Olfactory Dysfunction in CNS Neuroimmunological Disorders: a Review

Mol Neurobiol. 2019 May;56(5):3714-3721. doi: 10.1007/s12035-018-1341-0. Epub 2018 Sep 6.

Abstract

Olfactory dysfunction is deeply associated with quality of human life in the aging population. Olfactory dysfunction is an occasional presymptomatic sign of neuroimmunological multiple sclerosis, neuromyelitis optica, and systemic lupus erythematosus. Olfaction is initially processed by olfactory receptor cells that capture odor molecules, and the signals are transmitted to the glomeruli in the olfactory bulbs via olfactory nerves and processed in the primary olfactory cortex in the brain. Damage to either the olfactory receptor cells or the olfactory bulb and primary olfactory cortex may influence olfactory functioning. A close link between neuroimmunological disorders and olfactory dysfunction has been reported in patients and animal models. This review summarizes the literature data concerning olfactory dysfunction in autoimmune diseases including multiple sclerosis, neuromyelitis optica, and systemic lupus erythematosus; animal models thereof; and inflammation in the olfactory bulb.

Keywords: Autoimmune disease; Multiple sclerosis; Neuromyelitis optica; Olfactory dysfunction; Systemic lupus erythematosus.

Publication types

  • Review

MeSH terms

  • Animals
  • Central Nervous System Diseases / immunology*
  • Central Nervous System Diseases / physiopathology*
  • Disease Models, Animal
  • Humans
  • Inflammation / pathology
  • Nasal Cavity / pathology
  • Nasal Cavity / physiopathology
  • Olfactory Bulb / physiopathology*
  • Smell / physiology