Possíveis mecanismos fisiopatológicos da disgeusia associada à infecção por SARS-CoV-2 – Revisão de literatura
DOI:
https://doi.org/10.33448/rsd-v12i3.40424Palavras-chave:
Coronavírus; Disgeusia; Ageusia.Resumo
Desde o início da pandemia da COVID-19, em dezembro de 2019, muitos pacientes infectados relataram alterações de paladar e olfato como primeiros sintomas. O cirurgião-dentista deve estar capacitado para diagnosticar esta sintomatologia e encaminhar o paciente para serviços de saúde especializados. O presente estudo se propôs a realizar uma revisão narrativa sobre a possível patogênese da disgeusia e ageusia em pacientes infectados pelo SARS-CoV-2. Os dados foram coletados a partir de estudos identificados nos bancos de dados BVS, Google Acadêmico, LILACS, PubMed, SciELO e Web of Science, utilizando-se como descritores: disgeusia, ageusia, fisiopatologia e coronavírus. Dentre os possíveis mecanismos para a disgeusia, destacam-se a invasão viral em tecido nervoso, acometimento secundário às alterações de olfato, relação com comorbidades e medicamentos, associação à grande presença do vírus na saliva e sua alta afinidade pelos diversos receptores da enzima conversora de angiotensina-2 presentes na cavidade bucal. Portanto, alterações de paladar são sintomas típicos em pacientes infectados pelo SARS-CoV-2 e que tendem a regredir com o tempo. Entretanto, sua fisiopatologia, mecanismo de ação e prognóstico ainda não são bem estabelecidos, exigindo mais estudos experimentais.
Referências
Amorim Dos Santos, J., Normando, A. G. C., Carvalho da Silva, R. L., Acevedo, A. C., De Luca Canto, G., Sugaya, N., Santos-Silva, A. R., & Guerra, E. N. S. (2021). Oral Manifestations in Patients with COVID-19: A 6-Month Update. Journal of dental research, 100(12), 1321–1329. https://doi.org/10.1177/00220345211029637
Aziz, M., Perisetti, A., Lee-Smith, W. M., Gajendran, M., Bansal, P., & Goyal, H. (2020). Taste Changes (Dysgeusia) in COVID-19: A Systematic Review and Meta-analysis. Gastroenterology, 159(3), 1132–1133. https://doi.org/10.1053/j.gastro.2020.05.003
Baig A. M. (2020). Neurological manifestations in COVID-19 caused by SARS-CoV-2. CNS neuroscience & therapeutics, 26(5), 499–501. https://doi.org/10.1111/cns.13372
Beltrán-Corbellini, Á., Chico-García, J. L., Martínez-Poles, J., Rodríguez-Jorge, F., Natera-Villalba, E., Gómez-Corral, J., Gómez-López, A., Monreal, E., Parra-Díaz, P., Cortés-Cuevas, J. L., Galán, J. C., Fragola-Arnau, C., Porta-Etessam, J., Masjuan, J., & Alonso-Cánovas, A. (2020). Acute-onset smell and taste disorders in the context of COVID-19: a pilot multicentre polymerase chain reaction based case-control study. European journal of neurology, 27(9), 1738–1741. https://doi.org/10.1111/ene.14273
Brandão, T. B., Gueiros, L. A., Melo, T. S., Prado-Ribeiro, A. C., Nesrallah, A. C. F. A., Prado, G. V. B., Santos-Silva, A. R., & Migliorati, C. A. (2021). Oral lesions in patients with SARS-CoV-2 infection: could the oral cavity be a target organ? Oral surgery, oral medicine, oral pathology and oral radiology, 131(2), e45–e51. https://doi.org/10.1016/j.oooo.2020.07.014
Calcagno, N., Colombo, E., Maranzano, A., Pasquini, J., Keller Sarmiento, I. J., Trogu, F., & Silani, V. (2020). Rising evidence for neurological involvement in COVID-19 pandemic. Neurological sciences: official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 41(6), 1339–1341. https://doi.org/10.1007/s10072-020-04447-w
Carignan, A., Valiquette, L., Grenier, C., Musonera, J. B., Nkengurutse, D., Marcil-Héguy, A., Vettese, K., Marcoux, D., Valiquette, C., Xiong, W. T., Fortier, P. H., Généreux, M., & Pépin, J. (2020). Anosmia and dysgeusia associated with SARS-CoV-2 infection: an age-matched case-control study. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 192(26), E702–E707. https://doi.org/10.1503/cmaj.200869
Cetinkaya E. A. (2020). Coincidence of COVID-19 Infection and Smell-Taste Perception Disorders. The Journal of craniofacial surgery, 31(6), e625–e626. https://doi.org/10.1097/SCS.0000000000006601
Das, G., Mukherjee, N., & Ghosh, S. (2020). Neurological Insights of COVID-19 Pandemic. ACS chemical neuroscience, 11(9), 1206–1209. https://doi.org/10.1021/acschemneuro.0c00201
Deems, D. A., Doty, R. L., Settle, R. G., Moore-Gillon, V., Shaman, P., Mester, A. F., Kimmelman, C. P., Brightman, V. J., & Snow, J. B., Jr (1991). Smell and taste disorders, a study of 750 patients from the University of Pennsylvania Smell and Taste Center. Archives of otolaryngology--head & neck surgery, 117(5), 519–528. https://doi.org/10.1001/archotol.1991.01870170065015
Di Gennaro, F., Pizzol, D., Marotta, C., Antunes, M., Racalbuto, V., Veronese, N., & Smith, L. (2020). Coronavirus Diseases (COVID-19) Current Status and Future Perspectives: A Narrative Review. International journal of environmental research and public health, 17(8), 2690. https://doi.org/10.3390/ijerph17082690
Ferraro, S., Tuccori, M., Convertino, I., Valdiserra, G., Cappello, E., Maggi, F., Blandizzi, C., & Focosi, D. (2021). Olfactory and gustatory impairments in COVID-19 patients: Role in early diagnosis and interferences by concomitant drugs. British journal of clinical pharmacology, 87(5), 2186–2188. https://doi.org/10.1111/bcp.14634
Franco, J. B., Camargo, A. R. de, & Peres, M. P. S. de M. (2020). Cuidados Odontológicos na era do COVID-19: recomendações para procedimentos odontológicos e profissionais. Rev Assoc Paul Cir Dent, 74(1), 18–21. Retrieved from: https://www.researchgate.net/publication/342361015_Cuidados_Odontologicos_na_era_do_COVID-19_recomendacoes_para_procedimentos_odontologicos_e_profissionais
Gasparyan, A. Y., Ayvazyan, L., Blackmore, H., & Kitas, G. D. (2011). Writing a narrative biomedical review: considerations for authors, peer reviewers, and editors. Rheumatology international, 31(11), 1409–1417. https://doi.org/10.1007/s00296-011-1999-3
Guyton, A. C. (2011). Tratado de Fisiologia Médica. Elsevier.
Hu, Y., Sun, J., Dai, Z., Deng, H., Li, X., Huang, Q., Wu, Y., Sun, L., & Xu, Y. (2020). Prevalence and severity of corona virus disease 2019 (COVID-19): A systematic review and meta-analysis. Journal of clinical virology: the official publication of the Pan American Society for Clinical Virology, 127, 104371. https://doi.org/10.1016/j.jcv.2020.104371
Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., Zhang, L., Fan, G., Xu, J., Gu, X., Cheng, Z., Yu, T., Xia, J., Wei, Y., Wu, W., Xie, X., Yin, W., Li, H., Liu, M., Xiao, Y., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet (London, England), 395(10223), 497–506. https://doi.org/10.1016/S0140-6736(20)30183-5
Lee, D. J., Lockwood, J., Das, P., Wang, R., Grinspun, E., & Lee, J. M. (2020). Self-reported anosmia and dysgeusia as key symptoms of coronavirus disease 2019. CJEM, 22(5), 595–602. https://doi.org/10.1017/cem.2020.420
Liguori, C., Pierantozzi, M., Spanetta, M., Sarmati, L., Cesta, N., Iannetta, M., Ora, J., Mina, G. G., Puxeddu, E., Balbi, O., Pezzuto, G., Magrini, A., Rogliani, P., Andreoni, M., & Mercuri, N. B. (2020). Subjective neurological symptoms frequently occur in patients with SARS-CoV2 infection. Brain, behavior, and immunity, 88, 11–16. https://doi.org/10.1016/j.bbi.2020.05.037
Lorenzo Villalba, N., Maouche, Y., Alonso Ortiz, M. B., Cordoba Sosa, Z., Chahbazian, J. B., Syrovatkova, A., Pertoldi, P., Andres, E., & Zulfiqar, A. A. (2020). Anosmia and Dysgeusia in the Absence of Other Respiratory Diseases: Should COVID-19 Infection Be Considered? European journal of case reports in internal medicine, 7(4), 001641. https://doi.org/10.12890/2020_001641
Mao, L., Jin, H., Wang, M., Hu, Y., Chen, S., He, Q., Chang, J., Hong, C., Zhou, Y., Wang, D., Miao, X., Li, Y., & Hu, B. (2020). Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA neurology, 77(6), 683–690. https://doi.org/10.1001/jamaneurol.2020.1127
Mariz, B. A. L. A., Brandão, T. B., Ribeiro, A. C. P., Lopes, M. A., & Santos-Silva, A. R. (2020). New Insights for the Pathogenesis of COVID-19-Related Dysgeusia. Journal of dental research, 99(10), 1206. https://doi.org/10.1177/0022034520936638
Mehraeen, E., Behnezhad, F., Salehi, M. A., Noori, T., Harandi, H., & SeyedAlinaghi, S. (2021). Olfactory and gustatory dysfunctions due to the coronavirus disease (COVID-19): a review of current evidence. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 278(2), 307–312. https://doi.org/10.1007/s00405-020-06120-6
Niazkar, H. R., Zibaee, B., Nasimi, A., & Bahri, N. (2020). The neurological manifestations of COVID-19: a review article. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 41(7), 1667–1671. https://doi.org/10.1007/s10072-020-04486-3
Passarelli, P. C., Lopez, M. A., Mastandrea Bonaviri, G. N., Garcia-Godoy, F., & D'Addona, A. (2020). Taste and smell as chemosensory dysfunctions in COVID-19 infection. American journal of dentistry, 33(3), 135–137.
Patel, A., Charani, E., Ariyanayagam, D., Abdulaal, A., Denny, S. J., Mughal, N., & Moore, L. S. P. (2020). New-onset anosmia and ageusia in adult patients diagnosed with SARS-CoV-2 infection. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 26(9), 1236–1241. https://doi.org/10.1016/j.cmi.2020.05.026
Rathee, M., & Jain, P. (2022). Ageusia. In StatPearls. StatPearls Publishing.
Ren, Y. F., Rasubala, L., Malmstrom, H., & Eliav, E. (2020). Dental Care and Oral Health under the Clouds of COVID-19. JDR clinical and translational research, 5(3), 202–210. https://doi.org/10.1177/2380084420924385
Román, G. C., Spencer, P. S., Reis, J., Buguet, A., Faris, M. E. A., Katrak, S. M., Láinez, M., Medina, M. T., Meshram, C., Mizusawa, H., Öztürk, S., Wasay, M., & WFN Environmental Neurology Specialty Group (2020). The neurology of COVID-19 revisited: A proposal from the Environmental Neurology Specialty Group of the World Federation of Neurology to implement international neurological registries. Journal of the neurological sciences, 414, 116884. https://doi.org/10.1016/j.jns.2020.116884
Romero-Sánchez, C. M., Díaz-Maroto, I., Fernández-Díaz, E., Sánchez-Larsen, Á., Layos-Romero, A., García-García, J., González, E., Redondo-Peñas, I., Perona-Moratalla, A. B., Del Valle-Pérez, J. A., Gracia-Gil, J., Rojas-Bartolomé, L., Feria-Vilar, I., Monteagudo, M., Palao, M., Palazón-García, E., Alcahut-Rodríguez, C., Sopelana-Garay, D., Moreno, Y., Ahmad, J., … Segura, T. (2020). Neurologic manifestations in hospitalized patients with COVID-19: The ALBACOVID registry. Neurology, 95(8), e1060–e1070. https://doi.org/10.1212/WNL.0000000000009937
Rothan, H. A., & Byrareddy, S. N. (2020). The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. Journal of autoimmunity, 109, 102433. https://doi.org/10.1016/j.jaut.2020.102433
Russell, B., Moss, C., Rigg, A., Hopkins, C., Papa, S., & Van Hemelrijck, M. (2020). Anosmia and ageusia are emerging as symptoms in patients with COVID-19: What does the current evidence say? Ecancermedicalscience, 14, ed98. https://doi.org/10.3332/ecancer.2020.ed98
Sayin, İ., Yaşar, K. K., & Yazici, Z. M. (2020). Taste and Smell Impairment in COVID-19: An AAO-HNS Anosmia Reporting Tool-Based Comparative Study. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 163(3), 473–479. https://doi.org/10.1177/0194599820931820
Shereen, M. A., Khan, S., Kazmi, A., Bashir, N., & Siddique, R. (2020). COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses. Journal of advanced research, 24, 91–98. https://doi.org/10.1016/j.jare.2020.03.005
Sohrabi, C., Alsafi, Z., O'Neill, N., Khan, M., Kerwan, A., Al-Jabir, A., Iosifidis, C., & Agha, R. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International journal of surgery (London, England), 76, 71–76. https://doi.org/10.1016/j.ijsu.2020.02.034
Tong, J. Y., Wong, A., Zhu, D., Fastenberg, J. H., & Tham, T. (2020). The Prevalence of Olfactory and Gustatory Dysfunction in COVID-19 Patients: A Systematic Review and Meta-analysis. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 163(1), 3–11. https://doi.org/10.1177/0194599820926473
Vaira, L. A., Hopkins, C., Salzano, G., Petrocelli, M., Melis, A., Cucurullo, M., Ferrari, M., Gagliardini, L., Pipolo, C., Deiana, G., Fiore, V., De Vito, A., Turra, N., Canu, S., Maglio, A., Serra, A., Bussu, F., Madeddu, G., Babudieri, S., Giuseppe Fois, A., … De Riu, G. (2020). Olfactory and gustatory function impairment in COVID-19 patients: Italian objective multicenter-study. Head & neck, 42(7), 1560–1569. https://doi.org/10.1002/hed.26269
Vaira, L. A., Salzano, G., Fois, A. G., Piombino, P., & De Riu, G. (2020). Potential pathogenesis of ageusia and anosmia in COVID-19 patients. International forum of allergy & rhinology, 10(9), 1103–1104. https://doi.org/10.1002/alr.22593
WORLD HEALTH ORGANIZATION. (2021, October 14). Coronavirus Disease (COVID-19) Situation Reports. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
Xia, J., Tong, J., Liu, M., Shen, Y., & Guo, D. (2020). Evaluation of coronavirus in tears and conjunctival secretions of patients with SARS-CoV-2 infection. Journal of medical virology, 92(6), 589–594. https://doi.org/10.1002/jmv.25725
Xu, H., Zhong, L., Deng, J., Peng, J., Dan, H., Zeng, X., Li, T., & Chen, Q. (2020). High expression of ACE2 receptor of 2019-nCoV on the epithelial cells of oral mucosa. International journal of oral science, 12(1), 8. https://doi.org/10.1038/s41368-020-0074-x
Xydakis, M. S., Dehgani-Mobaraki, P., Holbrook, E. H., Geisthoff, U. W., Bauer, C., Hautefort, C., Herman, P., Manley, G. T., Lyon, D. M., & Hopkins, C. (2020). Smell and taste dysfunction in patients with COVID-19. The Lancet. Infectious diseases, 20(9), 1015–1016. https://doi.org/10.1016/S1473-3099(20)30293-0
Yan, C. H., Faraji, F., Prajapati, D. P., Boone, C. E., & DeConde, A. S. (2020). Association of chemosensory dysfunction and COVID-19 in patients presenting with influenza-like symptoms. International forum of allergy & rhinology, 10(7), 806–813. https://doi.org/10.1002/alr.22579
Zayet, S., Klopfenstein, T., Mercier, J., Kadiane-Oussou, N. J., Lan Cheong Wah, L., Royer, P. Y., Toko, L., & Gendrin, V. (2021). Contribution of anosmia and dysgeusia for diagnostic of COVID-19 in outpatients. Infection, 49(2), 361–365. https://doi.org/10.1007/s15010-020-01442-3
Zhang, H., Kang, Z., Gong, H., Xu, D., Wang, J., Li, Z., Cui, X., Xiao, J., Meng, T., Zhou, W., Liu, J., & Xu, H. (2020). The digestive system is a potential route of 2019-nCov infection: A bioinformatics analysis based on single-cell transcriptomes. BioRxiv. https://doi.org/10.1101/2020.01.30.927806
Zhou, P., Yang, X. L., Wang, X. G., Hu, B., Zhang, L., Zhang, W., Si, H. R., Zhu, Y., Li, B., Huang, C. L., Chen, H. D., Chen, J., Luo, Y., Guo, H., Jiang, R. D., Liu, M. Q., Chen, Y., Shen, X. R., Wang, X., Zheng, X. S., … Shi, Z. L. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579(7798), 270–273. https://doi.org/10.1038/s41586-020-2012-7
Zubair, A. S., McAlpine, L. S., Gardin, T., Farhadian, S., Kuruvilla, D. E., & Spudich, S. (2020). Neuropathogenesis and Neurologic Manifestations of the Coronaviruses in the Age of Coronavirus Disease 2019: A Review. JAMA neurology, 77(8), 1018–1027. https://doi.org/10.1001/jamaneurol.2020.2065
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Marcus Vinícius Bueno; Gustavo Souza Galvão; Itamara Lucia Itagiba Neves; Gabriella Torres Schröter; Maria Stella Moreira; Marcela Alves dos Santos-Paul; Cíntia Maria Alencar de Carvalho; Ricardo Simões Neves; Tânia Cristina Pedroso Montano
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.