Smell loss (hyposmia) is a common
cognitive deficit perceived clinically as a nasal
abnormality but, in reality, it is a deficit of complex
biochemical detection and
processing of externally generated chemical events. A major mechanism initiating hyposmia involves abnormalities of growth of human olfactory cells through altered
growth factor stimulation of
stem cell activity. While several growth factors are involved well known signaling substances generate and perpetuate this process; among these substances are cAMP and cGMP. We have hypothesized a role for cAMP in taste and
olfaction as a
growth factor necessary for
stem cell maturation. We have thus measured cAMP and cGMP in parotid
saliva of 19 normal subjects and 144 patients with hyposmia to evaluate roles for these signals in
cognition. Results indicate that patients secrete significantly less cAMP (0.40+ / −0.03 pmol / mg
protein (Mean+ / −SEM); patients; 0.67+ / −0.09, normals, p<0.005) and significantly less cGMP (0.072+ / −0.003, patients; 0.100+ / −0.007, normals, p<0.005) than do normals. While
parotid gland secretions relate directly to
taste bud growth factors many substances secreted in
saliva are similar to those secreted in
nasal mucus. The present results indicate aberrant signaling in
saliva may serve both as a marker for hyposmia and as an indicator of a mechanism which interferes with
olfactory system function.