Name: taste exam: a brief and validated test
Uploaded: 2018-08-17T12:30:00
Description: Watch this Scientific Journal Video about Taste Exam: A Brief and Validated Test at JoVE.com

Priser fra National Institutes of Health støttet denne forskning (R01DC013588 til NAC, R21DC013886 NAC og DRR og NIDCD Administrative forskning Supplement til at fremme fremkomsten af kliniker-forskere i Chemosensory forskning til JED). Vi indsamlede genotype data fra udstyr købes delvist med NIH midler fra OD018125.

University of Pennsylvania institutionelle Review board godkendt denne protokol. Vi udelukket emner, hvis de var under 18 år eller var gravid.
1. mundhulen evaluering: Sygdom vurdering og Papilla identifikation
<ol><li>Instruere emnet til at åbne munden.</li>
	<li>
Ved hjælp af en lyskilde som en penlight eller forlygte, belyse mundhulen og undersøge de syv underordnede websteder i området (tungen, gulvet i munden, buccale slimhinde, labial slimhinden, gingiva, hårde gane og re...

<ol>
	<li>Cowart, B. J., Young, I. M., Feldman, R. S., Lowry, L. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+disorders+of+smell+and+taste.">Clinical disorders of smell and taste.</a> Occupational Medicine. 12 (3), 465-483 (1997).</li><li>Ackerman, B. H., Kasbekar, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Disturbances+of+taste+and+smell+induced+by+drugs.">Disturbances of taste and smell induced by drugs.</a> Pharmacotherapy. 17 (3), 482-496 (1997).</li><li>Kveton, J. F., Bartoshuk, L. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+effect+of+unilateral+chorda+tympani+damage+on+taste.">The effect of unilateral chorda tympani damage on taste.</a> Laryngoscope. 104, 25-29 (1994).</li><li>Fischer, R. A., Griffin, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pharmacogenetic+aspects+of+gustation.">Pharmacogenetic aspects of gustation.</a> Drug Research. 14 (14), 673-686 (1964).</li><li>Joyce, C. R., Pan, L., Varonos, D. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Taste+sensitivity+may+be+used+to+predict+pharmacological+effects.">Taste sensitivity may be used to predict pharmacological effects.</a> Life Science. 7 (9), 533-537 (1968).</li><li>Adappa, N. D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Genetics+of+the+taste+receptor+T2R38+correlates+with+chronic+rhinosinusitis+necessitating+surgical+intervention.">Genetics of the taste receptor T2R38 correlates with chronic rhinosinusitis necessitating surgical intervention.</a> International Forum of Allergy &amp; Rhinology. , (2013).</li><li>Lipchock, S. V., Reed, D. R., Mennella, J. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Relationship+between+bitter-taste+receptor+genotype+and+solid+medication+formulation+usage+among+young+children:+a+retrospective+analysis.">Relationship between bitter-taste receptor genotype and solid medication formulation usage among young children: a retrospective analysis.</a> Clinical Therapeutics. 34 (3), 728-733 (2012).</li><li>Bartoshuk, L. M., Carterette, E. C., Friedman, M. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Handbook of perception: Tasting and smelling. , 2-18 (1978).</li><li>Coldwell, S. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Gustation+assessment+using+the+NIH+Toolbox.">Gustation assessment using the NIH Toolbox.</a> Neurology. 80 (11 Suppl 3), S20-S24 (2013).</li><li>Mueller, C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Quantitative+assessment+of+gustatory+function+in+a+clinical+context+using+impregnated+&amp;#34;taste+strips&amp;#34.">Quantitative assessment of gustatory function in a clinical context using impregnated &amp;#34;taste strips&amp;#34.</a> Rhinology. 41 (1), 2-6 (2003).</li><li>Reed, D. R., Tanaka, T., McDaniel, A. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Diverse+tastes:+Genetics+of+sweet+and+bitter+perception.">Diverse tastes: Genetics of sweet and bitter perception.</a> Physiological Behavior. 88 (3), 215-226 (2006).</li><li>Miller, I. J., Reedy, F. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Variations+in+human+taste+bud+density+and+taste+intensity+perception.">Variations in human taste bud density and taste intensity perception.</a> Physiological Behavior. 47 (6), 1213-1219 (1990).</li><li>Shahbake, M., Hutchinson, I., Laing, D. G., Jinks, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Rapid+quantitative+assessment+of+fungiform+papillae+density+in+the+human+tongue.">Rapid quantitative assessment of fungiform papillae density in the human tongue.</a> Brain Research. 1052 (2), 196-201 (2005).</li><li>Spielman, A. I., Pepino, M. Y., Feldman, R., Brand, J. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Technique+to+collect+fungiform+(taste)+papillae+from+human+tongue.">Technique to collect fungiform (taste) papillae from human tongue.</a> Journal of Visualized Experiments. 18 (42), 2201 (2010).</li><li>Nuessle, T. M., Garneau, N. L., Sloan, M. M., Santorico, S. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Denver+papillae+protocol+for+objective+analysis+of+fungiform+papillae.">Denver papillae protocol for objective analysis of fungiform papillae.</a> Journal of Visualized Experiments. (100), e52860 (2015).</li><li>Sanyal, S., O'Brien, S. M., Hayes, J. E., Feeney, E. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=TongueSim:+development+of+an+automated+method+for+rapid+assessment+of+fungiform+papillae+density+for+taste+research.">TongueSim: development of an automated method for rapid assessment of fungiform papillae density for taste research.</a> Chemical Senses. 41 (4), 357-365 (2016).</li><li>Spielman, A. I., Brand, J. G., Buischi, Y., Bretz, W. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Resemblance+of+tongue+anatomy+in+twins.">Resemblance of tongue anatomy in twins.</a> Twin Research and Human Genetics. 14 (3), 277-282 (2011).</li><li>Kalmus, H., Smith, S. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+antimode+and+lines+of+optimal+separation+in+a+genetically+determined+bimodal+distribution,+with+particular+reference+to+phenylthiocarbamide+sensitivity.">The antimode and lines of optimal separation in a genetically determined bimodal distribution, with particular reference to phenylthiocarbamide sensitivity.</a> Annals of Human Genetics. 29 (2), 127-138 (1965).</li><li>Pearson, J., Finegold, M. J., Budzilovich, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+tongue+and+taste+in+familial+dysautonomia.">The tongue and taste in familial dysautonomia.</a> Pediatrics. 45 (5), 739-745 (1970).</li><li>Fukutake, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Late-onset+hereditary+ataxia+with+global+thermoanalgesia+and+absence+of+fungiform+papillae+on+the+tongue+in+a+Japanese+family.">Late-onset hereditary ataxia with global thermoanalgesia and absence of fungiform papillae on the tongue in a Japanese family.</a> Brain. 119 (Pt 3), 1011-1021 (1996).</li><li>Kinnamon, S. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Taste+receptor+signalling+-+from+tongues+to+lungs.">Taste receptor signalling - from tongues to lungs.</a> Acta physiologica. 204 (2), 158-168 (2012).</li><li>Lewandowski, B. C., Sukumaran, S. K., Margolskee, R. F., Bachmanov, A. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Amiloride-insensitive+salt+taste+is+mediated+by+two+populations+of+type+iii+taste+cells+with+distinct+transduction+mechanisms.">Amiloride-insensitive salt taste is mediated by two populations of type iii taste cells with distinct transduction mechanisms.</a> Journal of Neuroscience. 36 (6), 1942-1953 (2016).</li><li>Vandenbeuch, A., Clapp, T. R., Kinnamon, S. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Amiloride-sensitive+channels+in+type+I+fungiform+taste+cells+in+mouse.">Amiloride-sensitive channels in type I fungiform taste cells in mouse.</a> BMC Neuroscience. 9, 1 (2008).</li><li>Margolskee, R. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+biochemistry+and+molecular+biology+of+taste+transduction.">The biochemistry and molecular biology of taste transduction.</a> Current Opinions in Neurobiology. 3 (4), 526-531 (1993).</li><li>Meyerhof, W., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+molecular+receptive+ranges+of+human+TAS2R+bitter+taste+receptors.">The molecular receptive ranges of human TAS2R bitter taste receptors.</a> Chemical Senses. 35 (2), 157-170 (2010).</li><li>Yee, K. K., Sukumaran, S. K., Kotha, R., Gilbertson, T. A., Margolskee, R. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Glucose+transporters+and+ATP-gated+K++(KATP)+metabolic+sensors+are+present+in+type+1+taste+receptor+3+(T1r3)-expressing+taste+cells.">Glucose transporters and ATP-gated K+ (KATP) metabolic sensors are present in type 1 taste receptor 3 (T1r3)-expressing taste cells.</a> Proceedings of the National Academy of Sciences USA. , (2011).</li><li>Tordoff, M. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Calcium:+taste,+intake+and+appetite.">Calcium: taste, intake and appetite.</a> Physiological Review. 81, 1567-1597 (2001).</li><li>Reed, D. R., Xia, M. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Recent+advances+in+fatty+acid+perception+and+genetics.">Recent advances in fatty acid perception and genetics.</a> Advances in Nutrition. 6 (3), 353S-360S (2015).</li><li>Blekhman, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Host+genetic+variation+impacts+microbiome+composition+across+human+body+sites.">Host genetic variation impacts microbiome composition across human body sites.</a> Genome Biology. 16, 191 (2015).</li><li>Hoon, M. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Putative+mammalian+taste+receptors:+a+class+of+taste-specific+GPCRs+with+distinct+topographic+selectivity.">Putative mammalian taste receptors: a class of taste-specific GPCRs with distinct topographic selectivity.</a> Cell. 96 (4), 541-551 (1999).</li><li>Laffitte, A., Neiers, F., Briand, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Functional+roles+of+the+sweet+taste+receptor+in+oral+and+extraoral+tissues.">Functional roles of the sweet taste receptor in oral and extraoral tissues.</a> Current Opinion in Clinical Nutrition and Metabolic. 17 (4), 379-385 (2014).</li><li>An, S. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Tas2r+activation+promotes+airway+smooth+muscle+relaxation+despite+beta2-adrenergic+receptor+tachyphylaxis.">Tas2r activation promotes airway smooth muscle relaxation despite beta2-adrenergic receptor tachyphylaxis.</a> American Journal of Physiology-Lung Cellular and Molecular. , (2012).</li><li>Fox, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+relationship+between+chemical+composition+and+taste.">The relationship between chemical composition and taste.</a> Science. 74, 607 (1931).</li><li>Fox, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+relationship+between+chemical+constitution+and+taste.">The relationship between chemical constitution and taste.</a> Proceedings of the National Academy of Sciences USA. 18, 115-120 (1932).</li><li>Bufe, B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+molecular+basis+of+individual+differences+in+phenylthiocarbamide+and+propylthiouracil+bitterness+perception.">The molecular basis of individual differences in phenylthiocarbamide and propylthiouracil bitterness perception.</a> Current Biol.ogy. 15 (4), 322-327 (2005).</li><li>Reed, D. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+perception+of+quinine+taste+intensity+is+associated+with+common+genetic+variants+in+a+bitter+receptor+cluster+on+chromosome+12.">The perception of quinine taste intensity is associated with common genetic variants in a bitter receptor cluster on chromosome 12.</a> Human Molecular Genetics. 19 (21), 4278-4285 (2010).</li><li>Bobowski, N., Reed, D. R., Mennella, J. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Variation+in+the+TAS2R31+bitter+taste+receptor+gene+relates+to+liking+for+the+nonnutritive+sweetener+Acesulfame-K+among+children+and+adults.">Variation in the TAS2R31 bitter taste receptor gene relates to liking for the nonnutritive sweetener Acesulfame-K among children and adults.</a> Science Reports. 6, 39135 (2016).</li><li>Allen, A. L., McGeary, J. E., Knopik, V. S., Hayes, J. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Bitterness+of+the+non-nutritive+sweetener+acesulfame+potassium+varies+with+polymorphisms+in+TAS2R9+and+TAS2R31.">Bitterness of the non-nutritive sweetener acesulfame potassium varies with polymorphisms in TAS2R9 and TAS2R31.</a> Chemical Senses. 38 (5), 379-389 (2013).</li><li>Roudnitzky, N., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Genomic,+genetic,+and+functional+dissection+of+bitter+taste+responses+to+artificial+sweeteners.">Genomic, genetic, and functional dissection of bitter taste responses to artificial sweeteners.</a> Human Molecular Genetics. 20 (17), 3437-3449 (2011).</li><li>Guo, S. W., Reed, D. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+genetics+of+phenylthiocarbamide+perception.">The genetics of phenylthiocarbamide perception.</a> Annals in Human Biology. 28 (2), 111-142 (2001).</li><li>Bartoshuk, L. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Labeled+scales+(e.g.,+category,+Likert,+VAS)+and+invalid+across-group+comparisons:+what+we+have+learned+from+genetic+variation+in+taste.">Labeled scales (e.g., category, Likert, VAS) and invalid across-group comparisons: what we have learned from genetic variation in taste.</a> Food Quality Prefererences. 14 (2), 125-138 (2003).</li></ol>

Betydningen af denne metode er, at det bruger en tværfaglig tilgang med funktioner fra medicin (den mundtlige eksamen), eksperimentel psykologi (smag-test) og Genetik (en valideringstrinnet). Smag oplysninger er tilbøjelige til at udvikle som en diagnostiske og prognostiske værktøj, fordi smag giver et vindue ind i funktionen af proteiner andetsteds i kroppen. Fra en eksperimentel psykologi synspunkt, kan tilsætning af en simpel eksamen identificere emner, der ikke er relevante for undersøgelsen af normative smag f...

Foranstaltninger af menneskers smag opfattelse kan være både en del af medicinsk behandling og et mål for biomedicinsk forskning, men smag har fået ringe opmærksomhed sammenlignet med hørelse og syn (tabel 1). Fra den medicinske perspektiv, når klinikere vurdere patienter er klager over smag tab, i de fleste tilfælde det faktiske tab lugten1, som førte til afskedigelse af smag tab som en ualmindeligt og ofte ugyldig præsenterer klage. Smag forvridninger (smagsforstyrrelser) er mere almindelige og ofte opstår som følge af de sekundære virkninger af medicin eller perifere nerve skade2,3, men hverken form har en effektiv behandling (ikke stoppe medicinen). Klinikere har også ignoreret smag tab, fordi det har hidtil haft ringe diagnostisk eller prognostiske værdi på egen hånd. Men selv om måling af smag har været et dødvande, det kan nu ind i mainstream medicin med genoplivning af en historisk forståelse at smag kan være en diagnostisk eller prognostiske værktøj4,5. For eksempel, kan bitterhed opfattelse forudsige immunfunktion6 eller en patient villighed til at tage medicin7. Ikke desto mindre har biomedicinske forskere i høj grad forsømt smag. Denne uopmærksomhed kan delvis afspejler, at tidlig fremskridt i forståelsen af dette sensorisk system har sine rødder i eksperimentel psykologi8, et felt, som dem i medicin kan være relativt ukendte. Desuden har fornyet interesse i smagen indvarslede standardiseret smag metoder9 at bygge videre på tidligere metoder10, som samtidig omfattende er langvarige og upassende for kliniske indstillinger. Endelig, tillid til smag foranstaltninger kan være svag, fordi emner rapport om deres egne erfaringer og validering af deres observationer har hidtil manglet. Vores håb er, at en simpel foranstaltning, som efterforskere eller klinikere kan nemt administrere vil vinde i popularitet med både vælgere. Her beskriver vi en simpel smag eksamen protokol, der består af tre dele: en vurdering af mundhulen, smag-test og en validering trin ved hjælp af medfødte genotype. Først, vi leverer biologisk kontekst for disse procedurer, som går simpel praksis i medicin, sensoriske foranstaltninger fra eksperimentel psykologi og validering af svar ved hjælp af genotype og genetik.
Smag opfattelse begynder i munden, så en effektiv smag eksamen skal indeholde en kort klinisk vurdering for indlysende oral sygdomme, rødme, hævelse og misfarvning. Mundhulen indeholder syv underordnede websteder: tungen, gingiva, gulvet i munden, buccale slimhinde, labial slimhinden, hårde gane og retromolar trigone. Tidligere undersøgelser af menneskers smag fokuseret på raske deltagere eller personer med veldefinerede sygdomme, men som smag test bliver rutine i medicinsk eksamen, er det vigtigt at registrere tilstanden af mundhulen som led i proceduren.
Tungen, selv er en muskuløs struktur indkapslet i slimhinden; øremærkninger sin dorsale overflade er papiller, de lille hævet strukturer, der giver tungen sin unikke konsistens og indeholder smag receptor celler. Vi klassificere papiller form: fungiform, filiform, foliate, og circumvallate. Fungiform papillae (FP) er placeret anterolaterally på tungen og er runde, med en champignon figur11. Efterforskere har udgivet flere nyttige metoder til at kvantificere FP og vi direkte læsere til disse kilder for måling protokoller12,13,14,15,16. Foliate papillae, formet som siderne i en bog (folia), findes udelukkende på den laterale posterior tungen overflade11. Circumvallate papillae, fundet i sulcus terminalis af tungen basen, er store kuppelformede strukturer omgivet af slimhinde vægge (Latin omstændig, "surround" + vallum, "væg")11. De mest talrige papiller, filiform, er lange og tynde og indeholder ikke smag receptorer.
Mennesker er forskellige i tungen anatomi. Mens kilderne til denne anatomiske variationer er ukendt, er det bestemt i del af medfødte genetisk variation, med efterforskere rapportering 31% konkordans af tungen anatomi blandt toæggede tvillinger og 60% konkordans blandt enæggede tvillinger17. Papillær tæthed adskiller sig også blandt folk, og selv om sjældne, mindst en genetisk sygdom (familiær dysautonomia) resulterer i en medfødt mangel på smag papiller18,19,20. Før udførelse af psykofysiske test, er det således nyttigt at bekræfte tilstedeværelsen af FP som en del af den korte vurdering og Bemærk den relative størrelse og farve af tungen og beviser af oral sygdom.
Smag papiller indeholder de sensoriske celler, når stimuleret indlede smagsoplevelsen. Mennesker er i stand til at sensing mindst fem klasser af smag: salt, sur, bitter, sød og umami. Mens salte, signal søde, og umami smag signal tilstedeværelsen af værdifuld mad kilder der indeholder natriumchlorid, glucose og amino syre, henholdsvis, bitterhed og surhed tilstedeværelse af potentielle toksiner og syrer fra bakteriel nedbrydning af mad, henholdsvis, og fremkalde afskrækningsmiddel adfærd21. Salt og Sure smag er transduced gennem aktivering af Ionkanaler fundet i nogle typer af smag celler, om forståelsen af salt transduktion udvikler sig og det kan kræve type jeg celler samt22,23. Bitter, sød og umami skyldes aktivering af G-protein-koblede receptorer på type II smag celler, hver tilpasset en bestemt smag. Heterodimers af underenheder af tre særlige receptorer transduce søde og umami mens bitter forbindelser aktivere en gruppe af 25 forskellige bitter receptorer24. Disse bitter receptorer kan reagere på flere bitre forbindelser, og en enkelt bitter sammensatte stimulerer ofte mere end én receptor25. På trods af den seneste udvidelse af viden om det molekylære grundlag af smag, kan roman veje26 og nye opdagelser ud over de traditionelle fem smag kvaliteter (fx, calcium27 eller fedtsyre28 perception) ligge forude.
Der er mindst to overraskende aspekter af smag familier af receptorer: gener, der til disse receptorer kan afvige markant i DNA-sekvens og dermed fungere blandt folk, og mange væv i kroppen udtrykke disse gener21,29 kode , 30 , 31. disse extraoral websteder omfatter hjernen, skjoldbruskkirtel, øvre og nedre luftveje og mavetarmkanalen, blandt mange andre21,29,30,31. Mens smag receptorer på disse steder ikke deltager i smag opfattelse i traditionel forstand, fornemme de sandsynligvis lokale kemiske miljø29,32. For eksempel ciliated epitel af de øvre luftveje udtrykker den bitre receptor T2R38 (Bitter smag Receptor 38), som reagerer på kemiske stoffer produceres af bakterier og påvirker de medfødte immunrespons32, som stigende mucociliary clearance og niveauer af antimikrobielle peptider og nitrogenoxid. Denne konstatering har medicinske konsekvenser for kronisk rhinosinusitis, en sygdom af kronisk bakteriel infektion og betændelse i de øvre luftveje og paranasalis bihuler.
Af særlig relevans for smagen eksamen vi beskrive her er der T2R38 bitter smag receptor, kodet af genet TAS2R38 , udstiller genetisk variation og derfor variabelt smag følsomhed. Perceptuelle forskelle for de bitre sammensatte phenylthiocarbamide (PTC) blev første gang beskrevet af kemiker Arthur Fox33; Denne sammensatte blev senere identificeret som en agonist for T2R38 receptor34. Individuelle forskelle opstår fra DNA-sekvensen af TAS2R38 -gen, som har tre enkelt-nukleotid polymorfier, hver højtydende aminosyre udskiftninger (A49P, A262V og I296V; A: alanin, P: prolin, V: valin, I: isoleucin). To fælles haplotypes resultat, PAV og AVI, med PAV/PAV individer er meget følsomme over for PTC ("smagere"), AVI/AVI individer er relativt ufølsomme ("ikke-smagsdommere") og heterozygous AVI/PAV enkeltpersoner bliver mere variable i deres følsomhed 35. der er flere eksempler på genetiske variation påvirker bitter opfattelse, fx, smag receptor T2R19, kodet af genet TAS2R19 ligeledes udviser genetisk variation og forskellig smag følsomhed til den bitre sammensatte kinin36. Ligeledes, variation i TAS2R31 påvirker den opfattede bitterhed af en high-potens sødestoffer37,38,39.
Her beskriver vi en hurtig metode til at karakterisere en patientens følelse af smag, der trækker på højtydende protokoller i klinisk medicin, eksperimentel psykologi og genetik.

<table border="0" cellpadding="0" cellspacing="0" width="850">
	<tbody>
		<tr height="21">
			<td height="21" style="height:21px;width:307px;">Disposable diagnostic penlight</td>
			<td style="width:163px;">Primacare</td>
			<td style="width:124px;">DL-9223</td>
			<td style="width:259px;"></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">UltraLite Pro headlight</td>
			<td style="width:163px;">Integra LifeSciences</td>
			<td>AX2100BIF</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Millipore Q-Gard 2 water purification system</td>
			<td>EMB Millipore</td>
			<td style="width:124px;">QGARD00D2</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Denatonium benzoate&#160;</td>
			<td>Sigma Aldrich</td>
			<td>D5765</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:307px;">Phenylthiocarbamide</td>
			<td>Sigma Aldrich</td>
			<td>P7629</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:307px;">Quinine hydrochloride dihydrate</td>
			<td>Sigma Aldrich</td>
			<td>Q1125</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:307px;">Sodium Chloride</td>
			<td>Sigma Aldrich</td>
			<td>S1679</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:307px;">Sucrose</td>
			<td>Sigma Aldrich</td>
			<td>S0389</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Glass scintillation vials</td>
			<td>Thomas Scientific</td>
			<td>1230L59</td>
			<td>Same as Wheaton catalog no. 986580</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Oragene Discover OGR-500 DNA collection kit</td>
			<td>DNA Genotek</td>
			<td style="width:124px;">OGR-500</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">prepIT L2P Protocol reagents</td>
			<td>DNA Genotek</td>
			<td>PT-L2P-5</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">rs713598 TaqMan SNP genotyping assay</td>
			<td>ThermoFisher Scientific</td>
			<td>C___8876467_10</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">rs1726866 TaqMan SNP genotyping assay</td>
			<td>ThermoFisher Scientific</td>
			<td>C___9506827_10</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">rs10246939 TaqMan SNP genotyping assay</td>
			<td>ThermoFisher Scientific</td>
			<td>C___9506826_10</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">rs10772420 TaqMan SNP genotyping assay</td>
			<td>ThermoFisher Scientific</td>
			<td>C___1317426_10</td>
			<td></td>
		</tr>
	</tbody>
</table>

taste exam: a brief and validated test

Den stigende betydning af smag i medicin og biomedicinsk forskning og ny viden om sin genetiske fundament, har motiveret os til at supplere klassisk smag-test metoder på to måder. Først skal forklare vi hvordan man gør en kort vurdering af munden, herunder tungen, at sikre, at smag papiller er til stede og konstatere tegn på sygdommen. Andet, trækker vi på genetik at validere smag testdata ved at sammenligne rapporter opfattede bitterhed intensitet og medfødte receptor genotyper. Uoverensstemmelse mellem objektive foranstaltninger af genotype og subjektive beretninger om smagsoplevelse kan identificere samling datafejl, distraheret emner eller dem, der ikke har forstået eller fulgt instruks. Vores forventning er at hurtigt og gyldig smag test kan overtale forskere og klinikere at vurdere smagen regelmæssigt, gør smag test så almindeligt som test for høring og vision. Endelig fordi mange væv i kroppen express smag receptorer, smag svar kan give en proxy for væv følsomhed andre steder i kroppen, og dermed fungere som en hurtig, punkt af pleje test til at guide diagnose og et forsknings-værktøj til at evaluere smag receptor protein funktion.

Resultater fra smag test har været samlet for alle fag vurderet (n = 840) og præsenteres efter adskillelse af genotype. Det fulde datasæt er tilgængeligt på https://carayata.shinyapps.io/TasteBoxplots/ og kan blive gennemgået for hver tastant vurderes og for TAS2R38 og TAS2R19 genotyper. Resultaterne bekræfter eksistensen af perceptuelle smag forskelle for PTC blandt fag grupperet efter TAS2R38 receptor anlægspræg (figur 3)...

Watch this Scientific Journal Video about Taste Exam: A Brief and Validated Test at JoVE.com

Taste Exam: A Brief and Validated Test

Smag eksamen: En kort og validerede Test

Denne protokol måler menneskers smag svar og omfatter et kort anatomiske vurdering, en kort smag test og en valideringsmetode, ved hjælp af fagets rapporterede sensation og smag receptor genotype.

The emerging importance of taste in medicine and biomedical research, and new knowledge about its genetic underpinnings, has motivated us to supplement ...

This method can help answer key questions in the medical and sensory field about each person's sense of taste. The main advantage of this technique is its brevity and suitability for biomedical research. The implications of this technique extend towards the diagnosis and treatment of chronic rhino sinusitis because taste receptors are part of the innate immune system.I will be demonstrating the procedure on our lab member David and Lauren will be making the taste solutions. Begin by instructing the subject to open their mouth. Use a light to illuminate the oral cavity and examine the seven sub-sites of the area.Here the dorsal tongue is easily visible. Using a tongue depressor to depress the tongue the posterior pharynx becomes visible. Next lateralizing the tongue allows exposure of the left retromolar trigone and the left buccal mucosa.Here the anterior gingiva and the labial mucosa are visualized. As the subject's tongue is lifted the ventral tongue surface becomes visible. And this allows for examination of the subjects floor of mouth.The tongue is then lateralized again to examine the right retromolar trigone and the right buccal mucosa. And lastly the hard and soft palate are visualized. Note lesions, abrasions, and masses or signs of inflammation.Use a light source to visualize the dorsal surface of the tongue and identify the presence or absence of fungiform papillae or smooth surface of the tongue. Finally write down the results of oral cavity examination before proceeding with taste testing. Begin by preparing the taste solutions using a volumetric flask for each to ensure precision of concentrations.Dissolve samples using ultra pure water. Wrap any light sensitive solutions with foil to reduce exposure to light. Then store the taste solutions at four degrees Celsius.To identify common errors in solution preparation fill one tasting cup with the old solution and one with the new solution. Taste each solution to verify they are identical in strength. Next, label vial caps with a circular sticker according to the order of presentation and a color code.In order to match the vial labels with the labels on the taste questionnaire. Package samples by placing them into their respective carriers. Next prepare the taste questionnaire using a category scale for rating taste intensity and a forced choice for identifying the taste quality of each tastant.Lastly, place circular labels of the appropriate color and number next to the appropriate sample in the taste questionnaire. Provide the subject with the sample box, a bottle of water, an empty cup, pen, and taste questionnaire containing entries for 12 samples. Explain the testing procedure and inform the subject that they will be asked to rate both the intensity and quality of each tastant.Let them know that they may not experience all qualities. Start the test by asking the subject to rinse their mouth twice with water and spit it out in the cup provided. Have them pour all of sample one into their mouth and hold it there for five seconds before spitting the solution into the cup.Tell them not to gargle or swallow the solution. Then instruct the subject to circle one of the 13 vertical lines corresponding with the sample's intensity. On a scale of 0 to 12.From no intensity at all to extremely intense. And choose a single quality to describe the taste. Next ask the subject to rinse their mouth with water twice before proceeding to the next sample.Observe the subject tasting and rating sample one of water. Should the rating deviate from no intensity at all and no flavor, reiterate the questionnaire instructions before allowing the test to proceed. After all samples have been tasted review the finished questionnaire for completeness.Finally, score intensity ratings on a scale of 0 to 12 from the vertical lines that the subject circled. And average the two intensity ratings for each tastant for later analysis. Results of the taste test confirm the existence of perceptual taste differences for the bitter compound, Phenylthiocarbamide or PTC among subjects grouped by the TAS2R38 receptor genotype.Ratings of PTC intensity are significantly different across three genotypes. The motivation behind this study was to try to assess or to develop a rapid point of service exam that we could do in the clinic that would assess the function of this receptor that we believe plays a role in the development of chronic sinusitis. The idea here is could we use this taste test to predict which of our patients are at high risk for developing sinusitis and more importantly, which patients are good surgical candidates for us to do our sinus surgery on, or which ones will do poorly with our sinus surgery.So we're trying to use this taste test to prognosticate patient's sinal-nasal disease. Once that we went through all of the taste testing we confirmed that by genotyping the patients. And as you can see in figure three for the most part the patient's genotype follows the pattern of their phenotype.Meaning the more bitter they tasted they tended to be dominant for this receptor. However, there are some outliers. Showing that there are functional homozygotes, PAV/PAVs that said that they didn't taste PTC and on the flip side of that there were some nonfunctional AVI/AVI individuals that tasted PTC with bitterness.So that means that whatever taste test we do develop if there are patients that are not fulfilling our expectations that we probably wanna confirm the taste test by genotyping them for T2R38. Once mastered the exam and taste test can be performed in under 30 minutes. After watching this video you should have an understanding of how to perform an oral exam, note evidence of disease and perform a brief taste test.

Research

JoVE Journal

Medicine

Making Sense of Listening: The IMAP Test Battery

The ability to hear is only the first step towards making sense of the range of information contained in an auditory signal. Of equal importance are the abilities to extract and use the information encoded in the auditory signal. We refer to these as listening skills (or auditory processing AP). Deficits in these skills are associated with delayed language and literacy development, though the nature of the relevant deficits and their causal connection with these delays is hotly debated.
When a child is referred to a health professional with normal hearing and unexplained difficulties in listening, or associated delays in language or literacy development, they should ideally be assessed with a combination of psychoacoustic (AP) tests, suitable for children and for use in a clinic, together with cognitive tests to measure attention, working memory, IQ, and language skills. Such a detailed examination needs to be relatively short and within the technical capability of any suitably qualified professional. Current tests for the presence of AP deficits tend to be poorly constructed and inadequately validated within the normal population. They have little or no reference to the presenting symptoms of the child, and typically include a linguistic component. Poor performance may thus reflect problems with language rather than with AP. To assist in the assessment of children with listening difficulties, pediatric audiologists need a single, standardized child-appropriate test battery based on the use of language-free stimuli.
We present the IMAP test battery which was developed at the MRC Institute of Hearing Research to supplement tests currently used to investigate cases of suspected AP deficits. IMAP assesses a range of relevant auditory and cognitive skills and takes about one hour to complete. It has been standardized in 1500 normally-hearing children from across the UK, aged 6-11 years. Since its development, it has been successfully used in a number of large scale studies both in the UK and the USA. IMAP provides measures for separating out sensory from cognitive contributions to hearing. It further limits confounds due to procedural effects by presenting tests in a child-friendly game-format. Stimulus-generation, management of test protocols and control of test presentation is mediated by the IHR-STAR software platform. This provides a standardized methodology for a range of applications and ensures replicable procedures across testers. IHR-STAR provides a flexible, user-programmable environment that currently has additional applications for hearing screening, mapping cochlear implant electrodes, and academic research or teaching.

A test battery (IMAP) for performing an in-depth assessment of auditory and cognitive abilities contributing to listening skills is described. It is quick to administer, child-friendly and free from linguistic confounds. Stimulus generation and protocol management are controlled via a software platform (IHR-STAR) to ensure replicable procedures.

The ability to hear is only the first step towards making sense of the range of information contained in an auditory signal. Of equal importance are the ...

Technique to Collect Fungiform (Taste) Papillae from Human Tongue

The sense of taste is critical for human life. It informs the body about the quality of food that will be potentially ingested and stimulates metabolic processes that prepare the alimentary canal for digestion. Steady progress is being made towards understanding the early biochemical and molecular events underlying taste transduction (for a review, Breslin and Spector, 20081). However, progress to date has largely resulted from animal models. Yet, since marked differences in receptor specificity and receptor density vary among species, human taste transduction will only be understood by using human taste tissue. Here we describe a biopsy technique to collect human fungiform papillae, visible as rounded pink anterior structures, about 0.5 mm in diameter that contain taste buds. These biopsied papillae are used for several purposes including the isolation of viable taste bud cells, in situ hybridization, immunohistochemistry and, through techniques of molecular biology, the identification of taste-specific novel proteins.

Technique to Collect Fungiform Taste Papillae from Human Tongue

Knowledge of molecular mechanisms underlying gustatory transduction has recently enjoyed significant advances, largely due to using animal models. However, the wide diversity in taste sensitivity and specificity among mammals warrants studies in human tissue. We describe a biopsy technique to collect living taste cells from the papillae on human tongue.

The sense of taste is critical for human life. It informs the body about the quality of food that will be potentially ingested and stimulates metabolic ...

The Trier Social Stress Test Protocol for Inducing Psychological Stress

This article demonstrates a psychological stress protocol for use in a laboratory setting. Protocols that allow researchers to study the biological pathways of the stress response in health and disease are fundamental to the progress of research in stress and anxiety.1 Although numerous protocols exist for inducing stress response in the laboratory, many neglect to provide a naturalistic context or to incorporate aspects of social and psychological stress. Of psychological stress protocols, meta-analysis suggests that the Trier Social Stress Test (TSST) is the most useful and appropriate standardized protocol for studies of stress hormone reactivity.2 In the original description of the TSST, researchers sought to design and evaluate a procedure capable of inducing a reliable stress response in the majority of healthy volunteers.3 These researchers found elevations in heart rate, blood pressure and several endocrine stress markers in response to the TSST (a psychological stressor) compared to a saline injection (a physical stressor).3 Although the TSST has been modified to meet the needs of various research groups, it generally consists of a waiting period upon arrival, anticipatory speech preparation, speech performance, and verbal arithmetic performance periods, followed by one or more recovery periods. The TSST requires participants to prepare and deliver a speech, and verbally respond to a challenging arithmetic problem in the presence of a socially evaluative audience.3 Social evaluation and uncontrollability have been identified as key components of stress induction by the TSST.4 In use for over a decade, the goal of the TSST is to systematically induce a stress response in order to measure differences in reactivity, anxiety and activation of the hypothalamic-pituitary-adrenal (HPA) or sympathetic-adrenal-medullary (SAM) axis during the task.1 Researchers generally assess changes in self-reported anxiety, physiological measures (e.g. heart rate), and/or neuroendocrine indices (e.g. the stress hormone cortisol) in response to the TSST. Many investigators have adopted salivary sampling for stress markers such as cortisol and alpha-amylase (a marker of autonomic nervous system activation) as an alternative to blood sampling to reduce the confounding stress of blood-collection techniques. In addition to changes experienced by an individual completing the TSST, researchers can compare changes between different treatment groups (e.g. clinical versus healthy control samples) or the effectiveness of stress-reducing interventions.1

This article describes a protocol for inducing psychological stress in participants, which enables researchers to measure psychological, physiological and neuroendocrine responses to stress within single participants or between groups.

This article demonstrates a psychological stress protocol for use in a laboratory setting.  Protocols that allow researchers to study the biological ...

The &alpha;-test: Rapid Cell-free CD4 Enumeration Using Whole Saliva

There is an urgent need for affordable CD4 enumeration to monitor HIV disease. CD4 enumeration is out of reach in resource-limited regions due to the time and temperature restrictions, technical sophistication, and cost of reagents, in particular monoclonal antibodies to measure CD4 on blood cells, the only currently acceptable method. A commonly used cost-saving and time-saving laboratory strategy is to calculate, rather than measure certain blood values. For example, LDL levels are calculated using the measured levels of total cholesterol, HDL, and triglycerides1. Thus, identification of cell-free correlates that directly regulate the number of CD4+ T cells could provide an accurate method for calculating CD4 counts due to the physiological relevance of the correlates.
The number of stem cells that enter blood and are destined to become circulating CD4+ T cells is determined by the chemokine CXCL12 and its receptor CXCR4 due to their influence on locomotion2. The process of stem cell locomotion into blood is additionally regulated by cell surface human leukocyte elastase (HLECS) and the HLECS-reactive active &alpha;1proteinase inhibitor (&alpha;1PI, &alpha;1antitrypsin, SerpinA1)3. In HIV-1 disease, &alpha;1PI is inactivated due to disease processes 4. In the early asymptomatic categories of HIV-1 disease, active &alpha;1PI was found to be below normal in 100% of untreated HIV-1 patients (median=12 &mu;M, and to achieve normal levels during the symptomatic categories4, 5. This pattern has been attributed to immune inactivation, not to insufficient synthesis, proteolytic inactivation, or oxygenation. We observed that in HIV-1 subjects with &gt;220 CD4 cells/&mu;l, CD4 counts were correlated with serum levels of active &alpha;1PI (r2=0.93, p&lt;0.0001, n=26) and inactive &alpha;1PI (r2=0.91, p&lt;0.0001, n=26) 5. Administration of &alpha;1PI to HIV-1 infected and uninfected subjects resulted in dramatic increases in CD4 counts suggesting &alpha;1PI participates in regulating the number of CD4+ T cells in blood 3.
With stimulation, whole saliva contains sufficient serous exudate (plasma containing proteinaceous material that passes through blood vessel walls into saliva) to allow measurement of active &alpha;1PI and the correlation of this measurement is evidence that it is an accurate method for calculating CD4 counts. Briefly, sialogogues such as chewing gum or citric acid stimulate the exudation of serum into whole mouth saliva. After stimulating serum exudation, the activity of serum &alpha;1PI in saliva is measured by its capacity to inhibit elastase activity. Porcine pancreatic elastase (PPE) is a readily available inexpensive source of elastase. PPE binds to &alpha;1PI forming a one-to-one complex that prevents PPE from cleaving its specific substrates, one of which is the colorimetric peptide, succinyl-L-Ala-L-Ala-L-Ala-p-nitroanilide (SA3NA). Incubating saliva with a saturating concentration of PPE for 10 min at room temperature allows the binding of PPE to all the active &alpha;1PI in saliva. The resulting inhibition of PPE by active &alpha;1PI can be measured by adding the PPE substrate SA3NA. (Figure 1). Although CD4 counts are measured in terms of blood volume (CD4 cells/&mu;l), the concentration of &alpha;1PI in saliva is related to the concentration of serum in saliva, not to volume of saliva since volume can vary considerably during the day and person to person6. However, virtually all the protein in saliva is due to serum content, and the protein content of saliva is measurable7. Thus, active &alpha;1PI in saliva is calculated as a ratio to saliva protein content and is termed the &alpha;1PI Index. Results presented herein demonstrate that the &alpha;1PI Index provides an accurate and precise physiologic method for calculating CD4 counts.

The &amp;#945;-test: Rapid Cell-free CD4 Enumeration Using Whole Saliva

A CD4 enumeration method, the &#x03B1;-test, is described which uses whole saliva to provide rapid and accurate CD4 counts. The &alpha;-test costs pennies and eliminates the need for technical training, costly reagents such as monoclonal antibodies, instrumentation, refrigeration, transport of samples, as well as collection and handling of blood.

Den α-test: Rapid Cellefri CD4 Optælling Anvendelse helspyt

There is an urgent need for affordable CD4 enumeration to monitor HIV disease. CD4 enumeration is out of reach in resource-limited regions due to the time ...

Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System

The use of modern endoscopy for research purposes has greatly facilitated our understanding of gastrointestinal pathologies. In particular, experimental endoscopy has been highly useful for studies that require repeated assessments in a single laboratory animal, such as those evaluating mechanisms of chronic inflammatory bowel disease and the progression of colorectal cancer. However, the methods used across studies are highly variable. At least three endoscopic scoring systems have been published for murine colitis and published protocols for the assessment of colorectal tumors fail to address the presence of concomitant colonic inflammation. This study develops and validates a reproducible endoscopic scoring system that integrates evaluation of both inflammation and tumors simultaneously. This novel scoring system has three major components: 1) assessment of the extent and severity of colorectal inflammation (based on perianal findings, transparency of the wall, mucosal bleeding, and focal lesions), 2) quantitative recording of tumor lesions (grid map and bar graph), and 3) numerical sorting of clinical cases by their pathological and research relevance based on decimal units with assigned categories of observed lesions and endoscopic complications (decimal identifiers). The video and manuscript presented herein were prepared, following IACUC-approved protocols, to allow investigators to score their own experimental mice using a well-validated and highly reproducible endoscopic methodology, with the system option to differentiate distal from proximal endoscopic colitis (D-PECS).

Over the past few years, new generation endoscopes have emerged as important diagnostic research aids for evaluating murine colitis and colorectal tumors. We present herein a detailed protocol for endoscopic assessment of inflammation and colorectal tumors in mice, as well as a novel scoring system that uses decimal identifiers to document the endoscopic severity of colitis and colorectal tumors.

Fleksibel Koloskopi i mus til at vurdere sværhedsgraden af ​​colitis og Colorectal Tumorer med en valideret Endoskopisk Scoring System

The use of modern endoscopy for research purposes has greatly facilitated our understanding of gastrointestinal pathologies. In particular, experimental ...

The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool

Precise measurement of neurological and neuropsychological impairment and disability in multiple sclerosis is challenging. We report a new test, the Multiple Sclerosis Performance Test (MSPT), which represents a new approach to quantifying MS related disability. The MSPT takes advantage of advances in computer technology, information technology, biomechanics, and clinical measurement science. The resulting MSPT represents a computer-based platform for precise, valid measurement of MS severity. Based on, but extending the Multiple Sclerosis Functional Composite (MSFC), the MSPT provides precise, quantitative data on walking speed, balance, manual dexterity, visual function, and cognitive processing speed. The MSPT was tested by 51 MS patients and 49 healthy controls (HC). MSPT scores were highly reproducible, correlated strongly with technician-administered test scores, discriminated MS from HC and severe from mild MS, and correlated with patient reported outcomes. Measures of reliability, sensitivity, and clinical meaning for MSPT scores were favorable compared with technician-based testing. The MSPT is a potentially transformative approach for collecting MS disability outcome data for patient care and research. Because the testing is computer-based, test performance can be analyzed in traditional or novel ways and data can be directly entered into research or clinical databases. The MSPT could be widely disseminated to clinicians in practice settings who are not connected to clinical trial performance sites or who are practicing in rural settings, drastically improving access to clinical trials for clinicians and patients. The MSPT could be adapted to out of clinic settings, like the patient&#8217;s home, thereby providing more meaningful real world data. The MSPT represents a new paradigm for neuroperformance testing. This method could have the same transformative effect on clinical care and research in MS as standardized computer-adapted testing has had in the education field, with clear potential to accelerate progress in clinical care and research.

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool

Precise measurement of neurological and neuropsychological impairment and disability in multiple sclerosis is challenging. We report methodologic details on a new test, the Multiple Sclerosis Performance Test (MSPT). This new approach to the objective of quantification of MS related disability provides a computer-based platform for precise, valid measurement of MS severity.

Multipel sklerose Ydelse Test (MSPT): En iPad-Based Disability Assessment Tool

Precise measurement of neurological and neuropsychological impairment and disability in multiple sclerosis is challenging. We report a new test, the ...

Determining The Electromyographic Fatigue Threshold Following a Single Visit Exercise Test

Theoretically, the electromyographic (EMG) fatigue threshold is the exercise intensity an individual can maintain indefinitely without the need to recruit more motor units which is associated with an increase in the EMG amplitude. Although different protocols have been used to estimate the EMG fatigue threshold they require multiple visits which are impractical for a clinical setting. Here, we present a protocol for estimating the EMG fatigue threshold for cycle ergometry which requires a single visit. This protocol is simple, convenient, and completed within 15-20 min, therefore, has the potential to be translated into a tool that clinicians can use in exercise prescription.

This protocol describes the electromyographic fatigue threshold which demarcates between nonfatiguing and fatiguing exercise workloads. This information could be used to develop a more individualized training program.

Bestemmelse af Elektromyografisk Træthed Threshold Efter et enkelt besøg Motion Test

Theoretically, the electromyographic (EMG) fatigue threshold is the exercise intensity an individual can maintain indefinitely without the need to recruit ...

A Rat Carotid Balloon Injury Model to Test Anti-vascular Remodeling Therapeutics

The rat carotid balloon injury is a well-established surgical model that has been used to study arterial remodeling and vascular cell proliferation. It is also a valuable model system to test, and to evaluate therapeutics and drugs that negate maladaptive remodeling in the vessel. The injury, or barotrauma, in the vessel lumen caused by an inflated balloon via an inserted catheter induces subsequent neointimal growth, often leading to hyperplasia or thickening of the vessel wall that narrows, or obstructs the lumen. The method described here is sufficiently sensitive, and the results can be obtained in relatively short time (2 weeks after the surgery). The efficacy of the drug or therapeutic against the induced-remodeling can be evaluated either by the post-mortem pathological and histomorphological analysis, or by ultrasound sonography in live animals. In addition, this model system has also been used to determine the therapeutic window or the time course of the administered drug. These studies can leadto the development of a better administrative strategy and a better therapeutic outcome. The procedure described here provides a tool for translational studies that bring drug and therapeutic candidates from bench research to clinical applications.

The rat carotid balloon injury model described below allows researchers to evaluate drugs or therapeutics that negate injury-induced arterial hyperplasia. Detailed pre-surgical preparation, surgical procedure, and post-surgical cares of the animal are described.

En Rat carotis ballon Skade Model til Test Anti-vaskulære Remodeling Therapeutics

The rat carotid balloon injury is a well-established surgical model that has been used to study arterial remodeling and vascular cell proliferation. It is ...

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test

Cardiovascular disease is the primary cause of mortality and a major cause of disability worldwide. The dysfunction of the vascular endothelium is a pathological condition characterized mainly by a disruption in the balance between vasodilator and vasoconstrictor substances and is proposed to play an important role in the development of atherosclerotic cardiovascular disease. Therefore, a precise evaluation of endothelial function in humans represents an important tool that could help better understand the etiology of multiple cardio-centric pathologies.
Over the past twenty-five years, many methodological approaches have been developed to provide an assessment of endothelial function in humans. Introduced in 1989, the FMD test incorporates a forearm occlusion and subsequent reactive hyperemia that promotes nitric oxide production and vasodilation of the brachial artery. The FMD test is now the most widely utilized, non-invasive, ultrasonic assessment of endothelial function in humans and has been associated with future cardiovascular events.
Although the FMD test could have clinical utility, it is a physiological assessment that has inherited several confounding factors that need to be considered. This article describes a standardized protocol for determining FMD including the recommended methodology to help minimize the physiological and technical issues and improve the precision and reproducibility of the assessment.

The flow mediated dilation (FMD) test is the most commonly utilized, non-invasive, ultrasound assessment of endothelial function in humans. Although the FMD test has been related with the prediction of future cardiovascular disease and events, it is a physiological assessment with many inherent confounding factors that need to be considered.

Ultralyd Vurdering af endotel Funktion: En teknisk retningslinje af Flow-medieret Dilation Test

Cardiovascular disease is the primary cause of mortality and a major cause of disability worldwide. The dysfunction of the vascular endothelium is a ...

A Blood-based Test for the Detection of ROS1 and RET Fusion Transcripts from Circulating Ribonucleic Acid Using Digital Polymerase Chain Reaction

We have developed novel methods for the isolation and characterization of tumor-derived circulating ribonucleic acid (cRNA) for blood-based liquid biopsy. Robust detection of cRNA recovered from blood represents a solution to a critical unmet need in clinical diagnostics. The test begins with the collection of whole blood into blood collection tubes containing preservatives that stabilize cRNA. Cell-free, exosomal, and platelet-associated RNA is isolated from plasma in this test system. The cRNA is reverse transcribed to complementary DNA (cDNA) and amplified using digital polymerase chain reaction (dPCR). Samples are evaluated for both the target biomarker as well as a control gene. Test validation included limit of detection, accuracy, and robustness studies with analytic samples. The method developed as a result of these studies reproducibly detect multiple fusion variants for ROS1 (C-Ros proto-oncogene 1; 8 variants) and RET (rearranged during transfection proto-oncogene; 8 variants). The sample processing workflow has been optimized so that test results can consistently be generated within 72 hours of sample receipt.

Detection of circulating ribonucleic acid (cRNA) from blood is an unmet need in clinical diagnostics. Here we describe methods that characterize cRNA from non-small cell lung cancer patients using sensitive and specific digital polymerase chain reaction. The tests meet design requirements to detect fusion variants within 72 hours.

En blod-baseret Test til påvisning af ROS1 og RET Fusion udskrifter fra cirkulerende ribonukleinsyre ved hjælp af Digital Polymerase Chain Reaction

We have developed novel methods for the isolation and characterization of tumor-derived circulating ribonucleic acid (cRNA) for blood-based liquid biopsy. ...