The distribution of calcitonin gene-related peptide (CGRP)- and substa
nce P (SP)-like immunoreactivity in the monkey larynx was studied with
light microscopy using the immunofluorescence method. We divided the
larynx into the following six regions: epiglottis, arytenoid region, f
alse cords, ventricle, vocal cords and subglottis. The distribution of
immunoreactivity in the epithelium and subepithelial layer was determ
ined. CGRP- and SP-like immunoreactive nerve fibers were observed in a
ll regions of the laryngeal epithelium except in the vocal cords. In t
he epithelium of the epiglottis and arytenoid region, numerous taste b
uds containing several CGRP- and SP-like immunoreactive nerve fibers w
ere observed. In the subepithelial layer, CRGP- and SP-like immunoreac
tive nerve fibers were observed in all regions of the larynx. In order
of decreasing density, these fibers were found in the arytenoid regio
n (especially the corniculate tubercle), the epiglottis, the false cor
ds, the subglottis, the ventricle, and the vocal cords. In the cornicu
late tubercle, CGRP- and SP-like immunoreactive nerve fibers formed a
network, whereas around the cuneiform tubercle. dense CRPG- and SP-lik
e immunoreactive nerve fibers were noted parallel to the basement memb
rane. SP-like immunoreactive nerve fibers showed a very similar distri
bution to the CRPG fibers in the epithelium and the subepithelial laye
r, but SP-like fibers were sparser in all regions of the larynx. These
results, together with previous findings indicate that the arytenoid
region and the epiglottis of the monkey larynx play very important rol
es in airway protection, swallowing, and respiration.