REVIEW ARTICLE
OLFACTORY DYSFUNCTION IN NEURODEGENERATIVE DISEASES
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Monell Chemical Senses Center, University City Science Center, Philadelphia, PA, USA
Online publication date: 2004-07-15
Publication date: 2004-07-15
Corresponding author
M. Hakan Özdener
Monell Chemical Senses Center, 3500 Market St.
Philadelphia, PA 19104 USA
Nancy E. Rawson
Monell Chemical Senses Center, 3500 Market St.
Philadelphia, PA 19104 USA
Eur J Gen Med 2004;1(3):1-11
KEYWORDS
ABSTRACT
observations that chemosensory impairment is an early symptom of many neurodegenerative
diseases. Several features of the olfactory system make it particularly relevant to understanding
neurodegeneration/regeneration. First, while being vulnerable to environmental and infectious
exposure, the olfactory system has the unique property of ongoing replacement of the olfactory
sensory neurons under physiological conditions and following injury. Second, the receptor
neurons residing in the periphery are developmentally related to the central nervous system,
yet are accessible relatively noninvasively via biopsy from living subjects. Third, olfactory
performance can easily be tested in a variety of ways that provide insight into the function of
brain areas involved in detection, identification and memory. In addition to providing insights
into the etiology or diagnosis of disease, a better understanding of olfactory neurobiology is
needed to develop ways to treat olfactory dysfunction, which affects both quality of life and
personal safety. At least 3,000,000 Americans suffer from chemosensory disorders and that is
likely to grow as the aging segment of the population increases. Olfactory impairment represents
a danger to the individuals resulting from inability to detect hazards as natural gas and spoiled
food and threatens quality of life through the loss of enjoyment of foods and fragrances.
The neurological systems responsible for olfactory function represent perhaps the most diverse,
complex and adaptable components of the nervous system. Losses in olfaction result from changes
at both the anatomical and molecular level. This loss can result from aging, toxins, infectious
agents, environmental factors and a variety of diseases. Understanding the neurobiology
of this sensory system may help us to develop new diagnostic measures and treatments for
neurodegenerative disease as well as improving the quality of life for millions of people who are
handicapped by the inability to detect the flavors and fragrances around them.