Balancing the Cryopreservation Equation by Dr. Maria Thompson, BioCision VP of scientific affairs, [email protected]; Dr. Eric Kunkel, BioCision senior VP, research and development, [email protected]; and Dr. Rolf Ehrhardt, BioCision president and chief executive officer, [email protected] Abstract A great deal of time, money and energy has been spent on optimizing cryopreservation techniques. These efforts often concentrate on improving freezing rates, freezing and storage temperatures, storage vessels and freezing media. In terms of effectiveness in preserving cell viability and function during cryopreservation, extensive optimization of freezing alone is misguided if cell thawing is overlooked. The causes behind post-thaw cell death have as much to do with the mechanics of thawing as with freezing. Although it has been acknowledged since the 1970s that thawing rate affects cell viability, to date, little research has been carried out in this area, and there are few, if any, automated temperature control solutions for the thawing portion of any given cryopreservation protocol. In this article, we will discuss the thawing arm of cryopreservation and the need to strictly control temperature throughout the process. Optimizing Cell Survival The goal of any cryopreservation protocol is to preserve, as perfectly as possible, the structure and viability of living cells and tissue in a state of suspended animation. The rapid progress being made today in regenerative medicine and biomedical research means there is constant pressure for a reliable supply of donated The Mechanics of Cell Thawing To understand the factors at play during the freezing and thawing of cells, we must first review some of the basic physics involved in the process. blood, tissue, cells and other biospecimens. Cryopreservation therefore provides an important method of mitigating supply and demand, in addition to its role in protecting discrete cell populations from genetic drift and differentiation. While the ability to place cells and tissue in a temporary state of deep freeze is of enormous benefit to the medical and biotechnological industries, even state-of-the-art methods take for granted that there will be a certain amount of loss in viability and function due to structural damage incurred during freezing and thawing. So how does one go about improving post-thaw cell survival? Cells, and in particular stem cells, are at their most vulnerable when transitioning from an active metabolic state to a cryopreserved state and vice versa. This process causes both mechanical and chemical stress, which can kill cells outright, or trigger apoptosis once cells are thawed [1]. Ultimately, the most important factors impacting survival of a frozen and thawed cell are the cooling and thawing rates; these parameters will affect solute distribution and subsequently, ice crystal formation and growth [2]. In light of this, we need to ensure that both freezing and thawing protocols are optimized. “A quick review of the scientific literature shows that in contrast to the thousands of papers devoted to optimizing freezing techniques, there are surprisingly few on the biophysical aspects of thawing.” Cold Facts | December 2014 | Volume 30 Number 6 8 Initial cooling of a cell slows metabolic processes with little effect on cellular integrity. Once cooling proceeds below the freezing point of water, however, the formation of extracellular ice crystals effectively increases the local solute concentration around the cells. Water moves out of the cells by osmosis, beginning the process of dehydration and cell shrinkage. Organic solvents and other cryopreservatives are added to cryopreservation media to lower the freezing point and depress the formation of large ice crystals while the cell dehydrates. If the cooling rate is too rapid, intracellular ice crystals can form, damaging the cell before it can dehydrate. Ideally, the cooling rate should be slow enough to prevent intracellular ice formation, but fast enough to prevent serious dehydration affects. During cell thawing, the process of dehydration is reversed. As cells warm, any ice present within the extracellular space melts and the extracellular environment becomes hypotonic; water rushes into the cell, leading to cell swelling and/or bursting. Additionally, if the thawing rate is too slow or the temperature within the sample is uneven (as often happens with current thawing protocols), the influx of water into the cells can result in the growth and fusion of intracellular ice crystals. While the use of cryopreservatives has undoubtedly increased cell survival rates, more recent research on the nucleation of ice crystals has made it clear that one of the major causes of cell death is actually ice recrystallization during thawing rather than ice crystal formation during freezing [4]. And while many studies have identified the optimal cooling rate for preventing cryoinjury in various cell types [3], little is www.cryogenicsociety.org known about the optimal thawing rates for these same cell types. stored in freezers that are accessed repeatedly, during transport from one facility to another or during prolonged exposure to room temperature air, as when storage box racks are removed from the storage tank to access other samples. When cells are ready to be thawed for use, proper care must be taken to safeguard them from variations in temperature; an ideal protocol will thaw cells swiftly and at a controlled rate. A quick review of the scientific literature shows that in contrast to the thousands of papers devoted to optimizing freezing techniques, there are surprisingly few on the biophysical aspects of thawing. We do know that actively thawing cells at higher temperatures, and therefore faster thawing rates, results in higher post thaw cell viability, presumably by melting ice crystals faster than they can recrystallize [3, 4]. Faster thawing also helps protect cells from cytotoxic effects associated with high concentrations of many cryoprotective agents, including DMSO and glycerol [5, 6]. The number of freeze-thaw cycles, as well as the absolute temperature a cell is exposed to, will also affect whether a cell survives the cryopreservation process. Basically, the greater the number of times cells are partially thawed and then re-frozen, the greater the risk of ice recrystallization [8]. Even if cell membranes are not disrupted, repeated stress can trigger apoptotic pathways, decreasing the chances that cells will survive or retain their optimal function The Need for Standardization Figure 1: BioCision’s ThawSTAR is one of the first devices on the market specifically designed to standardize the cell thawing process by precisely controlling the rate of thawing. post-thaw. [1] Care must be taken to ensure that cryopreserved cells are not exposed to elevated temperatures during the freezing process or in transport to liquid nitrogen storage. Cells are most susceptible when The current accepted methodology for thawing cells is far from standardized; most often, cells are thawed manually in a 37°C water bath or by rolling vials between hands. The “end point” of cell thawing is subjective and relies on an individual researcher’s observation, with little regard to the optimal temperature and thaw rate for a given cell type. This can introduce significant variability into the results that are obtained. Additionally, thawing cells in a water bath carries a high level of risk for sample contamination. In a manufacturing or clinical setting, most good manufacturing practice protocols require that water Continued on page 11 Need A Technical Specialist For Your Adhesive Needs? ì Personal one-on-one assistance ì Custom formulations ì Latest technological developments ì Available in small to large volumes 154 Hobart Street, Hackensack, NJ 07601 USA +1.201.343.8983ì[email protected] www.masterbond.com Cold Facts | December 2014 | Volume 30 Number 6 9 www.cryogenicsociety.org The Cryopreservation Equation... Continued from page 9 baths be emptied and cleaned after every use, which is a time-consuming and costly procedure. Driven in part by the FDA’s oversight of cell therapy, there is now an emerging need to develop a standardized cell thawing device that circumvents the need for a water bath. of cryopreserved cord blood: the impact on graft quality, recipient safety, and transplantation outcomes.” Transfusion. Jun. 2014. 8. J. P. Erinjeri, T. W. Clark. “Cryoablation: Mechanism of Action and Devices. Journal of Vascular and Interventional Radiology.” 21(8): pages S187-S191. August 2010. Temperature Control Technology Having the right temperature control technology is the key to optimizing cryopreservation. Whereas modern technology offers several different solutions aimed at controlling and standardizing the cell freezing process (controlled-rate freezers and bench-top passive freezing devices, to name a few), there are few such solutions on the thawing side of the equation, a gap that needs to be addressed. Only now are we beginning to see automated thawing devices (see Figure 1 on page 9) enter the cryopreservation arena. With any luck, using devices of this type will soon become standard practice. Standardizing temperature control will no doubt have a vast positive impact on the biotherapeutic industry. Going forward, we hope to see increased awareness of the importance of optimizing the cell thawing process. Certainly the time has come to reap the benefits of balancing the cryopreservation equation. References 1. A. Bissoyi, B. Nayak, K. Pramanik, S. K. Sarangi. “Targeting cryopreservation-induced cell death: a review.” Biopreserv Biobank. 2014 Feb.;12(1): pages 23-34. doi: 10.1089/bio.2013.0032. PubMed PMID: 24620767. 2. P. Mazur, S. P. Leibo, J. Farrant, E. H. Y. Chu, M. G. Hanna, and L. H. Smith. “Interactions of cooling rate, warming rate, and protective additive on the survival of frozen mammalian cells.” Ciba Foundation Symposium on the Frozen Cell. 1970. 3. K. J. Chua, and S. K. Chou. “On the study of the freeze-thaw thermal process of a biological system.” Applied Thermal Engineering 29: pages 3,696-3,709. 2009. 4. R. C. Deller RC, M. Vatish, D. A. Mitchell, and M.I. Gibson. “Synthetic polymers enable non-vitreous cellular cryopreservation by reducing ice crystal growth during thawing.” Nature Communications 5:3244. Feb. 2014. 5. W. J. Armitage WJ and P. Mazur. “Toxic and osmotic effects of glycerol on human granulocytes.” American Journal of Physiology 247(5 pt 1): pages C382-389. 1984. 6. T. A. Grein, D. Freimark, C. Weber, K. Hudel, C. Wallrapp, P. Czermak. “Alternatives to dimethylsulfoxide for serum-free cryopreservation of human mesenchymal stem cells.” International Journal of Artificial Organs 33(6): pages 370-380. 2010. 7. S. Akel, D. Regan, D. Wall, L. Petz, and J. McCullough. “Current thawing and infusion practice Cold Facts | December 2014 | Volume 30 Number 6 11 www.cryogenicsociety.org
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