Cold-hearted

From: Rafal Smigrodzki (rafal@smigrodzki.org)
Date: Wed Aug 06 2003 - 17:25:53 MDT

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    I thought this might of interest to some list members:

    Eur J Cardiothorac Surg. 2003 Aug;24(2):292-7. Related Articles, Links

    Preservation of myocyte structure and mitochondrial integrity in subzero
    cryopreservation of mammalian hearts for transplantation using antifreeze
    proteins-an electron microscopy study.

    Amir G, Rubinsky B, Kassif Y, Horowitz L, Smolinsky AK, Lavee J.

    Department of Cardiac Surgery, Heart Transplantation Unit, Sheba Medical
    Center, Tel Hashomer, 52621, Ramat Gan, Israel

    OBJECTIVE: Freeze tolerant fish and insects in nature are able to survive
    subzero temperatures by noncolligatively lowering the freezing temperature
    of their body fluids using a family of thermal hysteresis proteins
    (antifreeze proteins, AFPs) specific for each species. Past efforts to
    cryopreserve mammalian hearts using these proteins were unsuccessful. We
    report the first successful subzero cryopreservation of rat hearts using
    fish derived antifreeze proteins with preservation of myocyte structure.
    METHODS: Heterotopic heart transplantations were performed in isoimmunic
    Sprague Dawley rats. Donors' hearts were arrested using University of
    Wisconsin (UW) solution and preserved in UW solution containing AFP I (six
    experiments) or AFP III (six experiments) at concentrations of 15-20 mg/cc
    for 2-6 h at subzero temperatures ranging from -1.1 to -1.3 degrees C. Four
    control experiments were performed by preserving harvested hearts in UW
    solution alone at -1.3 degrees C for 6 h. In all experiments ice was added
    in the solution for crystallization. Heterotopic transplantations were
    performed in the abdomen of the recipient rats. Viability was visually
    assessed and graded on a scale of 1 (poor contraction) to 6 (excellent
    contraction). The hearts were then fixed in vivo and processed for electron
    microscopy study. RESULTS: All hearts preserved at subzero temperatures
    using AFP I or AFP III survived displaying viability scores of 4-6 1 h after
    transplantation. Three of the four control hearts that were preserved
    at -1.3 degrees C without the protective effect of AFP froze and died upon
    reperfusion. Electron microscopy study of hearts preserved with AFP
    demonstrated preservation of myocyte structure and mitochondrial
    integrity.CONCLUSION: Subzero cryopreservation of mammalian hearts for
    transplantation using AFP I or AFP III is feasible with preservation of
    myocyte structure and mitochondrial integrity.

    ### I wonder how low can one go with the temperature, as you increase the
    concentration of the AFP. 15 mg/cc is pretty low as soluble protein
    concentrations go.

    Rafal



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