Deficient dietary intake of vitamin E in patients with taste and smell dysfunctions: is vitamin E a cofactor in taste bud and olfactory epithelium apoptosis and in stem cell maturation and development?

Nutrition. 2003 Nov-Dec;19(11-12):1013-21. doi: 10.1016/j.nut.2003.08.006.

Abstract

Objectives: We reviewed dietary intake of several nutrients in a large group of patients with taste and smell dysfunction, compared intake of these nutrients with standard values, and recognized that intake of vitamin E was significantly less than that of most other nutrients. Based on this observation we attempted to develop an hypothesis of the possible role vitamin E might play in these sensory disorders.

Methods: Vitamin E intake was measured in 250 patients with taste and smell dysfunctions.

Results: Intake of the vitamin was 3.2 +/- 0.2 mg/d (mean +/- standard error of the mean), or 36 +/- 2% of the recommended daily allowance, an intake significantly below that considered adequate. This diminished intake occurred with normal intake of total calories; protein; fat; carbohydrate; several vitamins, including thiamin, niacin, and pyridoxine; and the trace metals zinc, copper, and iron.

Conclusions: Although specific relations between vitamin E intake and smell and taste dysfunctions are unclear, the non-antioxidant roles of vitamin E indicate that it is a factor in apoptosis, cellular signaling, and growth of various cell lines, suggesting that this vitamin may play a role in growth and development of stem cells in taste buds and olfactory epithelium.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Apoptosis
  • Diet Records
  • Dietary Carbohydrates / administration & dosage
  • Dietary Fats / administration & dosage
  • Dietary Proteins / administration & dosage
  • Energy Intake
  • Female
  • Humans
  • Male
  • Middle Aged
  • Olfaction Disorders / physiopathology*
  • Olfactory Mucosa / cytology*
  • Stem Cells / cytology*
  • Taste Buds / cytology*
  • Taste Disorders / physiopathology*
  • Trace Elements / administration & dosage
  • Vitamin E / administration & dosage
  • Vitamin E / physiology*
  • Vitamins / administration & dosage

Substances

  • Dietary Carbohydrates
  • Dietary Fats
  • Dietary Proteins
  • Trace Elements
  • Vitamins
  • Vitamin E