An illustration of the outline of the state of Iowa with a heart in the spot where Iowa City is.

Welcome and thank you for your interest in supporting the research efforts of our collaborators!

Brain donation is an extraordinary gift that allows researchers to better understand the ways in which diseases develop and confirm important findings discovered in other model systems.

As long as you are an active patient of a doctor at the University of Iowa Health Care (UIHC), we can accept your brain donation free of charge.

  • The consent process involves a brief discussion with our compassionate, trained Decedent Care Specialists, followed by signing of the consent form. The last thing you need to do is let your loved ones know your wishes for donation.
  • To start the consent process, you can contact the Decedent Care Center at 319-467-7000 during business hours. If you have any questions about donations, please email Dr. Kimberly Fiock (kimberly-fiock@uiowa.edu) or call 319-335-8427.
  • If a donor has died, please contact 319-467-7000 as soon as possible. After hours, you can contact the hospital operator 319-356-1616 and ask them to page the hospital mortician on-call (24/7).

Frequently Asked Questions

Why Should You Donate Your Brain?

Neurological diseases take a huge toll on the quality of life for patients, families, caregivers, and the community at large.

Diagnostics

Most neurodegenerative diseases (such as Alzheimer’s disease or Parkinson’s disease) can only be diagnosed with certainty by examining the brain after death (post-mortem). Even in diseases that can be confirmed by genetic testing, examination of brain tissue can reveal additional, comorbid diseases or unexpected effects of a known disease.

Research and Education

While animal and cell culture model systems provide a great starting point for testing hypotheses, there is nothing better to confirm findings than human brain tissue, especially for diseases that are unique to humans. Additionally, donated tissue can be used to educate students of all levels to spark an interest in pursuing a career in scientific research, as well as encourage community members to consider brain donation.

Therapeutic and Technology Development

The limited supply of donated tissue is a huge barrier to progress in understanding these diseases and can prevent researchers from translating their work into effective therapeutics. One legacy of brain donation can provide tissue for hundreds of independent research studies as the ultimate gift for future generations and a living impact.

Donor FAQs

Anyone over the age of 18 may donate. For persons under 18, a legal guardian must provide consent and make arrangements.

No. To ensure results seen in individuals with a disease are real, researchers use tissue from non-diseased individuals for comparison. We call these controls, which are vital to our ability to draw accurate and significant conclusions from our work.

Yes. A brain donation does not necessarily make a patient ineligible for whole-body donation. Individuals interested in both brain and whole-body donation should contact the Deeded Body Program prior to registration.

Contact:
Brian Chapman
Department of Anatomy and Cell Biology
51 Newton Road
100 Bowen Science Building
Iowa City, Iowa 52242
Phone: 1-319-335-7762
Email: brian-chapman@uiowa.edu

No. The autopsy is usually conducted within 1-2 days of death and does not limit or affect funeral options in any way. This is to ensure there is no delay or interference with the family's plans for a funeral, cremation, or burial. Brain donation also does not prevent arrangements for an open casket funeral.

Brain donations are ideally performed within 24 hours from the time of death in order to ensure optimal preservation of the tissue and maximize the research value, though we can accept donations of up to 48 hours at the discretion of our medical director.

No. All brain donations are performed free of charge to patients at the University of Iowa Hospitals & Clinics (UIHC). If you are eligible and interested in being a brain donor for research purposes but have not been a patient at UIHC, costs for transportation and brain removal may still be covered by the INRL at the discretion of our medical director. Funeral expenses in both cases, however, remain the responsibility of the family the same as they would if a donation were not made.

Following brain removal, the brain is examined and sectioned to identify any findings indicative of disease (called gross pathology). Small samples are taken from different brain regions that are embedded into wax, so a trained histotechnician can cut thin slices of tissue and place them on glass slides. The glass slides are stained to look for microscopic indications of a disease process which are reviewed by our board-certified medical neuropathologist. The findings are then written into a report that outlines the pathologic diagnosis, and a copy is sent to the family. The remaining tissue is stored indefinitely for investigators to access through our laboratory.

If you or a family member is interested in registering as a donor, please contact UIHC Decedent Care Center at 319-467-7000 to begin the process. When the time comes, next of kin should contact the Decedent Care Center. The Decedent Care Specialist and your funeral home will make the necessary arrangements.

Pre-registration is not required, though it is preferable. However, consent can only be given by next of kin. It is strongly encouraged that interested individuals talk with their family and friends about brain donation and advise them of their decision on donation. Advanced planning allows the coordination process to go more smoothly and may reduce the emotional stress a family feels at the time of a loved one’s passing.

No, organ donation and brain donation are not interchangeable and have to be consented for separately. Organ donations go to living recipients, while brain donations are used for research and educational purposes only.

The identity of each donor remains strictly confidential. Specifically, research results are not written in the medical file, and the donor's name will not be included in any piece of information sent to researchers. All distributed samples are de-identified to guarantee donor anonymity. Any results generated from donated tissue will not be sent to the next-of-kin or family members of donors.

Donation is voluntary and has no financial benefits. However, many donors and their families share a common satisfaction knowing that they are contributing to the health and well-being of others affected by similar brain diseases. Brain donation makes studying and discovering cures possible for future patients because it provides researchers with information on how a disease process occurs specifically in humans. Most donors and their families see this as a legacy that creates a lasting contribution toward improved health of future generations.

Many individuals wonder if agreeing to an autopsy or brain donation goes against religious beliefs.

Though the answers vary from one denomination to another, the majority of religions do support post-mortem brain tissue donation and research. Some faiths have particular laws regarding the circumstances and processes of donation, though the act of performing good deeds to benefit the community is recognized as fundamental to all religions.

Please note that the INRL is for research only. This means we do not provide tissue for medical or therapeutic use. We encourage you to discuss your questions and concerns with your own spiritual leader while you are considering donation and are happy to answer any questions that may arise.

Buddhism

The Buddhists believe that the decision to donate organs or tissue is a matter of individual conscience.  In Buddhism, the death process of an individual is viewed as a very important time that should be treated with care and respect, while preserving the physical integrity of a dead body is not seen as crucial. However, the definition of actual death may vary.  For example, according to Tibetan Buddhism, the spiritual ‘consciousness’ may remain in the body for days after the breath has stopped, and the body must remain undisturbed until then, lest disturbance of this process affect the next rebirth. While there is no written resolution on the issue, Reverand Gyomay Masao, president and founder of the Buddhist Temple of Chicago, says, "We honor those people who donate their bodies and organs to the advancement of medical science and to saving lives."

Catholicism

The Catholic Church has long supported organ and tissue donation.  The consent to donate is seen as an act of charity, fraternal love, and self-sacrifice.  On the other hand, organ and tissue donation is not considered to be an obligation. For this reason, the free and informed consent of the donor or donor's family is imperative.  The Church also specifies that in order to show respect for human life, respect for the author of life and respect for the person who once existed, dignity and reverence are due the remains of every human being.  Therefore, organs and tissue should be removed only when there is sufficient reason to justify such an action. 

Christian Scientists

Although the Church of Christ Science takes no specific position regarding organ or tissue donation, most Christian Scientists rely on spiritual rather than medical means for healing. Most also feel that they can make their particular contribution to the health of society and their loved ones in other ways than through organ and tissue donation.  The question of organ and tissue donation is an individual decision.

Confucianism

One of the key principles of Confucian society is the deep respect for parents. This could be a factor when family is faced with the decision or not to allow their parent’s organs to be donated.  Confucian teaching maintains: “Body, hair and skin are gifts from parents; let no one damage them.”  This line of thought would suggest that organ donation is disrespectful of parents. However, modern Confucian scholars have taken different views. They cite Confucius as saying sustenance of self is reliant upon the sustaining of others, indicating that the key principle of righteousness is valued more in Confucianism than preserving the integrity of the dead body, and therefore approve of organ donation.

Greek Orthodox

According to Rev. Dr. Milton Efthimiou of the Greek Orthodox Church of North and South America, the Greek Orthodox Church is not opposed to organ donation as long as the organs and tissues in question are used to better human life, i.e., for transplantation or for research that will lead to improvements in the treatment and prevention  of disease.

Hinduism

Hindus are not prohibited by religious law from donating their organs, as the physical integrity of the dead body is not seen as crucial to reincarnation of the soul, according to the Hindu Temple Society of North America.  This is considered an individual decision.  An important tenet of Hinduism is to help those who are suffering, and selfless giving is seen as a virtuous act. Hasmukh Velji Shah of the World Council of Hindus stated: “The important issue for a Hindu is that which sustains life should be accepted and promoted as Dharma (righteous living). Organ donation is an integral part of our living.”

Islam

Violating the human body, whether living or dead, is forbidden in Islam. However, altruism is also an important principle of Islam, and saving a life is placed very highly in the Qur’an: “Whosoever saves the life of one person it would be as if he saved the life of all mankind (Chapter 5:32).”  In this dilemma, the principle that reconciles the two is ‘necessity overrides prohibition’.  According to A. Sachedina in his Transplantation Proceedings' (1990) article, "...the majority of the Muslim scholars belonging to various schools of Islamic law have invoked the principle of priority of saving human life and have permitted the organ transplant as a necessity to produce that noble end." Donation for research is a more complex issue and is best addressed with an appropriate cleric or other authority.

Jehovah’s Witness

Jehovah's Witnesses do not encourage organ and tissue donation, but believe it is a matter for individual conscience, according to the Watch Tower Society, the legal corporation for the religion.  Jehovah’s Witnesses are often assumed to be opposed to donation because of their belief against blood transfusion. However, donation may be permissible if all blood is removed from the donated organs and tissue.

Judaism

Jewish law sanctions the performance of autopsies only in certain, very limited circumstances.  The Jewish faith places great importance on avoiding any unnecessary interference with the body after death, and requires burial of the complete body, typically within 24 hours.  However, many Jewish scholars feel that concerns regarding organ donation are overridden by the urge to save lives as a fundamental value in Judaism, as Jewish law demands that one should violate almost all other commandments in order to save a life.  It is the consensus of rabbinical opinion that postmortem examination may be performed for the purpose of gaining specific information that will benefit the treatment of others already afflicted with a life-threatening illness.  Similarly, most rabbinical authorities concur that a postmortem examination may be performed on a person who dies with a genetic disease in order to save the lives of children who may be afflicted with the same disease, even if the children whose lives will be saved have not yet been born. Opinions vary significantly within different strains of Judaism (Reconstructionist, Reformed, Conservative and Orthodox).

Lutheran

The Lutheran Church -Missouri Synod was the first denomination to encourage organ and tissue donation by adopting a supportive resolution and by distributing the largest number of donor cards ever through an issue of their magazine, Lutheran Witness.  Rev. James W. Rassbach of the Board of Communication Services, Missouri Synod, says, "We accept and believe that our Lord Jesus Christ came to give life and came to give it in abundance.  Organ and tissue donation enables more abundant life, alleviates pain and suffering, and is an expression of love in time of tragedy.”

Protestant (other denominations)

While no one can speak with ultimate authority for Protestant Christianity because of the diversity of traditions and the lack of a single teaching authority, most denominations both endorse and encourage organ and tissue donation. At the same time, they stress respect for the individual conscience and a person's right to make decisions regarding his or her own body.

Shintoism

In Shinto, the dead body is considered to be impure and dangerous and, thus, quite powerful. “In folk belief context, injuring a dead body is a serious crime…” according to E. Namihira in his article, Shinto Concept Concerning the Dead Human Body.  Families often are concerned that they not injure the itai, the relationship between the dead person and the bereaved people.

Sikhism

The word Sikh implies learner. The ethos of a Sikh is that religion should be practiced in the living world by dealing with life’s day to day problems. Sikhs believe in life after death and a continuous cycle of rebirth. The physical body is not viewed as important in this process.

Taoism

Taoism is a philosophical tradition from Eastern Asia whose stance on transplantation essentially revolves around the ethos that changes made to Human form cannot truly affect the essence of life. Organ donation is therefore generally approved.