Evidence map›Paper›PMID 22588389›Full record

ArticleJournal of neuropathology and experimental neurology2012

Altered pharyngeal muscles in Parkinson disease.

Liancai Mu, Stanislaw Sobotka, Jingming Chen, Hungxi Su, Ira Sanders, Charles H Adler, Holly A Shill, John N Caviness, Johan E Samanta, Thomas G Beach and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 3 pooled it
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 3 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Kinematic Features of Laryngeal Motor Control in Parkinson's Disease.Journal of speech, language, and hearing research : JSLHR · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Dysphagia and oropharyngeal bradykinesia in Parkinson's disease.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Review
  12. Classifying neurogenic dysphagia as a movement disorder.Brain : a journal of neurology · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Pan-Gut Dysmotility in Parkinson Disease.Gastroenterology & hepatology · 2025
    Article
  17. Article
  18. Review
  19. LRRK2Journal of cachexia, sarcopenia and muscle · 2024
    Article
  20. Article

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Liancai MuUpper Airway Research Laboratory, Department of Research, Hackensack University Medical Center, Hackensack, New Jersey 07601, USA. lmu@humed.com
Stanislaw Sobotka
Jingming Chen
Hungxi Su
Ira Sanders
Charles H Adler
Holly A Shill
John N Caviness
Johan E Samanta
Thomas G Beach
Arizona Parkinson's Disease Consortium
Hackensack University Medical Center · USMayo Clinic in Arizona · USBanner Sun Health Research Institute · USBanner - University Medical Center Phoenix · USCenter for Clinical Research (United States) · US

Funding

Research Education ComponentP30AG019610 · NIA · SUN HEALTH RESEARCH INSTITUTE · PI GONZALEZ HERNANDEZ, GRACIELA · 2001 to 2020
$32.5M
National Brain and Tissue Resource for Parkinson's Disease and Related DisordersU24NS072026 · NINDS · BANNER SUN HEALTH RESEARCH INSTITUTE · PI BEACH, THOMAS G · 2011 to 2015
$7.8M
ANATOMICAL SPECIALIZATIONS OF THE HUMAN PHARYNXR01DC004728 · NIDCD · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI MU, LIANCAI · 2001 to 2012
$3.7M
NIA NIH HHS P30 AG019610NIA NIH HHS P30 AG19610NIDCD NIH HHS 5R01 DC004728NIDCD NIH HHS R01 DC004728NINDS NIH HHS U24 NS072026
6 · The paper itself

Abstract

Dysphagia (impaired swallowing) is common in patients with Parkinson disease (PD) and is related to aspiration pneumonia, the primary cause of death in PD. Therapies that ameliorate the limb motor symptoms of PD are ineffective for dysphagia. This suggests that the pathophysiology of PD dysphagia may differ from that affecting limb muscles, but little is known about potential neuromuscular abnormalities in the swallowing muscles in PD. This study examined the fiber histochemistry of pharyngeal constrictor and cricopharyngeal sphincter muscles in postmortem specimens from 8 subjects with PD and 4 age-matched control subjects. Pharyngeal muscles in subjects with PD exhibited many atrophic fibers, fiber type grouping, and fast-to-slow myosin heavy chain transformation. These alterations indicate that the pharyngeal muscles experienced neural degeneration and regeneration over the course of PD. Notably, subjects with PD with dysphagia had a higher percentage of atrophic myofibers versus with those without dysphagia and controls. The fast-to-slow fiber-type transition is consistent with abnormalities in swallowing, slow movement of food, and increased tone in the cricopharyngeal sphincter in subjects with PD. The alterations in the pharyngeal muscles may play a pathogenic role in the development of dysphagia in subjects with PD.

Indexed as

AgedAged, 80 and overAtrophyAutopsyBrainData Interpretation, StatisticalDeglutitionDeglutition DisordersDenervationEsophageal Sphincter, UpperFemaleHumansImmunohistochemistryMaleMuscle Fibers, SkeletalMyosin Heavy ChainsMyosin Heavy Chains

Identifiers

PMID22588389
PMCPMC3358551
OpenAlexW2056197582

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.