RESUMO
Prevention and treatment protocols for taste changes observed during hematopoietic cell transplantation (HCT) are not well-established. The purpose of this study was to assess the efficacy of photobiomodulation (PBM) in relieving taste changes and preventing lingual papillae atrophy. HCT patients received PBM (n = 42) on the tongue dorsum using an InGaAIP laser (660 nm, 100 mW, 1.1 W/cm2, 8.8 J/cm2). During the HCT conditioning (T0), severe neutropenia (T1), and after neutrophil engraftment (T2), taste acuity for sweet, bitter, sour, and salty solutions, and clinical appearance of lingual papillae were compared with those of a placebo group (n = 43). PBM significantly reduced hypogeusia, ageusia, and parageusia at T1 and T2, and also successfully prevented papillae atrophy during all the analyzed HCT periods. In conclusion, PBM enhanced taste acuity during HCT. The decrease in papillae atrophy indicated a potential regenerative effect of this therapy on tongue mucosa.
Assuntos
Transplante de Células-Tronco Hematopoéticas , Terapia com Luz de Baixa Intensidade , Paladar , Humanos , Feminino , Masculino , Pessoa de Meia-Idade , Adulto , Paladar/efeitos da radiação , Língua/efeitos da radiação , Língua/patologia , Atrofia , Distúrbios do Paladar/etiologia , Adulto Jovem , Idoso , Papilas Gustativas/efeitos da radiaçãoRESUMO
Our objectives were to examine (1) how intense pulsed light (IPL) processing parameters (exposure time and initial temperature) affected aroma, flavor, and mouthfeel of nonfat dry milk, (2) which levels of each parameter produced aroma, flavor, and mouthfeel changes from an untreated control sample, and (3) whether minimal or intense processing conditions produced a noticeable appearance change from the control. Four exposure times (1, 2, 3, and 4 passes through the IPL chamber) and three initial temperatures (25, 30, and 35â) were studied with untreated milk powder as the control. The samples were prepared as both milk powder and reconstituted milk for sensory evaluation. Using standard evaluating protocols, trained descriptive analysis panelists rated the aroma, flavor, and mouthfeel of these samples. Panelists compared the appearance of the IPL-treated samples that underwent a minimal or intense processing condition to the control by using a two-out-of-five difference test. Increasing the exposure time led to increased intensities of overall flavor, burnt flavor, and umami taste in both milk powder and reconstituted milk, while increasing temperature increased animal and sulfur aromas in reconstituted milk only. Compared to the control, all levels of exposure time at any initial temperature resulted in increased aroma and flavor including cardboard aroma, sulfur aroma, and brothy flavor in both milk powder and reconstituted milk. Only the 4-pass exposure at the initial temperature of 25â changed the appearance of milk powder. However, the appearance change was not noticeable in reconstituted milk. PRACTICAL APPLICATION: The standard evaluation protocols and lexicons provide useful tools for research on milk powder. Additionally, the understanding of critical factors impacting sensory properties will contribute to a better implementation of this decontamination technology.
Assuntos
Alimentos em Conserva , Luz , Leite , Paladar , Animais , Tecnologia de Alimentos , Alimentos em Conserva/efeitos da radiação , Humanos , Leite/efeitos da radiação , Leite/normas , Paladar/efeitos da radiaçãoRESUMO
BACKGROUND: Taste changes are commonly reported by people with cancer undergoing radio- or chemotherapy. Taste changes may compromise dietary intake and nutritional status. OBJECTIVE: To understand whether or not taste change is associated with cancer diagnosis or treatment modality in adults. METHODS: A systematic literature search up to December 31, 2019, was conducted using PubMed, Embase, and PsycInfo (International Prospective Register of Systematic Reviews protocol no. CRD42019134005). Studies in adults with cancer objectively assessing the effect of a cancer diagnosis or chemotherapy and/or radiotherapy treatment on taste function compared with healthy controls or within participant changes were included. Additional outcomes were food liking, appetite, dietary intake, nutritional status, and body composition. Reference lists of relevant articles were searched to identify additional articles. Quality was assessed using the Academy of Nutrition and Dietetics quality criteria checklist. RESULTS: A total of 24 articles were included, one of which consisted of two studies that reported the effects of radiotherapy and chemotherapy separately. From the total 25 studies reported in 24 published articles, 14 studies examined effects of radiotherapy, and remaining 11 studies examined chemotherapy. There is limited evidence of a cancer diagnosis per se contributing to taste dysfunction. Impaired taste function was reported in almost all radiotherapy studies, occurring as early as Week 3 of treatment and lasting for 3 to 24 months posttreatment. During chemotherapy, impairment of taste function was less consistently reported, occurring as early as the first few days of chemotherapy, and persisting up to 6 months posttreatment. Taxane-based chemotherapy was reported to affect taste function more than other treatments. Several studies reported reduced liking for food, appetite, and dietary intake. Only one study reported nutritional status of participants, finding no association between taste function and nutritional status. No studies examined associations between taste changes and body composition. CONCLUSIONS: This review highlights the importance of considering treatment modality in practice. Research is required to identify factors contributing to taste alteration and to inform evidence-based interventions.
Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/fisiopatologia , Neoplasias/fisiopatologia , Terapia Nutricional/métodos , Lesões por Radiação/fisiopatologia , Distúrbios do Paladar/etiologia , Adulto , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/terapia , Estado Nutricional , Lesões por Radiação/terapia , Paladar/efeitos dos fármacos , Paladar/efeitos da radiação , Distúrbios do Paladar/terapiaRESUMO
BACKGROUND: One of the main side effects of head and neck (H&N) radiation therapy (RT) is alteration in taste sensation. It causes significant morbidity and has a major effect on quality of life (QoL). The aim of this study was to prospectively define the effect of RT on taste sensation (general, and four basic tastes) and correlate these findings with changes in saliva secretion and QoL questionnaires. METHODS: Patients with H&N cancer treated with RT, in which the oral cavity was expected to receive a mean dose of 30 Gray (Gy). Patients were evaluated by Whole-Saliva Sialometry, validated Taste Strips and European Organization for Research and Treatment of Cancer H&N QoL questionnaires prior to RT (T0), mid-point of radiotherapy dose (T1), at the end of radiotherapy (T2) and 1 (T3), 3 (T4) and 12 months (T5) after completion of treatment course. RESULTS: Twenty-eight patients were recruited, and 21 patients completed study procedures and were analyzed. Median age was 66 years (range 18-90). The most common tumor site was the oral cavity. The median prescribed radiation dose to the high dose volume was 66 (range 60-70). The median mean and max dose to the oral cavity were 25.1 (range 14-69) and 64.9 (range 30-70), respectively. There was a significant decrease in overall taste sensation between T0 and T1 and T2. With specific tastes, there were significant decreases in sensation of sweet and salty, a trend with bitter and no change with sour. All returned to baseline at T3 and onwards. There was no significant correlation between the max or mean dose to the oral cavity and overall taste sensation or between doses to different areas of the tongue and overall or specific tastes. At T0 there was a significant positive correlation between overall taste sensation and whole-saliva sialometry, and at T1 and T2 there were strong trends. There were significant declines in QoL scores during RT. CONCLUSIONS: We found a significant immediate reduction in taste sensation due to RT in H&N cancer patients with taste recovery 1 month after treatment completion. There were strong trends to a correlation with saliva production that requires further exploration.
Assuntos
Neoplasias de Cabeça e Pescoço/radioterapia , Qualidade de Vida , Radioterapia/efeitos adversos , Paladar/efeitos da radiação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Lesões por Radiação/epidemiologia , Lesões por Radiação/etiologia , Salivação/efeitos da radiação , Xerostomia/etiologia , Adulto JovemRESUMO
Head and neck cancer patients receiving conventional repeated, low dose radiotherapy (fractionated IR) suffer from taste dysfunction that can persist for months and often years after treatment. To understand the mechanisms underlying functional taste loss, we established a fractionated IR mouse model to characterize how taste buds are affected. Following fractionated IR, we found as in our previous study using single dose IR, taste progenitor proliferation was reduced and progenitor cell number declined, leading to interruption in the supply of new taste receptor cells to taste buds. However, in contrast to a single dose of IR, we did not encounter increased progenitor cell death in response to fractionated IR. Instead, fractionated IR induced death of cells within taste buds. Overall, taste buds were smaller and fewer following fractionated IR, and contained fewer differentiated cells. In response to fractionated IR, expression of Wnt pathway genes, Ctnnb1, Tcf7, Lef1 and Lgr5 were reduced concomitantly with reduced progenitor proliferation. However, recovery of Wnt signaling post-IR lagged behind proliferative recovery. Overall, our data suggest carefully timed, local activation of Wnt/ß-catenin signaling may mitigate radiation injury and/or speed recovery of taste cell renewal following fractionated IR.
Assuntos
Neoplasias de Cabeça e Pescoço/radioterapia , Células-Tronco/efeitos da radiação , Papilas Gustativas/efeitos da radiação , Via de Sinalização Wnt/efeitos da radiação , Animais , Proliferação de Células/efeitos da radiação , Modelos Animais de Doenças , Fracionamento da Dose de Radiação , Feminino , Cabeça/efeitos da radiação , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Pescoço/efeitos da radiação , Células-Tronco/citologia , Células-Tronco/metabolismo , Paladar/efeitos da radiação , Papilas Gustativas/citologia , Papilas Gustativas/metabolismo , beta Catenina/metabolismoRESUMO
Dysgeusia and nausea are common side effects observed in head and neck cancer patients treated with either exclusive radiotherapy or combined modality treatment. The aim of the present study was to prospectively evaluate dysgeusia, during treatment and follow-up, using the chemotherapy-induced taste alteration scale (CiTAS), a metrics based on 18-items exploring three dimensions (quantitative and qualitative changes in taste perception, and diet-related issues) identified through a four-factor analysis: decline in basic taste, discomfort, phantogeusia-parageusia, and general taste alterations. Moreover, we scored, according to Common Toxicity Criteria Adverse Events, nausea and other treatment-related toxicities. Since, ginger is traditionally used to prevent and/or treat nausea and vomiting, we prophylactically employed a ginger-based supplement named Naumix/Naugin (Gamfarma, Milan, Italy), to potentially mitigate both nausea and taste impairment. Using the CiTAS scale, we highlighted a progressive increase in all dysgeusia dimensions, peaking at the VII week of treatment and a subsequent partial late recovery. In particular, we observed a recovery for discomfort, phantogeusia-parageusia, and general taste alterations at 6 months. Grade 2 nausea, observed to be as low as 12.9% potentially due to the use of ginger, peaked at the III week of treatment. Finally, for patients experiencing nausea, the dysgeusia dimension of discomfort was also relevant.
Assuntos
Disgeusia/etiologia , Neoplasias de Cabeça e Pescoço/complicações , Neoplasias de Cabeça e Pescoço/radioterapia , Náusea/etiologia , Paladar/efeitos da radiação , Adulto , Idoso , Idoso de 80 Anos ou mais , Antieméticos/uso terapêutico , Progressão da Doença , Disgeusia/diagnóstico , Disgeusia/patologia , Disgeusia/prevenção & controle , Feminino , Zingiber officinale , Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Náusea/diagnóstico , Náusea/patologia , Náusea/prevenção & controle , Estudos Prospectivos , Radioterapia/efeitos adversos , Índice de Gravidade de DoençaRESUMO
OPINION STATEMENT: Taste sensation is vital for a healthy body as it influences our food intake, acts as a defense mechanism and elicits pleasure. Majority of the head and neck cancer (HNC) patients undergoing radiotherapy suffer from altered taste function and often complain of inability to taste their food, reduced food intake, and weakness. However, there are not many studies conducted to assess this commonly reported side effect. Furthermore, clinical research on radiotherapy-induced taste alterations has proven to be difficult, considering a lack of reliable and validated study tools for assessing objective and subjective outcomes. Developing standardized tools for assessment of taste function and conducting prospective studies in larger population of HNC is the need of the hour. Taste sensation being critically important for sustenance, we need to focus on ways to preserve it. The physical properties of proton particle enable localization of the radiation dose precisely to the tumor and minimizing the exposure of the adjacent healthy tissues. By using Intensity-Modulated Proton Therapy in HNC patients, we anticipate preserving the taste sensation by reducing the dose of radiation to the taste buds.
Assuntos
Ageusia/patologia , Disgeusia/patologia , Neoplasias de Cabeça e Pescoço/radioterapia , Lesões por Radiação/patologia , Paladar/efeitos da radiação , Humanos , Qualidade de Vida , Paladar/fisiologiaRESUMO
CONTEXT: Malnutrition is highly prevalent in cancer patients and an important predictor of morbidity, mortality, treatment response, and toxicity. Taste and smell changes (TSCs) are common and may contribute to malnutrition. Research has previously focused on patients receiving chemotherapy (CT) or head and neck radiotherapy (RT). However, TSCs may occur pre-treatment, with other treatment modalities, and in cancer survivors. This review evaluates objective and subjective assessment of taste and smell, discusses the prevalence of TSCs in cancer, and reviews the clinical sequelae of TSCs in cancer patients. OBJECTIVES: To critically evaluate objective and subjective assessment of TSCs, and the prevalence and clinical sequelae of TSCs in cancer. METHODS: A literature search was conducted using PubMed, CINAHL and Embase for English-language articles published January 2009-June 2016. Search terms included combinations of the following: chemosensory, taste, smell, cancer, chemotherapy, radiotherapy, hormone therapy, immunotherapy, survivors. Reference lists of articles retrieved were also reviewed. RESULTS: Variation in objective and subjective assessment methodologies has resulted in difficulties interpreting the literature. TSC prevalence varies depending on stage of disease and treatment regimens, from 16% to 70% and 50% to 70% during CT and RT, respectively. TSCs in patients who are treatment-naïve, receiving hormone or immunotherapy treatment, post-treatment and cancer survivors have not been adequately studied. TSCs are associated with impaired nutritional status. The relationship between cancer-associated symptoms and nutritional status is not clearly defined. CONCLUSION: There is no gold standard assessment tool for TSCs. Heterogeneity in study methods hinders conclusive identification of the most appropriate way to measure TSCs. Subjective measures may reflect the patient experience and more reliably predict changes in dietary behaviour. Evaluation of TSCs should form part of all nutritional assessments in cancer patients. The true prevalence and severity of TSCs at all stages of cancer could then be established.
Assuntos
Neoplasias de Cabeça e Pescoço/fisiopatologia , Desnutrição/fisiopatologia , Avaliação Nutricional , Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias de Cabeça e Pescoço/radioterapia , Humanos , Desnutrição/epidemiologia , Estado Nutricional , Olfato/fisiologia , Olfato/efeitos da radiação , Sobreviventes , Paladar/fisiologia , Paladar/efeitos da radiaçãoRESUMO
Based on the traditional Chinese medicine theory, the Chinese pharmacopeia assigns a therapeutic description of "taste" to all herbs; thus, an herb's "taste" is valued in traditional Chinese medicine as a major ethnopharmacological category and reflects the herb's therapeutic properties. These properties guide the practitioner with respect to preparing a specific herbal formula in order to provide each patient with a personalized intervention. The key challenge in evidence-based medicine is to characterize herbal therapeutic properties from a multi-target, multi-dimensional systems pharmacology perspective. Here, we used delayed luminescence (DL, the slowly decaying emission of photons following excitation with light) as a rapid, direct, highly sensitive indicator to characterize the properties of herbal medicines. The DL parameters were able to reliably identify a specific category of herbal materials with the so-called "sweet" taste. To support the DL results and provide biological relevance to the DL results, we used a murine bone marrow-derived dendritic cell-based assay to examine the immunomodulatory effects of herbal extracts from various "taste" categories. Our results indicate that DL may serve as a robust and sensitive tool for evaluating the therapeutic properties of herbs based on the traditional Chinese medicine classification of "taste". Thus, DL provides a promising technological platform for investigating the properties of Chinese herbal medicines both qualitatively and quantitatively.
Assuntos
Células Dendríticas/imunologia , Imunomodulação/efeitos dos fármacos , Medições Luminescentes , Medicina Tradicional Chinesa/métodos , Extratos Vegetais/farmacologia , Animais , Células da Medula Óssea , Células Dendríticas/efeitos dos fármacos , Medicina Herbária , Luminescência , Camundongos , Extratos Vegetais/efeitos da radiação , Extratos Vegetais/uso terapêutico , Plantas Medicinais/classificação , Paladar/imunologia , Paladar/efeitos da radiaçãoRESUMO
PURPOSE: To evaluate the effect of low-dose gamma irradiation (5 kGy) on the nutritional and microbial qualities of sun dried fin fish, Sharpfin barracuda (Sphyraena acutipinnis). MATERIALS AND METHODS: Salted and sun-dried S. acutipinnis with 25.8% moisture content were exposed to total body irradiation with a dose of 5 kGy. Control groups were non-irradiated and both the control and irradiated samples were stored under ambient temperature. One week after irradiation, the control and irradiated samples were analyzed for nutritional, microbial and organoleptic properties. The data were statistically analyzed. RESULTS: The proximate composition and quality parameters like free fatty acid (FFA), Trimethyl amine nitrogen (TMA-N) and total volatile base nitrogen (TVB-N) were significantly different (p < 0.05). The organoleptic qualities of the irradiated fish products were good. Total bacterial count was reduced, whereas Salmonella, Vibrio and fungi were totally eliminated after irradiation. CONCLUSIONS: The irradiation helps to improve the quality and safety of sun-dried fishes. The process would not only reduce the risk resulting from pathogens but also would destroy many of the spoilage agents like bacteria, insects, parasites, moulds and yeasts which are known to be the main cause of food losses in developing countries.
Assuntos
Dessecação , Manipulação de Alimentos , Irradiação de Alimentos/efeitos adversos , Qualidade dos Alimentos , Perciformes/microbiologia , Sais/farmacologia , Luz Solar , Adulto , Aminoácidos/análise , Animais , Feminino , Raios gama/efeitos adversos , Humanos , Masculino , Paladar/efeitos da radiação , Vitaminas/análiseRESUMO
This study aimed to investigate in parallel changes in gustatory function, changes in morphology of the fungiform papillae, as well as changes in the shape and density of the vessels of the tip of the tongue in patients treated with chemotherapy, radiotherapy, or radiochemotherapy. Twenty patients (7 females and 13 males; age range: 42-78 years) with head and neck malignancies (hypopharynx, larynx, oropharynx, and parotid) treated with radiochemotherapy (n = 8), chemotherapy (n = 8), or radiotherapy (n = 4) were prospectively studied. In all patients, electrogustometry and contact endoscopy were performed. Radiotherapy-treated patients exhibited higher electrogustometry thresholds and greater alterations in the morphology and vascularization of the fungiform papillae than the other two groups. Radiochemotherapy patients had less pronounced changes of the electrogustometry threshold and fungiform papillae structure compared with radiotherapy patients. Chemotherapy alone caused less severe change in both electrogustometry threshold and fungiform papillae structure than radiotherapy or radiochemotherapy. Radiotherapy alone caused greater disorders of taste-related anatomic parameters and electrogustometry thresholds compared with chemotherapy and combined radiochemotherapy.
Assuntos
Antineoplásicos/uso terapêutico , Quimiorradioterapia/efeitos adversos , Neoplasias de Cabeça e Pescoço/terapia , Radioterapia/efeitos adversos , Paladar/efeitos dos fármacos , Paladar/efeitos da radiação , Adulto , Idoso , Antineoplásicos/efeitos adversos , Eletromiografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Distúrbios do Paladar/induzido quimicamente , Limiar Gustativo/efeitos dos fármacos , Limiar Gustativo/efeitos da radiação , Língua/efeitos dos fármacos , Língua/efeitos da radiaçãoRESUMO
PURPOSE: Radiation-induced taste and smell disturbances are prevalent in patients receiving brain radiation therapy, although the mechanisms underlying these toxicities are poorly understood. We report the results of a single institution prospective clinical trial aimed at correlating self-reported taste and smell disturbances with radiation dose delivered to defined areas within the brain and nasopharynx. METHODS AND MATERIALS: Twenty-two patients with gliomas were enrolled on a prospective observational trial in which patients underwent a validated questionnaire assessing taste and smell disturbances at baseline and at 3 and 6 weeks after commencement of brain radiation therapy. Fourteen patients with glioblastoma, 3 patients with grade 3 gliomas, and 5 patients with low grade gliomas participated. Median dose to tumor volume was 60 Gy (range, 45-60 Gy). Dose-volume histogram (DVH) analysis was performed for specific regions of interest that were considered potential targets of radiation damage, including the thalamus, temporal lobes, nasopharynx, olfactory groove, frontal pole, and periventricular stem cell niche. The %v10 (percent of region of interest receiving 10 Gy), %v40, and %v60 were calculated for each structure. Data from questionnaires and DVH were analyzed using stepwise regression. RESULTS: Twenty of 22 patients submitted evaluable questionnaires that encompassed at least the entire radiation therapy course. Ten of 20 patients reported experiencing some degree of smell disturbance during radiation therapy, and 14 of 20 patients experienced taste disturbances. Patients reporting more severe taste toxicity also reported more severe toxicities with sense of smell (r(2) = 0.60, P < .006). Tumor location in the temporal lobe predicted for increased severity of taste toxicity (F3, 16 = 1.44, P < .06). The nasopharynx was the only structure in which the DVH data predicted the presence of radiation-induced taste changes (r(2) = 0.28, P < .02). CONCLUSIONS: Radiation-induced taste toxicity appears to be more common in temporal lobe tumors, and may be related to the dose received by the nasopharynx.
Assuntos
Neoplasias Encefálicas/radioterapia , Glioma/radioterapia , Lesões por Radiação/etiologia , Olfato/efeitos da radiação , Paladar/efeitos da radiação , Adulto , Idoso , Encéfalo/efeitos da radiação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dosagem Radioterapêutica , Inquéritos e Questionários , Adulto JovemRESUMO
The objectives of this study were to determine the effects of a low-dose (≤1 kGy), low-penetration electron beam on the sensory qualities of (1) raw muscle pieces of beef and (2) cooked ground beef patties. Outside flat, inside round, brisket and sirloin muscle pieces were used as models to demonstrate the effect of irradiation on raw beef odor and color, as evaluated by a trained panel. Ground beef patties were also evaluated by a trained panel for tenderness, juiciness, beef flavor, and aroma at 10%, 20%, and 30% levels of fat, containing 0% (control), 10%, 20%, 50%, and 100% irradiated meat. With whole muscle pieces, the color of controls appeared more red (P < 0.05) than irradiated muscles, however, both control and treatments showed a gradual deterioration in color over 14 d aerobic storage at 4 °C. Off-aroma intensity of both control and treatments increased with storage time, but by day 14, the treated muscles showed significantly (P < 0.05) less off-aroma than the controls, presumably as a result of a lower microbial load. It was found that a 1 kGy absorbed dose had minimal effects on the sensory properties of intact beef muscle pieces. Irradiation did not have a significant effect (P > 0.05) on any of the sensory attributes of the patties. Low-dose irradiation of beef trim to formulate ground beef appears to be a viable alternative processing approach that does not affect product quality.
Assuntos
Elétrons , Irradiação de Alimentos/métodos , Carne/efeitos da radiação , Animais , Bovinos , Cor , Culinária/métodos , Escherichia coli/crescimento & desenvolvimento , Escherichia coli/efeitos da radiação , Contaminação de Alimentos/prevenção & controle , Microbiologia de Alimentos , Armazenamento de Alimentos , Humanos , Odorantes/análise , Olfato/efeitos da radiação , Paladar/efeitos da radiaçãoRESUMO
OBJECT: The purpose of this study was to evaluate the function of the nervus intermedius, the nonmotor component of the facial nerve, following modern Gamma Knife surgery (GKS) for the treatment of vestibular schwannoma. METHODS: Sixty-five consecutive patients at our center underwent GKS as a primary treatment option for vestibular schwannoma between 2005 and 2010. The authors interviewed patients with a functional questionnaire to evaluate the function of the nervus intermedius before and after radiosurgery from their subjective point of view. Data from 50 patients treated using GKS for a unilateral vestibular schwannoma were obtained. RESULTS: Nine (18%) of 50 patients presented with at least one preradiosurgical disturbance of the nervus intermedius caused by the vestibular schwannoma itself, with dysfunctions of lacrimation, salivation, nasal secretion, and taste. Of the 41 patients without preradiosurgical disturbances, 9 (22%) experienced the onset of at least one new disturbance after GKS. Specifically for each dysfunction, of the 45 patients without a lacrimal disturbance before GKS, 5 (11.1%) had a new lacrimal disturbance after GKS. New onset of a salivary disturbance after GKS was reported in 3 (6.2%) of 48 patients. In 1 patient (2%), increased nasal secretion was noted 1 year after GKS. Five (10.6%) of 47 patients without a preradiosurgical taste disturbance experienced the symptom after GKS. No facial palsy developed in any patient before or after GKS. There was no significant correlation between postradiosurgical nervus intermedius dysfunction and tumor size, margin dose, or patient age. CONCLUSIONS: The authors demonstrated that 22% of patients undergoing modern GKS for vestibular schwannoma experience various disturbances of nonmotor components of the facial nerve as a result of the radiosurgery. Through this study, we can provide useful information about the likelihood of certain postradiosurgical symptoms for vestibular schwannoma.
Assuntos
Nervo Facial/fisiopatologia , Neuroma Acústico/fisiopatologia , Neuroma Acústico/cirurgia , Radiocirurgia/efeitos adversos , Adulto , Idoso , Fatores de Confusão Epidemiológicos , Feminino , Humanos , Aparelho Lacrimal/fisiopatologia , Aparelho Lacrimal/efeitos da radiação , Masculino , Pessoa de Meia-Idade , Neuroma Acústico/patologia , Radiocirurgia/instrumentação , Estudos Retrospectivos , Salivação/efeitos da radiação , Inquéritos e Questionários , Paladar/efeitos da radiação , Resultado do TratamentoAssuntos
Neoplasias Bucais/radioterapia , Lesões por Radiação/etiologia , Distúrbios do Paladar/etiologia , Xerostomia/etiologia , Neoplasias de Cabeça e Pescoço/radioterapia , Humanos , Saliva Artificial/uso terapêutico , Glândulas Salivares/efeitos da radiação , Paladar/efeitos da radiação , Distúrbios do Paladar/prevenção & controle , Xerostomia/terapiaRESUMO
AIM: This purpose of this study was to investigate the relationship between the appetite and various factors that are associated with particle beam therapy, including the adverse effects of radiation, dry-mouth period, analgesic medication use, frequency of oral care, and participants' characteristics, in 121 patients with head and neck cancer. METHODS: A path analysis was used to evaluate the causal relationship of the factors that affected the participants' appetite. RESULTS: At a cumulative dose of 40 GyE, the factors that impacted the participants' appetite included xerostomia, oral mucositis, age, frequency of oral care, and analgesic medication use. At a cumulative dose of 50 GyE, the factors that affected the participants' appetite were xerostomia, sensitivity to taste, oral mucositis, dry-mouth period (in the morning), frequency of oral care, number of artificial teeth, and analgesic medication use. The results indicate that interventions to avoid appetite suppression during particle beam therapy will differ according to a radiation schedule of 40 GyE, compared to 50 GyE. CONCLUSIONS: These results are important to consider when deciding how best to maintain the dietary intake of patients who are receiving particle beam therapy.
Assuntos
Apetite/efeitos da radiação , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Neoplasias de Cabeça e Pescoço/radioterapia , Radioterapia/efeitos adversos , Idoso , Idoso de 80 Anos ou mais , Anti-Inflamatórios não Esteroides/uso terapêutico , Transtornos da Alimentação e da Ingestão de Alimentos/tratamento farmacológico , Transtornos da Alimentação e da Ingestão de Alimentos/enfermagem , Feminino , Neoplasias de Cabeça e Pescoço/enfermagem , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem Oncológica , Manejo da Dor/métodos , Manejo da Dor/enfermagem , Doses de Radiação , Radioterapia/métodos , Radioterapia/enfermagem , Estomatite/tratamento farmacológico , Estomatite/etiologia , Estomatite/enfermagem , Paladar/efeitos da radiação , Xerostomia/tratamento farmacológico , Xerostomia/etiologia , Xerostomia/enfermagemRESUMO
This study aims to control the presence of Listeria monocytogenes and Vibrio parahaemolyticus and the formation of biogenic amines in cold-smoked salmon by gamma irradiation. Irradiation at doses of 3 and 1 kGy inactivated 6.59 and 6.05 log cfu/g of L. monocytogenes and V. parahaemolyticus in the inoculated samples, respectively. Furthermore, irradiation of the un-inoculated samples significantly decreased their microbial populations of mesophilic aerobic bacteria, anaerobic bacteria, psychrophilic bacteria, lactic acid bacteria, and molds and yeasts. The Enterobacteriaceae were almost undetectable in samples irradiated at 2 kGy dose. The concentrations of biogenic amines significantly decreased in the irradiated samples due to microbial inactivation. However, irradiation of samples had no significant effects on their moisture and salt contents as well as on their pH values, total volatile base nitrogen, and trimethylamine nitrogen contents, but significantly decreased their amounts of phenolic compounds and increased their levels of thiobarbituric acid reactive substances. Moreover, irradiation treatments at doses up to 3 kGy showed no significant effect on the sensory acceptability of samples. Therefore, gamma irradiation at dose of 3 kGy can be successfully applied to provide significant improvement in the safety of cold smoked salmon with respect to L. monocytogenes, V. parahaemolyticus, and biogenic amines without adverse effects on chemical or sensory quality attributes of the product.
Assuntos
Conservação de Alimentos , Listeria monocytogenes/efeitos da radiação , Salmão/microbiologia , Alimentos Marinhos/efeitos da radiação , Vibrio parahaemolyticus/efeitos da radiação , Animais , Aminas Biogênicas/biossíntese , Listeria monocytogenes/metabolismo , Alimentos Marinhos/análise , Alimentos Marinhos/microbiologia , Fumaça , Paladar/efeitos da radiação , Vibrio parahaemolyticus/metabolismoRESUMO
During exposure to high strength static magnetic fields, humans report vestibular symptoms such as vertigo, apparent motion, and nausea. Rodents also show signs of vestibular perturbation after magnetic field exposure at 7 tesla (T) and above, such as locomotor circling, activation of vestibular nuclei, and acquisition of conditioned taste aversions. We hypothesized that the acute effects of the magnetic field might be seen as changes in head position during exposure within the magnet. Using a yoked restraint tube that allowed movement of the head and neck, we found that rats showed an immediate and persistent deviation of the head during exposure to a static 14.1 T magnetic field. The direction of the head tilt was dependent on the orientation of the rat in the magnetic field (B), such that rats oriented head-up (snout towards B+) showed a rightward tilt of the head, while rats oriented head-down (snout towards B-) showed a leftward tilt of the head. The tilt of the head during magnet exposure was opposite to the direction of locomotor circling immediately after exposure observed previously. Rats exposed in the yoked restraint tube showed significantly more locomotor circling compared to rats exposed with the head restrained. There was little difference in CTA magnitude or extinction rate, however. The deviation of the head was seen when the rats were motionless within the homogenous static field; movement through the field or exposure to the steep gradients of the field was not necessary to elicit the apparent vestibulo-collic reflex.
Assuntos
Movimentos da Cabeça/efeitos da radiação , Cabeça/efeitos da radiação , Campos Magnéticos , Análise de Variância , Animais , Aprendizagem da Esquiva/efeitos da radiação , Relação Dose-Resposta à Radiação , Feminino , Lateralidade Funcional/efeitos da radiação , Atividade Motora/efeitos da radiação , Ratos , Ratos Sprague-Dawley , Reflexo Vestíbulo-Ocular/efeitos da radiação , Paladar/efeitos da radiação , Fatores de TempoRESUMO
Hippophae rhamnoides (Sea buckthorn), a traditionally known plant for nutritional and therapeutic values, is under active investigation for radioprotective properties. This study investigated effects of aqueous leaf extract from H. rhamnoides on (60)Co-γ-radiation induced changes in behavior, oxidative stress and serotonin levels in jejunum and plasma of rats. Conditioned taste aversion (CTA) was chosen as the assay to record behavioral changes and was assessed in terms of saccharine preference ratio (SPR). Whole body (60)Co-γ-irradiation (2 Gy) induced significant nonrecoverable CTA (25.6 ± 3.6% SPR, t(6) = 3.499, p < .05) and loss in body weight (b.w.). One time treatment with leaf extract before irradiation, countered radiation induced CTA and loss in body weight. The 12 mg/kg b.w. concentration of leaf extract caused complete extinction of CTA [100.3 ± 6.4% SPR, t(6) = 5.879, p < .01] after day 3 and the effect was significantly higher than positive control, Ondansetrone (70.0 ± 8.9% SPR). Treatment with leaf extract before irradiation significantly countered radiation induced (1) decrease in antioxidant protection, (2) increase in levels of corticosterone (CS) in plasma, (3) increase in levels of serotonin in jejunum and plasma. Present investigation demonstrated that H. rhamnoides leaf extract prevented behavioral changes induced at clinical radiation doses. Hippophae leaves are nontoxic and are being consumed as tea and other beverages. CTA in rats is a considered parallel process to nausea and vomiting in human beings. These findings, put together, suggest that dietary supplements from Hippophae leaves could be developed for preventing behavioral changes in subjects exposed to radiation.
Assuntos
Antioxidantes/farmacologia , Comportamento Animal/efeitos dos fármacos , Hippophae , Fitoterapia , Lesões Experimentais por Radiação/tratamento farmacológico , Protetores contra Radiação/uso terapêutico , Paladar/efeitos dos fármacos , Animais , Antieméticos/farmacologia , Comportamento Animal/efeitos da radiação , Condicionamento Clássico/efeitos dos fármacos , Corticosterona/sangue , Suplementos Nutricionais , Preferências Alimentares , Raios gama , Humanos , Jejuno/metabolismo , Masculino , Náusea , Ondansetron/farmacologia , Estresse Oxidativo/efeitos dos fármacos , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , Folhas de Planta , Protetores contra Radiação/farmacologia , Ratos , Ratos Sprague-Dawley , Sacarina , Serotonina/metabolismo , Paladar/efeitos da radiação , VômitoRESUMO
BACKGROUND: Taste dysfunction that develops after radiotherapy for head and neck cancer impairs patients' quality of life. Although taste cells have been shown to degenerate after exposure to X-ray irradiation, the alteration in taste cell population is unclear. This study investigated the histopathological change of taste bud structure and the taste cell population in X-ray irradiated mice. METHODS: The head and neck region of C57BL/6J male mice was exposed to a single 15 Gy dose of X-ray irradiation and a chronological histopathological analysis of the circumvallate papilla was performed. Preference for sweet taste was measured using the two-bottle preference method. RESULTS: The histological analysis of the circumvallate papilla revealed that the basal cells had almost disappeared, but that there was not clear change in the spindle-shaped taste cells on day 4 after irradiation. The number of taste cells had decreased on day 8, and then remained unchanged until day 20, after which they increased and recovered to their original number by day 24. There was a more marked decrease in the number of alpha-gustducin-positive type II taste cells than in the number of serotonin-positive type III taste cells. Preference for sweet taste measured by the two-bottle preference method was decreased in parallel with taste cell number. CONCLUSION: These findings suggest that X-ray irradiation disrupts the basal cells, resulting in a decrease of the number of taste cells, particularly type II taste cells, which may be the cause of radiotherapy-induced taste dysfunction.