Effective quality control of allograft skin that is cryopreserved for trans
plantation requires a simple, reproducible technique for the assessment of
cell viability. Tetrazolium reduction assays and an oxygen consumption tech
nique have been the two methods of choice to determine the metabolic functi
on of allograft skin after it has been thawed. In this study, we investigat
ed the use of a novel tetrazolium salt, WST-1 (4-[3-(4-iodophenyl)-2-(4-nit
rophenyl)-2H-5-tetrazolio]-1,3-benzene disulfonate), that is cleaved to a c
ater-soluble formazan product. Porcine split-thickness skin in minimal esse
ntial medium without cryoprotectant was subjected to a graded freezing prot
ocol to generate progressive amounts of cryoinjury Recovery as determined w
ith WST-1 was compared with measurements made with the use of the oxygen co
nsumption technique. The similarity of the resulting recovery curves indica
tes that WST-1 is a simple, effective, and convenient technique for the ass
essment of metabolic function in porcine split-thickness skin. The WST-1 as
say is applicable for the routine assessment of tissue viability in cryopre
served allograft skin.