Connective Tissue: The Glue That Makes Multicellular Life Possible



This series began by explaining that the survival of a multicellular organism (MCO), like the human body, depends, not only on what’s going on inside the cells, but also outside them, in the extracellular space. That’s because, for a MCO, the amount of fluid, its chemical content, and the biological structures, inside and outside its cells are very different and this difference must be maintained for survival.

The last few articles explained how the body controls the volume of fluid and chemical content inside and outside the cells along with its total blood volume and water. But there’s more to the extracellular space than just water. Remember what happened to the wicked witch?


She melted into slime. Water doesn’t provide much support, does it? However, your cells mostly consist of water and so does your body. So, how do they maintain their shape and what gives them structural and mechanical support?

The cell’s cytoskeleton, made up of microtubules, microfilaments and intermediate filaments, consisting of specific types of protein fibers, in specific arrangements, and located in specific places, is what gives it shape and structural and mechanical support (see Figure 1).

Figure 1 - Cytoskeleton

And the connective tissue, consisting of different types of cells and what they produce and secrete into the extracellular space, does the same thing for the body. Here’s how Steve Laufmann and I explained it in our book, Your Designed Body.

“Think of a car. What’s needed for it to work properly? An engine, fuel, exhaust, transmission, drive train, axles, wheels, tires, oil, radiator, springs, hoses, brakes, steering wheel, and a seat to sit on. That’s a good start, but you also need the chassis, clamps, nuts, and bolts—a structural framework to hold the many parts in the right positions for their functions. Without this, a car could never stand up to the forces exerted on it, like gravity, acceleration, deceleration and centrifugal force. In the same way, your body needs an underlying framework. All the systems, tissues, and cells need to be in the right places and they need to stay there. Your body needs bones and other connective tissues to hold its trillions of parts in place—to position and support them, bind them together, and separate and lubricate them.”

Until I met Steve Laufmann, other than writing about bone and cartilage (specialized connective tissue) I had never seriously thought about the importance of connective tissue. Just as some are enamored with life at the molecular and cellular levels, my focus had always been at the “total body level”—the absolute need for finely tuned coherent interdependent systems for the survival of MCOs. As an engineer, Steve had logically wondered, “What’s holding it all together?”

It was a great question asked by someone who really knows how to design and build things from the ground up. Moreover, it brought to mind one more broad set of questions that needed to be answered by evolutionary biologists about what it really would have taken for MCO life to have come into being. Here’s a brief overview with more to be drilled down to in this space later on.

The “Rodney Dangerfield” of Tissues

The body generally is made up of four types of tissue—nervous, muscular, epithelial and connective. The first two, nervous and muscular tissues, allow the body to interact and respond to its internal and external environment—e.g. prevents it from passing out when standing up and stays balanced as it moves around and handles things. The third, epithelial tissue, acts as a boundary between the body and its environment. It lines its internal and external surfaces—e.g. skin, respiratory, gastrointestinal, and genitourinary systems in addition to the inner surface of the blood vessels (endothelium). It also makes up the glands, both, exocrine (e.g. sweat glands), and endocrine (e.g. thyroid gland) including the pancreas, liver and kidneys.

As we stated in our book, Your Designed Body, when it comes to what we experience in life, despite the first three types of tissues being the “stars” and “co-stars” of a movie, by providing structural and mechanical support, it’s the connective tissue, the “cast of thousands” that “makes it all possible.” And so, like Rodney Dangerfield, that iconic comedian of the late 20th century who used to complain that he didn’t “get no respect”, if your connective tissue could speak, it would say the same thing!

The Extracellular Matrix (ECM)

Ordinary connective tissue (see Figure 2) consists of cells called fibroblasts. In contrast to the other three types of tissues, where the cells are close together, fibroblasts are spaced far apart. By producing and mixing complex protein and glucose molecules into water, fibroblasts make a clear, colorless, viscous, gel-like fluid called ground substance which they secrete into the extracellular space. This binds all the cells together. The fibroblasts also secrete different amounts and types of protein fibers with different mechanical qualities. In general, this consists of firm collagen and/or flexible elastin and/or delicate reticular fibers which crisscross through the ground substance to provide the specific organ or tissue with the right structural and mechanical support. The ground substance and the protein fibers within it make up what is called the extracellular matrix.

Figure 2 Ordinary Connective Tissue


Different Strokes for Different Folks

Different types of connective tissue provide different types of structural and mechanical support. This runs from solid bones, to softer and more elastic cartilage, to high tensile strength ligaments and tendons, to delicate web-like laced spider-like networks (bubble wrap) that support most of the organs and passageways in the body. It all depends on the amount and type of ground substance and the density and mechanical qualities of the different types of protein fibers or other materials running through it. Again, using a car analogy, here’s how we explained it in our book.

“The support mechanisms in your car do different jobs, so they need different properties. To hold the engine and transmission in place, the frame and various brackets must be solid and immovable against the tremendous forces of torque and heat, while damping vibrations. The springs in the suspension must be solid too, but also able to flex and recoil as the car moves. The hoses bringing air to the engine need flexibility, yet without collapsing. In a similar way, the different organs systems need connective tissues with different, physical properties, and this requires differences in the amount and types of protein fibers within their ground substance. By varying the blend of the collagens and elastins (and reticular fibers) the body can achieve different biomechanical properties in the extracellular matrix, qualities such as tensile strength, hardness and elasticity.”

My Experience as a Physician

I once met a young woman who was providing in-home care for her grandfather. Although she liked judo, she had inadvertently suffered injuries to almost all of her joints. One day she showed me why. While standing and facing me, with her knees locked, she twisted her body almost 180 degrees around. Then she hyperextended her elbows and thumbs. As she went to dislocate her shoulder, I told her that I had seen enough; she didn’t need to do that, too. I was impressed. She said she was worried about having Ehlers-Danlos syndrome, a group of inherited disorders of the connective tissue related to one or more defects of collagen. I told her that based on what I’d seen, I was pretty sure she had it. She had the classic sign—generalized joint hypermobility. Since collagen, the most abundant protein in the body, determines the tensile strength of the connective tissue that makes up the joint capsule, ligaments and tendons—the parts that stabilize the joints—it’s not surprising that a defect would result in overly flexible joints, which can easily lead to serious injury. But that’s not all! Any defect in the connective tissue supporting the spinal column, heart valves, intestine, colon, uterus during pregnancy and even the blood vessels could quickly lead to debility and even death. In fact, in some cases of Ehlers-Danlos syndrome, just rolling over in bed can be a high-risk maneuver.

Lesson to be Learned

As Steve Laufmann and I noted in our book, Your Designed Body, when it comes to life, there are only two possible classes of causal forces in play; material causes or intelligent causes. However, experience teaches that an informed decision about which class of causal force likely resulted in life is impossible to make without having information of what it actually takes for life to work. Here’s how we applied the information from above to come up with some better questions!

“Medical science currently knows of at least twenty different genetic defects that cause Ehlers-Danlos syndrome. So, we know there are at least twenty things that have to be right for proper function of the connective tissue. The actual number is bound to be higher. The various connective tissues need to be blended in just the right ways for the body’s structure to work. The bones have to be shaped just so. And without the cartilage between them at the joints, even basic motion would be painful or impossible. What does it take to get everything right? How much information, how many assembly steps, how many connections (with the right ligaments), how many specialized cells and proteins? We must wrestle with such questions if we hope to understand the requirements for life. Only by understanding the true requirements for these things to work properly can we hope to accurately assess the respective abilities of our two classes of causal forces to create them.”

Evolutionary “Explanations”

Read the “explanation” below and see if you are intellectually satisfied. Can you see what is assumed, what is left out, and how explaining the structure and function (which is still poorly understood) is conflated with having explained its origin?

“The evolution of multi-cellular eukaryotic organisms from single-celled ancestors was one of the most significant transitions in the evolution of life on earth. It enabled the emergence of larger and more complex eukaryotes that could resist predation, evolve specialized tissues and higher order biological capacities, and colonize new environments. Multi-cellularity evolved independently in several eukaryotic lineages and, in terms of the number of cell types per organism, animals (the metazoa) include the most complex multi-cellular eukaryotes. A key mediator of metazoan multi-cellularity is the extracellular matrix (ECM), a multi-component, proteinaceous network that bridges between cells, contributes to their spatial arrangements by binding cell-surface adhesion receptors, and supports cell survival, differentiation, and tissue organization. The advantages of increased organism size for more efficient use of nutrients and escape from predation might have acted as selection pressures for the evolution of ECM, and increases in ocean oxygen levels around 850 million years ago likely provided a favorable environment for these changes. (In conclusion) the evolution of metazoa cannot be separated from the evolution of their ECM. ECM representation in modern metazoa exemplifies both extreme conservation and extensive adaptive radiation. This viewpoint has been enabled by comparative genomics. Understanding the evolutionary history of the ECM is an important approach to deciphering these systems.”
The evolution of extracellular matrix - PubMed

A Blast from the Past

About twenty years ago, at a venue where we both spoke on ID, I had the honor of meeting Dr. Philip Skell who was then the Emeritus Evan Pugh Professor at Pennsylvania State University. He was not only a member of the US National Academy of Sciences but also one of the more than one thousand doctoral scientists who had signed A Scientific Dissent from Darwinism.

In one of his chapters in The Comprehensive Guide to Science and Faith, Dr. John West noted that according to this esteemed scientist, “Darwinian theory is largely ‘superfluous’ in biological explanations of how things work” and that “he ‘found that Darwin’s theory had provided no discernable guidance, but was brought in, after the breakthroughs, as an interesting narrative gloss.’”

Based on the last line of the above “explanation”, it certainly looks like nothing has changed.

What has the “evolutionary” history of the ECM got to do with understanding how it works?

A superfluous narrative gloss if there ever was one.

Thanks, Dr. Skell!

Onward!!



Table of Contents - The Extracellular Space

Howard Glicksman MD is a G.P. who graduated from the University of Toronto in 1978. He had an office/hospital practice for 25 years and recently retired from providing medical care for hospice patients in their homes for over 20 years. His online articles on “how the body works” culminated in a book he co-authored with Steve Laufmann called Your Designed Body (2022).  Read his other online articles here.