Lurking just under your skin might be a new organ only now identified for the first time, say a team of scientists. In a new study published in the journal Scientific Reports, researchers from New York University’s School of Medicine say they have found a new organ they’re calling the “interstitium.”
It’s nearly everywhere—just below the skin’s surface, surrounding arteries and veins, casing the fibrous tissue between muscles, and lining our digestive tracts, lungs, and urinary systems. It looks like a mesh. The interstitium is a layer of fluid-filled compartments strung together in a web of collagen and a flexible protein called elastin. Previously, scientists thought the layer was simply dense connective tissue. The organ has seemingly been hidden in plain sight, and scientists say they missed it because of the way tissue is studied. Before being placed under a microscope, samples are thinly sliced and treated with chemicals that allow researchers to identify key components more easily. While the process is helpful for more easily spotting details, it drains fluid from the sample. Devoid of their fluid, the compartments collapse, like a building with the floors suddenly knocked out, leaving the whole structure to flatten like a pancake. To find these pockets of interstitial fluid, medical researchers looked at living tissue instead of sampling dead tissue samples. They did this by using a probing technique called confocal laser endomicroscopy. The method entails using a tiny camera probe that takes a microscopic look around a human body. The tissue is lit by the endoscope’s lasers and the fluorescent patterns it then reflects are analyzed by sensors.
Scientists first noticed the compartments when looking at a bile duct. They saw what they thought might be tears in the dense tissue. The images were taken to Neil Theise, a professor at NYU’s School of Medicine and author on the paper. “You’re talking about the remaining extracellular fluid that’s unaccounted for,” Theise says. About 70 percent of the human body is made of water, and about two-thirds of that is found in cells. The remaining third, says Theise, is only partially known. In addition to accounting for bodily fluid, the compartments may help explain essential functions. “It’s like a shock absorber,” says Theise. “Not a hard, stiff material.” Among Theise’s theories for the purpose of the interstitium is that it’s a source of lymph, a fluid that moves through the body’s lymphatic system and supports immunity. He says that knowing how diseases spread through this part of the body could help researchers better understand how cancer spreads. “Can we detect [disease] earlier by sampling fluid from the space? Can we figure out mechanisms to stop spread?” He asks.
PROMISE AND SKEPTICISM
Jennifer Munson is a biomedical engineer at Virginia Tech who has looked at fluid in the body. She was not involved with the study but says its findings are promising. “I think what the paper shows are the benefit of having new ways to image and look at tissues. [Previous methods] dehydrate the tissues, and you lose so much structural information,” Munson notes. She says she’s fairly convinced these structures exist but wants to see more research before speculating on what they do, and whether it’s accurate to call them a new organ. “I’m really excited about the find but, as with all scientists, I approach everything with a little scepticism,” she adds.
Theise says he’s aware of some of the scepticism surrounding his findings, but it’s territory he’s not shy about wading into. In 2005, he wrote an essay in Nature challenging the importance of “cell theory”—a concept that holds cells as the basic structure of all organisms, and in 2001, he published a paper finding that adult stem cells could be made to act similarly to embryonic cells. “There’s always going to be stuff we haven’t seen before that we don’t know,” he adds. “I’m awestruck that nature is more complicated than we allow ourselves to think.”
Credit: Sarah Gibbens for The National Geographic, 27 March 2018.