138
Medical Time Travel
dering about, molecules just vibrate in one place. Without 
freely moving molecules, all chemistry stops.
For living cells to survive this process, chemicals called cryo-
protectants must be added. Cryoprotectants, such as glycerol, 
are small molecules that freely penetrate inside cells and limit 
the percentage of water that converts into ice during cooling. 
This allows cells to survive freezing by remaining in isolated 
pockets of unfrozen solution between ice crystals. [14] Below 
the glass transition temperature, molecules inside these pock-
ets lock into place, and cells remain preserved inside the glassy 
water-cryoprotectant mixture between ice crystals.
This approach for preserving individual cells by freezing was 
first demonstrated half a century ago. [15] It is now used rou-
tinely for many different cell types, including human embryos. 
Preserving organized tissue by freezing has proven to be more 
difficult. While isolated cells can accommodate as much as 
80% of the water around them turning into ice, organs are 
much less forgiving because there is no room between cells for 
ice to grow. [16] Sudas cat brains survived freezing because 
the  relatively  warm  temperature  of  -20°C  allowed  modest 
quantities  of  glycerol  to  keep  ice  formation  between  cells 
within tolerable limits.
In 1984 cryobiologist Greg Fahy proposed a new approach 
to the problem of complex tissue preservation at low tempera-
ture. [17] Instead of freezing, Fahy proposed loading tissue 
with so much cryoprotectant that ice formation would be com-
pletely prevented at all temperatures. Below the glass transition 
temperature, entire organs would become a glassy solid (a solid 
with the molecular structure of a liquid), free of any damage 
from ice. This process was called vitrification. Preservation 
by vitrification, first demonstrated for embryos [18], has now 
been successfully applied to many different cell types and tis-
sues of increasing complexity. In 2000, reversible vitrification 
of transplantable blood vessels was demonstrated. [19]