To determine whether transplanted metanephroi grow, differentiate, and func
tion in hosts after preservation in vitro, we implanted metanephroi from em
bryonic day 15 (E15) Sprague-Dawley rat embryos into the omentum of nonimmu
nosuppressed uninephrectomized Sprague-Dawley (host) rats. Metanephroi were
either implanted directly or suspended in ice-cold University of Wisconsin
(UW) preservation solution with or without added growth factors for 3 days
before implantation. The size and extent of tissue differentiation preimpl
antation of E15 metanephroi implanted directly were not distinguishable fro
m the size and differentiation of metanephroi preserved for 3 days. In cont
rast, E16 metanephroi were larger than E15 metanephroi preserved for 3 days
. E16 metanephroi or E13 metanephroi grown in organ culture for 3 days cont
ained more differentiated nephron structures than those in E15 metanephroi
preserved for 3 days. By 4 wk posttransplantation, metanephroi that had bee
n preserved for 3 days had grown and differentiated such that glomeruli, pr
oximal and distal tubules, and collecting ducts with normal structure had d
eveloped. At 12 wk posttransplantation, inulin clearances of preserved meta
nephroi were comparable to those of metanephroi that had been implanted dir
ectly. Addition of growth factors to the UW solution enhanced inulin cleara
nces. Here we show for the first time that functional kidneys develop from
metanephroi transplanted from rat embryos to adult rats after as long as 3
days of preservation in vitro.