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Larynx

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed9 referencesApproximately 3 min read

A tubular organ of voice production.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 3 complete abstracts (560 words), 9 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A tubular organ of voice production. It is located in the anterior neck, superior to the trachea and inferior to the tongue and hyoid bone.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Laryngeal Anterior Commissure; Anterior Commissures, Laryngeal; Commissure, Laryngeal Anterior; Commissures, Laryngeal Anterior; Laryngeal Anterior Commissures; Anterior Commissure, Laryngeal; Anterior Commissure, Larynx; Anterior Commissures, Larynx.

Where it fits in the MeSH classification

Broader topics
Respiratory System
Narrower topics
Glottis; Laryngeal Cartilages; Laryngeal Mucosa; Laryngeal Muscles
See also
Laryngectomy; Laryngoscopy

Related concepts

  • Voice
  • Trachea
  • Hyoid Bone

Research landscape

PubMed indexes 45,669 records tagged with the MeSH heading “Larynx” (counts retrieved 2026-10-31). 5,917 of them (13.0%) were published from 2020 onward, and the busiest period so far is through 1999 with 20,897 records.

Reviews account for 3,166 records (6.9%) and meta-analyses for 173. Randomized controlled trials number 830 (1.8%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 20,897 records; 2000-2009: 8,360 records; 2010-2019: 10,495 records; 2020 onward: 5,917 records20,897through 19998,3602000-200910,4952010-20195,9172020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 199920,897
2000-20098,360
2010-201910,495
2020 onward5,917
Share of records by publication typeReviews: 6.9 percent; Meta-analyses: 0.4 percent; Randomized controlled trials: 1.8 percentReviews6.9% (3,166)Meta-analyses0.4% (173)Randomized controlled trials1.8% (830)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 45,669 PubMed records
TypeRecordsShare
Reviews3,1666.9%
Meta-analyses1730.4%
Randomized controlled trials8301.8%

Method: PubMed query "Larynx"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Akkermansia muciniphila outer membrane protein Amuc_0904 modulates intestinal homeostasis by promoting goblet cell differentiation
Yang L, Yang J, Kong X, Tang Q, Song R, Zhou K, et al.
2026Research article
Design not recorded in structured metadata
12cc by
PMID 41424360 · DOI · PMC12810044
Expression Levels of MUC5AC and MUC5B in Airway Goblet Cells Are Associated with Traits of COPD and Progression of Chronic Airflow Limitation
Pincikova T, Merikallio H, Kotortsi I, Karimi R, Li CX, Lappi-Blanco E, et al.
2024Research article
Design not recorded in structured metadata
12cc by
PMID 39769414 · DOI · PMC11678853
Using MUC2 mucin producing tumorigenic human goblet-like cells to uncover functional properties of the mucus barrier
Gorman H, Moreau F, Beaupré E, Nitin N, Zandberg WF, Bergstrom K, et al.
2025Research article
Design not recorded in structured metadata
10cc by
PMID 40781862 · DOI · PMC12931731

Akkermansia muciniphila outer membrane protein Amuc_0904 modulates intestinal homeostasis by promoting goblet cell differentiation [1]

Research article Yang L, Yang J, Kong X, Tang Q, Song R, Zhou K, et al. · · 2026 · cited 12 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Akkermansia muciniphila is recognized as a promising probiotic that improves the symptoms of a variety of diseases.
Closing excerpt
muciniphila-mediated intestinal homeostasis recovery and provides a bioactive molecule with the potential to treat intestinal disorders.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (146 words)

Akkermansia muciniphila is recognized as a promising probiotic that improves the symptoms of a variety of diseases. However, the role and mechanism of A. muciniphila in regulating intestinal homeostasis remain to be explored. Here, we discovered that A. muciniphila was dramatically increased during colitis recovery, and its colonization greatly increased goblet cells to protect the intestinal barrier in mice. Amuc_0904, a previously uncharacterized A. muciniphila outer membrane protein, was identified to induce goblet cell differentiation. Mechanistically, Amuc_0904 directly interacted with MET and decreased its phosphorylation in epithelia, leading to decreased Wnt/β-catenin signaling and enhanced oxidative phosphorylation and mitochondrial function. Furthermore, Amuc_0904 and engineered probiotic Escherichia coli Nissle 1917 expressing Amuc_0904 were demonstrated to protect mice from colitis and colitis-associated colorectal cancer. The study reveals a previously unknown mechanism of A. muciniphila-mediated intestinal homeostasis recovery and provides a bioactive molecule with the potential to treat intestinal disorders.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41424360 · DOI · PMC12810044

Expression Levels of MUC5AC and MUC5B in Airway Goblet Cells Are Associated with Traits of COPD and Progression of Chronic Airflow Limitation [2]

Research article Pincikova T, Merikallio H, Kotortsi I, Karimi R, Li CX, Lappi-Blanco E, et al. · · 2024 · cited 12 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Mucins 5AC (MUC5AC) and 5B (MUC5B) are the major mucins providing the organizing framework for the airway's mucus gel.
Closing excerpt
Our findings strengthen the hypothesis that MUC5AC and MUC5B are yet another contributing factor to smoking-associated lung disease progression.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (212 words)

Mucins 5AC (MUC5AC) and 5B (MUC5B) are the major mucins providing the organizing framework for the airway's mucus gel. We retrieved bronchial mucosal biopsies and bronchial wash (BW) samples through bronchoscopy from patients with chronic obstructive pulmonary disease (n = 38), healthy never-smokers (n = 40), and smokers with normal lung function (n = 40). The expression of MUC5AC and MUC5B was assessed immunohistochemically. The mucin concentrations in BW were determined using the slot-blot technique. The immunohistochemical expression of MUC5AC and MUC5B was localized to goblet cells and submucosal glands. Smokers had higher MUC5AC and lower MUC5B goblet cell expression and higher concentrations of soluble MUC5AC in BW than never-smokers. The MUC5B expression in goblet cells correlated positively with expiratory air flows, diffusing capacity, and the dyspnoea score. Chronic bronchitis, emphysema, and the progression of chronic airflow limitation during a median follow-up time of 8.4 years were associated with higher MUC5AC and lower MUC5B expression in goblet cells. Sustainers, slow progressors, and rapid progressors of airflow obstruction differed in their MUC5B expression at baseline. Emphysema and bronchial wall thickening on CT at a follow-up visit were associated with lower MUC5B expression at baseline. Our findings strengthen the hypothesis that MUC5AC and MUC5B are yet another contributing factor to smoking-associated lung disease progression.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39769414 · DOI · PMC11678853

Using MUC2 mucin producing tumorigenic human goblet-like cells to uncover functional properties of the mucus barrier [3]

Research article Gorman H, Moreau F, Beaupré E, Nitin N, Zandberg WF, Bergstrom K, et al. · · 2025 · cited 10 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Goblet cells are the guardians that produce MUC2 mucin that forms the protective mucus barrier as the first line of innate host defense against pathogen invasion while sustaining a healthy gut microbiota.
Closing excerpt
These results highlight the importance of regulatory genes for proper mucus production in providing barrier function and homeostasis in the gastrointestinal tract that is markedly affected by metabolic stress and glycosylation prevalent in colonic carcinomas.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (202 words)

Goblet cells are the guardians that produce MUC2 mucin that forms the protective mucus barrier as the first line of innate host defense against pathogen invasion while sustaining a healthy gut microbiota. Using an unbiased screen, we cloned a high LS174T colonic adenocarcinoma MUC2 mucin-producing goblet-like cell that revealed by whole genome sequencing, mutations that upregulated the expression of tumor suppressor TP53, anterior gradient 2 (AGR2) and mitogen-activated protein kinase kinases (MEK and MAPK) genes that enhanced MUC2 biosynthesis and secretion. Hypersecretory mutant (Mut) cells exhibited a phenotype characterized by high constitutive MUC2 mRNA, upregulation of glycosyltransferases, and hypersecretion of sialylated and fucosylated MUC2 mucus enumerated by glycomics analysis. Mut secreted mucus was altered quantified by increased permeability to fluorescence microsphere (0.2 μm and 1 μm) beads and to Salmonella enterica adherence, invasion, and cell death as compared to WT controls. Shotgun proteomic analysis revealed that Mut cells were upregulated in metabolic pathways for oxidative stress, HIF pathways and growth factors that enhanced wound healing, and tumorigenesis. These results highlight the importance of regulatory genes for proper mucus production in providing barrier function and homeostasis in the gastrointestinal tract that is markedly affected by metabolic stress and glycosylation prevalent in colonic carcinomas.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40781862 · DOI · PMC12931731

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Squamous cell carcinoma of the oral cavity, larynx, oropharynx and hypopharynx: EHNS-ESMO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up [4]
    Machiels JP, René Leemans C, Golusinski W, Grau C, Licitra L, Gregoire V, et al. · Ann Oncol · 2020 · cited 672 times (Europe PMC)
  • Research article Mucins and the Microbiome [5]
    Hansson GC · Annu Rev Biochem · 2020 · cited 313 times (Europe PMC)
  • Research article Cricoid pressure [6]
    Brimacombe JR, Berry AM · Can J Anaesth · 1997 · cited 135 times (Europe PMC)
  • Research article The Dubai Definition and Diagnostic Criteria of Laryngopharyngeal Reflux: The IFOS Consensus [7]
    Lechien JR, Vaezi MF, Chan WW, Allen JE, Karkos PD, Saussez S, et al. · Laryngoscope · 2024 · cited 117 times (Europe PMC)
  • Research article Laryngeal Injury and Upper Airway Symptoms After Endotracheal Intubation During Surgery: A Systematic Review and Meta-analysis [8]
    Brodsky MB, Akst LM, Jedlanek E, Pandian V, Blackford B, Price C, et al. · Anesth Analg · 2021 · cited 101 times (Europe PMC)
  • Research article The relationship between intestinal goblet cells and the immune response [9]
    Zhang M, Wu C · Biosci Rep · 2020 · cited 88 times (Europe PMC)

References

  1. Yang L, Yang J, Kong X, Tang Q, Song R, Zhou K, et al.. Akkermansia muciniphila outer membrane protein Amuc_0904 modulates intestinal homeostasis by promoting goblet cell differentiation. . 2026. PMID 41424360 · DOI · PMC12810044
  2. Pincikova T, Merikallio H, Kotortsi I, Karimi R, Li CX, Lappi-Blanco E, et al.. Expression Levels of MUC5AC and MUC5B in Airway Goblet Cells Are Associated with Traits of COPD and Progression of Chronic Airflow Limitation. . 2024. PMID 39769414 · DOI · PMC11678853
  3. Gorman H, Moreau F, Beaupré E, Nitin N, Zandberg WF, Bergstrom K, et al.. Using MUC2 mucin producing tumorigenic human goblet-like cells to uncover functional properties of the mucus barrier. . 2025. PMID 40781862 · DOI · PMC12931731
  4. Machiels JP, René Leemans C, Golusinski W, Grau C, Licitra L, Gregoire V, et al.. Squamous cell carcinoma of the oral cavity, larynx, oropharynx and hypopharynx: EHNS-ESMO-ESTRO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2020. PMID 33239190 · DOI
  5. Hansson GC. Mucins and the Microbiome. Annu Rev Biochem. 2020. PMID 32243763 · DOI · PMC8442341
  6. Brimacombe JR, Berry AM. Cricoid pressure. Can J Anaesth. 1997. PMID 9104526 · DOI
  7. Lechien JR, Vaezi MF, Chan WW, Allen JE, Karkos PD, Saussez S, et al.. The Dubai Definition and Diagnostic Criteria of Laryngopharyngeal Reflux: The IFOS Consensus. Laryngoscope. 2024. PMID 37929860 · DOI
  8. Brodsky MB, Akst LM, Jedlanek E, Pandian V, Blackford B, Price C, et al.. Laryngeal Injury and Upper Airway Symptoms After Endotracheal Intubation During Surgery: A Systematic Review and Meta-analysis. Anesth Analg. 2021. PMID 33196479 · DOI · PMC7969363
  9. Zhang M, Wu C. The relationship between intestinal goblet cells and the immune response. Biosci Rep. 2020. PMID 33017020 · DOI · PMC7569202

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Evidence strength

EvidenceHelix's computed view of the study designs behind this topic: how common meta-analyses, randomized trials and reviews are, how recent the literature is, and a plain-language reading. It describes the design mix of the literature. It is not a quality appraisal of any study, and it is not medical advice.

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All 542 articles in Anatomy and Physiology →

At a glance

45,669
PubMed records on this heading
13%
published since 2020
3,166
review articles
830
randomized trials
9
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • EpiglottisAnatomy and Physiology
  • VoiceAnatomy and Physiology
  • Head KidneyAnatomy and Physiology
  • TracheaAnatomy and Physiology
  • Hyoid BoneAnatomy and Physiology

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Sources

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