Mazur P, Kemp J A, Miller R H
Proc Natl Acad Sci U S A. 1976 Nov;73(11):4105-9. doi: 10.1073/pnas.73.11.4105.
Transplantation of pancreases may have clinical utility in the treatment of diabetes, for it has been shown that chemically induced diabetes in rats can be reversed by the transplantation of greater than or equal to four syngeneic fetal pancreases. Allogeneic transplants produce serious immunological problems, but the problems could be ameliorated if tissue-typed organs could be stored in the frozen state. Unfortunately, nearly all attempts to freeze organs have failed. Nevertheless, recent developments in the physical-chemical analysis of freezing injury and its successful application to the freezing of mammalian embryos encouraged us to attempt the freezing of 16 1/2- to 17 1/2-day intact fetal pancreases. The analysis indicated that to achieve success pancreases would have to be cooled less than 1 degree/min and diluted extremely slowly after thawing. Experiments with embryos and red cells indicated that high survivals might require high concentrations of protective solutes and slow warming. These predictions were accurate. After freezing to -78 or -196 degrees and thawing under optimal conditions, the fetal pancreases synthesized 80-100% as much protein as unfrozen controls and they yielded viable allografts. Optimal conditions included suspension in 2 M dimethylsulfoxide, freezing at 0.3 degrees/min, and slow dilution to preclude osmotic shock.
胰腺移植在糖尿病治疗中可能具有临床应用价值,因为已经表明,给大鼠化学诱导糖尿病后,移植大于或等于4个同基因胎儿胰腺可使其逆转。异体移植会产生严重的免疫问题,但如果能将组织配型的器官冷冻保存,这些问题可能会得到改善。不幸的是,几乎所有冷冻器官的尝试都失败了。然而,近期在冷冻损伤物理化学分析方面的进展及其在哺乳动物胚胎冷冻中的成功应用,促使我们尝试冷冻16.5至17.5天大的完整胎儿胰腺。分析表明,要取得成功,胰腺必须以低于每分钟1度的速度冷却,解冻后极其缓慢地稀释。对胚胎和红细胞的实验表明,高存活率可能需要高浓度的保护溶质和缓慢复温。这些预测是准确的。在冷冻至-78或-196度并在最佳条件下解冻后,胎儿胰腺合成的蛋白质与未冷冻对照相比可达80%至100%,并且产生了存活的异体移植物。最佳条件包括悬浮于2M二甲基亚砜中,以每分钟0.3度的速度冷冻,并缓慢稀释以防止渗透休克。