Interstitium

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Interstitium

Diagram of the interstitium

The interstitium is a term used to describe a widespread, fluid-filled space within and between the tissues of the body. It is a part of the extracellular matrix and plays a crucial role in the transport of nutrients, waste products, and other molecules between the bloodstream and cells.

Structure

The interstitium is composed of a network of collagen and elastin fibers, which provide structural support, and a gel-like substance made up of glycosaminoglycans and proteoglycans. This matrix allows for the movement of interstitial fluid, which is the fluid that fills the interstitial space.

Interstitial Fluid

Close-up of interstitial fluid pathways

Interstitial fluid is derived from the blood plasma and is similar in composition, though it contains fewer proteins. It serves as a medium for the exchange of nutrients and waste products between the blood and cells. The fluid is continuously renewed and drained by the lymphatic system.

Function

The interstitium serves several important functions in the body:

  • Support and Structure: It provides a supportive framework for tissues and organs.
  • Transport: It facilitates the transport of nutrients, gases, and waste products between the blood and cells.
  • Fluid Balance: It helps maintain fluid balance within tissues by regulating the movement of interstitial fluid.
  • Immune Response: It plays a role in the immune response by allowing the movement of immune cells and antibodies to sites of infection or injury.

Clinical Significance

The interstitium can be involved in various pathological conditions, such as edema, where excess fluid accumulates in the interstitial space, and interstitial lung disease, which involves inflammation and scarring of the lung interstitium. Understanding the interstitium's role in these conditions is crucial for developing effective treatments.

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Contributors: Prab R. Tumpati, MD