Chemical Senses

INTRODUCTION: Despite their widespread prevalence and deleterious consequences, olfactory disorders remain little evaluated in clinical practice and neuroscientific studies, due to the lack of early, quick and reliable detection tools. To meet this demand, we developed a new connected olfactory test and evaluated its ability to discriminate dysosmia (i.e., altered sense of smell) from normosmia. METHODS: The Olfactory Screening with Connected And Rapid Detection test (OS-card, version 1.0) consisted of 8 RFID-equipped scratch-and-sniff cards interfaced with a dedicated mobile application. In this test, each micro-encapsulated odor is rated for perceived intensity on a 5-point scale and identified using a 4-alternative forced-choice procedure. The olfactory abilities of two matched samples of 25 normosmic and 25 dysosmic participants were evaluated using the OS-card 1.0 and two reference tests: the European Test for Olfactory Capabilities ETOC and the identification subtest of the Sniffin' Sticks. RESULTS: Intensity and identification OS-card scores were significantly lower in dysosmics than in normosmics. OS-card was easy to use and took less than 10 minutes to complete. OS-card scores were well correlated with ETOC scores and Sniffin' Sticks scores. According to a cross-validation approach using olfactory status categories provided by the ETOC, it was found that OS-card correctly classified 100% of the normosmic participants, 68% of the dysosmics (hyposmics and anosmics together), and 96% of the anosmics. CONCLUSION: OS-card is user friendly, rapid and reliable for detecting severe smell disorders (anosmia).

Background: Persistent COVID-19-related olfactory dysfunction (C19OD) has a significant disease burden. The underlying pathology is unclear, both at the level of the olfactory epithelium, and the higher neural networks. Functional septorhinoplasty (fSRP) is a novel intervention aimed at restoring odorant airflow to the olfactory epithelium, demonstrating clinically meaningful olfactory improvements in persistent C19OD patients. In the same cohort, we investigated the functional plasticity within the primary and higher-order olfactory brain networks using task-based functional magnetic resonance imaging (fMRI) before and after fSRP. Methods: In a prospective cohort study, patients with persistent C19OD underwent psychophysical olfactory testing, nasal airflow measurements, and olfactory task-based fMRI at baseline and 6 months post-fSRP. Whole-brain fMRI data was analysed to evaluate changes in neural activation and their correlations with clinical parameters. Results were mapped to standardized anatomical and olfactory atlases. Findings: Eight participants completed pre- and post-operative fMRI assessments. At baseline, increased deactivation was seen in the left hippocampus, and increased activation in bilateral cerebellum. Task-based activation was positively correlated with nasal volume in the right thalamus, and left cerebellum lobule VI. Post-operatively, task-based deactivation was seen in the left cerebellum crus II. Reduced task-dependent activation post- compared to pre-operatively was seen in the bilateral insula. Increased activation post- compared to pre-operatively positively correlated with change in nasal airflow in the right orbitofrontal cortex (OFC), superior and middle frontal gyrus, and frontal pole (FP). Increased post- compared to pre-operative activation correlated negatively with change in olfactory scores in bilateral insula, and left FP. Interpretation: Persistent C19OD is characterized by widespread functional alterations across higher-order cortical regions, reflecting altered central olfactory processing. fSRP elicits significant neural plasticity within these higher-order olfactory areas. The findings support the mechanism that augmenting airflow to the olfactory cleft drives olfactory recovery through

Introduction: Persistent post-infectious olfactory dysfunction (PIOD) has limited effective treatments. In developing a randomized controlled trial (RCT) to evaluate a novel surgical intervention for persistent PIOD, embedding Patient and Public Involvement (PPI), a core NIHR requirement in research, was essential. Objectives: To outline the PPI programme for our proposed RCT, in line with UK Standards for Public Involvement. The objective of the PPI programme was to design a patient-centred, inclusive, and ethically sound trial. Methods: The PPI programme included an online survey, online discussion forums, and focus groups. Results: 63 survey responses, 2 online discussion forums, and 2 focus groups provided PPI input on control arm acceptability, participant recruitment and retention strategies, participation burden, and trial outcome selection, directly shaping the trial protocol. Conclusions: This study demonstrates how robust PPI in trial design ensures that clinical trials remain responsive to the true priorities of the patient by aligning scientific rigor with lived experience.

Biogenic amines such as tyramine (TA) and octopamine (OA) are central regulators of insect physiology and behaviour, acting through G protein-coupled receptors (GPCRs) to control reproduction, locomotion, metabolism, olfaction and hydromineral homeostasis. Although TA was once considered solely a biosynthetic precursor to OA, it is now recognized as an independent signaling molecule acting through distinct tyramine receptors (TARs). Owing to their invertebrate-specific roles and absence in vertebrates, TARs represent promising molecular targets for selective insecticide development. In the mosquito Aedes aegypti, a major arboviral vector of dengue and Zika viruses, the functional and pharmacological properties of TARs have not been characterized. Here, we functionally deorphanized and comparatively characterized three putative A. aegypti tyramine receptors (AaTAR1-AaTAR3) using a heterologous assay, revealing subtype-specific pharmacological profiles and antagonist sensitivities. All three receptors were robustly activated by TA in a concentration-dependent manner, whereas OA exhibited significantly lower potency on each receptor subtype, consistent with a strong preference for TA. All three TARs were unresponsive to dopamine and serotonin, even when using supraphysiological concentrations, indicating high ligand specificity. Antagonist profiling revealed pronounced subtype-specific pharmacology: yohimbine strongly suppressed AaTAR1, phentolamine most effectively inhibited AaTAR2, whereas AaTAR3 exhibited reduced sensitivity to several classical aminergic antagonists, suggesting a pharmacologically distinct subtype. These findings establish that AaTAR1, AaTAR2 and AaTAR3 are bona fide functional tyramine receptors, define their ligand selectivity and subtype-specific pharmacology, and provide a comparative framework for understanding mosquito tyraminergic signaling, highlighting their potential as targets for next-generation vector control strategies.

Dairy-free foods must reproduce diverse functions of dairy, from foam stabilization in a latte to acid-gel structure in yogurt and melt-stretch behavior in mozzarella. Public consumer benchmarks rarely compare these categories under a common protocol. Here we analyze data from the NECTAR Taste of the Industry 2026 study, a blinded, randomized, in-person evaluation of commercial dairy-free products and dairy benchmarks. The full study included 2,183 consumers and 112 products across ten categories, with 3,220 product evaluations and 79,027 recorded survey responses, including 35,762 product-linked responses. The ten categories included barista milk, butter, cheddar, cream cheese, creamer, ice cream, fluid milk, mozzarella, sour cream, and Greek style yogurt. Within each category, we compare a dairy benchmark with the dairy-free product selected post hoc as the category leader. Participants rated overall liking, flavor, texture and mouthfeel, appearance, similarity to dairy, and purchase intent on seven-point scales and completed check-all-that-apply questions. In exploratory category-specific equivalence tests using a chosen margin of {+/-}0.05 points, barista milk, creamer, and fluid milk meet this margin. Mozzarella has the largest paired deficit of -1.46 points (unadjusted, p < 0.001), followed by Greek style yogurt and butter; all three remain significant after Holm correction across the ten primary comparisons. Descriptive penalty analysis associates off-flavor, artificial or chemical notes, stale or cardboard notes, bitter taste, and lingering aftertaste with the largest reductions in liking. Together, these results establish the first open sensory benchmark for dairy and dairy-free products, demonstrate that sensory parity is already achievable in several beverage categories, and identify the product categories and sensory attributes that offer the greatest opportunities for future innovation.

The mechanism underlying persistent COVID-19-related olfactory dysfunction (OD) remains unknown. There are indications for both peripheral (within the nose) and central (in the brain) mechanisms. Patients can experience a decrease in olfactory ability (quantitative OD) or a distorted odour perception (qualitative OD). The mechanisms might differ between these two symptom presentations. In this (f)MRI study, we investigated structural and functional brain alterations in patients with persistent (> 1 month) quantitative OD (Sniffin Sticks score < 30.75, n=21) or parosmia (self-reported, n=27) following SARS-CoV-2 infection, aged 19-60 years and, on average, included 472 days after diagnosis (the COVORTS study). Additionally, a control group of 49 normosmic subjects aged 22-60 years was included. Olfactory bulb volume (OBV) was determined by manual segmentation; whole-brain and regional grey matter density (GMD) of olfactory-related areas was assessed using voxel-based morphometry; and odour-induced brain activation was examined with an olfactory fMRI task. When grouped together, patients with OD had a smaller OBV than controls (84.4 vs 95.3 mm3, p=0.026). The two patient groups did not differ in OBV. ROI analysis of olfactory-related brain regions at an exploratory threshold showed lower GMD in primary and secondary olfactory regions in patients compared to controls, which appears to be mainly driven by quantitative OD. No difference in odour-induced brain activation was found. The observed smaller olfactory bulbs, along with modest findings beyond this primary olfactory structure, provide important insights into potential mechanisms of persistent COVID-19-related OD and highlight the need for longer follow-up to evaluate further neural degradation or recovery.

Background: Olfactory dysfunction is a recognised but poorly characterised comorbidity of Primary Ciliary Dyskinesia (PCD). No prior systematic review has synthesised its prevalence or clinical correlates. Methodology: A PRISMA compliant systematic review and meta-analysis was conducted. Five databases were searched to February 2026. Observational studies reporting olfactory function in confirmed PCD were included. Risk of Bias was assessed using the Newcastle-Ottawa Scale. A random-effects meta-analysis using the Freeman-Tukey double arcsine transformation was performed to calculate pooled prevalence with 95% confidence intervals (CI) and prediction intervals (PI). Results: Twelve studies (n=865) were included. Overall pooled prevalence of olfactory dysfunction was 43.4% (95% CI 25.2-62.5%; 95% PI 0.1-99.0%). Objective psychophysical testing yielded a significantly higher pooled prevalence of 66.1% (95% CI 55.5-76.0%; 95% PI 38.4-88.9%) compared to patient-reported outcome measures (30.5%; 95% CI 11.4-54.0%). Older age, greater sinonasal disease burden, and specific ciliary ultrastructural defects were associated with worse olfactory function. A striking discordance between objective dysfunction and subjective awareness was observed across multiple studies. Conclusions: Olfactory dysfunction is highly prevalent in PCD and substantially under-recognised by patients. Routine objective olfactory screening should be integrated into standard multidisciplinary PCD care.

Body odors inform human kin recognition. However, underlying chemical mechanisms and how they relate to body odor perception are still unclear. The present study therefore simultaneously examined perceptual body odor similarity according to human raters, its chemical basis and the link between the two in human families. The study included 33 raters who assessed body odors collected from 60 odor donors belonging to 15 biological families. Each family comprised a mother, a father and one adolescent same-sex sibling-dyad (8 sister dyads, 7 brother dyads). Body odor sampling was conducted with cotton pads for presentation to human raters and with thermal desorption (TD) tubes for Gas Chromatography-Mass Spectrometry (GC-MS) analysis. Relatedness and sex predicted perceived body odor similarity in parent-offspring versus unrelated control dyads. Analyses of chemical profiles revealed greater body odor similarity within families than between unrelated individuals. Parallel to the perceptual results, relatedness and sex predicted chemical similarity based on whole odor profiles. Finally, a machine-learning prediction model integrating perceptual and chemical data, revealed a small but significant positive association between chemical similarity of body odor and perceived olfactory similarity according to human raters, suggesting that odor perception is partly informed by chemical characteristics. Overall, the present study extends our understanding of human chemosensory communication and supports the notion of a family-specific olfactory signature.

Objective: To evaluate the specimen-level performance of a multichannel electronic nose (e-nose) sensor array in classifying stool specimens into relevant Clostridioides difficile categories. Design: Retrospective single-center validation study with reference to polymerase chain reaction (PCR) and C. difficile toxin testing. Participants: A convenience sample of 31 discarded stool specimens with PCR and confirmatory toxin testing. Categorized into PCR-positive (+)/toxin+, PCR+/toxin-negative (-), and PCR-. Methods: Specimens were sampled in controlled headspace by two e-nose sensor arrays in 10-minute sessions with 5-second sampling intervals. The primary endpoint was one-versus rest classification performance (sensitivity, specificity, positive predictive value, and accuracy) into three classes: PCR+/toxin+, PCR+/toxin-, and PCR-. Data were normalized and the region of interest was extracted for training and testing. Random forests were utilized for classification of normalized data with a test-train split at the specimen-level. Results: There were 457 unique 10-minute sampling events (147 PCR+/toxin+, 183 PCR+/toxin-, 127 PCR-). Sensors 1 and 2 captured 20,331 and 23,538 unique 5-second exposures within the region of interest, respectively. Testing data classification accuracy was 0.79 [0.78, 0.81] and 0.84 [0.83, 0.85] for Sensors 1 and 2. Sensitivity for PCR+/toxin+ exposures was 0.82 [0.79, 0.84] and 0.94 [0.92, 0.95], and specificity was 0.91[0.90, 0.93] and 0.93 [0.92, 0.94] for Sensors 1 and 2. Conclusion: An e-nose sensor array partially differentiated PCR-classified C. difficile specimen classes at the exposure level under headspace-controlled conditions. Performance was strongest for PCR+/toxin+ exposures. Findings support further prospective validation in the hospital room setting.

Purpose: Otoacoustic emissions (OAEs) are used to assess outer hair cell (OHC) function. Clinical interpretation of OAE responses, however, is often limited to a present/absent binary since both physiological factors and measurement variability affect the measured OAE amplitude. Prior work showed elevated OAE responses in sedated compared to awake chinchillas, pointing to the potential influence of the medial olivocochlear (MOC) efferents on amplitudes, but this finding is inconsistent across species and OAE type. Here, we aimed to further investigate the effect of anesthesia on distortion- and reflection-type emissions in chinchillas using swept stimuli and more reliable calibration methods. Methods: Swept distortion-product (DP) and stimulus-frequency (SF) OAEs were measured in chinchillas with and without ketamine/xylazine sedation. Stimuli were presented using in-ear forward pressure level calibrations. DPOAE and SFOAE amplitudes and estimated Qerb from SFOAE group delays were compared across the two conditions. Results: We found that low-frequency DPOAE amplitudes were elevated when animals were sedated. The difference in SFOAE amplitudes was more variable across animals but appeared mildly reduced in sedated animals. Qerb estimates were slightly higher in sedated animals at some frequencies. The effect of sedation was not different across sexes. Conclusion: Taken together, these findings suggest that sedation impacts OAE measurements in chinchillas. MOC modulation could account for the present findings and differences across species. For diagnostic precision, OAE responses should be considered in the context of not only intrinsic OHC function but also extrinsic physiological processes that can modulate OHCs.

Host specialization in herbivorous insects is often associated with divergence in chemosensory abilities. Here, we investigated the possible contribution of odorant receptors (ORs) in host plant restriction in the lily moth Spodoptera picta, a species specialized on Amaryllidaceae. Manual annotation of S. picta ORs in its genome revealed a repertoire similar in size and composition to those of its polyphagous sister species, S. littoralis and S. litura, suggesting that specialization did not involve major gene loss or expansion in the lily moth. To assess functional divergence beyond gene number, we applied a large scaled structure-based virtual screening approach to the entire OR repertoires of these three Spodoptera species, generating ligand-binding profiles for 120,591 volatile compounds. Among 69 1:1:1 OR orthologs, 24 exhibited divergent predicted binding spectra. We pinpointed OR29 that we also found to be highly expressed in both male and female antennae of S. picta through a RNAseq approach. Functional assays demonstrated that S. picta OR29 acquired heightened sensitivity to limonene enantiomers, volatiles emitted by host Amaryllidaceae inflorescences. Site-directed mutagenesis revealed that a single amino acid substitution within the predicted binding region underlies this shift in sensitivity. These results show that host specialization in S. picta has not been accompanied by significant OR repertoire remodeling, but rather by subtle molecular changes that fine-tune receptor sensitivity to host-derived volatiles.

Cochlear implant (CI) candidates with residual low frequency hearing increasingly receive hearing preserving electrode arrays to enable electric acoustic stimulation (EAS). However, assessing very low frequency hearing in newborns and young children remains difficult. Previous work has shown that acoustic stimulation can mask electrically evoked auditory percepts when stimulation sites are spatially separated. Whether such masking also occurs when electric stimulation is delivered near the round window (RW), prior to cochlear insertion, remains unclear. This study investigated ipsilateral acoustic masking of electric stimulation delivered at apical, basal, and near RW sites in 12 EAS users with residual low frequency hearing implanted with short or partially inserted electrode arrays. Using a psychophysical paradigm, threshold elevations of electric pulse trains were measured during simultaneous acoustic stimulation. Electric stimulation was applied at extra cochlear RW locations and intra cochlear basal and apical electrodes, while stimulation parameters were systematically varied. Electric stimulation near the RW reliably evoked auditory percepts without side effects, though optimal stimulation parameters and masking strength varied across participants. Strong acoustic masking was consistently observed for apical stimulation, whereas weaker but measurable masking occurred for basal and RW stimulation. A cochlear lumped parameter model indicated that approximately 5% of current delivered at the RW can reach apical regions, explaining the observed masking by low frequency acoustic tones. Masking strength correlated with residual hearing for apical stimulation only. These findings indicate that acoustic masking of apical electric stimulation, which correlated with residual hearing, holds potential as a diagnostic tool for assessing low frequency hearing post operatively. The detection of masking during both RW and basal stimulation represents a promising result, indicating that these stimulation paradigms can produce quantifiable effects. Given the considerable variability observed among participants, further investigation is required to establish the extent to which masking measures reflect residual hearing or hearing loss. Nonetheless, these results provide novel insight into auditory perception and side effects associated with basal and extra cochlear electric stimulation, informing future efforts to optimize this approach for low-frequency hearing assessment.

The mechanism governing singular odorant receptor (OR) gene choice restricts each olfactory sensory neuron (OSN) to expressing a single OR allele from a repertoire of more than 1,100 receptor genes. Consequently, only a small fraction of OSNs express any given OR, limiting studies of OR function, axonal wiring, and odor coding. Here, we show that multimerizing a 21-bp homeodomain enhancer dramatically increases the probability of receptor choice. We engineered a single-copy Olfr151 minigene carrying a 9x21 enhancer and the human odorant receptor OR10G4, integrated at a genomic site distant from all endogenous OR clusters. This transgene drives singular OR10G4 expression in approximately 75% of OSNs and is accompanied by widespread reductions in endogenous Class I, Class II, and TAAR receptor transcripts and proteins, indicating that cis-regulatory elements govern the probability of OR selection. The abundance of OR10G4-expressing cilia enabled highly sensitive ligand screening using CELIA (Cilia-based Evaluation of Ligands and receptor InterActions). Profiling guaiacol derivatives revealed a strong correspondence among receptor activation, cAMP production, and published human psychophysical responses. Although OR10G4 responds to guaiacol-related odorants, multiple canonical vanilla odorants failed to activate the receptor, arguing against a primary role in vanilla perception. Instead, the lowest EC50 ligands were enriched for compounds human subjects described as smoky. Together, these findings link activation of a single human odorant receptor to a defined perceptual odor-quality dimension and establish a general strategy for decoding the molecular basis of human odor perception.

Background: Drug-Induced Sleep Endoscopy (DISE) is the current reference standard for identifying the anatomical site of upper airway obstruction in obstructive sleep apnea (OSA), but its invasiveness and limited availability restrict its routine use. Because snoring is generated by vibration of the obstructing upper-airway structures, its acoustic characteristics may provide a non-invasive biomarker of the anatomical site of obstruction. This study investigated whether machine learning could reliably distinguish palatal from epiglottic snoring using acoustic information alone. Methods: A retrospective analysis was performed on 159 DISE recordings obtained from adult patients with moderate, non-positional OSA. Snoring events were independently identified and anatomically classified by two blinded expert examiners. Only events with complete inter-observer agreement were included. The corresponding audio segments were extracted and characterized using spectral, cepstral, temporal and harmonic acoustic features. Feature selection was performed using recursive feature elimination. Support Vector Machine (SVM) and Multilayer Perceptron (MLP) classifiers were developed using a patient-independent nested cross-validation framework. Results: The final dataset comprised 1,759 snoring events, including 1,054 palatal and 705 epiglottic recordings. Both classifiers demonstrated robust discrimination between the two anatomical classes under patient-independent validation, achieving ROC AUC values of 0.90 +/- 0.03 (SVM) and 0.90 +/- 0.03 (MLP), with balanced accuracies of 0.83 and 0.81, respectively. The most informative predictors were spectral features, particularly spectral energy distribution, spectral flux, Mel-Frequency Cepstral Coefficients (MFCCs), and spectral flatness, whereas fundamental frequency contributed minimally to classification. Conclusions: Snoring contains reproducible acoustic information reflecting the anatomical origin of upper-airway obstruction. By combining high-confidence DISE-derived anatomical labels with a rigorous machine learning framework, this study demonstrates the feasibility of non-invasive acoustic phenotyping of clinically relevant obstruction sites. Rather than proposing a novel artificial intelligence algorithm, our work establishes a clinically oriented framework that may support future decision-support tools for patient selection, treatment planning, and multicentre development of comprehensive acoustic phenotyping models.

Personal insect repellents can offer an effective means of preventing mosquito bites. Despite a wide variety of products that claim to repel mosquitoes, relatively few studies have systematically compared their performance through standardized tests. In Australia, chemical-based repellents must be registered with the Australian Pesticides and Veterinary Medicines Authority (APVMA); however, many unregistered products with unverified effectiveness remain commercially available. Here, we tested 55 insect repellents and 5 non-repellent perfumes and deodorants sold in Australia for their protection against Aedes aegypti mosquito landings (as a proxy for bites) using arm-in-cage assays across eight human subjects. We tested 43 topical repellents (containing 18 different primary active ingredients), four wristbands, three clothing stickers, three ultrasonic devices, one garment, one repellent applied to fabric, two perfumes, two deodorants and one antiperspirant. Thirteen repellents, including all wristbands, stickers and ultrasonic devices did not provide complete protection against mosquito landings for any human subject, while a further sixteen provided complete protection for 1 hr or less on average. Repellents containing DEET, oil of lemon eucalyptus, picaridin and IR3535 as the primary active ingredient were the only products that provided more than 2 hours of complete protection, but with significant variation among products with the same active ingredient. Only 7/30 essential oil-based topical repellents and perfumes provided complete protection for greater than 1 hr. Nearly half (25/52) of the repellents subject to registration with the APVMA were unregistered despite being advertised or labelled as mosquito repellents, and these tended to be less effective than registered products. Only 5/28 repellents met or exceeded their claimed protection time. This study highlights the prevalence of unregistered and ineffective mosquito repellents on the Australian market while providing evidence for products and active ingredients that do protect against mosquito bites under laboratory conditions.

We established a human taste bud organoid system derived from circumvallate papillae. This model has been highly anticipated in the field of taste research, where feasible approaches for validating taste biology discovered in rodent models have been limited. Through a stepwise exploratory strategy, we systematically identified and optimized the niche factors required to maintain taste bud organoids and promote their differentiation. This human taste bud organoid system comprises Type I-IV taste receptor cells (TRCs) as well as stem/progenitor cells, and its sensory receptor cells exhibit calcium responses to taste stimuli. Using this system, we identified robust Wnt signaling as a requirement for optimal TRC fate progression, uncovered a human-specific transcriptional program in LGR5 cells, and identified previously unrecognized molecular markers for Type I TRCs. By recapitulating native human taste bud cell diversity and function, this organoid provides a tractable platform for studying human taste biology and dysfunction.

The pure-tone audiogram remains the cornerstone of hearing assessment, yet it captures only part of the functional consequences of cochlear damage. Most phenotyping schemes rely solely on the audiogram, which cannot detect hidden suprathreshold dysfunction when thresholds are normal. How best to represent audiological data - as discrete phenotypes or as a continuous space - remains unresolved. Using a retrospective database from the Copenhagen Hearing and Balance Centre, Rigshospitalet (Denmark; 1995-2022; 251986 ear-session units from 81883 adults with normal or sensorineural audiograms), we compared linear (PCA) and non-linear (UMAP) embeddings of the audiogram alone and with word recognition in quiet (WRSmax-Q). Here we show that a linear embedding suffices for the audiogram, but a non-linear one becomes advantageous once suprathreshold measures are added. PCA compressed the audiogram onto two interpretable axes, overall level and slope, explaining 91.5% of the variance, with ears forming a continuous cloud that published reference schemes tiled into overlapping regions. For the audiogram alone, UMAP recovered the same organisation. WRSmax-Q varied widely among ears with similar audiograms; adding it left the PCA unchanged but reorganised the UMAP. A synthetic experiment illustrated this: ears with identical audiograms but different WRSmax-Q separated under UMAP, not PCA. Combining thresholds with WRSmax-Q, UMAP yielded a continuous representation - a prototype Hearing Loss Map - where each ear's position reflects threshold and suprathreshold measures. Representing hearing loss as a location in a continuous space rather than as discrete categories may better reflect its graded nature, with clinical relevance for individual patients.

Background: Approximately 30% of the North American population are affected by seasonal or perennial rhinitis. Allergens from cats are common triggers of allergic rhinitis. Importantly, cat allergic rhinitis (cat-AR) is a major risk factor for more severe allergic diseases, including asthma. Current therapies rarely achieve full symptom control and development of novel therapeutics is constrained by the lack of physiologically relevant preclinical models. Objective: Establishment of a clinically-informed mouse model of cat allergen exposure in humans. Methods: Controlled human exposure was performed using airborne natural cat dander (CD) in a validated environmental exposure facility. Nasal immune cells and IgE concentrations in serum and nasal samples were assessed. In mice, we established a 14-day intermittent intranasal sensitization and challenge protocol using the same CD allergens. Clinical signs in mice were objectively quantified using AI-based video detection. Cellular changes in the nose were assessed with level-specific, spatial resolution. Lastly, systemic sensitization was confirmed through serum IgE and intradermal ear challenge. Measurements and Main Results: Following CD exposure, cat-allergic participants displayed increased nasal symptoms and eosinophil influx. CD-sensitized mice recapitulated key clinical features, including increased nasal rubbing, elevated nasal immune cell infiltration, and systemic sensitization. Importantly, spatial investigation of the cellular changes revealed major changes in the turbinate and olfactory regions of the nose. Conclusions: This novel mouse model provides a translationally valuable platform for investigating local and systemic mechanisms of cat-AR. It will serve for mechanistic and therapeutic evaluations with the goal of improving clinical translation and therapeutic precision.

Olfactory perception relies on active sampling, with successive inhalations providing discrete sensory inputs that in humans can be separated by several seconds. Yet odors are perceived as continuous and stable, raising the question of how the brain integrates sensory information across these temporal gaps. Here, we used electrobulbogram (EBG) recordings in 48 participants to demonstrate that successive sniffs are not processed independently but are linked through recurrent oscillatory dynamics between the olfactory bulb (OB) and piriform cortex (PC). Specifically, first-sniff alpha/beta activity in the OB and OB-PC functional connectivity predicted second-sniff gamma power, while transfer entropy indicated a directional temporal dependence from first-sniff alpha/beta to second-sniff gamma dynamics. In parallel, second-sniff gamma activity selectively tracked subjective odor valence prior to inhalation onset. At the network level, the PC exhibited stronger alpha/beta-band connectivity with orbitofrontal, insular, and prefrontal regions during the first sniff than during the second, suggesting that early evaluative processing provides a contextual signal that is carried forward to shape subsequent sensory representations. These results demonstrate that the human OB-PC circuit carries evaluative information across inhalations through directed alpha/beta-to-gamma interactions, providing a mechanism for maintaining perceptual continuity in a sensory system defined by temporally discrete sampling.

Objectives: The purpose of this pilot study was to investigate (1) if the Speech Intelligibility Index (SII) could be used to identify ears that meet cochlear implant (CI) candidacy beyond the "60/60" referral guidelines and (2) investigate the relationship between SII from patients' own hearing aids (HAs) and SII from optimally fit clinic-stock HAs such that a patient's own HAs can act as a proxy for an optimally fit HA and thus as a referral metric. Design: Prospective study of 23 participants ([&ge;] 18 years) with bilateral moderate to profound sensorineural hearing loss who were CI candidates in at least one ear. SII-Clinic (SII-C) values were recorded with probe-microphone measures using a Verifit II device (NAL-N2 targets) with speech stimuli presented at 60 dB A during patient CI evaluation in either their own HAs or clinic-stock HAs. SII values from participants' own HAs were recorded as part of a larger research protocol, thus SII-Personal (SII-P), with probe-microphone measures using a Verifit I device (NAL-RP targets) with pink noise stimuli presented at 65 dB A. Participants that did not wear HAs did not have SII-P calculated. Data was collapsed across ears. Correlation analysis between SII and best-aided consonant-nucleus-consonant (CNC) was conducted. Benchmark SII values were extrapolated using a best-fit line and CI candidacy rates reflecting various aided CNC scores that could be applied across CI centers. Nested logistic regression models were used to determine if the SII-C could improve model fit beyond the revised ear-specific 60/60 referral guideline. The relationship between SII-C and SII-P was assessed with Wilcoxon signed-rank test and Spearman correlation. Results: Correlation between SII-C and aided CNC score was r = 0.82 (p < 0.001), and the correlation between SII-P and aided CNC was r = 0.46 (p = 0.014). Extrapolated benchmarks of SII were calculated based on different CNC candidacy cutoffs, and benchmarks were able to capture at least 83% of the ears that met CNC candidacy cutoffs. SII was also found to improve model fit with word recognition score (WRS) and pure tone average (PTA) for 60% CNC candidacy cutoff ({chi}2 = 9.7; p = 0.002) and increased discrimination (AUC = 0.89 to AUC = 0.99). There was no significant difference between SII-C and SII-P using the Wilcoxon signed-rank test (p = 0.559). Conclusions: A larger study is needed that includes more ears that do not qualify for a CI; however, the results of this study demonstrate that (1) SII has the potential to be used in conjunction with the 60/60 referral guideline for CI candidacy evaluations and (2) SII can be used as a marker of audibility across different devices, including patients' own HAs, making SII an accessible metric during HA fittings and fine tunings.