The problem
A donated kidney or liver would be more useful for planned transplantation if it could be stored and later recover its function. Can that be achieved for a human-sized whole organ with its blood-vessel network intact? Vitrification cools the organ into an ice-free, glass-like state. Cryoprotectants help prevent ice, but loading and removing these chemicals can injure cells. Cooling and rewarming must also avoid damaging temperature differences throughout the organ.[1] [2]
Scope
Cryogenic vitrification, storage and rewarming of a human-sized vascularized whole organ with demonstrated functional recovery, including assessment after transplantation. This is distinct from cold or supercooled storage, frozen cells or tissue pieces, and warming organ-sized volumes of protective liquid.
What remains open
Why it matters
An organ bank would let preservation and allocation happen on different schedules. A donated organ could be kept while a suitable recipient is identified and surgery prepared, rather than forcing every decision into a short storage window. That possibility depends on recovering organ function after the complete chemical, cooling and warming process. The rat transplant and liter-scale physical studies do not yet demonstrate this benefit for human recipients.[1] [2] [3]
Definitions
Sources
- Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model
Notes on Vitrification and nanowarming enable long-term organ cryopreservation and life-sustaining kidney transplantation in a rat model
Rat kidneys stored for up to 100 days regained life-sustaining function after nanowarming and transplantation. Recipients were followed for 30 days; the work identifies scaling and cryoprotectant injury as remaining concerns.
- Physical vitrification and nanowarming at liter-scale CPA volumes: toward organ cryopreservation
Notes on Physical vitrification and nanowarming at liter-scale CPA volumes: toward organ cryopreservation
Demonstrates physical vitrification and rewarming in liter-scale cryoprotectant volumes. Porcine livers were vitrified but not rewarmed; the paper explicitly distinguishes these physical milestones from biological recovery.
- Cryopreservation Strategies to Improve Access to Organ Transplantation
Notes on Cryopreservation Strategies to Improve Access to Organ Transplantation
Review describes coupled ice, protective-chemical and thermal-injury challenges and the potential for organ banking. First published online in July 2025; appears in the January 2026 issue.