The role of insulin sensitivity and intranasally applied insulin on olfactory perception

Sci Rep. 2019 May 10;9(1):7222. doi: 10.1038/s41598-019-43693-7.

Abstract

Olfactory perception determines food selection behavior depending on energy homeostasis and nutritional status. The mechanisms, however, by which metabolic signals in turn regulate olfactory perception remain largely unclear. Given the evidence for direct insulin action on olfactory neurons, we tested olfactory performance (olfactory threshold, olfactory discrimination) in 36 subjects of normal- and overweight after administration of three different insulin doses (40 I.U., 100 I.U., 160 I.U.) or corresponding placebo volume in a within-subject design. Poor peripheral insulin sensitivity as quantified by HOMA-IR in baseline condition and increases in systemic insulin levels reactive to intranasal administration predicted poor olfactory performance. In contrast, intranasal insulin enhanced odor perception with a dose-dependent improvement of olfactory threshold. These findings indicate a new diametric impact of insulin on olfactory perception depending on peripheral or central availability.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Intranasal
  • Adult
  • Blood Glucose / analysis
  • Cross-Over Studies
  • Humans
  • Insulin / administration & dosage*
  • Insulin / blood
  • Insulin / pharmacology
  • Insulin Resistance
  • Male
  • Olfactory Perception / drug effects
  • Olfactory Perception / physiology*
  • Placebo Effect
  • Single-Blind Method
  • Young Adult

Substances

  • Blood Glucose
  • Insulin