Evidence map›Paper›PMID 35288694›Full record

ArticleNature medicine2022

Pancreatic islet cryopreservation by vitrification achieves high viability, function, recovery and clinical scalability for transplantation.

Li Zhan, Joseph Sushil Rao, Nikhil Sethia, Michael Q Slama, Zonghu Han, Diane Tobolt, Michael Etheridge, Quinn P Peterson, Cari S Dutcher, John C Bischof and 1 more

Abstract read
In one paragraph

Article in Nature medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Reconstitution of thymopoiesis via implantation of cryopreserved cultured thymus tissue into athymic recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  6. Cryopreservation of biological materials: applications and economic perspectives.In vitro cellular & developmental biology. Animal · 2026
    Review
  7. Advanced Rewarming Technologies for Cryopreservation.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Stem cell therapies for diabetes.Nature medicine · 2025
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Islet Cell Replacement and Regeneration for Type 1 Diabetes: Current Developments and Future Prospects.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Li Zhan *Department of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.
Joseph Sushil Rao *Department of Surgery, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0002-0197-6107
Nikhil SethiaDepartment of Chemical Engineering and Materials Science, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0002-5499-9425
Michael Q SlamaDepartment of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-0808-3547
Zonghu HanDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.
Diane ToboltDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA.
Michael EtheridgeDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.
Quinn P PetersonDepartment of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, USA.
Cari S DutcherDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.
John C BischofDepartment of Mechanical Engineering, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-6726-7111
Erik B FingerDepartment of Surgery, University of Minnesota, Minneapolis, MN, USA. efinger@umn.edu.ORCID http://orcid.org/0000-0003-3899-6985

Funding

Organ banking for transplant—kidney cryopreservation by vitrification and novel nanowarming technologyR01DK117425 · NIDDK · UNIVERSITY OF MINNESOTA · PI JOHN C BISCHOF, Erik Brian Finger · 2018 to 2026
$4.9M
Breakthrough Tissue and Organ Preservation and Transplantation Using Scaled-Up Nanowarming TechnologyR01HL135046 · NHLBI · UNIVERSITY OF MINNESOTA · PI BISCHOF, JOHN C, FINGER, ERIK BRIAN · 2017 to 2020
$2.6M
Engineering optimization and scaling enables high quality pancreatic islet cryopreservation for banking and transplantR01DK131209 · NIDDK · UNIVERSITY OF MINNESOTA · PI BISCHOF, JOHN C, FINGER, ERIK BRIAN · 2021 to 2024
$2.3M
NHLBI NIH HHS R01 HL135046NIDDK NIH HHS R01 DK117425NIDDK NIH HHS R01 DK131209
6 · The paper itself

Abstract

Pancreatic islet transplantation can cure diabetes but requires accessible, high-quality islets in sufficient quantities. Cryopreservation could solve islet supply chain challenges by enabling quality-controlled banking and pooling of donor islets. Unfortunately, cryopreservation has not succeeded in this objective, as it must simultaneously provide high recovery, viability, function and scalability. Here, we achieve this goal in mouse, porcine, human and human stem cell (SC)-derived beta cell (SC-beta) islets by comprehensive optimization of cryoprotectant agent (CPA) composition, CPA loading and unloading conditions and methods for vitrification and rewarming (VR). Post-VR islet viability, relative to control, was 90.5% for mouse, 92.1% for SC-beta, 87.2% for porcine and 87.4% for human islets, and it remained unchanged for at least 9 months of cryogenic storage. VR islets had normal macroscopic, microscopic, and ultrastructural morphology. Mitochondrial membrane potential and adenosine triphosphate (ATP) levels were slightly reduced, but all other measures of cellular respiration, including oxygen consumption rate (OCR) to produce ATP, were unchanged. VR islets had normal glucose-stimulated insulin secretion (GSIS) function in vitro and in vivo. Porcine and SC-beta islets made insulin in xenotransplant models, and mouse islets tested in a marginal mass syngeneic transplant model cured diabetes in 92% of recipients within 24-48 h after transplant. Excellent glycemic control was seen for 150 days. Finally, our approach processed 2,500 islets with >95% islets recovery at >89% post-thaw viability and can readily be scaled up for higher throughput. These results suggest that cryopreservation can now be used to supply needed islets for improved transplantation outcomes that cure diabetes.

Indexed as

Diabetes MellitusIslets of LangerhansIslets of Langerhans TransplantationAdenosine TriphosphateAnimalsCryopreservationCryoprotective AgentsInsulinMiceSwineVitrificationAdenosine TriphosphateCryoprotective AgentsInsulin

Identifiers

PMID35288694
PMCPMC9018423

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.