Skip to main content
Log in

A Cryoinjury Model Using Engineered Tissue Equivalents for Cryosurgical Applications

  • Published:
Annals of Biomedical Engineering Aims and scope Submit manuscript

Abstract

Cryosurgery is emerging as a promising treatment modality for various cancers, but there are still challenges to be addressed to improve its efficacy. Two primary challenges are determining thermal injury thresholds for various types of cell/tissue, and understanding of the mechanisms of freezing induced cell/tissue injury within a cryolesion. To address these challenges, various model systems ranging from cell suspensions to three-dimensional in vivo tissues have been developed and used. However, these models are either oversimplifications of in vivo tissues or difficult to control and extract precise experimental conditions from. Therefore, a more readily controllable model system with tissue-like characteristics is needed. In this study, a cryoinjury model was developed using tissue engineering technology, and the capabilities of the model were demonstrated. Engineered tissue equivalents (TEs) were constructed by seeding and culturing cells in a type I collagen matrix. Two different cell lines were used in this study, AT-1 rat prostate tumor cells and LNCaP human prostate cancer cells. The constructed TEs underwent a freeze/thaw cycle imitating in vivo cryosurgery. Thermal conditions within TEs during freeze/thaw cycles were characterized, and the responses of TEs to these thermal conditions including freezing induced cellular injury and extracellular matrix damage were investigated at three different time points. The results illustrate the feasibility to establish thermal thresholds of cryoinjury for different cell/tissue types using the presently developed model, and its potential capabilities to study cell death mechanisms, cell proliferation or migration, and extracellular matrix structural damage after a freeze/thaw cycle.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ablin, R. J. An appreciation and realization of the concept of cryoimmunology. In: Percutaneous Prostate Cryoablation, edited by G. Onik, B. Rubinsky, and G. Watson. St. Louise: Quality Medical Publishing, 1995.

    Google Scholar 

  2. Alexiades, V., and A. D. Solomon. Mathematical Modeling of Melting and Freezing Processes. Washington, DC: Hemisphere Publishing, 1993.

    Google Scholar 

  3. Bischof, J. C., K. Christov, and B. Rubinsky. A morphological study of cooling rate response in normal and neoplastic human liver tissue: Cryosurgical implications. Cryobiology 30:482–492, 1993.

    Article  PubMed  Google Scholar 

  4. Bischof, J. C., and B. Han. Cryogenic heat and mass transfer in biomedical applications. In: Proceedings of the 12th International Heat and Mass Transfer Conference, edited by J. Taine. Grenobile, Taylor & Francis, 2002, pp. 141–156.

  5. Bischof, J. C., D. J. Smith, P. V. Pazhayannur, C. Manivel, J. C. Hulbert, and K. P. Roberts. Cryosurgery of Dunning AT-1 rat prostate tumor: Thermal, biophysical and viability response at the cellular and tissue level. Cryobiology 34:42–69, 1997.

    Article  PubMed  Google Scholar 

  6. Chao, B. H., and J. C. Bischof. Pre-existing inflammation induced by TNF-alpha augments cryosurgery on human prostate cancer. ASME Heat Transfer Division HTD Publication, 374:407–416; 2003.

    Google Scholar 

  7. Clarke, D. M., W. R. Hollister, J. G. Baust, and R. G. Van Buskirk. Cryosurgical modeling: Sequence of freezing and cytotoxic agent application affects cell death. Mol. Urol. 3:25–31, 1999.

    PubMed  Google Scholar 

  8. Gage, A. A., and J. Baust. Review: Mechanisms of tissue injury in cryosurgery. Cryobiology 37:171–186, 1998.

    Article  PubMed  Google Scholar 

  9. Grassl, E. D., and J. C. Bischof. In vitro model systems for evaluation for cryotherapy to treat restenosis. Cryobiology, 50:162–173, 2005.

    Article  PubMed  Google Scholar 

  10. Han, B., and J. C. Bischof. Enhancement of cell and tissue destruction in cryosurgery by use of eutectic freezing. Proc. SPIE Conf. 4954:106–113, 2003.

    Article  Google Scholar 

  11. Han, B., and J. C. Bischof. Direct cell injury associated with eutectic crystallization during freezing. Cryobiology 48:8–21, 2004.

    Article  PubMed  Google Scholar 

  12. Hoffmann, N. E., and J. C. Bischof. Cryosurgery of normal and tumor tissue in the dorsal skin flap chamber I—Thermal response. J. Biomech. Eng. 123:301–309, 2001.

    Article  PubMed  Google Scholar 

  13. Hoffmann, N. E., and J. C. Bischof. Cryosurgery of normal and tumor tissue in the dorsal skin flap chamber II—Injury response. J. Biomech. Eng.. 123:310–316, 2001.

    Article  PubMed  Google Scholar 

  14. Hoffmann, N. E., and J. C. Bischof. The cryobiology of cryosurgical injury. Urology 60:40–49, 2002.

    Article  PubMed  Google Scholar 

  15. Hoffmann, N. E., J. E. Coad, C. S. Huot, D. J. Swanlund, and J. C. Bischof. Investigation of the mechanism and the effect of cryoimmunology in the Copenhagen rat. Cryobiology 42:59–68, 2001.

    Article  PubMed  Google Scholar 

  16. Koushafar, H., L. Pham, C. Lee, and B. Rubinsky. Chemical adjuvant cryosurgery with antifreeze proteins. J. Surg. Oncol. 66:114–121, 1997.

    Article  PubMed  Google Scholar 

  17. Lovelock, J. E. The haemolysis of human red blood-cells by freezing and thawing. Biochim. Biophys. Acta 10:414–426, 1953.

    Article  PubMed  Google Scholar 

  18. Mazur, P. Cryobiology: The freezing of biological systems. Science 168:939–949, 1970.

    PubMed  Google Scholar 

  19. Mazur, P., and N. Rigopoulos. Contributions of unfrozen fraction and of salt concentration to the survival of slowly frozen human erythrocytes: Influence of warming rate. Cryobiology 20:274–289, 1983.

    Article  PubMed  Google Scholar 

  20. Mir, L. M., and B. Rubinsky. Treatment of cancer with cryochemotherapy. Br. J. Cancer 86:1658–1660, 2002.

    Article  PubMed  Google Scholar 

  21. Moffat, R. J. Temperature and heat transfer measurements. In: The CRC Handbook of Thermal Engineering, edited by F. Kreith. Boca Raton: CRC Press, 2000, pp. 4568–4591.

    Google Scholar 

  22. Ozisik, M. N. Heat Conduction. New York: Wiley, 1993.

    Google Scholar 

  23. Pegg, D. E., and M. P. Diaper. The unfrozen fraction hypothesis of freezing injury to human erythrocytes: A critical examination of the evidence. Cryobiology 26:30–43, 1989.

    Article  PubMed  Google Scholar 

  24. Rabin, Y., T. B. Julian, P. Olson, M. J. Taylor, and N. Wolmark. Long-term follow-up post-cryosurgery in a sheep breast model. Cryobiology 39:29–46, 1999.

    Article  PubMed  Google Scholar 

  25. Roberts, K. P., D. J. Smith, H. Ozturk, A. Kazem, P. V. Pazhayannur, J. Hulbert, and J. C. Bischof. Biochemical alterations and tissue viability in AT-1 prostate tumor tissue after in vitro cryodestruction. Cryo-Letters 18:241–250, 1997.

    Google Scholar 

  26. Rubinsky, B. Cryosurgery. Annu. Rev. Biomed. Eng. 2:157–187, 2000.

    Article  PubMed  Google Scholar 

  27. Smith, D. J., W. M. Fahssi, D. J. Swanlund, and J. C. Bischof. A parametric study of freezing injury in AT-1 rat prostate tumor cells. Cryobiology 39:13–28, 1999.

    PubMed  Google Scholar 

  28. Tatsutani, K. N., B. Rubinsky, G. Onik, and R. Dahiya. The effect of thermal variables on frozen human prostatic adenocarcinoma cells. Urology 48:441–447, 1996.

    PubMed  Google Scholar 

  29. Toner, M., E. G. Cravalho, and M. Karel. Cellular response of mouse oocytes to freezing stress: Prediction of intracellular ice formation. J. Biomech. Eng. 115:169–174, 1993.

    PubMed  Google Scholar 

  30. Yang, W.-H., H.-H. Peng, H.-C. Chang, S.-Y. Shen, C.-L. Wu, and C.-H. Chang. An in vitro monitoring system for simulated thermal process in cryosurgery. Cryobiology 40:159–170, 2000.

    PubMed  Google Scholar 

  31. Zacarian, S. A. The observation of freeze thaw cycles upon cancer-cell suspensions. J. Dermatol. Surg. Oncol. 3:173–174, 1997.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John C. Bischof.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Han, B., Grassl, E.D., Barocas, V.H. et al. A Cryoinjury Model Using Engineered Tissue Equivalents for Cryosurgical Applications. Ann Biomed Eng 33, 972–982 (2005). https://doi.org/10.1007/s10439-005-3478-z

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10439-005-3478-z

Keywords

Navigation