Cold preservation induces the secretion of matrix metalloproteinases (MMPs) by hepatic sinusoidal endothelial cells (SECs). These enzymes are important mediators of cold preservation injury. The purpose of this study was to determine if low temperature caused actin disassembly in SECs and whether actin disassembly was required for secretion of MMPs under these conditions. To establish the basis of interpreting the effect of low temperature, isolated SECs were exposed to cytochalasin B with or without pretreatment with phalloidin. Cytochalasin B produced actin disassembly and resulted in the secretion of MMPs. Both were retarded by phalloidin pretreatment. Low temperature (4ЊC) also induced actin disassembly and MMP secretion and pretreatment with phalloidin again retarded actin disassembly and MMP secretion. Cycloheximide had no effect on these results. Actin disassembly began with 30 minutes of exposure of isolated SECs to cold and reached a final state at 8 hours, at which time no actin stress fibers were visible, and the normally fusiform SECs were fully rounded. Increased MMP activity in the supernatant was also present at 30 minutes and continued to rise sharply in the first hour; thereafter the rate of rise diminished. The study shows that secretion of MMPs during cold preservation is dependent on the induction of actin disassembly by low temperature. The rapid appearance of increased MMP activity after exposure to cold and the studies using cycloheximide indicate that the MMPs originate from preformed MMPs rather than newly synthesized MMPs. (HEPA-TOLOGY 1999;30:169-176.)Preservation injury leads to hepatic failure and the loss of about 8% of transplanted livers in the United States. [1][2][3] Preservation injury also restricts strategies to increase the use of donor organs, for instance, by splitting 1 liver for use in 2 adults. Livers are damaged during low temperature (4°C) preservation by a well-documented injury to the hepatic sinusoidal endothelial cells, 4,5 while hepatocytes are relatively spared. 4 During cold preservation, SECs partially detach from the connective tissue matrix of the sinusoidal wall and become rounded in shape, apparently connected to the matrix only by isolated cords of cytoplasm. 4,6 After preservation, at the moment of reperfusion, recipient leukocytes, platelets, and clotting factors come into contact with the exposed donor connective tissue matrix and hepatocytes, as well as the altered sinusoidal endothelial cells (SECs), in the hepatic sinusoid. This leads to adherence and activation of the platelets 7 and leukocytes 8,9 as well as thrombosis 10 with resultant damage to the allograft. The degree to which these events occur on reperfusion is directly related to the duration of cold preservation in every model.Recently, we offered an explanation for the detachment and rounding of SECs based on pathological activity of matrix metalloproteinases (MMPs). 11 We found that MMPs are present in liver effluents after cold preservation in both man and in the rat and that their acti...