Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
Nasal mucosa is innervated by multiple subsets of nociceptive, parasympathetic and sympathetic nerves. These play carefully coordinated roles in regulating glandular, vascular and other processes. These functions are vital for cleaning and humidifying ambient air before it is inhaled into the lungs. The recent recognition of distinct classes of nociceptive nerves with unique patterns of sensory receptors that include seven transmembrane G-protein coupled receptors, new families of transient receptor potential and voltage and calcium gated ion channels, and combinations of neurotransmitters that can be modulated during inflammation by neurotrophic factors has revolutionized our understanding of the complexity and subtlety of nasal innervation. These findings may provide a rational basis for responses to air temperature changes, culinary and botanical odorants ("aromatherapy"), and inhaled irritants in conditions as diverse as idiopathic nonallergic rhinitis, occupational rhinitis, hyposmia, and multiple chemical sensitivity.Nosnu sluznicu prožimaju višestruke podskupine nociceptivnih, parasimpatičkih i simpatičkih živaca koji imaju podrobno usklađene uloge u reguliranju žljezdanih, žilnih i drugih procesa. Ove funkcije su presudne za čišćenje i ovlaživanje zraka iz okoline prije negoli se udahne u pluća. Naše shvaćanje složene i fine naravi inervacije nosne sluznice radikalno se mijenja nedavnim prepoznavanjem različitih vrsta nociceptivnih živaca s jedinstvenim obrascima senzornih receptora koji obuhvaćaju sedam transmembranskih receptora vezanih s G-proteinom, nove porodice prolaznog receptorskog potencijala i napona te kalcijem ograničene (gated) ionske kanale i kombinacije neurotransmitora koje tijekom upale mogu mijenjati neurotropni čimbenici. Ovi nalazi mogli bi pružiti razumnu osnovu za odgovore na promjene u temperaturi zraka, kulinarske i botaničke mirise ("aromaterapija") i udisajne iritante u uvjetima tako ranovrsnim kao što su idiopatski nealergijski rinitis, profesionalni rinitis, hiposmija i višestruka kemijska osjetljivost
