X-Message-Number: 3898 Date: 23 Feb 95 20:50:34 EST From: Mike Darwin <> Subject: SCI.CRYONICS -79xC and glycerol Molarity Mike Price asks about glycerol molarity currently in use with human cryopreservation patients. This varies from group to group: my understanding is that Alcor is using about 7+M glycerol. BPI has used that range (between 7-8) at BPI in the past. CI seem to be getting terminal concentrations in the 5-6M range in the brain based on their sheep work Several caveats apply: not all patients will reach target glycerol concentrations due to case conditions beyond the organization's control such as ischemic time, cause of death, etc.. Generally the higher the molarity of glycerol used the more stable at dry ice temperature the cells are. For instance red cells, which while not nucleated, still have metabolic machinery which must function if they are to be transfusable, can tolerate extended storage at -79xC. In fact, if the freezer fails and they warm up to say -20xC all you do is cool them down again. The difference here is that such high concentrations of glycerol make recrystalization irrelevant whereas in systems treated with low concentrations of CPA (5-15%; i.e., less tham 1M) and cooled at the usual 1xC/min. this is a significant cause of injury at -79xC. Sperm stored at -79xC rapidly lose motility when treated with low concentrations of agent, however if treated with higher concentrations they behave much like red cells in my experience. CPA concentration (and thus the degree of colligative cryoprotection) is critical to the stability of the system at higher temperatures. Having said all this, clearly, the sooner a patient is cooled to storage temperature, the better. However, keep in mind that a human masses more than a hamster by a lot and simply cooling to -79xC will take a day or nearly so even for neuro patients. Whole body patients can take 36-48 hours or longer depending upon their weight and the amount of fat (which serves as an excellent insulator). Function is often rapidly lost at high subzero temperatures for relatively "simple" reasons such as ion leakage (which continues to occur when the system is in the liquid state, as it is at -79xC; at least where the cells are concerned) and from membrane changes such as the lamellar to hex II phase transition which will occur with increasing probability in the presence of high CPA concentrations and/or low temperatures above the solidification point for the membrane/aqueous system of water-cryoprotectant. These membrane changes cause the membrane to lose its normally "fluid" lamellar (sheet-like) form and develop a tubular or crystal-like structure, essentially creating a hole or pore in the cell which results in ion leakage and/or inability to pump ions. Ion sensitive cells like cardiac muscle would be expecially vulnerable to this. Of course, there is also the issue of cryoprotectant toxicity which is also temperature dependent. Red cells are not nucleated mammalian cells and it should be noted that we (BPI, Alcor, and CI) are currently perfusing (to the best of my knowledge) patients to terminal concentrations of glycerol which result in loss of cell viability or organ function *during the course of perfusion*. For instance, to my knowledge, David Pegg holds the record for glycerolizing and deglycerolizing kidneys and he found 3M glycerol to be the maximum tolerated in the system he used. BPI is just now completing some ultrastructural studies of storage for one year at -80xC and we should be able to soon add some information on structural stability and preservationn vs functional preservation at these temperatures the latter of which, given most current cryonics protocols, is lost during perfusion in any event. One thing we are certain of: cracking does not occur at all in 7M+ glycerolized dogs cooled to -90xC even if the animals are mechanicall stressed across two rigid supports by loading with over 20 kilos of dry ice at -90xC and, perhaps more interestingly, even if they are plunged from -90xC to into a fluid bath with a temperature of 0xC! In fact, we see excellent reperfusion of virtually every organ system (including the skin) with carbon particle loaded fixative. We use carbon particles as opposed to dye because dye diffuses and carbon does not: it stays where it goes. Thus the only areas we see turn black are areas that are perfused at the *capillary* level. This is further verified by looking at the carbon black particles in the capillaries with both light and electron microscopy. Reperfusion failure occurs where glycerol has been diluted by stomach contents, bladder contents or left ventricle contents (which have low CPA concentrations). The brain turns charcoal black/gray as do all the other tissues. This is true even after 1 year of storage at -80 to -90xC. Suda stored at -20xC and could get crummy EEGs back after 7 years. He also did carbon reperfusion of brains using a variety of techniques and his results were similar to ours: high concentrations of glycerol preserved capillary integrity whereas PVP and DMSO in low concentrations did not. In fact, I have a very lovely slide from Dr.Suda showing consecutive frames from a motion picture camera of carbon reperfusion using the three methods outlined above. The cat brains that demonstrated EEG activity perfused uniformly (tuned completely black); the others did not. Further, brains treated with 15% (v/v) glycerol and cooled to -79xC also failed to reperfuse well with carbon (a finding we have verified) and also showed no EEGs althought they did demonstrate some unit activity (i.e., unorganized cellular electrical activity). Some people in the cryonics community (I believe Segall, in fact) have stated that they do "not believe Suda's results, at least with regard to EEGs peerhaps implying his work was fraudulent or poorly done. I have see extensive documentation of Suda's work (which went far beyond what he published) and I for one am convinced that his work was real and his results meaningful. I have sent copies of pictures of our carbon reperfusion work to Bob Ettinger. We should have EMs from these animals in a few weeks, as well as EMs from some of our vitrification studies. Unfortunately, these results will have to await formal write-up for publication so there is no misunderstanding about what conditions they were obtained under and what they mean. Mike Darwin Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=3898