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Cryopreservation of organs by vitrification: perspectives and recent advances
Abstract
The cryopreservation of organs became an active area of research in the 1950s as a result of the rediscovery of the cryoprotective properties of glycerol by Polge, Smith, and Parkes in 1949. Over the ensuing four decades of research in this area, the advantages of vitrification, or ice-free cryopreservation, have become apparent. To date, experimental attempts to apply vitrification methods to vascularized whole organs have been confined almost entirely to the rabbit kidney. Using techniques available as of 1997, it was possible to vitrify blood vessels and smaller systems with reasonable success, but not whole organs. Beginning in 1998, a series of novel advances involving the control of cryoprotectant toxicity, nucleation, crystal growth, and chilling injury began to provide the tools needed to achieve success. Based on these new findings, we were first able to show that an 8.4M solution (VMP) designed to prevent chilling injury at -22 degrees C was entirely non-toxic to rabbit kidneys when perfused at -3 degrees C and permitted perfusion-cooling to -22 degrees C with only mild additional damage. We next investigated the ability of the kidney to tolerate a 9.3M solution known as M22, which does not devitrify when warmed from below -150 degrees C at 1 degrees C/min. When M22 was added and removed at -22 degrees C, it was sometimes [corrected] fatal, but when it was perfused for 25min at -22 degrees C and washed out simultaneously with warming, postoperative renal function re…
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Inadequate tissue CPA concentration combined with suboptimal rewarming led to ice formation, particularly in the renal medulla, and failure in almost all transplants.
“Inadequate tissue CPA concentration, combined with suboptimal rewarming, led to ice formation, particularly in the renal medulla, and failure in almost all transplants21,31.”
From Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model (2023) · cites this paper as [21]
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Han, Z., Rao, J. S., Gangwar, L., Namsrai, B.-E., Pasek-Allen, J. L., Etheridge, M. L., Wolf, S. M., Pruett, T. L., Bischof, J. C., & Finger, E. B. (2023) · Nature Communications · doi:10.1038/s41467-023-38824-8 · Cited by 173
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Song, A., & Fahy, G. M. (2015) · Cryobiology · doi:10.1016/j.cryobiol.2015.09.003 · Cited by 42
Self-citationPhysical vitrification and nanowarming at liter-scale CPA volumes: toward organ cryopreservation
Gangwar, L., Han, Z., Scheithauer, C., Namsrai, B.-E., Kantesaria, S., Goldstein, R., Etheridge, M. L., Finger, E. B., & Bischof, J. C. (2025) · Nature Communications · doi:10.1038/s41467-025-63483-2 · Cited by 26
Metadata
- Authors
- Fahy, G. M., Wowk, B., Wu, J., Phan, J., Rasch, C., Chang, A., & Zendejas, E.
- Venue
- Cryobiology
- Publisher
- Elsevier BV
- Published
- 2004-04
- Volume
- 48
- Issue
- 2
- Pages
- 157-178
- ISSN
- 0011-2240
- Cited by
- 287
- References
- 0
- Language
- en
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