I n the past several years, we have examined intracellular events that occur in sinusoidal endothelial cells (SEC) when they are placed in the cold. 1-4 SEC are the main targets of cold preservation injury, 5,6 and understanding the mechanisms by which they are injured might provide an avenue to development of improved preservation solutions. Our studies show that cold causes actin disassembly 2 and that this is associated with rounding of the cells 2 and release of matrix metalloproteases (MMPs) into the supernatants of SEC cell cultures. 1,3 Actin disassembly and MMP secretion lead to activation of the cell surface, as shown by increased expression of von Willebrand factor and increased adhesiveness for platelets. 4 Platelet adhesion is one of the key events that leads to allograft injury on reperfusion. 7,8 To date, the cause of cold-induced actin disassembly is unclear, but there are suggestions that abnormalities of calpain and calcium metabolism are important. There is a sharp rise in intracellular calcium when SECs are placed in the cold in the presence of extracellular calcium. 9 Calpain is a calcium-dependent intracellular protease the activity of which is increased in whole rat livers preserved in the cold 10 and in human allografts that show poor function after reperfusion. 11 Calpain activity has been shown to be associated with remodeling of actin. 12-14 Therefore, we hypothesized that exposure of SEC to cold results in the following sequence: elevated intracellular calcium concentration, increased calpain activity, and actin disassembly.