A team from the University of Colorado Anschutz and two Swedish universities examined 28 individuals who had reported taste problems persisting for over a year after a COVID-19 infection. None of the participants had been hospitalized for the virus. Testing found that eight of the 28 had clearly abnormal taste scores, and 11 reported difficulty detecting specific flavors, particularly sweet, bitter and umami (the savory taste found in mushrooms and broth). In contrast, their ability to detect salty and sour flavors remained largely unaffected.
The researchers then collected small tissue samples from the taste buds of 20 participants and analysed them for biological abnormalities. They found reduced amounts of messenger RNA (mRNA) involved in producing a protein called PLCβ2, which acts as a molecular amplifier inside taste cells.
"PLCβ2 acts like a molecular amplifier inside taste cells," said Thomas Finger, PhD, professor of cell and developmental biology at the University of Colorado Anschutz and corresponding author of the study. "It strengthens the signal before it's transmitted to the brain. When levels are reduced, the taste signal weakens."
The protein is essential for transmitting signals for sweet, bitter and umami flavors. Cells responsible for salty and sour tastes use different signaling mechanisms that do not depend on PLCβ2, which may explain why those sensations remained intact.
Beyond the molecular defect, microscopy revealed that some participants had abnormal physical arrangements within their taste buds. "Some subjects had normal-looking taste buds, while others showed structural disorganization," Finger said. "This suggests that both molecular and architectural changes may contribute to persistent taste dysfunction."
The findings are particularly striking given that taste bud cells normally renew every two to four weeks. Despite this natural turnover, the molecular processes needed for normal taste signaling may remain disrupted for much longer in some people.
"Our findings offer measurable evidence of long-term taste disruption in some post-COVID patients long after the virus has been cleared," the authors write. The study leaves open key questions, including whether these abnormalities can eventually resolve and whether treatments aimed at restoring healthy taste signaling could help affected individuals.
