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Xue Y, Wen Q, Xu C, Zhang X, Zeng J, Sha AM, Lan C, Li L, Wang H, Yang X, Zeng C. Elevated Salt Taste Threshold Is Associated with Increased Risk of Coronary Heart Disease. J Cardiovasc Transl Res 2020; 13:1016-1023. [PMID: 32378162 DOI: 10.1007/s12265-020-10017-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 04/27/2020] [Indexed: 10/24/2022]
Abstract
High salt intake has been associated with coronary heart disease (CHD). The salt taste threshold could affect the salt intake, but its role in CHD is uncertain. We studied the association of salt taste threshold with CHD. In this study, the levels of salt detection threshold, recognition threshold, and taste preference were higher in CHD than in controls. The salt taste recognition threshold was significantly associated with CHD, and the significant association persisted after adjustment for traditional risk factors. Individuals with high level of salt taste recognition threshold were at a greater risk of CHD. Coincident occurrence of high level of salt taste recognition threshold, hypertension, and diabetes increased the risk of CHD. Thus, a high level of salt taste recognition threshold increases the risk of CHD, and the concurrence of high level of salt taste recognition threshold, hypertension, and diabetes further increases the risk of CHD.
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Affiliation(s)
- Yuanzheng Xue
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Qian Wen
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Chunmei Xu
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Xiaoqun Zhang
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Jing Zeng
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Azhi Ma Sha
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Cong Lan
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Liangpeng Li
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Hongyong Wang
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China
- Chongqing Institute of Cardiology, Chongqing, China
| | - Xiaoli Yang
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China.
- Chongqing Institute of Cardiology, Chongqing, China.
| | - Chunyu Zeng
- Department of Cardiology, Daping Hospital, The Third Military Medical University, Chongqing, China.
- Chongqing Institute of Cardiology, Chongqing, China.
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Veček NN, Mucalo L, Dragun R, Miličević T, Pribisalić A, Patarčić I, Hayward C, Polašek O, Kolčić I. The Association between Salt Taste Perception, Mediterranean Diet and Metabolic Syndrome: A Cross-Sectional Study. Nutrients 2020; 12:nu12041164. [PMID: 32331287 PMCID: PMC7230181 DOI: 10.3390/nu12041164] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/16/2020] [Accepted: 04/20/2020] [Indexed: 12/19/2022] Open
Abstract
Metabolic syndrome (MetS) is a widespread disorder and an important public health challenge. The purpose of this study was to identify the association between salt taste perception, Mediterranean diet and MetS. This cross-sectional study included 2798 subjects from the general population of Dalmatia, Croatia. MetS was determined using the Joint Interim Statement definition, and Mediterranean diet compliance was estimated using Mediterranean Diet Serving Score. Salt taste perception was assessed by threshold and suprathreshold testing (intensity and hedonic perception). Logistic regression was used in the analysis, adjusting for important confounding factors. As many as 44% of subjects had MetS, with elevated waist circumference as the most common component (77%). Higher salt taste sensitivity (lower threshold) was associated with several positive outcomes: lower odds of MetS (OR = 0.69; 95% CI 0.52–0.92), lower odds for elevated waist circumference (0.47; 0.27–0.82), elevated fasting glucose or diabetes (0.65; 0.45–0.94), and reduced HDL cholesterol (0.59; 0.42–0.84), compared to the higher threshold group. Subjects with lower salt taste threshold were more likely to consume more fruit, and less likely to adhere to olive oil and white meat guidelines, but without a difference in the overall Mediterranean diet compliance. Salt taste intensity perception was not associated with any of the investigated outcomes, while salty solution liking was associated with MetS (OR = 1.85, CI 95% 1.02–3.35). This study identified an association between salt taste perception and MetS and gave a new insight into taste perception, nutrition, and possible health outcomes.
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Affiliation(s)
- Nikolina Nika Veček
- University of Split School of Medicine, Šoltanska 2, 21 000 Split, Croatia; (N.N.V.); (R.D.); (A.P.)
| | - Lana Mucalo
- Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI 53226, USA;
| | - Ružica Dragun
- University of Split School of Medicine, Šoltanska 2, 21 000 Split, Croatia; (N.N.V.); (R.D.); (A.P.)
| | - Tanja Miličević
- Department of Endocrinology and Diabetology, University Hospital Center Split, Šoltanska 1, 21 000 Split, Croatia;
| | - Ajka Pribisalić
- University of Split School of Medicine, Šoltanska 2, 21 000 Split, Croatia; (N.N.V.); (R.D.); (A.P.)
| | - Inga Patarčić
- Bioinformatics and Omics Data Science Platform, Berlin Institute for Medical Systems Biology, Max-Delbrück Center for Molecular Medicine, 13092 Berlin, Germany;
| | - Caroline Hayward
- MRC Human Genetics Unit, IGMM, University of Edinburgh, Edinburgh EH4 2XU, UK;
| | - Ozren Polašek
- Department of Public Health, University of Split School of Medicine, Šoltanska 2, 21 000 Split, Croatia;
| | - Ivana Kolčić
- Department of Public Health, University of Split School of Medicine, Šoltanska 2, 21 000 Split, Croatia;
- Correspondence:
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Cui Y, Wu H, Li Q, Liao J, Gao P, Sun F, Zhang H, Lu Z, Wei X, He C, Ma T, Wei X, Chen X, Zheng H, Yang G, Liu D, Zhu Z. Impairment of Bitter Taste Sensor Transient Receptor Potential Channel M5-Mediated Aversion Aggravates High-Salt Intake and Hypertension. Hypertension 2019; 74:1021-1032. [PMID: 31401881 DOI: 10.1161/hypertensionaha.119.13358] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Excessive salt consumption leads to cardiovascular diseases. Despite various measures designed to reduce salt intake, daily salt intake remains at a high level. Appropriate salt intake is balanced by salt taste preference triggered by epithelium sodium channel and salt taste aversion evoked by bitter taste sensor, transient receptor potential channel M5 (TRPM5). However, the behavioral mechanism of excessive salt intake remains largely elusive. In this study, wild type and TRPM5-/- mice were applied to study the influence of high-salt administration on epithelium sodium channel/TRPM5 and the associated behavior to salt consumption. We found that long-term high-salt intake impaired the aversive behavior to high-salt stimulation but did not alter the preference to low salt in mice. The mechanistic evidence demonstrated that high-salt intake blunted the TRPM5-mediated aversive behavior to noxious salt stimulation through inhibiting PKC (protein kinase C) activity and PKC-dependent threonine phosphorylation in the tongue epithelium but did not affect the epithelium sodium channel-dependent salt taste preference. Inhibition of TRPM5 also resulted in an impaired aversive response to high salt, with reduced taste perception in bitter cortical field of mice. TRPM5-/- mice showed a lowered aversion to high-salt diet and developed salt-induced hypertension. The impaired perception to bitter taste evoked by high-salt intake also existed in hypertensive patients with high-salt consumption. We demonstrate that long-term high-salt consumption impairs aversive response to concentrated salt by downregulating bitter taste sensor TRPM5. It suggests that enhancing TRPM5 function might antagonize excessive salt intake and high salt-induced hypertension.
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Affiliation(s)
- Yuanting Cui
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Hao Wu
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Qiang Li
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Jianwen Liao
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Peng Gao
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Fang Sun
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Hexuan Zhang
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Zongshi Lu
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Xiao Wei
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Chengkang He
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Tianyi Ma
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Xing Wei
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Xiaowei Chen
- Brain Research Center (X.C.), Third Military Medical University, China
| | - Hongting Zheng
- Department of Endocrinology, Translational Research Key Laboratory for Diabetes, Xinqiao Hospital (H.Z.), Third Military Medical University, China
| | - Gangyi Yang
- Department of Endocrinology, The Second Affiliated Hospital, Chongqing Medical University, China (G.Y.)
| | - Daoyan Liu
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
| | - Zhiming Zhu
- From the Department of Hypertension and Endocrinology, Center for Hypertension and Metabolic Diseases, Daping Hospital, Chongqing Institute of Hypertension (Y.C., H.W., Q.L., J.L., P.G., F.S., H.Z., Z.L., X.W., C.H., T.M., X.W., D.L., Z.Z.), Third Military Medical University, China
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