste buds –palate,larynx,pharynx- minor salivary glands
  • 34. • Feeding/drinking Muscles move food around mouth Facilitates access of solubilzed taste stimuli entirely • Significant – clefts of vallate & foliate papilla
  • 35. Effect of reduced salivation • Head and Neck radiation – taste disturbances • Affect turn over of taste buds • Damage nerve terminals • xerostomia- altered taste perception
  • 36. Salivary gland removal Electronmicroscopy of taste buds macrophages, large number of bacteria altered taste perception • Sjogren syndrome- reduced taste sensitivity for all 4 taste qualities
  • 37. CLINICAL CONSIDERATIONS • Complete loss – aguesia • Partial loss – hypoguesia • Distortions of taste – dysguesia • Abberant taste - Abnormal stimulation – Phantom – chemosensory disorders • Vitamin A deficiency - keratinization • Gustatory hallucinations -epilepsy
  • 38. • Familial dysautonomia – smooth tongue + papillae taste buds • Malignancy – anorexia • Burning mouth syndrome • Taste blindness- genetic - recognize taste • Poor oral hygiene
  • 39. Incidence of taste disturbance with common medications Medication Incidence , % • Acetazolamide 12-100 • Captopril 2-7 • Lithium 5 • Procainamide 3-4 • Amiodarone 1-3 Rebecca Douglass et al, Drug-related taste disturbance A contributing factor in geriatric syndromes; Can Fam Physician 2010;56:1142-7
  • 40. INVESTIGATION Possible causes • Detailed history and examination - local causes. • Haematological and biochemical investigations - nutritional and endocrine causes • Computed tomography - neurological causes • Ageing process J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006; 82:239–241.
  • 41. MANAGEMENT • Counselling and reassurance • Relatives or neighbours need closer involvement to check for spoiled food that if eaten could lead to food poisoning. • Flavour enhancement - salt J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006; 82:239–241
  • 42. CONCLUSION • Taste sensation allow us to separate lethal foods • 5 principal taste • Mainly in taste buds • Lack-anorexia, weight loss.
  • 43. REFERENCES • Bradley RM: Essentials of Oral Physiology, USA,1998, Mosby • Antonio Nanci. Salivary Glands. Tencate’s Oral Histology 7th ed.Mosby .India. 2008 • G S Kumar.Salivary glands .Orban’s Oral Histology and Embryology.12th ed.Elsevier India;2007 • Arthur Guyton.The Chemical senses. Textbook of medical physiology.10th ed WB Saunders;2001
  • 44. • J M Boyce, G R Shone, Effects of ageing on smell and taste; Postgrad Med J 2006;82:239–241. • Rebecca Douglass et al, Drug-related taste disturbance A contributing factor in geriatric syndromes; Can Fam Physician 2010;56:1142-7

Editor's Notes

  1. 13 chemical rece n taste cells nd r grpd into 5 genrl categories
  2. Multiple class of chemicals
  3. Multpl cls f chmcls
  4. Bitter more sensitive, provide a protective fn against many dangerous toxins n food
  5. Tp- fluid envmt f larynx oropharynx
  6. Microvilli receptr surface for taste
  7. PALATE
  8. Secnd mesngr trnsmtr substnce, g protein coupled receptor- gustducin closng f k channels
  9. Cell bodies Geniculate 7 petrosal 9 nodosa 10
  10. Send axons rostrally & other loctns n d medulla, ovoid connect locally within nts
  11. Neurons responding to