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Interstitium

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45: 347:. Accumulating fluid in the interstitial space (interstitial edema) is caused by increased microvascular pressure and permeability, a positive feedback loop mechanism resulting in an associated in increasing the rate of microvascular filtration into the interstitial space. Decreased lymphatic drainage due to blockage can compound these effects. Interstitial edema can prevent oxygen diffusion across tissue and in the brain, kidney and intestines lead to the onset of compartment syndrome. 237:. The structure of the gel reticulum plays a role in the distribution of solutes across the interstitium, as the microstructure of the extracellular matrix in some parts excludes larger molecules (exclusion volume). The density of the collagen matrix fluctuates with the fluid volume of the interstitium. Increasing fluid volume is associated with a decrease in matrix fiber density, and a lower exclusion volume. 180:), serve a variety of structural and immune functions. Fibroblasts synthesize the production of structural molecules as well as enzymes that break down polymeric molecules. Such structural components exist both for the general interstitium of the body, and within individual organs, such as the myocardial interstitium of the 331:
refers to increased interstitial flow causing a neutral or reversed pressure differential between blood vessels and healthy tissue, limiting the distribution of intravenous drugs to tumors, which under other circumstances display a high-pressure gradient at their periphery.
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extend into the interstitium. The fluid spaces communicate with draining lymph nodes, although they do not have lining cells or structures of lymphatic channels. Interstitial fluid entering the lymphatic system becomes
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The interstitium in the submucosae of visceral organs, the dermis, superficial fascia, and perivascular adventitia are fluid-filled spaces supported by a collagen bundle lattice. Blind end, highly permeable, lymphatic
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The total fluid volume of the interstitium during health is about 20% of body weight, but this space is dynamic and may change in volume and composition during immune responses and in conditions such as
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interstitium facilitates solute and water transport between blood and urine in the vascular and tubular elements of the kidneys, and water reabsorption through changes in solute concentrations and
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and lungs to 21 to 24 mmHg in the liver, kidney and myocardium. Generally, increasing interstitial volume is associated with increased interstitial pressure and microvascular filtration.
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Benias, Petros C.; Wells, Rebecca G.; Sackey-Aboagye, Bridget; Klavan, Heather; Reidy, Jason; Buonocore, Darren; Miranda, Markus; Kornacki, Susan; Wayne, Michael (2018-03-27).
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The composition and chemical properties of the interstitial fluid vary among organs and undergo changes in chemical composition during normal function, as well as during
323:, the interstitial fluid and lymph system are sites where disease mechanisms may develop. Interstitial fluid flow is associated with the migration of cancer cells to 276:
associated with the spread of electrical events. The pulmonary interstitium allows for fluctuations in lung volume between inspiration and expiration.
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Wiig, H; Swartz, M. A (2012). "Interstitial fluid and lymph formation and transport: Physiological regulation and roles in inflammation and cancer".
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The interstitial fluid is a reservoir and transportation system for nutrients and solutes distributing among organs, cells, and
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Changes in interstitial volume and pressure play critical roles in the onset of conditions like shock and inflammation. During
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The interstitium and microvascular exchange. In: Handbook of Physiology. The Cardiovascular System. Microcirculation
384:(sect. 2; pt. 1; chapt. 12; vol. IV ed.). Bethesda, MD: American Physiological Society. pp. 521–547. 1040: 156:-like reticulum. Collagen bundles of the extracellular matrix form scaffolding with a high tensile strength. 1045: 48:
Three-dimensional schematic of the interstitium, a fluid-filled space supported by a network of collagen
1050: 169: 157: 747: 205:, which is transported through lymphatic vessels until it empties into the microcirculation and the 339:, digestive enzymes and inflammatory agents diffuse to the interstitial space, then drain into the 257:. Interstitial fluid pressure is variable, ranging from -1 to -4 mmHg in tissues like the skin, 296: 258: 27: 577:"Changes in the myocardial interstitium and contribution to the progression of heart failure" 344: 691: 356: 109: 97: 8: 937:
Berggreen, E; Wiig, H (2014). "Lymphatic function and responses in periodontal disease".
361: 320: 308: 121: 695: 1007: 977:"Interstitial fluid flow in cancer: implications for disease progression and treatment" 976: 923: 893: 865: 856: 818: 782: 720: 679: 655: 630: 601: 576: 547: 512: 222: 108:
of organs. The role of the interstitium in solute concentration, protein transport and
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In anatomy, a fluid-filled space between a structural barrier and internal structures
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The Interstitium. In: Capillary Fluid Exchange: Regulation, Functions, and Pathology
1035: 1002: 984: 946: 919: 889: 860: 852: 814: 777: 759: 715: 699: 650: 642: 596: 588: 542: 524: 433: 316: 254: 249:. The amount of interstitial fluid varies from about 50% of the tissue weight in 69: 950: 57: 703: 471: 437: 764: 592: 529: 1029: 998: 773: 711: 680:"Structure and Distribution of an Unrecognized Interstitium in Human Tissues" 538: 292: 234: 61: 44: 1016: 958: 791: 729: 664: 610: 556: 445: 284: 273: 269: 149: 117: 912:
Matthes, Stephanie A.; Hadley, Ryan; Roman, Jesse; White, Eric S. (2015).
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Comparative Biology of the Normal Lung Extracellular Matrix - Chapter 20
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fluid-filled space existing between a structural barrier, such as a
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Haschek, Wanda M.; Rousseaux, Colin G.; Wallig, Matthew A. (2010),
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Moe, Orson W.; Giebisch, Gerhard H.; Seldin, Donald W. (2009),
748:"A Modern View of the Interstitial Space in Health and Disease" 677: 513:"A Modern View of the Interstitial Space in Health and Disease" 312: 265: 242: 185: 73: 469: 343:
lymphatic system and enter into circulation, contributing to
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impacts human pathology and physiological responses such as
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The non-fluid parts of the interstitium are predominantly
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and supporting tissues within the body – called the
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gradients. The myocardial interstitium participates in
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Clinical Journal of the American Society of Nephrology
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system. The interstitial compartment is composed of
847:Breshears, Melanie A.; Confer, Anthony W. (2017). 804: 1027: 379: 100:– that are situated outside the blood and 846: 628: 975:Munson, Jennifer; Shieh, Adrian (2014-08-01). 245:, and specifically within the interstitium of 936: 882:"Cardiovascular and Skeletal Muscle Systems" 974: 329:enhanced permeability and retention effects 470:Scallan J; Huxley VH; Korthuis RJ (2010). 423: 1006: 988: 864: 781: 763: 719: 654: 600: 546: 528: 465: 463: 461: 459: 457: 455: 624: 622: 620: 188:, and the pulmonary interstitium of the 43: 745: 570: 568: 566: 510: 1028: 631:"Physiology of the Renal Interstitium" 452: 419: 417: 415: 413: 411: 409: 407: 405: 403: 401: 970: 968: 886:Fundamentals of Toxicologic Pathology 671: 617: 225:communicating between cells, and for 741: 739: 563: 506: 504: 502: 500: 498: 496: 494: 80:. The fluid in this space is called 746:Stewart, Randolph H. (2020-11-05). 511:Stewart, Randolph H. (2020-11-05). 398: 373: 68:, and internal structures, such as 13: 965: 924:10.1016/b978-0-12-404577-4.00020-5 894:10.1016/b978-0-12-370469-6.00012-x 857:10.1016/b978-0-323-35775-3.00011-4 819:10.1016/b978-0-12-449851-8.00003-6 14: 1062: 851:. Elsevier. pp. 617–681.e1. 736: 491: 629:Zeisberg, M; Kalluri, R (2015). 575:Eckhouse SR; Spinale FG (2012). 184:, the renal interstitium of the 172:and inflammatory cells, such as 152:that are cross-linked to form a 930: 905: 873: 840: 752:Frontiers in Veterinary Science 517:Frontiers in Veterinary Science 480:from the original on 2021-02-08 981:Cancer Management and Research 918:. Elsevier. pp. 387–402. 888:, Elsevier, pp. 319–376, 811:Genetic Diseases of the Kidney 798: 1: 367: 813:, Elsevier, pp. 39–73, 212: 127: 7: 951:10.1016/j.yexcr.2013.12.006 380:Bert JL; Pearce RH (1984). 350: 170:interstitial cells of Cajal 10: 1067: 939:Experimental Cell Research 704:10.1038/s41598-018-23062-6 438:10.1152/physrev.00037.2011 302: 765:10.3389/fvets.2020.609583 593:10.1016/j.hfc.2011.08.012 530:10.3389/fvets.2020.609583 26: 21: 297:chronic kidney disease 88:, and drains into the 84:, comprises water and 49: 28:Anatomical terminology 807:"Logic of the Kidney" 426:Physiological Reviews 345:systemic inflammation 287:, and development of 136:types I, III, and V, 47: 1041:Extracellular matrix 647:10.2215/CJN.00640114 357:Extracellular matrix 110:hydrostatic pressure 98:extracellular matrix 990:10.2147/CMAR.S65444 696:2018NatSR...8.4947B 362:Extracellular fluid 321:periodontal disease 223:signaling molecules 164:, dendritic cells, 1046:Matrices (biology) 849:The Urinary System 684:Scientific Reports 315:, kidney disease, 158:Interstitial cells 142:glycosaminoglycans 82:interstitial fluid 78:circulatory system 50: 1051:Tissues (biology) 828:978-0-12-449851-8 641:(10): 1831–1840. 337:hypovolemic shock 311:, heart disease, 235:immune regulation 233:participating in 102:lymphatic vessels 42: 41: 37: 1058: 1021: 1020: 1010: 992: 972: 963: 962: 934: 928: 927: 909: 903: 902: 901: 900: 877: 871: 870: 868: 844: 838: 837: 836: 835: 802: 796: 795: 785: 767: 743: 734: 733: 723: 675: 669: 668: 658: 626: 615: 614: 604: 572: 561: 560: 550: 532: 508: 489: 488: 486: 485: 467: 450: 449: 421: 396: 395: 377: 317:immune disorders 283:, conditions of 253:to about 10% in 34:edit on Wikidata 31: 19: 18: 1066: 1065: 1061: 1060: 1059: 1057: 1056: 1055: 1026: 1025: 1024: 973: 966: 935: 931: 910: 906: 898: 896: 878: 874: 845: 841: 833: 831: 829: 803: 799: 744: 737: 676: 672: 627: 618: 581:Heart Fail Clin 573: 564: 509: 492: 483: 481: 468: 453: 422: 399: 392: 378: 374: 370: 353: 307:In people with 305: 274:ionic exchanges 255:skeletal muscle 215: 130: 38: 17: 12: 11: 5: 1064: 1054: 1053: 1048: 1043: 1038: 1023: 1022: 964: 929: 904: 872: 839: 827: 797: 735: 670: 616: 562: 490: 451: 432:(3): 1005–60. 397: 390: 371: 369: 366: 365: 364: 359: 352: 349: 304: 301: 214: 211: 129: 126: 40: 39: 30: 24: 23: 15: 9: 6: 4: 3: 2: 1063: 1052: 1049: 1047: 1044: 1042: 1039: 1037: 1034: 1033: 1031: 1018: 1014: 1009: 1004: 1000: 996: 991: 986: 982: 978: 971: 969: 960: 956: 952: 948: 944: 940: 933: 925: 921: 917: 916: 908: 895: 891: 887: 883: 876: 867: 862: 858: 854: 850: 843: 830: 824: 820: 816: 812: 808: 801: 793: 789: 784: 779: 775: 771: 766: 761: 757: 753: 749: 742: 740: 731: 727: 722: 717: 713: 709: 705: 701: 697: 693: 689: 685: 681: 674: 666: 662: 657: 652: 648: 644: 640: 636: 632: 625: 623: 621: 612: 608: 603: 598: 594: 590: 586: 582: 578: 571: 569: 567: 558: 554: 549: 544: 540: 536: 531: 526: 522: 518: 514: 507: 505: 503: 501: 499: 497: 495: 479: 475: 474: 466: 464: 462: 460: 458: 456: 447: 443: 439: 435: 431: 427: 420: 418: 416: 414: 412: 410: 408: 406: 404: 402: 393: 391:0-683-07202-1 387: 383: 376: 372: 363: 360: 358: 355: 354: 348: 346: 342: 338: 333: 330: 326: 322: 318: 314: 310: 309:lung diseases 300: 298: 294: 293:heart failure 290: 286: 282: 277: 275: 271: 267: 262: 260: 256: 252: 248: 244: 238: 236: 232: 228: 224: 220: 210: 208: 207:venous system 204: 199: 193: 191: 187: 183: 179: 175: 171: 167: 163: 159: 155: 151: 150:proteoglycans 147: 143: 139: 135: 125: 123: 119: 115: 111: 107: 103: 99: 95: 91: 87: 83: 79: 75: 71: 67: 63: 62:cell membrane 59: 55: 46: 35: 29: 25: 20: 980: 945:(2): 130–7. 942: 938: 932: 914: 907: 897:, retrieved 885: 875: 848: 842: 832:, retrieved 810: 800: 755: 751: 687: 683: 673: 638: 634: 584: 580: 520: 516: 482:. Retrieved 472: 429: 425: 381: 375: 334: 306: 285:inflammation 278: 263: 239: 216: 194: 131: 118:inflammation 72:, including 54:interstitium 53: 51: 22:Interstitium 690:(1): 4947. 587:(1): 7–20. 327:sites. The 281:body growth 270:hydrostatic 219:capillaries 198:capillaries 174:macrophages 162:fibroblasts 1030:Categories 899:2024-04-22 834:2024-04-22 484:2018-03-29 368:References 341:mesenteric 325:metastatic 178:mast cells 166:adipocytes 146:hyaluronan 144:, such as 106:parenchyma 94:connective 58:contiguous 999:1179-1322 774:2297-1769 712:2045-2322 539:2297-1769 259:intestine 231:cytokines 213:Functions 154:honeycomb 128:Structure 1017:25170280 959:24503053 792:33251275 730:29588511 665:25813241 611:22108723 557:33251275 478:Archived 446:22811424 351:See also 291:, as in 289:diseases 227:antigens 134:collagen 104:and the 76:and the 1036:Anatomy 1008:4144982 983:: 317. 866:7271189 783:7674635 721:5869738 692:Bibcode 656:4594057 602:3227393 548:7674635 303:Disease 160:(e.g., 138:elastin 86:solutes 74:muscles 64:or the 1015:  1005:  997:  957:  863:  825:  790:  780:  772:  728:  718:  710:  663:  653:  609:  599:  555:  545:  537:  444:  388:  319:, and 313:cancer 247:tumors 243:cancer 221:, for 186:kidney 140:, and 70:organs 266:renal 203:lymph 182:heart 122:shock 114:edema 90:lymph 56:is a 32:[ 1013:PMID 995:ISSN 955:PMID 823:ISBN 788:PMID 770:ISSN 726:PMID 708:ISSN 661:PMID 607:PMID 553:PMID 535:ISSN 442:PMID 386:ISBN 295:and 264:The 251:skin 229:and 190:lung 176:and 148:and 120:and 66:skin 52:The 1003:PMC 985:doi 947:doi 943:325 920:doi 890:doi 861:PMC 853:doi 815:doi 778:PMC 760:doi 716:PMC 700:doi 651:PMC 643:doi 597:PMC 589:doi 543:PMC 525:doi 434:doi 1032:: 1011:. 1001:. 993:. 979:. 967:^ 953:. 941:. 884:, 859:. 821:, 809:, 786:. 776:. 768:. 758:. 754:. 750:. 738:^ 724:. 714:. 706:. 698:. 686:. 682:. 659:. 649:. 639:10 637:. 633:. 619:^ 605:. 595:. 583:. 579:. 565:^ 551:. 541:. 533:. 523:. 519:. 515:. 493:^ 454:^ 440:. 430:92 428:. 400:^ 299:. 209:. 192:. 168:, 124:. 116:, 1019:. 987:: 961:. 949:: 926:. 922:: 892:: 869:. 855:: 817:: 794:. 762:: 756:7 732:. 702:: 694:: 688:8 667:. 645:: 613:. 591:: 585:8 559:. 527:: 521:7 487:. 448:. 436:: 394:. 36:]

Index

Anatomical terminology
edit on Wikidata

contiguous
cell membrane
skin
organs
muscles
circulatory system
interstitial fluid
solutes
lymph
connective
extracellular matrix
lymphatic vessels
parenchyma
hydrostatic pressure
edema
inflammation
shock
collagen
elastin
glycosaminoglycans
hyaluronan
proteoglycans
honeycomb
Interstitial cells
fibroblasts
adipocytes
interstitial cells of Cajal

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