Diabetes, Vol 46, Issue 3 519-523, Copyright © 1997 by American Diabetes Association
Trehalose: a cryoprotectant that enhances recovery and preserves function of human pancreatic islets after long-term storage
GM Beattie, JH Crowe, AD Lopez, V Cirulli, C Ricordi and A Hayek
Whittier Institute, Department of Pediatrics, University of California at San Diego School of Medicine, La Jolla 92037, USA.
The scarcity of available tissue for transplantation in diabetes and the
need for multiple donors make it mandatory to use an optimal
cryopreservation method that allows maximal recovery and preservation of
beta-cell function. We have developed a method to cryopreserve islets with
excellent survival of endocrine cells. Current methods use DMSO as
cryoprotectant. Our method involves introducing both DMSO and the
disaccharide trehalose into the cells during cooling. Uptake and release of
trehalose occurred during the thermotropic lipid-phase transition measured
in pancreatic endocrine cells between 5 degrees and 9 degrees C, using
[14C]trehalose. Recovery of adult islets after cryopreservation with 300
mmol/l trehalose was 92 vs. 58% using DMSO alone. In vitro function, in
terms of insulin content and release in response to secretagogues, was
indistinguishable from fresh islets. Grafts from islets cryopreserved with
trehalose contained 14-fold more insulin than grafts from islets
cryopreserved without trehalose. Results with human fetal islet-like cell
clusters (ICCs) were more pronounced: recovery from cryopreservation was
94%, compared with 42% without trehalose. Complete functionality of fetal
cells was also restored; tritiated thymidine incorporation and insulin
content and release were similar to fresh tissue. After transplantation in
nude mice, there was a 15-fold increase in insulin content of grafts from
ICCs cryopreserved with trehalose compared with ICCs cryopreserved without
trehalose. Thus, the addition of trehalose to cryopreservation protocols
leads to previously unobtainable survival rates of human pancreatic
endocrine tissue.