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Frozen Collections
Tybjerg, Karin
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The Body Collected
Publication date:
2016
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University of Copenhagen
Published in:
Det indsamlede menneske
Publication date:
2016
Document Version
Publisher's PDF, also known as Version of record
University of Copenhagen
Publication date:
2016
Document Version
Publisher's PDF, also known as Version of record
T H E R A W M AT E R I A L S of M E D I C A L S C I E N C E
from C A D AV E R to D N A
MEDICAL MUSEION
Fo rew o rd
FOREWORD
© Medical Museion idea behind the exhibition is to build a concep-
First published 2016 tual bridge between the striking historical col-
lection of foetuses and organs in jars, which are
EDITOR: now almost solely of cultural historical value,
Karin Tybjerg and the collections of tissue, cells and molecu-
les that are stored in biobanks worldwide today.
EDITORIAL COMMITTEE: Collecting then and now.
Bente Vinge Pedersen and Ion Meyer
I S B N 97 8-8 7- 992170- 2- 1
RESPONSIBLE PUBLISHER:
Thomas Söderqvist
P U B L I S H E D B Y:
Medical Museion, Faculty of Health Sciences,
University of Copenhagen
CONTENTS
11 Introduction
13 Scale as an Exhibition Principle Karin Tybjerg
17 T H E W H O L E B O DY
21 The Saxtorphian Collection Ion Meyer
25 Child with Umbilical Hernia Gorm Greisen
27 Martha and Marie Carl E. Levy
33 Who is Collected? Morten Hillgaard Bülow
THE BODY COLLECTED
37 O R G A N S A N D B O D Y PA RT S
41 Under the Skin Adam Bencard
CONTENTS
43 Bones Sven Erik Hansen
49 The Landscape of Disease Karin Tybjerg
57 The Fingers´ Journey Niels Chr. Bech Vilstrup
59 Death has a Cause Bente Vinge Pedersen
63 S E C T I O N S A N D PAT H S
65 Body Donation Jørgen Tranum-Jensen
69 Dissecting Knowledge Karin Tybjerg
71 The Liquid in the Jars Ion Meyer
73 An Anatomical Artwork Ion Meyer
99 B L OO D A N D M O L E C U L E S
101 Frozen Collections Karin Tybjerg
103 The Lifeblood of Science Lasse Boding
107 The PKU Test and the Biobank Bent Nørgaard Pedersen
109 The Unobtrusive Giants of Genetic Research Thomas Söderqvist
I ntro ducti o n
T he B o dy C o llected
Skeletons, organs, tissue and blood understanding the body and develop-
samples from newborn babies. There are ing new diagnostic methods and treat-
large amounts of human material col- ments. The vast majority of us have pro-
lected in hospitals, research institutes vided a tissue or blood sample that is
and museums. Both from the patients of now stored in a biobank.
the past, and from our own bodies.
The exhibition combines historical, ana-
The exhibition The Body Collected at tomical collections with contemporary
Medical Museion charts how doctors and biomedicine, showing how the human
researchers have collected, preserved body has provided the basis for medical
and stored this material to map and un- breakthroughs from the early 1800s to
derstand the human body and its dis- today. The exhibition is both historical
THE BODY COLLECTED
eases. And how the body has been used and scientific, which is reflected by the
INTRODUCTION
to generate medical knowledge. Layer by group of authors who have contributed
layer, the body has been laid bare and to this exhibition catalogue: historians,
investigated: cut up during dissection, doctors and researchers, all writing from
magnified under microscopes, and ana- the perspective of their respective fields.
lysed biochemically. From historical col-
lections of specimens to the blood sam- The exhibition also explores existential
ples of today, we and our predecessors and ethical issues about our relationship
have quite literally given of ourselves to to our physical bodies. This is not an ex-
discover what we now know. plicit theme, but something we are con-
stantly aware of when looking at human
The exhibition is the fulfilment of a long- material. The exhibition and this cata-
held wish to exhibit one of Europe’s fin- logue can provide a basis for discussing
est collections of human specimens. The who we are, and the nature of our rela-
material in it has been collected since tionship to our bodies.
the end of the 1700s, and comes from
research collections of foetuses, skel- To understand the body is to understand
etons, bones, organs and tissue samples our possibilities and limitations. The
- the collections generations of doctors words ‘Know Thyself’ from the temple
and midwives have used to study human of the oracle of Delphi are displayed in
anatomy and disease. many dissection rooms, making the idea
that self-knowledge is the first step to all
The material exhibited also includes mo- knowledge very physical. A key founda-
dern biomedicine, where the collection tion for our knowledge of ourselves and
of human tissue continues to play a cru- the world surrounding us can be found
cial role. Here samples of human tissue by dissecting, investigating and under-
and blood provide the raw materials for standing the human body
11
S cale as an
E x hibiti o n P rinciple
Karin Tybjerg Historian of Science and Associate Professor
The main exhibition principle is simple, human tissue invisible to the naked eye.
instantly graspable and captures essen- The building blocks of the body and
tial features of the historical development symptoms of disease could now be in-
of medicine. Objects in the exhibition vestigated at a deeper level. This led to
are ordered according to scale, ranging a new understanding of disease as ab-
from the whole body to its molecules: normal changes in tissues and cells. But
embryos, organs in jars, biopsies, slices the decreasing scale did not stop there.
of tissue, blood samples and DNA. The Today the body is investigated at the
principle of scale draws on the material- molecular level on the basis of genes and
ity of the objects, but at the same time biochemical traces in the blood.
mirrors a shift in medical interest to-
wards smaller and smaller units. As visitors move through the exhibition,
and the body parts become smaller and
Before 1800 the whole body was the smaller, it is as if the human being dis-
main unit of medical investigation, and appears from medicine. We can relate
SCALE
disease was believed to be caused by an to a foetus or a skeleton as individuals,
imbalance in the entire body. The whole but less so to a blood sample. The human
body is present at the beginning of the body has not just been anatomised – it
exhibition in collections of foetuses, in- has been atomised. But at the very end
fants and skeletons. Although the body of the exhibition we meet the individual
has been anatomized, we can recognise again, in the DNA molecules of modern
ourselves and the human form. biomedicine. In the quest of medical
science to find the fundamental building
This perception changed with the de- blocks of the body and disease, we redis-
velopment of large collections of ana- cover the individual in the DNA molecules
tomical and pathological specimens in that comprise human genetic material.
the 19th century. Disease became linked
to specific organs that could be excised. But mapping the genome has not pro-
Disease was seen as a local phenomenon, vided all the answers. The exhibition ends
identified with lesions on the organs. where medical science stands today. The
When we look at the specimens, we can smallest elements of the body did not
recognise hands, feet, brains and hearts, hold the key, so both medical scientists
but many of them appear as unidentifi- and visitors to the exhibition have to re-
able lumps of bodily matter. trace their steps through each level of
the scale in an attempt to understand
The invention of the microscope made the human body at every level
it possible to investigate structures of
Fo etus in w o mb
An 8-month-old foetus in the
womb, which has been cut open
to reveal the foetus inside.
13
THE BODY COLLECTED
SCALE
S cale in M edicine
The collected parts of the body are exhibited
according to size, from the whole body to
DNA molecules.
14 15
T he W hole B ody
18 19
T he S a x to rphian
C o llecti o n
Ion Meyer Museum Conservator and Head of Collections
C o nj o ined T wins
Twins joined at the chest.
21
“…you would be delighted to
ponder the construction of the
most perfect of all creatures, and
take pleasure in considering the
N o rmal fo etus with placenta The foetuses in the Saxtorphian Collection were used in
classes for midwives, among others. Here the development of a normal foetus was key, and the col-
lection made the growth hidden inside the mother’s stomach visible. This was before technology like
ultrasound made it possible to see the foetus. Although the foetus above is anatomically normal,
categorising it as ‘normal’ appears paradoxical, since the baby was never born. Foetuses and infants
are no longer preserved as specimens in Denmark, since parents are not permitted to donate the
bodies of their children to science.
23
C hild with
U mbilical H ernia
Gorm Greisen Paediatrician and Professor
A fine, little person sits in a jar. On a Does it have a totally malformed lower
shelf. A human being that with its fine body, or is what we see part of the pla-
features and hands greets us across the centa? It would be tempting to lift the
centuries. It is as if it is sleeping, but it is baby out of the liquid and gently take it
dead. So this is also the dead speaking to apart. Omphalocele is often accompa-
the living. nied by other malformities, so it is im-
portant to know whether there are any
I am a paediatrician. I have specialised in others before operating. Maybe we could
working with newly born babies for most take a small sample and examine it un-
of my professional life. I have seen a lot of der a microscope? Or do an MR scan? We
babies open their eyes after a birth that could maybe also ask for a sequencing of
was difficult – or way too early – where the baby’s genes?
I was called in, just in case. I have also
25
M artha A N D M arie
Carl E. Levy [1808-1865] Obstetrician and Professor
In 1848 a pair of conjoined twins were parents at the sight of the extended body
born in Copenhagen. The parents, the fa- of an infant with a head at each end,
ther being a poor, apprentice chair-mak- whose cries and movements were an im-
er, could not manage to care for them, mediate sign of life and demand for love
so they were transferred to the Danish and care.”
Maternity and Nursing Foundation. Here
they were nursed, observed and finally “During the first four days of their life
subject to a post-mortem examination. the babies seemed quite well … but dur-
Three specimens were made from their ing the morning of April 7th Marie´s face
bodies: their skeletons [p. 28], their or- suddenly grew bluishly pale … On April 9th
gans [p. 29] and a taxidermy of their skin Marie seemed a little less drowsy, moving
to preserve their physical form. Several her face and eyes regularly … On April 11th
years later, Professor Carl E. Levy pub- Martha became slightly unsettled, and
27
THE BODY COLLECTED
28 29
“Such malformities demonstrate,
however, when several of the same
species are compared, that nature in
the essentials follows a certain order,
a particular course and uniformity in
T he M ermaid Mermaid Syndrome or sirenomelia is a congenital abnormality where the legs have
grown together to resemble a mermaid’s tail. In the past malformations were seen as unique won-
ders or curses. They were associated with supernatural beings, or explained by the mother having
seen something horrifying during pregnancy. By collecting them, doctors like Matthias Saxtorph
were able to categorise and diagnose them. The myth, however, lives on in the Latin name for the
malformation: sirenomelia, literally ‘mermaid-limbed’.
31
W h o is
C o llected ?
Morten Hillgaard Bülow Historian of Medicine and Postdoc
A key question in the context of the Another example is the skeleton where
medical collection of humans and parts the cranium is labelled ‘A Negro’. The
of humans is not only why they have been skeleton belongs to a collection where
collected, but also who has been col- the other anatomically normal skeletons
lected. A question that is not just practi- are a Greenlandic woman and a child,
cal – which bodies are available – but also and was probably used as an object of
reflects the norms and worldviews of study in relation to the hierarchical theo-
medical science during different histori- ry of race prevalent at the time. The skel-
cal periods. Since the medical point of eton is of unknown origin, but has been
departure has been to learn about health collected in a historical context when
and disease, about the normal and the colonialism and racism were an unques-
pathological, any collecting activity re- tioned part of the norms and worldview
flects what is understood as normal or medicine operated under; a context in
S keleto n
The label ‘En Neger’ [‘A Negro’]
reveals the close relationship between
racial theory and the study of anatomy
in the past. Late 19th century.
33
THE BODY COLLECTED
34 35
O r g ans and B ody P arts
B o ne c o llecti o n display
Skeletons and diseased bones from the University
of Copenhagen. Predominantly 19th century.
38 39
U nder
the S kin
Adam Bencard Historian of Medicine, Researcher and Museum Curator
TO R S O
The spinal column has collapsed
and the ribs have sunk into the
pelvis. The cause is unknown.
41
BONES
Sven Erik Hansen Medical Doctor
skull o f a leper
The infection has created deposits on
the lower jaw and cheekbones, while
the upper jaw has been eroded.
43
“Those who have dissected
or inspected many [bodies]
H ydro cephalic skull [top] Six-month-old infant. In order to hold the cranium together, the
connective tissue has stretched to the point of transparency. sy P H ilis [middle] The infection has
caused serious disintegration of the frontal bone, revealing the spongy bone tissue below. B o ne
cancer [bottom] The action of the cancer cells has led to abnormal, crystal-like calcium deposits
on the skull – also inside the eye socket.
45
ORGANS AND BODY PARTS
THE BODY COLLECTED
R ibcage with o ne - sided pulm o nary tuberculo sis [above] On the infected side
the lung membrane [pleura] has thickened and shrunk, pulling the ribs together. S ecti o n o f a
spinal c o lumn [opposite page, top] Indentations on the vertebrae where the spinal column
has adjusted to an aortic aneurysm. Living bone tissue adapts. P elvis with rickets [opposite
page, bottom] Lack of vitamin D makes bones soft. Here the bones of the pelvis have been compres-
sed by the weight of the body, making the pelvic aperture too small. This prevents normal birth.
46 47
T he L andscape
o f D isease
Karin Tybjerg Historian of Science and Associate Professor
49
ORGANS AND BODY PARTS
THE BODY COLLECTED
50 51
“… for twenty years, from morning
to night, you have taken notes at
patients’ bedsides on affections
of the heart, the lungs, and the
E nlarged c o lo n A 13-year-old girl’s colon heavily distended by constipation. The disease me-
gacolon or Hirschsprung’s disease is caused by a congenital lack of nerves in the intestine leading to
an accumulation of faeces. The specimen shows the last part of the colon, where the problem is most
acute. Most cases are diagnosed in infancy. The disease was first described by the Danish paediatri-
cian Harald Hirschsprung [1830-1916]. During his lifetime children often met an early death due to
constipation, but he predicted the possibility of the surgical treatment used today. 1900.
53
ORGANS AND BODY PARTS
THE BODY COLLECTED
B rain and spinal c o rd with meningitis Lungs with malignant tum o urs
Child’s brain with meningitis cut open. The infection can be seen Whitish tumours can be seen on the surface. They have
as a white coating on the surface of the brain. spread via the lymphatic system, 1930.
54 55
T he F ingers ´ J o urney
Niels Chr. Bech Vilstrup Historian and Museum Curator
The specimen jar contains the index collection was made at the University
and third finger of the left hand. They of Copenhagen. Initially it consisted pri-
are covered in greasy oil, and the white marily of bones, but microscopic speci-
shreds and long sinew indicate that they mens were later added.
were ripped off the hand with some
force. The label on the lid of the jar con- In 1900 formalin replaced surgical spirit
firms that they were torn off. But how did as a preservation fluid in Denmark,
the fingers of someone who was presum- which resulted in a significant rise in the
ably a mechanic end up in the exhibition number of pathological-anatomical wet
The Body Collected? specimens. The lack of space at the in-
stitute became an increasingly pressing
The index card for the specimen does not issue during the 1800s, and in 1910 the
tell us much more, merely that the speci- Pathological-Anatomical Institute, head-
T w o severed fingers
There are white shreds where the
fingers have been torn off, as well
as an 18 cm-long tendon, 1913.
57
D eath has a C ause
Bente Vinge Pedersen Historian and Museum Curator
The jar contains a section of a throat til Retsmedicin [‘Notes on Forensic Medi-
that has been dissected and mounted on cine’]. The book provides a systematic
a black plate so the upper oesophagus review of the discipline of forensic medi-
can be seen. The tongue points upwards. cine, which in its essence is about about
The oesophageal opening under the uvu- establishing the cause of unexpected
la is blocked by a piece of orange. The deaths.
fluid the specimen is preserved in has
made the piece of orange almost un- A certificate has to be issued for all
identifiable. Only its membranes remain deaths, and the cause of death has to
visible as a white mesh, whereas the for- be established. Knud Sand explains how
merly orange flesh is almost transparent. the death certificate differentiates be-
There is a label on the lid of the jar with tween cause of death and manner of
the words: ‘Blockage of Aditus laryngis death. Whereas according to Sand, the
59
“Pathological anatomy is a science
whose aim is the knowledge of the
visible alterations produced on the
organs of the human body by the
Tapew o rm in the spleen This specimen shows a tapeworm, also called Echinococcus, that
has grown in someone´s spleen. The tapeworm is a parasite that spreads through faeces, and is com-
mon in countries with a lot of sheep farming. This specimen comes from Iceland, where the condition
was common in the 19th century. The specimen, showing a very rare condition, was made in 1922,
when effective treatment to prevent the spread of tapeworm larvae was implemented. Tapeworm
has long since been eradicated in Iceland.
61
S ections and P aths
S E C T I O N S A N D PAT H S
[1638-1686], whose discoveries included erations, and experienced surgeons more
the principle behind the mechanism that advanced and new procedures – without
makes muscles contract. This discovery worrying about harming a living human
still holds true today, now with the addi- being. In anaesthesiology, the ultra-
tion of molecular details on how muscle sound-guided use of local anaesthetics
fibres shorten during contraction. and pain relief requires a highly detailed
knowledge of anatomy and where the
We might think that the subsequent nerves are located in order to make the
three-four hundred years of research injection optimal. This is far from easy,
based on dissections of the deceased had and here too being able to practise injec-
uncovered every inch of human anatomy. tions on the deceased is key. A mere half
But this is not the case, since surgical millimetre can make all the difference
techniques and diagnostic imaging [CT, between a successful and unsuccessful
MR and ultrasound] continue to become injection.
increasingly refined and capable of prob-
ing human anatomy with a degree of For researchers, being able to experi-
detail existing knowledge cannot match ment on the dead makes it possible to
– including clarifying anatomical varia- explore and analyse in ways that would
tions between people. be impossible on the living. This applies,
for example, to the locomotive apparatus
For medical students, dissection – where [muscles, bones and joints].
they work through the human body with
their own hands – is crucial because it The University of Copenhagen has a do-
gives them a unique opportunity to be- nation programme, which annually and
come familiar with the three-dimen- gratefully receives the bodies of around
sional location of the body’s structures 250 people who have donated their body
[muscles, organs, vessels and nerves]. to research and education. This helps, but
Their observation skills are honed, and is far from enough to meet all needs
D issected f o ot
Specimen showing the location
of the tendons of the foot.
65
“... no anatomist sees himself
in a terrible slaughterhouse;
under the influence of his
S E C T I O N S A N D PAT H S
scientific idea, he traces with
joy a nerve fiber through
stinking, rotten flesh, which
for anyone else would provoke
disgust and repulsion”
Claude Bernard, French Physiologist
Introduction à l´étude de la médicine expérimentale
1865
D issected hand The skin and connective tissues have been removed so the tendons can be
studied. The hand is magnified due to the roundness of the jar. In general, when the face, hands or
feet are visible in a specimen we are made very aware that it is part of a human being as well as a
scientific object. Medical students also report that details like nail varnish and tattoos on the bodies
they dissect remind them that the bodies once belonged to people – people who chose to donate their
bodies to education and research.
67
D issecting
K n o wledge
Karin Tybjerg Historian of Science and Associate Professor
S E C T I O N S A N D PAT H S
64 and 67]. If, on the other hand, a body natural” [System of Dissections, 1798].
part is cross-sectioned, we see where
the muscles, nerves, veins and bones are One of the oldest specimens in the col-
placed in relation to each other. Knowl- lection of Medical Museion is a head from
edge is carved out when the body is dis- the early 1800s showing the muscles and
sected. veins of the face. It was probably made
at the Royal Danish Academy of Surgery
Normal anatomical collections show and used for teaching. The skin, hair and
the anatomy of a healthy body. This is fat have been removed from the head,
where medical students learn to navi- which was then dried and varnished.
gate the body. By examining the ana- The brain, which decays fast, has been
tomical structures of different ‘cuts’, the removed. To accentuate the veins of the
students learn to understand the body in face and prevent them from collapsing,
sections, as well as becoming aware of they have been injected with a wax solu-
its complex networks. tion. They have then been painted to ac-
centuate the veins and arteries.
A well-prepared specimen takes a high
level of skilled craftsmanship – uncov- A striking feature of the head are the
ering and cleaning without removing eyelashes, which are still attached to
the essentials, and accentuating what the eyelids. Even though the rest of the
is most important. The art of dissec- varnished head might look like an ana-
tion was developed by anatomists and tomical model, the eyelashes remind us
surgeons, and the word surgery itself is that the head once belonged to a human
based on the Latin chirurgia from the being
H uman head
Dried head with wax-
injected blood vessels.
Early 19th century.
69
T he L i q uid
in the Jars
Ion Meyer Museum Conservator and Head of Collections
The large displays in the exhibition are everything surrounding it. This takes
full of jars with preserved body parts. We time, an exhaustive knowledge of hu-
see the jars with human specimens, but man anatomy, and a steady hand. When
we hardly notice what there is most of this stage of preparation is complete, the
– that all the specimens are stored in a specimen is subject to a chemical pro-
liquid that is totally crucial to their pres- cess that stabilises the organic material.
ervation and how we see them. The specimen can now be placed in the
jar of liquid.
The liquid has preserved the human ma-
terial in its original form and prevented Many different solutions have been used
any natural decay. It has stopped the to preserve specimens. Those on dis-
clock, and we cannot tell how old the play in The Body Collected used to be
S E C T I O N S A N D PAT H S
specimens are. There would be no speci- preserved in formaldehyde solutions.
mens without the liquid. It has preserved These were effective in preventing bac-
them and can continue to do so for teria, fungal growth and other micro-
years to come. It is also crucial for how organisms. But formaldehyde fumes are
the specimens are perceived. The liquid a health hazard, so the fluid in all the
is transparent, enabling the individual specimens has been replaced. The new
significance and unique characteristics fluid is a modification of a formula devel-
of each specimen to be seen from all oped in 1897 by the German pathologist
angles. The liquid also creates a sense of J. C. Kaiserling [1869-1942]. It consists of
movement when it reflects the light that demineralised water, glycerol and potas-
penetrates the jar. Some specimens are sium acetate. It is not toxic for humans,
mounted on a back panel, whereas oth- but still preserves the specimens. It has a
ers seem to float weightlessly in the liq- higher density than formaldehyde solu-
uid. This is possible if the density of the tion, which increases the risk of the body
liquid is regulated to match that of the parts floating to the top of the jar. It has
specimen. Each of us sees the specimens therefore been necessary to hold some of
differently, and the visitor to the museum the specimens down with weights or to
today sees them in other ways than the secure them with thread. Changing the
medical student in a clinical environ- liquid in the jars has been a demand-
ment saw them generations ago. ing task requiring a lot of careful prep-
aration, but the specimens can now be
When a specimen is prepared, the anat- exhibited safely.
omist begins by excising the part of the
body to be used. The part of the anatomy The clock is still stopped, and the speci-
that is to become the specimen is then mens will be able to speak their wordless
separated by cutting away and removing language in the future too
71
A n A nato mical
A rtw o rk
Ion Meyer Museum Conservator and Head of Collections
The glass dome on the black wooden It requires a lot of experience and tech-
stand frames an old, anatomical speci- nical skill to make a specimen of this
men. But it is also a beautiful, anatomi- size and quality. When the heated, liquid
cal artwork. The colours and delicate wax is injected into the vessels the pres-
wax stems that run through the three- sure has to be high enough to fill all the
dimensional network that was once part vessels - even the smallest - but not so
of a human being’s lungs accentuate its high that the vessels split and the wax
materiality and aesthetics. The specimen escapes. When the wax has cooled and
was made in the mid 1800s, but we have hardened, the tissue surrounding it is re-
very little factual information about it. moved by what is called maceration, in
this case using chemicals or simple de-
The yellow wax is a cast of the respira- composition. The process of decompos-
S E C T I O N S A N D PAT H S
tory tracts branching out into the lungs. ing the tissue surrounding a cast is called
The thick vessels are the bronchi, where corrosion, and the specimen is therefore
inhaled air passes before reaching the called a corrosion cast.
smaller bronchioles and ending in the
small pouches called alveoli. The red wax The delicate wax casts break easily and
is a cast of the part of the vascular sys- are very difficult to stabilise and preserve.
tem where the blood has taken in oxygen, Most wax specimens have perished over
and the green wax shows the passage of time, and despite being damaged this is
deoxidised blood through the lungs. the best preserved specimen of its kind in
the collections of Medical Museion.
In the close contact between the alveoli
and the tiny blood vessels there is an ex- Numerous techniques and materials
change of oxygen (O₂) and carbon diox- have been used to inject into body parts
ide (CO₂). Oxygen from the inhaled air like blood vessels and respiratory pas-
passes through the walls of the alveoli sages, and the results have been crucial
to the small blood vessels, and the sur- for understanding our anatomy and for
plus carbon dioxide of deoxydised blood research into how our organs function.
is transported in the opposite direction. This anatomically correct specimen has
The oxygenated blood immediately con- been studied by medical students. To-
tinues its vital journey to the cells of the day it is part of the history of anatomy,
body, and the carbon dioxide is led back but it is also a beautiful and fascinating
through the respiratory system and ex- exhibit.
haled.
73
“To succeed in making a
good anatomical preparation,
S E C T I O N S A N D PAT H S
much patience, neatness of
hand, knowledge of the
subject illustrated, and some
artistic talent are required”
William Henry Flower, British Anatomist and Surgeon
‘Museum Specimens for Teaching Purposes’, Nature
1876
75
T issue and C ells
Thousands of small, square blocks fill body´s battle against disease as it took
this black cardboard box, each of them place. The box and its contents therefore
meticulously numbered and sorted in represent an important development in
cassettes. Each block contains a hu- medical science’s approach to the body:
man tissue sample [biopsy] embedded people could now survive being collected.
in paraffin wax. If the block is held up to
the light, the sample becomes visible in The many collected tissue samples were
shades of brown and yellow. But where subsequently stored so doctors could
in the body the samples derive from double-check the diagnosis. Hospitals
cannot be seen with the naked eye. The stored them on shelves where they were
cardboard box contains a total of 1,129 easily identified because their numbers
tissue samples from Frederiksberg Hos- corresponded to the number on the
pital. They were all taken in 1956 during patient´s case notes. The national hos-
79
“Omnis cellula
81
THE BODY COLLECTED
82
“As if nature had determined to
hide from our eyes the marvelous
structure of its organization, the cell,
the mysterious protagonist of life,
is hidden obstinately in the double
invisibility of smallness and
85
THE BODY COLLECTED
T issue secti o ns [above] Tissue sections made for teaching in pathological anatomy, 1957-1961.
A rchive o f micro sc o pe slides [opposite page] Slides of tissue are archived and retrieved if
a diagnosis needs checking or a patient is readmitted, 1975-1976.
86
R ec o gnising
the A bn o rmal
Erik Clasen-Linde Pathologist and Consultant Physician
Interview by Malthe Boye Bjerregaard
“It´s all based on what normal tis- Clasen-Linde then increases the level of
sue looks like and how the body reacts magnification and moves the focus of
to different diseases,” according to the microscope to the left. Here every-
Erik Clasen-Linde, consultant physician thing looks completely different. Red
at the Department of Pathology at spots in the tissue indicate newly formed
Denmark´s national hospital Rigshospi- bone tissue, which is pressed between
talet. Clasen-Linde is a specialist in the endless closely packed cells with en-
microscopy of diseases relating to bone larged nuclei. Normal bone tissue only
marrow and the lymphatic system. But has a few cells, but here the architec-
he never meets the patients, seeing only ture of the tissue has completely bro-
their case notes and tissue samples on ken down – a clear sign of a malignant
bone tumour. All these aberrations are
Clasen-Linde places a slide from the ex- The many slides and glass fragments
hibition under his microscope. We have on Clasens-Linde´s desk are probably
cheated a little, because the slide comes about to be replaced by digital images.
from a teaching collection so we already Although digital imaging poses a chal-
know the diagnosis: bone cancer [osteo- lenge, because pathologists do not only
sarcoma]. He begins by looking at the look at a two-dimensional image un-
sample at a low level of magnification der the microscope. The cells overlap,
to gain an overview. The tissue is dyed and Clasen-Linde focuses up and down
shocking pink to make the cells visible. through the different layers. To achieve
The first thing that is visible is the nor- the same effect in a digital image it has
mal bone tissue, which looks like micro- to be scanned in several layers, which can
scopic columns [trabeculae] sporadically result in unmanageably large digital files.
separated by the white pockets of fatty Clasen-Linde is prepared for the future,
tissue. “My job is first and foremost pat- but not without his reservations: “It´s dif-
tern recognition. I compare everything I ficult, because we have a very personal
see under the microscope with my own relationship to our microscopes. I know
mental image of normal tissue.” instantly if someone else has used mine”
89
3 D E lectro n
M icro sc o py o f C ells
Klaus Qvortrup Medical Doctor and Professor
Electrons have a very short wavelength in which the same cell can be located
– more than 100,000 times shorter than and the continuation of it observed. The
visible light. An electron microscope investigation can be continued section
therefore makes it possible to observe by section until an overall picture of how
details at a far higher level of magnifi- the structure looks in depth – i.e. a 3D
cation than a light-optical microscope, image of the cell’s contents – emerges.
making it possible to investigate the ul-
trastructure of individual cells. An alternative to examining the thin sec-
tions is investigating the surface of the
The high degree of detail means that tissue in the plastic block using a Scan-
the tissue to be investigated must be as ning Electron Microscope [SEM]. Here an
well preserved as possible. If active cells electronic beam scans the surface, and
the signal is recorded by a detector. In-
M usculotendin o us juncti o n , 3 D
The image is created from c. 580 images of
cross sections taken at 0,00001 mm intervals.
The level of image pixilation sets the limits
for what we currently know. 2014.
91
HeL a AND
H enrietta L acks
Malthe Boye Bjerregaard Historian and Museum Interpreter
They might not look like much, the Before she died, however, her surgeon
four thin slides. At first glance they look took a biopsy of the cancer tumour –
almost as if there is nothing on them. We something done without her knowledge.
can just make out something that could The tissue sample was sent to the labora-
be mistaken for greasy fingerprints. But tory of the researcher George Gey, who
as we look closer, a number of clear, liq- had been trying to cultivate human cells
uid-like circles appear on each slide. They for 30 years. Henrietta Lacks´ cells were
are kept in place by a cover slip glued the breakthrough. Within just 24 hours
onto the slide using clear nail varnish. the cancer cells in the test tube had
Each circle contains cells grown in a lab- doubled – and they did not stop growing.
oratory for scientific experiments. These George Gey had suddenly found the per-
unimpressive circles might not seem fect human miniature laboratory animal.
H e L a cells
The cells have been treated with fluorescent
stain and fixated with clear nail varnish. The
cells descend from Henrietta Lacks´ cancer
tumour – hence the name HeLa. 2014.
93
C ell Cultures
and C ancer T reatment
Anne E. Lykkesfeldt Biochemist, Group Leader at Danish Cancer Society
95
“I dare say that you think that if a piece
of your flesh was cut off by a surgeon it
would be dead as soon as it parted from
your body. But as a matter of fact this
is not the case. In recent years science
To oth cells The research is aimed at discovering whether a specific kind of stem cell – which can
develop into bones, cartilage, muscle or fat – can form colonies. The cells are cultivated in petri dishes
for 12 days, then treated chemically and stained to make them visible. The number of colonies is then
counted. Growing cell cultures in modern laboratories is a form of high maintenance gardening. The
cells continually need heat, nutrition and new dishes or flasks to grow in once they grow out of the
old ones. 2014.
97
B lood and M olecules
At first glance a modern biobank in the past. The difference is that in the 19th
21st century looks completely different century people were not diagnosed un-
from a collection in a 19th century medi- til the disease was advanced and death
cal museum. The large freezers filled with often near, whereas today we try to
small samples of blood or tissue do not diagnose at an earlier stage – maybe
look like the display cases of foetuses or even before the disease breaks out.
diseased body parts in jars. Their names
also indicate differences. We connect The most valuable collections in biobanks
a museum with the past, as an institu- are often the oldest, because we know
tion that collects and stores old things. what happened to the patients. We know
A bank, on the other hand, takes care of their life history, how their illness pro-
present-day valuables and invests with a gressed, and how they died. Which is why
101
T he L ifeblo o d
o f S cience
Lasse Boding Biochemist and Coordinator at the Danish National Biobank
Countless blood samples taken from material waits until it is retrieved for a
the cradle to the grave are transported to research mission.
the Danish National Biobank. The drops
of blood contain unique information and A researcher has an idea and does a
can be of benefit now, but also make life search on the Danish Biobank Register to
better for future generations. What fol- find the right biological material needed
lows is their path through the system. for the research project. The register con-
tains information on 22 million biological
A man sits in his doctor´s surgery waiting samples in Danish biobanks, and within
to have a blood test. His sleeve is rolled minutes the researcher receives an an-
up. Warm blood and large quantities of swer on how many samples are available
biological information flow into a plastic within the selected criteria, which can
Ro b ot at the bi o bank
19m-long freezer at the Danish National
Biobank with a custom-built robot that
stores and then retrieves the blood tests
when researchers need them, 2015.
103
“Think of it as an organic bank
account. You put your biomaterial
in and earn medical interest
105
T he P KU T est
and the B i o bank
Bent Nørgaard Pedersen Doctor and Professor in Biochemical Screening
A blood test is taken from all new- Last but not least, the biobank is a na-
borns in Denmark shortly after birth. The tional resource of major significance for
purpose of the test is to detect a series research, for example into the causes
of congenital diseases where permanent of cleft lip and palate, cot death and
damage can be avoided if treatment premature birth. They are also used for
starts early. The sample is taken from the projects researching the role played by
child´s heel on special filter paper and environmental and genetic factors in the
sent the same day to the Danish Centre later development of psychological disor-
for Neonatal Screening at Statens Serum ders and asthma. Their use in research is
Institut [The National Serum Institute]. always contingent upon approval by the
Here they are screened for PKU [Phenyl- Danish Data Protection Agency, a scien-
KetonUria] – which can cause brain tific ethics committee and the biobank’s
P KU blo o d sample
Blood samples from newborn babies
are taken on filter paper. Small cut outs
of the paper are then used to test for
congenital diseases. 2015.
107
the U n o btrusive G iants
o f G enetic R esearch
Thomas Söderqvist Historian of Science and Professor
The gene chips in the last room of poured onto the chip, hybridisation will
The Body Collected are among the most take place where the unknown test se-
unobtrusive objects in the exhibition. quences match the known sequences.
They are negligible in size, and do not at-
tract attention in the same way as the The whole platform consists of many
human specimens. But appearances can more parts. In addition to the chip itself,
be deceptive: the gene chips are some of it consists of the procedures and appara-
the most important objects in the exhi- tus to extract, amplify and fluorescence
bition. At least if you want to show how stain the DNA, to measure the degree of
biomedical researchers study the body hybridisation using a laser scanner, and
today. to process and interpret the vast quanti-
ties of data and eliminate sources of er-
G ene chip
Contains the entire genome of
a human being [c. 3,2 billion
bases], 2014.
109
BLOOD AND MOLECULES
THE BODY COLLECTED
B lo o d sample [above] The tube contains blood from a diagnostic test. The remaining blood
is stored to double-check the diagnosis, as well as for research projects. The blood samples always
contain more information than the results of the analyses we can perform today. Researchers collect
bodily material to answer the questions we have today, but they store them because the material
might also contain the answers to the questions of tomorrow. 2015. T races o f mental illness
[opposite page] Custom-made gene chip to measure 588,000 pre-selected variations in the DNA
code. The goal is to find variations that have links to mental illness. 2014.
110 111
THE BODY COLLECTED
Data fro m genetic research [previous page] The rows of letters show data deriving from
a gene chip. They come from a study which investigated whether particular gene sequencies were
active or not. A tiny part of the blood sample has thus been turned into data that is subsequently
analyzed by computers. Although the process appears very different, it is similar to the way patho-
logical collections of organs were used. In both cases, researchers try to find the signs in the body
that relate to disease.
114
A uth o r L ist
ACKNOWLED GEMENTS
Thanks to the expertise of colleagues at Medical Museion and University of Copenhagen, who have
contributed with reading the manuscript, comments, object handling, translation, quotes and
proofreading, especially: Adam Bencard, Malthe Boye Bjerregaard, Nanna Gerdes, Svend Erik Han-
sen, Klaus Høyer, Kirsten Jungersen. Thanks also to Lasse Boding [The Danish National Biobank] for
help in connection with photographing at the biobank and Karl-Anton Dorph-Petersen [Brain Col-
lection, Aarhus University Hospital] for information on brain slices.
Quotations have been cited previously in: Samuel Alberti, Morbid Curiosities: Medical Museums in
Nineteenth-Century Britain [OUP, 2011]; Michel Foucault, The Birth of the Clinic [Eng. transl., Rout-
ledge, 1973/2003]; Hannah Landecker, Culturing Life: How Cells Became Technologies [Harvard Uni-
versity Press, 2007]; Duncan Wilson, Tissue Culture in Science and Society [Palgrave Macmillan, 2011].
116
E x hibiti o n T h e B o dy C o l l e ct e d
Opened 2 0 M ay 2 0 1 5
Idea Ion Meyer, Thomas Söderqvist, Karin Tybjerg and Adam Bencard; Project managers Karin
Tybjerg [2012 – 2014] and Bente Vinge Pedersen [2014 – 2015]; Concept and research Karin Tybjerg,
Ion Meyer, Bente Vinge Pedersen, Niels Vilstrup, Adam Bencard, Malthe Boye Bjerregaard, Ane Pile-
gaard, Mads Kjædegaard, Nanna Arnfred and Martin Christiansen; Architects Martin Christiansen
and Mads Kjædegaard; Graphic design Nanna Arnfred; Curation of exhibition objects Ion Meyer,
Niels Vilstrup, Malthe Boye Bjerregaard, Karin Tybjerg and Bente Vinge Pedersen; Collection Karin
Tybjerg, Malthe Boye Bjerregaard and Niels Vilstrup; Texts Bente Vinge Pedersen, Malthe Boye Bjer-
regaard, Thomas Söderqvist, Niels Vilstrup, Karin Tybjerg and Ion Meyer; Translations Jane Rowley
and Thomas Söderqvist [exhibition captions]; Films Marika Seidler and Malthe Boye Bjerregaard;
Conservation Ion Meyer, Annika Normann, Nanna Gerdes and Søren Lorentzen as well as the con-
servation department of the National Museum of Denmark; Mounting of exhibits Caroline Arendt,
Nanna Gerdes and Annika Normann; Production and building manager Niels Vilstrup; Light Jan
Jensen, Gunver Hansen; Carpenter Gribskov Inventarsnedkeri, N.A. Nielsen & Søn; Metal work Her-
følge Kleinsmedie; Glazier Snoer og Sønner; Decorating Sten Valling; Print Uttenthal; IT/AV Mikkel
Fredborg, Niels Plenge; Exhibition assistent Thomas Bjørkå; Model builder Lars Rothenborg; Cata-
logue Karin Tybjerg, Nanna Arnfred, Nicolai Howalt, Bente Vinge Pedersen, Ion Meyer, Malthe Boye
Bjerregaard and Nanna Gerdes; Principal investigator/grant holder Thomas Söderqvist.
Copenhagen University: Klaus Qvortrup and Thomas Hartig Braunstein, Core Facility for Integrated
Microscopy; Claus Desler Madsen, Center for Healthy Aging; Katrine Moe Thomsen, Hanne Mikkelsen
and Jørgen Tranum Jensen, Department of Cellular and Molecular Medicine; Niels Lynnerup, Depart-
ment of Forensic Medicine; Bettina Andersen, Kristine Højgaard Alin, Jette Bork-Jensen, Oluf Borbye
Pedersen and Gry Julie Klavsen, NNF Center for Basic Metabolic Research; Søren Buus, Department of
Immunology and Microbiology; Sune Demant Nørgaard Pedersen, Department of Odontology; Henrik
De Gier and Bo Ravn, Campus Service; Klaus Lindgaard Høyer, Department of Public Health; Nana
Cecilie Halmsted Kongsholm, Department of Media, Cognition and Communication.
Rigshospitalet: Lone Peijs, Noemi Galicki James and Bente Klarlund Pedersen, Centre of Inflamma-
tion and Metabolism; Gorm Greisen, Institute for Clinical Medicine; Erik Clasen-Linde, Department
of Pathology; Rikke Berthelsen, Department of Obstetrics.
Karina Meden Sørensen, Cathrine Hansen, Jonas Grauholm, David M. Hougaard and Lasse Boding,
Statens Serum Institut; Lise Bathum, Lisbeth Mortensen, Lene Gredal and Jesper Eugen-Olsen, Bio-
chemical Laboratory, Hvidovre Hospital; Anne E. Lykkesfeldt, Susan Thorpe, Birgit Reiter, Inger Hei-
berg, Marianne Barfoed and Nina Roswall, Danish Cancer Society; Vibeke Madsen, Radiometer; Sven
Erik Hansen, former consultant physician; Mogens Osler, former Head of Obstetrics.
T H E E X H I B I T I O N A N D C ATA L O G U E A R E S U P P O RT E D BY:
A R B E J D S M A R K E D E T S F E R I E F O N D A N D C A N D. P H A R M . P O V L M . A S S E N S F O N D
Arbejdsmarkedets Cand.pharm.
Feriefond Povl M. Assens Fond
118