Evidence map›Paper›PMID 29588511›Full record

ArticleScientific reports2018

Structure and Distribution of an Unrecognized Interstitium in Human Tissues.

Petros C Benias, Rebecca G Wells, Bridget Sackey-Aboagye, Heather Klavan, Jason Reidy, Darren Buonocore, Markus Miranda, Susan Kornacki, Michael Wayne, David L Carr-Locke and 1 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04444102 (The Acute Impact of Yoga-based Stretching on Inflammation and Its Resolution), which is not on this map. Cited by 146 papers.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed
17.8field-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.

NCT04444102 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Acute Impact of Yoga-based Stretching on Inflammation and Its Resolution: a Pilot Study

TypeinterventionalSponsorHarvard University Faculty of MedicineRan2020 to 2024Enrolled30ConditionsInflammation, Fascia, Inflammation, Musculoskeletal PainArmsYoga-based stretching
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 342 citations in OpenAlex.

  1. Trial
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  3. CPTCs Drive Somatic-Visceral Communication via the Wnt Axis in Somatic Mechanotherapy: A Single-Cell Deep Learning Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  7. Interstitial cells and arrhythmia.American journal of physiology. Cell physiology · 2026
    Review
  8. What's the science behind acupuncture?Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Review
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  14. Article
  15. Review
  16. Where does the fluid go?Annals of intensive care · 2025
    Review
  17. Article
  18. Article
  19. Observational
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Petros C BeniasDepartment of Medicine, Division of Digestive Diseases, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
Rebecca G WellsDepartment of Medicine, Division of Gastroenterology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.
Bridget Sackey-AboagyeDepartment of Medicine, Division of Gastroenterology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, 19104, USA.
Heather KlavanDepartment of Medicine, Division of Digestive Diseases, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
Jason ReidyDepartment of Pathology, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
Darren BuonocoreDepartment of Pathology, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
Markus MirandaDepartment of Medicine, Division of Digestive Diseases, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
Susan KornackiDepartment of Pathology, New York University School of Medicine, New York, New York, 10016, USA.
Michael WayneDepartment of Surgery, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
David L Carr-LockeDepartment of Medicine, Division of Digestive Diseases, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA.
Neil D TheiseDepartment of Medicine, Division of Digestive Diseases, Mount Sinai Beth Israel Medical Center, Icahn School of Medicine at Mount Sinai, New York, New York, 10003, USA. neil.theise@nyumc.org.
Icahn School of Medicine at Mount Sinai · USMount Sinai Beth Israel · USUniversity of Pennsylvania · USNew York Hospital Queens · USNew York University · US

Funding

TRANSGENIC AND CHIMERIC MOUSE COREP30DK050306 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Ken Hashigiwa Cadwell · 1997 to 2026
$32.5M
TGF-B Mediated Fibrosis in a Hepatic Stellate Cell ModelR01DK058123 · NIDDK · YALE UNIVERSITY · PI WELLS, REBECCA G · 2001 to 2016
$4.5M
H+-ATPase B-subunit Dysfunction and Calcium NephrolithiasisR01DK081523 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MOE, ORSON W · 2009 to 2010
$785k
NIDDK NIH HHS P30 DK050306NIDDK NIH HHS R01 DK058123NIDDK NIH HHS R01 DK081523
6 · The paper itself

Abstract

Confocal laser endomicroscopy (pCLE) provides real-time histologic imaging of human tissues at a depth of 60-70 μm during endoscopy. pCLE of the extrahepatic bile duct after fluorescein injection demonstrated a reticular pattern within fluorescein-filled sinuses that had no known anatomical correlate. Freezing biopsy tissue before fixation preserved the anatomy of this structure, demonstrating that it is part of the submucosa and a previously unappreciated fluid-filled interstitial space, draining to lymph nodes and supported by a complex network of thick collagen bundles. These bundles are intermittently lined on one side by fibroblast-like cells that stain with endothelial markers and vimentin, although there is a highly unusual and extensive unlined interface between the matrix proteins of the bundles and the surrounding fluid. We observed similar structures in numerous tissues that are subject to intermittent or rhythmic compression, including the submucosae of the entire gastrointestinal tract and urinary bladder, the dermis, the peri-bronchial and peri-arterial soft tissues, and fascia. These anatomic structures may be important in cancer metastasis, edema, fibrosis, and mechanical functioning of many or all tissues and organs. In sum, we describe the anatomy and histology of a previously unrecognized, though widespread, macroscopic, fluid-filled space within and between tissues, a novel expansion and specification of the concept of the human interstitium.

Indexed as

Bile DuctsCollagenEndoscopyFasciaFluoresceinHumansLymphLymphatic SystemMicroscopy, ConfocalMucous MembraneSkinUrinary BladderCollagenFluorescein

Identifiers

PMID29588511
PMCPMC5869738
OpenAlexW2794502973

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Registered trials

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.