Evidence map›Paper›PMID 41424184›Full record

ArticleThe Laryngoscope2026

Placental-Derived Connective Tissue Matrix Mediates Murine Recurrent Laryngeal Nerve Regeneration.

Sunjay Anekal, Ananya Tadikonda, Gabriel Sobczak, Lena W Chen, Aditya Bhatt, Troy Wesson, Patrick R Finnegan, Stacey Halum

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

8 authors.

Sunjay AnekalIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.ORCID 0000-0002-0395-6943
Ananya TadikondaIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.ORCID 0000-0003-1447-6096
Gabriel SobczakIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.ORCID 0000-0002-6501-1566
Lena W ChenIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.
Aditya BhattIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.
Troy WessonIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.
Patrick R FinneganIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.
Stacey HalumIndiana University School of Medicine (IUSM), Indianapolis, Indiana, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUnilateral vocal fold paralysis (UVFP) due to recurrent laryngeal nerve (RLN) injury is a common cause of dysphonia. No biotherapeutic injectable exists that directs laryngeal reinnervation after RLN injury. Placental-derived connective tissue matrix (pd-CTM) could fill this need, as it contains a plethora of cytokines with potential UVFP therapeutic benefits. This study aimed to identify and quantify the factors in a commercially available pd-CTM (CTM Flow, CTM Biomedical, Lake Worth, Florida) and to study the effects of pd-CTM on vocal fold microenvironment and glottic function in a mouse model of unilateral RLN injury.

methodsCytokine expression (ng/mL) in pd-CTM was characterized using a cytokine array and ELISA. In a separate experiment, C57/BL6 mice were divided into three groups: uninjured negative controls (n = 12), RLN transection with ipsilateral saline thyroarytenoid (TA) injection (n = 16), and RLN transection with ipsilateral pd-CTM TA injection. Outcomes included laryngeal electromyography (L-EMG) and video laryngoscopy after 7 and 28 days, with larynges then harvested and analyzed via immunohistochemistry (IHC) and qPCR.

resultspd-CTM characterization showed moderate-to-high levels of neurotrophic (BDNF, CNTF, GDNF, NTF-3), angiogenic (Angiogenin, VEGF-D), tissue remodeling (bFGF, IGF-1, HGF, TGF-β3), and anti-inflammatory factors (IL-10, IL-1Rα). L-EMG demonstrated increased mean normalized area under the curve ratio in pd-CTM treated mice compared to saline treated mice at the 28-day time point indicating reinnervation (p < 0.001). IHC detected innervated neuromuscular junctions 28 days after pd-CTM treatment.

conclusionpd-CTM may be a novel treatment option for patients with UVFP based on the neurotrophic, angiogenic, tissue remodeling, and anti-inflammatory factors present. LEVEL OF EVIDENCE: NA.

Indexed as

Connective TissueNerve RegenerationPlacentaRecurrent Laryngeal NerveRecurrent Laryngeal Nerve InjuriesVocal Cord ParalysisAnimalsCytokinesDisease Models, AnimalElectromyographyFemaleMiceMice, Inbred C57BLPregnancyVocal CordsCytokinescytokinesplacentally derived connective tissue matrixRLNUVFP

Identifiers

PMID41424184
PMCPMC13067230

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Registered trials

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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.