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Physical and biological aspects of renal vitrification
Abstract
Cryopreservation would potentially very much facilitate the inventory control and distribution of laboratory-produced organs and tissues. Although simple freezing methods are effective for many simple tissues, bioartificial organs and complex tissue constructs may be unacceptably altered by ice formation and dissolution. Vitrification, in which the liquids in a living system are converted into the glassy state at low temperatures, provides a potential alternative to freezing that can in principle avoid ice formation altogether. The present report provides a brief overview of the problem of renal vitrification. We report here the detailed case history of a rabbit kidney that survived vitrification and subsequent transplantation, a case that demonstrates both the fundamental feasibility of complex system vitrification and the obstacles that must still be overcome, of which the chief one in the case of the kidney is adequate distribution of cryoprotectant to the renal medulla. Medullary equilibration can be monitored by monitoring urine concentrations of cryoprotectant, and urine flow rate correlates with vitrification solution viscosity and the speed of equilibration. By taking these factors into account and by using higher perfusion pressures as per the case of the kidney that survived vitrification, it is becoming possible to design protocols for equilibrating kidneys that protect against both devitrification and excessive cryoprotectant toxicity.
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Fahy et al.'s transplant sustained the life of the recipient but with significantly impaired renal function and the need for repeated blood transfusion.
“While their transplant did sustain the life of the recipient, it did so with significantly impaired renal function and the need for repeated blood transfusion.”
From Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model (2023) · cites this paper as [31]
During CPA perfusion loading of organs, successfully perfused tissues may only equilibrate to ~92-94% concentration of full-strength CPA.
“during CPA perfusion loading of organs, successfully perfused tissues may only equilibrate to ~92-94% concentration of full-strength CPA15,34”
From Physical vitrification and nanowarming at liter-scale CPA volumes: toward organ cryopreservation (2025) · cites this paper as [34]
Fahy et al.'s transplant recipient had a nadir creatinine of ~4 mg/dL and a terminal creatinine of ~6 mg/dL.
“Further, their transplant recipient had a nadir creatinine of ~4 mg/dL and a terminal creatinine of ~6 mg/dL”
From Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model (2023) · cites this paper as [31]
Fahy et al.'s single surviving rabbit kidney transplant was vitrified for only 8 min prior to rewarming.
“Additionally, their single surviving rabbit kidney transplant was vitrified for only 8 min prior to rewarming”
From Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model (2023) · cites this paper as [31]
Fahy and colleagues reported a single successful rabbit kidney transplant.
“and reported a single successful rabbit kidney transplant31”
From Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model (2023) · cites this paper as [31]
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 [31]
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Cited by
Sorted by citations
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
Messner, F., Guo, Y., Etra, J. W., & Brandacher, G. (2019) · Transplant International · doi:10.1111/tri.13432 · Cited by 29
Physical 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., Pagotan, R., Chang, A., Phan, J., Thomson, B., & Phan, L.
- Venue
- Organogenesis
- Publisher
- Informa UK Limited
- Published
- 2009-07
- Volume
- 5
- Issue
- 3
- Pages
- 167-175
- ISSN
- 1547-6278
- 1555-8592
- Cited by
- 168
- References
- 0
- Language
- en
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