Evidence map›Paper›PMID 33790388›Full record

ArticleCommunications biology2021

Evidence for continuity of interstitial spaces across tissue and organ boundaries in humans.

Odise Cenaj, Douglas H R Allison, Rami Imam, Briana Zeck, Lilly M Drohan, Luis Chiriboga, Jessica Llewellyn, Cheng Z Liu, Young Nyun Park, Rebecca G Wells and 1 more

Open access · goldAbstract read
In one paragraph

Article in Communications biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 64 citations in OpenAlex.

  1. An integrated overview of acute heart failure: a narrative review of pathophysiological mechanisms and contributing factors.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
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  4. What's the science behind acupuncture?Proceedings of the National Academy of Sciences of the United States of America · 2026
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  5. Review
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  8. Where does the fluid go?Annals of intensive care · 2025
    Review
  9. Article
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  11. Article
  12. Review
  13. The Surgical Management of the Mesentery in Crohn's Disease.Clinics in colon and rectal surgery · 2025
    Review
  14. Article
  15. Article
  16. Mechanical signatures in cancer metastasis.npj biological physics and mechanics · 2025
    Review
  17. Article
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  20. 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

11 authors at 4 institutions in 2 countries.

Odise CenajDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Douglas H R AllisonDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0002-0701-7740
Rami ImamDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Briana ZeckDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Lilly M DrohanDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0002-0973-4663
Luis ChiribogaDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0002-2028-6873
Jessica LlewellynDivison of Gastroenterology and Hepatology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Cheng Z LiuDepartment of Pathology, New York University Grossman School of Medicine, New York, NY, USA.
Young Nyun ParkDepartment of Pathology, Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0003-0357-7967
Rebecca G Wells *Divison of Gastroenterology and Hepatology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-6988-4102
Neil D Theise *Department of Pathology, New York University Grossman School of Medicine, New York, NY, USA. neil.theise@nyulangone.org.ORCID 0000-0002-4048-5140
New York University · USUniversity of Pennsylvania · USUniversity of the Sciences · USYonsei University · KR

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
Nikon A1Rsi resonant spectral confocal microscopeS10OD010580 · OD · STANFORD UNIVERSITY · PI FULLER, MARGARET T · 2013 to 2013
$377k
NCI NIH HHS P30 CA016087NIH HHS S10 OD010580
6 · The paper itself

Abstract

Bodies have continuous reticular networks, comprising collagens, elastin, glycosaminoglycans, and other extracellular matrix components, through all tissues and organs. Fibrous coverings of nerves and blood vessels create structural continuity beyond organ boundaries. We recently validated fluid flow through human fibrous tissues, though whether these interstitial spaces are continuous through the body or discontinuous, confined within individual organs, remains unclear. Here we show evidence for continuity of interstitial spaces using two approaches. Non-biological particles (tattoo pigment, colloidal silver) were tracked within colon and skin interstitial spaces and into adjacent fascia. Hyaluronic acid, a macromolecular component of interstitial spaces, was also visualized. Both techniques demonstrate interstitial continuity within and between organs including within perineurium and vascular adventitia traversing organs and the spaces between them. We suggest that there is a body-wide network of fluid-filled interstitial spaces that has significant implications for molecular signaling, cell trafficking, and the spread of malignant and infectious disease.

Indexed as

Extracellular MatrixExtracellular SpaceHumans

Identifiers

PMID33790388
PMCPMC8012658
OpenAlexW3145310368

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.